DAFTAR ISI

 

 

 

Halaman

 

Halaman Judul

i

 

Kata Pengantar

ii

 

Daftar Isi

iii

 

Daftar Tabel

vii

 

BAB I

: PENDAHULUAN……………………………………………………………………………

1

 

BAB II

: GAMBARAN UMUM PROVINSI JAWA TENGAH……………………………………..

3

 

 

  A. Keadaan Geografi...................................................................................................

3

 

 

  B. Keadaan Peduduk..................................................................................................

3

 

 

 

1. Pertumbuhan dan Kepadatan penduduk.........................................................

3

 

 

2. Rasio Jenis Kelamin Penduduk.......................................................................

4

 

 

3. Komposisi Penduduk Menurut Golongan Umur..............................................

4

 

 

4. Angka Fertilitas Total (TFR).............................................................................

5

 

  C. Keadaan Ekonomi..................................................................................................

5

 

 

 

1. Produk Domestik Regional Bruto (PDRB).......................................................

5

 

 

2. Angka Beban Tanggungan..............................................................................

7

 

  D. Keadaan Pendidikan...............................................................................................

7

 

BAB III

: SITUASI DERAJAT KESEHATAN.............................................................................

9

 

 

  A. Angka Kematian......................................................................................................

9

 

 

 

1. Angka Kematian Bayi………………………………………………………………

9

 

 

2. Angka Kematian Balita……………………………………………………………..

10

 

 

3. Angka Kematian Ibu………………………………………………………………..

11

 

 

4. Angka Kecelakaan Lalu-lintas…………………………………………………….

12

 

  B. Angka Kesakitan…………………………………………………………………………

13

 

 

 

1.   Angka “Accute Flaccid Paralysis’ (AFP)………………………………………..

13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           

 

 

2.   Angka Kesembuhan Penderita TB Paru BTA (+)..........................................

15

 

 

3.   Persentase Balita Dengan Pneumonia Ditangani..........................................

16

 

 

4.   Prevalensi HIV...............................................................................................

18

 

 

5.   Persentase HIV/AIDS Ditangani....................................................................

20

 

 

6.   Persentase Infeksi Menular Seksual Diobati.................................................

20

 

 

7.   Angka Kesakitan Demam Berdarah Dengue (DBD)......................................

21

 

 

8.   Persentase DBD Ditangani............................................................................

23

 

 

9.   Persentase Balita Dengan Diare Ditangani...................................................

23

 

 

10. Angka Kesakitan Malaria...............................................................................

24

 

 

11. Persentase Penderita Malaria Diobati...........................................................

26

 

 

12. Persentase Penderita Kusta Selesai Berobat................................................

26

 

 

13. Kasus Penyakit Filariasis Ditangani...............................................................

29

 

 

14. Jumlah Kasus dan Angka Kesakitan PD3I....................................................

30

 

 

 

a. Difteri....................................................................................................

30

 

 

 

b. Tetanus Neonatorum............................................................................

31

 

 

 

c. Campak.................................................................................................

31

 

 

15. Penyakit Tidak Menular.................................................................................

32

 

 

 

a. Penyakit Jantung dan Pembuluh Darah………………………………….

33

 

 

 

 

1). Penyakit Jantung Koroner………………………………………...

33

 

 

 

 

2). Hipertensi..................................................................................

34

 

 

 

 

3). Stroke...................................................................……………..

34

 

 

 

 

4). Dekompensasio Kordis.............................................................

35

 

 

 

b. Diabetes Mellitus..................................................................................

36

 

 

 

c. Neoplasma............................................................................................

37

 

 

 

d. Penyakit Paru Obstruktif Kronis............................................................

38

 

 

 

e. Asma Brokial.........................................................................................

39

 

 

 

f.  Kecelakaan Lalu-lintas..........................................................................

39

 

C. Angka Status Gizi Masyarakat..................................................................................

40

 

 

 

1. Persentase Kunjungan Neonatus....................................................................

40

 

 

2. Persentase Kunjungan Bayi............................................................................

41

 

 

3. Persentase BBLR Ditangani............................................................................

42

 

 

4. Persentase Balita Dengan Gizi Buruk.............................................................

43

 

 

5. Kecamatan Bebas Rawan Gizi........................................................................

44

BAB IV

: SITUASI UPAYA KESEHATAN.................................................................................

46

 

 

A.

Pelayanan Kesehatan Dasar...............................................................................

46

 

 

1. Pelayanan Kesehatan Ibu................................................................................

46

 

 

 

a. Cakupan Kunjungan Ibu Hamil.............................................................

46

 

 

 

b. Persalinan Yang Ditolong Oleh Nakes.................................................

47

 

 

 

c. Pelayanan Ibu Nifas..............................................................................

48

 

 

 

d. Ibu Hamil Mendapat Tablet Fe.............................................................

49

 

 

2. Pelayanan Kesehatan Anak Pra Sekolah dan Usia Sekolah...........................

50

 

 

 

a. Deteksi Dini Tumbuh Kembang Anak Balita dan Prasekolah...............

50

 

 

 

b. Pemeriksaan Kesehatan Siswa SD/MI.................................................

50

 

 

 

c. Pelayanan Kesehatan Remaja.............................................................

51

 

 

3. Pelayanan Keluarga Berencana......................................................................

52

 

 

 

a. Peserta KB Baru...................................................................................

52

 

 

 

b. Peserta KB Aktif....................................................................................

53

 

 

4. Pelayanan Imunisasi........................................................................................

55

 

 

 

a. Persentase Desa Yang Mencapai Universal Child Immunization.........

55

 

 

 

b. Cakupan Imunisasi Bayi.......................................................................

56

 

 

 

c. Drop Out Imunisasi DPT1-Campak……………………………………….

57

 

 

5. Pelayanan Kesehatan Gigi………………………………………………………...

58

 

 

 

a. Rasio Tambal cabut Gigi Tetap…………………………………………...

58

 

 

 

b. Murid SD/MI Mendapat Pemeriksaan Gigi dan Mulut………………….

59

 

 

 

c. Murid SD/MI Mendapat Perawatan Gigi dan Mulut……………………..

60

 

 

6. Pelayanan Kesehatan Usia Lanjut………………………………………………..

61

 

 

7. Pelayanan Kesehatan Kerja……………………………………………………….

61

 

 

 

a. Pelayanan Kesehatan Sektor Informal…………………………………...

61

 

 

 

b. Pelayanan Kesehatan Sektor Formal...................................................

62

 

 

8. Upaya Penyuluhan Kesehatan........................................................................

63

 

B.

Pelayanan Kesehatan Rujukan dan Penunjang..................................................

64

 

 

1. Akses Ketersediaan Darah Untuk Ibu Hamil dan Neonatus Dirujuk................

64

 

 

2. Ibu Hamil Risti/Komplikasi Ditangani...............................................................

65

 

 

3. Neonatal Risti/Komplikasi Ditangani................................................................

66

 

 

4. Pelayanan Gawat Darurat...............................................................................

67

 

 

 

a. Sarana Kesehatan Dengan Kemampuan Pelayanan Gawat Darurat Yang Dapat Diakses Masyarakat.........................................................

67

 

 

 

b. Pemenuhan Darah di Rumah Sakit .....................................................

68

 

C.

Akses dan Mutu Pelayanan Kesehatan...............................................................

68

 

 

1. Cakupan rawat Jalan.......................................................................................

68

 

 

2. Cakupan Rawat Inap.......................................................................................

69

 

 

3. Pelayanan Kesehatan Jiwa.............................................................................

69

 

 

4.Sarana Kesehatan Dengan Kemampuan Laboratorium Kesehatan.................

70

 

 

5. RS Yang Menyelenggarakan 4 Pelayanan Kesehatan Spesialis Dasar .........

70

 

 

6. Ketersediaan Obat Esensial dan Generik Sesuai Kebutuhan.........................

71

 

 

7. Ketersediaan Obat Narkotika dan Psikotropika...............................................

71

 

 

8. Penulisan Resep Obat Generik.......................................................................

72

 

D. Pembinaan Kesehatan Lingkungan dan Sanitasi Dasar..........................................

72

 

 

 

1. Rumah Sehat...................................................................................................

73

 

 

2. Akses Terhadap Air Bersih..............................................................................

73

 

 

3. Sarana Sanitasi Dasar.....................................................................................

74

 

 

4. Tempat-tempat Umum.....................................................................................

75

 

 

5. Institusi Dibina Kesehatah Lingkungannya......................................................

76

 

 

6. Rumah/Bangunan Bebas Jentik Nyamuk Aedes.............................................

77

 

E. Perbaikan Gizi Masyarakat.......................................................................................

78

 

 

 

1. Pemantauan Pertumbuhan Balita....................................................................

78

 

 

 

a. Partisipasi Masyarakat Dalam Penimbangan.......................................

78

 

 

 

b. Balita Yang Naik Berat Badannya........................................................

79

 

 

 

c. Balita Bawah Garis Merah (BGM).........................................................

80

 

 

2. Pelayanan Gizi.................................................................................................

81

 

 

 

a. Bayi dan Balita Mendapat Kapsul Vitamin A........................................

81

 

 

 

b. Ibu Nifas Mendapat Kapsul Vitamin A..................................................

83

 

 

 

c. Ibu Hamil Mendapat 90 tablet Fe..........................................................

84

 

 

 

d. bayi BGM Gakin Mendapat MP ASI.....................................................

85

 

 

 

e. Balita Gizi Buruk Mendapat Perawatan................................................

85

 

 

 

f. Wanita Usia Subur Yang Mendapat Kapsul Yodium.............................

87

 

F. Perilaku Hidup Masyarakat.......................................................................................

88

 

 

 

1. Persentase Rumah Tangga Berperilaku Hidup Bersih dan Sehat...................

88

 

 

2. Persentase Posyandu Aktif..............................................................................

89

 

 

 

a. Posyandu Purnama..............................................................................

89

 

 

 

b. Posyandu Mandiri.................................................................................

90

 

 

3. Bayi Yang Mendapat ASI Eksklusif.................................................................

91

 

 

4. Desa Dengan Garam Beryodium Yang Baik...................................................

94

 

 

5. Keluarga Sadar Gizi.........................................................................................

94

 

G. Pelayanan Kesehatan Dalam Situasi Bencana........................................................

95

 

 

 

1. Program penanggulangan KLB.......................................................................

97

 

 

2. Program Penaggulangan Bencana..................................................................

99

BAB V

: SITUASI SUMBER DAYA KESEHATAN.....................................................................

101

 

 

A. Sarana Kesehatan....................................................................................................

101

 

 

 

1. Data Dasar Puskesmas...................................................................................

101

 

 

2. Indikator Pelayanan Rumah Sakit...................................................................

102

 

 

 

a. Pemakaian Tempat Tidur.....................................................................

102

 

 

 

b. Rata-rata Lama Rawat Seorang Pasien (ALOS)..................................

102

 

 

 

c. Rata-rata Hari tempat Tidur Tidak Ditempati (TOI)...............................

103

 

 

 

d. Angka Kematian Lebih Atau Sama Dengan 48 Jam (NDR).................

103

 

 

 

e. Angka Kematian Untuk Tiap-tiap Penderita Keluar (GDR)...................

103

 

 

3. Jumlah sarana Pelayanan Kesehatan Menurut Kepemilikan..........................

103

 

 

4. Sarana Pelayanan Kesehatan Swasta............................................................

104

 

 

5. Upaya Kesehatan Bersumberdaya Masyarakat..............................................

104

 

B. Tenaga Kesehatan....................................................................................................

  105

 

 

1. Persebaran Tenaga Kesehatan.......................................................................

105

 

 

2. Rasio Tenaga Kesehatan Per 100.000 Penduduk..........................................

106

 

 

 

a. Rasio Tenaga Dokter Spesialis............................................................

106

 

 

 

b. Rasio Tenaga Dokter Umum................................................................

106

 

 

 

c. Rasio Tenaga Dokter Gigi.....................................................................

107

 

 

 

d. RasioTenaga Kefarmasian...................................................................

107

 

 

 

e. Rasio Tenaga Gizi................................................................................

108

 

 

 

f.  Rasio Tenaga Keperawatan.................................................................

109

 

 

 

g. Rasio Tenaga Bidan.............................................................................

110

 

 

 

h. Rasio Tenaga Kesehatan Masyarakat..................................................

110

 

 

 

g. Rasio Tenaga Sanitasi..........................................................................

111

 

 

 

j.  Rasio Tenaga Teknisi Medis.................................................................

112

 

C.

Pembiayaan Kesehatan.......................................................................................

113

 

 

1. Persentase Anggaran Kesehatan Dalam APBD Kabupaten/Kota...................

113

 

 

2. Pembiayaan Kesehatan Untuk Pelayanan Kesehatan Perorangan................

113

 

 

 

a. Cakupan Penduduk Yang Menjadi Peserta JPK Pra Bayar.................

113

 

 

 

b. Cakupan JPK Keluarga Miskin dan Masyarakat Rentan......................

114

BAB VI

: KESIMPULAN.............................................................................................................

116