LAPORAN EVALUASI PROGRAM POKOK

PUSKESMAS
PENEMUAN PENYAKIT PNEUMONIA BALITA
DI WILAYAH KERJA PUSKESMAS PEKUNCEN

Preseptor Lapangan :
dr. Dhini Puspitosari

Disusun Oleh :
Juwita Retnoningtyas
G4A016098
KEPANITERAAN ILMU KESEHATAN MASYARAKAT
JURUSAN KEDOKTERAN
FAKULTAS KEDOKTERAN
UNIVERSITAS JENDERAL SOEDIRMAN

2018
 LATAR BELAKANG
WHO
Data World Health Organization (WHO)
tahun 2016 menyebutkan pneumonia
menyebabkan kematian 920.136 anak,
yaitu 15% dari seluruh penyebab kema-
tian anak dibawah usia 5 tahun
JAWA TENGAH
Penderita pneumonia balita di Jawa Tengah
tahun 2016 sebesar 20,662 kasus (17.49%)
(Kemenkes, 2017). Balita yang berasal dari
Jawa Tengah terdiagnosis pneumonia
sebanyak 55.932 (0,1 %) balita

INDONESIA BANYUMAS

Penderita pneumonia balita di Indonesia Angka kejadian pneumonia di Kabupaten

tahun 2016 mencapai 503,738 kasus
(57.84%) dan menyebabkan kematian
karena pneumonia sebanyak 10 balita
(Kemenkes RI, 2017)
PEKUNCEN
Banyumas tahun 2013 pada anak balita
mencapai 2214 balita dari jumlah
penduduk usia balita sebanyak 164.232
jiwa (Dinkes Banyumas 2013).

2017 yang ditemukan atau ditangani di Kecamatan Pekuncen adalah sebanyak 74 kasus dari
jumlah perkiraan penemuan kasus pneumonia balita sebanyak 175 atau sebesar 42,2%.
 Analisis Potensi
SDM JUMLAH STANDAR
• Dokter umum : 3 orang 2 orang
• Dokter Gigi : 1 orang 1 orang
• Bidan : 23 orang 7 orang
• Perawat : 11 orang 8 orang
• Perawat gigi : 1 orang 1 orang
• Tenaga staf administrasi : 12 orang 2 orang
• Pelaksana kesehatan lingkungan : 1 orang 1 orang
• Tenaga sanitasi : 2 orang 1 orang
• Rekam medis : 1 orang -
• Tenaga Kesehatan Masyarakat : 1 orang 1 orang
• Farmasi : 2 orang 1 orang
• Tenaga gizi : 1 orang 2 orang
• Staf kebersihan dan lain-lain : 5 orang 1 orang
Analisis Potensi
Alokasi anggaran bagi program Penemuan kasus
Pneumonia balita di Pekuncen telah ditentukan
Money rinciannya secara pasti pada awal tahun, anggaran
tersebut didapat dari kas BLUD dan BOK

Logistik dan obat di Puskesmas Pekuncen

Material didapatkan dari Dinas Kesehatan Kabupaten
Banyumas dan pengadaan dari puskesmas sendiri

Puskesmas Pekuncen memiliki Standar Operasional

Prosedur (SOP) yang jelas mengenai MTBS dan
Method Prosedur Tetap (Protap) pengelolaan pneumonia dan
ISPA

Pemantauan bayi dan balita dengan pneumonia

Minute dilakukan setiap hari kerja Puskesmas Pekuncen
yakni Senin hingga Sabtu

Sasaran kegiatan program penemuan kasus

Market Pneumonia Balita meliputi seluruh desa di wilayah
kerja puskesmas Pekuncen
 PROSES
Pengorganisasian dilakukan
melalui kegiatan puskesmas
misalnya melalui UKM (Usaha
Kesehatan Masyarakat), UKP
(Upaya Kesehatan
Pengembangan), lokakarya mini
bulanan, lokakarya mini triwulan
lintas sektoral atau rapat dengan
mengundang bidan dan kader
desa.
Pengorganis-
perencanaan
asian
Perencanaan diawali dengan
identifikasi masalah
(ketimpangan target dengan
hasil). Masalah-masalah yang
ada kemudian dicari yang
diprioritaskan menggunakan
metode USG (Urgency,
Severity, Growth)..
Pengawasan dan
pengendalian dilakukan
melaui rapat Program
P2PM Puskesmas
Pekuncen dan juga oleh
Dinas Kesehatan Wilayah
Banyumas khususnya dari
bidang MTBS
Penggerakan Pengawasan dan
pengendalian (P3)
dan Pelaksanaan
untuk kelancaran
Program
kegiatan
Upaya penemuan dan
penanganan pneumonia balita
dilakukan setiap hari Senin-Sabtu
di puskesmas Pekuncen. Tim
Puskesmas Pekuncen juga
bekerjasama dengan masyarakat,
untuk menindaklanjuti program
pengelolaan penyakit yang dapat
dicegah dengan imunisasi.
OUTPUT OUTCOME

• Penemuan kasus pneumonia pada balita Dampak program yang diharapkan adalah
tahun 2017 ditemukan atau ditangani di menurunnya angka morbiditas dan
Kecamatan Pekuncen adalah sebanyak mortalitas akibat Pneumonia di wilayah
74 kasus dari jumlah perkiraan kerja Puskesmas Pekuncen.
penemuan kasus pneumonia balita
sebanyak 175 atau sebesar 42,2%.
• Angka tersebut belum memenuhi target
SPM Kabupaten Banyumas tahun 2017
dan SPM Kemenkes RI 2017 yaitu
sebesar 100%.
STRENGTH
• Tiap wilayah memiliki bidan desa untuk
membantu pelaporan pasien pneumonia
balita
• Sumber dana dalam pelaksanaan
program program penemuan balita
dengan pneumonia sudah disiapkan dari
pemerintah
• Proses pengorganisasian sudah berjalan
dengan baik sesuai SOP.
WEAKNESS
• Pemegang program memiliki tanggung
jawab lain di puskesmas Pekuncen dan
kurang aktif dalam melakukan kegiatan
penemuan aktif penderita pneumonia.
• Pelatihan dan monitoring dalam
penanganan penyakit pneumonia tidak
rutin dan kurangnya promosi terkait
pneumonia.
• Kurangnya pengawasan dari dan
kurangnya kontrol terhadap pendataan
terhadap penemuan dan penanganan
pneumonia pada balita di wilayah kerja
Puskesmas Pekuncen.
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