DAFTAR ISI

Lembar Pengesahan ................................................................................... i

Kata Pengantar ............................................................................................ ii

Daftar Isi ...................................................................................................... iii

Daftar Singkatan ..........................................................................................vii

Daftar Gambar ............................................................................................. ix

Daftar Tabel .................................................................................................x

BAB 1 PENDAHULUAN ..............................................................................1

1.1 Latar Belakang .......................................................................................1

1.2 Rumusan Masalah ................................................................................2

1.3 Tujuan ....................................................................................................2

1.3.1 Tujuan umum ..........................................................................2

1.3.2 Tujuan khusus ........................................................................3

1.4 Manfaat ..................................................................................................3

1.4.1 Puskesmas dan Dinas Kesehatan ...........................................3

1.4.2 Dokter Muda .............................................................................3

1.4.1 Masyarakat ...............................................................................3

BAB 2 TINJAUAN PUSTAKA ......................................................................4

2.1 Konsep Dasar Puskesmas ......................................................................4

2.1.1 Pengertian ...............................................................................4

2.1.2 Visi ..........................................................................................5

2.1.3 Misi .........................................................................................6

2.1.4 Tujuan Puskesmas .................................................................7

2.1.5 Fungsi Puskesmas .................................................................7

2.2 Upaya Kesehatan Puskesmas ...............................................................9

2.3 Upaya Kesehatan Lingkungan ...............................................................10

2.4 Sanitasi Total Berbasis Masyarakat ( STBM ) .......................................11

2.4.1 Pengertian ..............................................................................11

2.4.2 Manfaat Pelaksanaan 5 Pilar STBM .......................................13

2.4.3 Tujuan Pelaksanaan 5 Pilar STBM .........................................13

2.4.4 Kriteria Lima Pilar STBM ........................................................13

2.4.5 Konsep STBM ........................................................................16

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2.4.6 Strategi Nasional STBM .........................................................18

2.4.7 Pilar Perubahan STBM ...........................................................19

2.4.8 PRA dalam STBM ..................................................................20

2.4.9 Pelatihan STBM ......................................................................22

2.5 8 Goals MDG's .......................................................................................25

2.6 Strategi dan Langkah Pemicu Masyarakat ............................................29

2.6.1 Strategi ...................................................................................29

2.6.2 Langkah Pemicuan Masyarakat .............................................32

2.6.2.1 Pengenalan / Identifikasi Lingkungan ..................33

2.6.2.2 Koordinasi dengan Puskesmas dan Tim

Kecamatan lainnya ..............................................34

2.6.3 Pelaksanaan Pemicuan ..........................................................35

2.6.4 Kunci Kerja Fasilitator .............................................................36

2.7 Monitoring Dan Evaluasi ........................................................................38

2.7.1 Monitoring ...............................................................................38

2.7.2 Evaluasi ..................................................................................38

2.8 Motivasi ..................................................................................................38

2.8.1 Pengertian Motivasi ................................................................38

2.8.2 Metode Motivasi .....................................................................39

2.8.3 Hierarki Teori Kebutuhan ........................................................39

2.8.4 Faktor Penggerak Motivasi .....................................................40

2.8.5 Bentuk – Bentuk Motivasi .......................................................41

2.8.6 Teori – Teori Motivasi .............................................................42

2.8.7 Faktor yang Mempengaruhi Motivasi ......................................42

2.8.8 Cara Meningkatkan Motivasi ..................................................43

2.8.9 Fungsi Motivasi .......................................................................43

2.8.10 Macam – Macam Motivasi ......................................................43

2.8.11 Tujuan Motivasi ......................................................................45

2.9 Rumah Sehat..........................................................................................45

2.9.1 Definisi Menurut WHO ............................................................45

2.9.2 Persyaratan Rumah Sehat .....................................................45

2.9.3 Pedoman Rumah Sehat .........................................................46

2.9.4 Bentuk Rumah Sehat ..............................................................47

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2.10 Perubahan Perilaku Kesehatan............................................................47

2.10.1 Teori Perubahan Perilaku Kesehatan .....................................47

2.10.2 Bentuk Perubahan Perilaku ....................................................50

2.10.3 Pendekatan Untuk Merubah Perilaku .....................................50

2.10.4 Strategi Perubahan Perilaku ...................................................51

2.10.5 Tahap Perubahan Perilaku .....................................................51

BAB 3 KERANGKA KONSEPTUAL.............................................................53

BAB 4 METODE PEMBELAJARAN ............................................................57

4.1 Deskriptif ................................................................................................57

4.1.1 Buku PKPus ...........................................................................57

4.1.2 Profil Puskesmas Industri........................................................58

4.1.3 Data-data cakupan program yg diperlukan..............................60

4.1.4 Issue faktual ...........................................................................60

4.2 Wawancara dan Konsultasi ...................................................................63

4.2.1 Dengan Kepala Puskesmas Industri .......................................63

4.2.2 Dengan Kabid P3 KesLing Dinkes dan Pengelola

Program Puskesmas ..............................................................63

4.2.3 Dengan Tokoh Masyarakat .....................................................63

4.3 Hasil Diskusi Kelompok Bersama ..........................................................64

4.3.1 Pembimbing Akademik ...........................................................64

4.3.2 Kabid P3 Kesling ....................................................................64

4.3.3 Kepala Puskesmas Industri ....................................................64

4.3.4 Kepala Program Kesling Puskesmas Industri .........................64

4.3.5 Pembimbing Akademik ...........................................................64

BAB 5 HASIL PEMBELAJARAN..................................................................65

5.1 Data-data pendukung yang diperlukan/berkaitan...................................65

5.1.1 Data Penilaian Kinerja Puskesmas Industri di Bidang

Kesehatan Lingkungan ..........................................................65

5.1.2 Hasil Evaluasi Rumah STBM RW 04 Kelurahan Tlogopatut . .67

5.2 Notulen dan pemberian materi program oleh penanggung jawab

program yang berkaitan dengan masalah STBM dan notulen lintas

sector .....................................................................................................71

5.2.1 Lintas program.........................................................................71

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5.2.2 Lintas sektor............................................................................71

BAB 6 12 LANGKAH MANAJEMEN TERPADU PELAYANAN

KESEHATAN DASAR .....................................................................72

6.1 Identifikasi Masalah................................................................................72

6.2 Penentuan Prioritas Masalah..................................................................72

6.3 Pernyataan Masalah...............................................................................72

6.4 Penentuan Penyebab Masalah...............................................................73

6.5 Memahami Proses dimana Lokasi Masalah...........................................75

6.6 Pengumpulan Data Tentang Penyebab Masalah...................................76

6.7 Menentukan Prioritas Penyebab Masalah..............................................78

6.8 Penentuan Alternatif Pemecahan Masalah.............................................80

6.9 Penetapan Pemecahan Masalah............................................................81

6.10 Pembentukan Tim Pemecahan Masalah..............................................84

6.11 Penyusunan Rencana Penerapan Pemecahan Masalah.....................85

6.12 Monitoring dan Evaluasi........................................................................90

BAB 7 KESIMPULAN DAN SARAN.............................................................91

7.1 Kesimpulan.............................................................................................91

7.2 Saran .....................................................................................................92

DAFTAR PUSTAKA .....................................................................................94

LAMPIRAN ...................................................................................................95

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DAFTAR SINGKATAN

ABRI Angkatan Bersenjata Republik Indonesia

APBD Anggaran Pendapatan dan Belanja Negara

BABS Buang Air Besar Sembarangan

BOK Bantuan Operasional Kesehatan

CARL Capability Accessibility Readiness Leverage

CLTS Community Lead Total Sanitation

CSR Community Social Responsibility

CTPS Cuci Tangan Pakai Sabun

Dinkes Dinas Kesehatan

IUWASH Indonesia Urban Water Sanitation and Hygiene

Jumantik Juru Pengamat Jentik

Kabid Kepala Bidang

Kepmenkes Keputusan Mentri Kesehatan

Kesling Kesehatan Lingkungan

KLB Kejadian Luar Biasa

Km Kilo meter

LKM Lembaga Keuangan Masyarakat

MCUA Multiple Criteria Utility Assessment

MDG’s Millenium Development Goal’s

Menkes Mentri Kesehatan

ODF Open Defecation Free

P3 Pencegahan Pemberantasan Penyakit

PAMSISMAS Program Nasional Penyediaan Air Minum dan Sanitasi

Berbasis Masyarakat

PKK Pembinaan Kesejahteraan Keluarga

PKPus Penilaian Kinerja Puskesmas

PNS Pegawai Negeri Sipil

PRA Participatory Rural Appraisel

PROMKES Promosi Kesehatan

PU Pekerja Umum

Puskesmas Pusat Kesehatan Masyarakat

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RT Rukun Tetangga

RW Rukun Warga

SAB Sumber Air Bersih

SK Surat Keputusan

SPAL Saluran Pembuangan Air Limbah

STBM Sanitasi Total Berbasis Masyarakat

TOT Training of Trainer

TPM Tempat Pengelola Makanan

TPS Tempat Pengolahan Sampah

TTU Tempat-tempat Umum

TUPOKSI Tugas Pokok dan Fungsi

UKM Upaya Kesehatan Masyarakat

UPTD Unit Pelaksana Teknis Dinas

USG Urgency Seriousness Growth

WC Water Closet

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Daftar Gambar

Gambar 2.1 Lima Pilar Sanitasi Total Berbasis Masyarakat ................................12

Gambar 2.2 Standar Cara Mencuci Tangan .........................................................15

Gambar 2.3 Komponen Sanitasi Total Berbasis Masyarakat ...............................19

Gambar 2.4 Tangga Perubahan Perilaku-Visi STBM ...........................................20

Gambar 2.5 Tiga Pilar Utama PRA ......................................................................21

Gambar 2.6 Millenium Development Goals ..........................................................29

Gambar 2.7 Target MDG’s Terkait Air dan Sanitasi .............................................29

Gambar 2.8 Hierarki Kebutuhan Maslow ..............................................................40

Gambar 3.1 Kerangka Konseptual .......................................................................53

Gambar 5.1 Hasil Evaluasi Rumah di Kelurahan Tlogopatut Gresik ....................69

Gambar 5.2 Rumah Tidak STBM .........................................................................70

Gambar 6.1 FISH BONE Hasil Diskusi dengan Pembimbing Operasional dan

Akademik .........................................................................................74

Gambar 6.2 Flow Chart ........................................................................................75

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Daftar Tabel

Tabel 2.1 Beda Penyuluhan dan Pemicuan .........................................................37

Tabel 4.1 Tingkat Pendidikan Masyarakat di Wilayah Kerja Puskesmas

Industri .................................................................................................59

Tabel 5.1 Data Penilaian Kinerja Puskesmas Industri di Bidang Kesehatan

Lingkungan Tahun 2013 ......................................................................65

Tabel 5.2 Hasil Evaluasi Rumah di Kelurahan Telogopatut Gresik.......................69

Tabel 5.3 Rumah Tidak STBM .............................................................................70

Tabel 6.1 Pengumpulan Data Tentang Penyebab Masalah .................................76

Tabel 6.2 Menentukan Prioritas Penyebab Masalah ............................................78

Tabel 6.3 Penentapan Pemecahan Masalah ........................................................82

Tabel 6.4 Gantt Chart ...........................................................................................87

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