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Abstrak :
ABSTRAK
Pembangunan kesehatan di Indonesia saat ini difokuskan pada siklus kehidupan dimulai
dari hamil sampai dengan lansia yang dikenal dengan Continuum of Care. Pada
pelaksanaan Rapat Kerja Kesehatan Nasional tahun 2018 disepakati tiga upaya
kesehatan di antaranya adalah penangan tuberkulosis, pencegahan stunting, dan
imunisasi. Ada beberapa faktor yang saling berhubungan dengan kejadian stunting salah
satunya adalah faktor kesehatan gigi dan mulut pada balita. Tujuan dari penelitian ini
yaitu untuk mengetahui analisis kejadian karies white spot dan hubungannya dengan
status gizi di puskesmas purwadadi kabupaten ciamis 2019. Penelitian menggunakan
metode mixed methods dengan disain Cross secsional dan eksplenatory yang didahului
analisis data kuantitatif pada 36 balita dan dilanjutkan dengan wawancara mendalam
kepada informan. Variabel independen penelitian yaitu umur balita, jenis kelamin,
asupan asi eklusif, susu formula, umur ibu, pendidikan ibu, pekerjaan ibu, pendapatan
keluarga, pemeliharaan kesehatan gigi dan mulut, dan sarana fasilita. Variabel kovariat
yaitu karies white spot dan variabel dependen yaitu status gizi balita. Hasil penelitian ini
menyatakan bahwa faktor yang mempengaruhi kejadian karies white spot pada balita
yaitu umur dan konsumsi susu formula. Tidak Ada hubungan antara karies white spot
dengan status gizi pada balita. Namun, faktor risiko balita dengan karies white spot
mempunyai peluang 1,12 kali mengalami status gizi tidak normal. Dari hasil wawancara
menyatakan bahwa setiap kasus yang terjadi di lapangan diwajibkan melapor dan
berkoordinasi antar petugas untuk tindakan selanjutnya. Pemberian edukasi secara
konseling dilakukan secara berkesinambungan.

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ABSTRACT
Health development in Indonesia is currently focused on the life cycle starting from
pregnancy to the elderly, known as Continuum of Care. At the implementation of the
National Health Work Meeting in 2018 it was agreed that three health efforts included
tuberculosis treatment, stunting prevention, and immunization. There are several factors
that are interrelated with the incidence of stunting, one of which is dental and oral health
factors in infants. The purpose of this study was to determine the analysis of the
incidence of white spot caries and their relationship with nutritional status in Purwad
Puskesmas in Ciamis District 2019. The study used mixed methods with cross-sectional
and explanatory designs which were preceded by quantitative data analysis in 36 infants
and continued with in-depth interviews with informants . The independent variables of
the research are toddler age, sex, exclusive breastfeeding, formula milk, mother's age,
mother's education, mother's occupation, family income, maintenance of dental and oral
health, and facility facilities. The covariate variable is white spot caries and the
dependent variable is the toddler's nutritional status. The results of this study stated that
the factors that influence the incidence of white spot caries in infants are age and
consumption of formula milk. There is no relationship between white spot caries and
nutritional status in infants. However, risk factors for infants with white spot caries have
a 1.12 times chance of experiencing abnormal nutritional status. The results of the
interviews stated that each case that occurred in the field was required to report and
coordinate between officers for further action. The provision of counseling education is
carried out on an ongoing basis.

Abstrak :

ABSTRAK
Nama : Karmellia Nikke Darnesti
Program Studi : Ilmu Kesehatan Masyarakat
Judul : Analisis Kinerja Unit Pelayanan Gigi Puskesmas Kelurahan di
Wilayah Kecamatan Koja Jakarta Utara Tahun 2018
Pembimbing : Prastuti Soewondo, S.E., MPH., Ph.D
Lebih dari 50% penduduk di Indonesia memiliki permasalahan gigi dan mulut, ironisnya
berdasarkan Riskesdas 2018, hanya sekitar 10% yang mampu mendapat akses ke layanan
kesehatan gigi. Rifaskes 2011 mengindikasikan cakupan program usaha kesehatan gigi
berbasis masyarakat di puskesmas masih sangat rendah, termasuk di wilayah DKI Jakarta.
Penelitian ini bertujuan untuk melakukan kajian atas kinerja unit pelayanan gigi
puskesmas kelurahan di wilayah Kecamatan Koja. Pendekatan wawancara mendalam,
observasi, dan telaah dokumen dilakukan pada dua jenis unit pelayanan gigi yang ada di
puskesmas kelurahan wilayah Kecamatan Koja. Terdapat dua skema, yaitu Pola I yang
memiliki dokter gigi saja dan Pola III memiliki dokter gigi dan terapis gigi. Hasil
penelitian menyatakan bahwa unit pelayanan gigi pola III memiliki kinerja pelayanan gigi
yang lebih baik karena dapat menangani lebih banyak pasien dan tindakan, serta dapat
memenuhi program Usaha Kesehatan Gigi Sekolah (UKGS) dan Upaya Kesehatan Gigi
Masyarakat (UKGM). Sebaliknya, unit pelayanan gigi pola I hanya dapat memenuhi
program UKGS dan menangani jumlah pasien yang lebih sedikit. Adanya kompetisi
waktu antara program kesehatan gigi masyarakat dan poli gigi membuat dokter gigi
kesulitan memenuhi semua pelayanan gigi. Pelaksanaan program UKGS maupun UKGM
yang dipenuhi hanya terbatas pada penyuluhan singkat dan pemeriksaan sederhana yang
dilaksanakan sekedar memenuhi target. Akibatnya, permasalahan gigi dapat terus
berkembang menjadi penyakit yang semakin parah dan membutuhkan perawatan lebih
kompleks. Hasil kajian juga menguak bahwa tindakan mayoritas, yaitu mumifikasi,
kurang sesuai dengan standar perawatan yang dibutuhkan karena keterbatasan sumber
daya. Disamping itu, tugas manajemen puskesmas ternyata menambah beban kerja dokter
gigi dan mempengaruhi kinerja unit pelayanan gigi. Kolaborasi dokter gigi dengan terapis
gigi akan meningkatkan kinerja unit pelayanan gigi karena dapat mengakomodasi
kenaikan permintaan pelayanan, membantu melaksanakan semua upaya kesehatan gigi,
dan meningkatkan kualitas pelayanan dalam era Jaminan Kesehatan Nasional (JKN).
Kata kunci: kinerja, pelayanan gigi, puskesmas, dokter gigi, terapis gigi

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ABSTRACT
Name : Karmellia Nikke Darnesti
Study Program : Public Health Science
Title : Analysis of Dental Medical Unit Performance in Puskesmas
Kelurahan at Koja District North Jakarta 2018
Counsellor : Prastuti Soewondo, S.E., MPH., Ph.D
More than 50% of the population in Indonesia were reported to have dental problems,
ironically based on Riskesdas 2018, only around 10% are able to get access to dental
services. Rifaskes 2011 has indicated the coverage of the community-based oral health
program at the Puskesmas is quietly low, even in the DKI Jakarta. This study aims to
analyze the performance of the dental medical unit at the puskesmas kelurahan in Koja
District area. The approach is through in-depth interviews, observations, and document
studies were carried out on two types of dental medical units that mostly be divided into
Pattern I with only dentist and Pattern III which have dentist and dental therapist. The
results of the study indicated that Pattern III had higher dental service performance
primarily because it could handle more patients and type of treatments also could carry
out School-based Oral Health (UKGS) and Community-based Oral Health (UKGM)
programs. In contrast, Pattern I only fulfill the UKGS program and handle fewer patients.
Clash of time between community-based program and dental poly makes it difficult for
dentists to fulfill all dental services. The implementation of the UKGS and UKGM
programs which only brief counseling and screening tended merely meet the targets so
that dental problems become more severe then require more complex treatments. The
study also revealed that the mummification, which were among the most frequent
treatment, were not in accordance with the standard of care due to limited resources. In
addition, management duties within puskesmas adds further workload of dentists and
influenced the performance of dental service. Dentist collaboration with dental therapist
will improve the performance of the dental service, allowing them to accommodate the
increase in demand, support implementation of all dental health efforts, and improve
dental service quality in the era of National Health Insurance (JKN).
Keywords : dental services; performance; puskesmas; dentist; dental therapist