Puskesmas kabun oleh dr. arijaldi Muhammad rijzhega veronika azlin , amd.ak
Soal Puskesmas Kabun yang terletak dikabupaten Rokan Hulu, pada tahun 2024 memiliki ibu hamil sebanyak 537 dengan persentase reaktif HBsAg pada ibu hamil tahun lalu sebanyak 1,4 %. Puskesmas memiliki fasilitas untuk melakukan pemeriksaan HbV DNA dan dokter dan tim Puskesmas yang telah dilatih tentang pencegahan dan pengobatan Hepatitis B pada ibu hamil sampai pemantauan bayi 9-12 bulan . Tahun 2024 ini target pemeriksaan HbsAg pada ibu hamil 100%, sementara sisa logistic yang ada dipuskesmas Adalah sebagai berikut : RDT HbsAg : 50 HBV DNA : 0 catrige Vaksin HBIg : 2 syringe RDT Anti HBS : 0 Obat antivirus Hep B : 0 botol 2
Perhitungan permintaan logistik 3
a. Rdt hbsag Ibu hamil = {(% target bumil DDHB per tahun x jumlah ibu hamil x 1 tes ) + (10% stok cadangan )} Ibu hamil = {(100% x 362 x 1 test) + (10% x 362)} = {(537 + 54)} = 591 test = 24 kotak nb : isi dalam kemasan / kotak 25 test Pemantauan bayi 9-12 bulan = {( jumlah bayi lahir dari ibu HBsAg reaktifx1 tes ) + (10% stok cadangan )} ={(95 % x 1,4% x 362 x 1 test) + (10% stok ) = {(7+1} = 8 test 4
Total kebutuhan RDT HBsAg = RDT HBsAg pada ibu hamil + RDT HBsAg untuk pemantauan bayi 9-12 bulan - sisa stok Total kebutuhan RDT HBsAg = = 591 + 8 – 50 = 549 ( 22 kotak ) nb : isi dalam kemasan / kotak 25 test 5
HBV DNA atau RDT HbeAg = {( Perkiraan jumlah ibu hamil HBsAg reaktif * x 1 test) + (10% stok cadangan )} – sisa stok ={(1,4% x 537) + (10% stok )} – 0 ={(8 +1)} – 0 = 9 test = 1 kotak nb : isi dalam kemasan / kotak 25 test 6
Vaksin HBIg {( Perkiraan bayi lahir dari ibu HBsAg Reaktif * x 1 vial) + (10% stok cadangan )} – sisa stok ={(1,4% x 537) + (10% stok ) – 0 = (8 + 1 ) – 2 = 7 syringe = 9 syringe permintaan Nb : 2 syringe dalam 2 bln exp 7
Anti-HBs = {( jumlah bayi lahir dari ibu HBsAg reaktif x 1 tes ) + (10% stok cadangan )} - sisa stok ={(1,4 % x 537) + (10% stok ) – sisa stok = (8 + 1 ) – 0 = 9 tes = 1 kotak nb : isi dalam kemasan / kotak 10 test 8
Obat antivirus hepatitis B ={( Jumlah bumil yang diperiksa HBV DNA atau HBeAg x 15% x 4 botol ) + (10% stok cadangan )} – sisa stok ={(1,4% x 362) x 15% x 4 botol )+(10% stok )}– sisa stok = 5 + 0 – 0 = 5 botol = 8 botol ( digenapkan ) 9
Engaging the audience Make eye contact with your audience to create a sense of intimacy and involvement Weave relatable stories into your presentation using narratives that make your message memorable and impactful Encourage questions and provide thoughtful responses to enhance audience participation Use live polls or surveys to gather audience opinions, promoting engagement and making sure the audience feel involved 12
Selecting visual aids 13 Enhancing your presentation
Effective delivery techniques 14 This is a powerful tool in public speaking. It involves varying pitch, tone, and volume to convey emotion, emphasize points, and maintain interest. Pitch variation Tone inflection Volume control Effective body language enhances your message, making it more impactful and memorable. Meaningful eye contact Purposeful gestures Maintain good posture Control your expressions
Navigating Q&A sessions Maintaining composure during the Q&A session is essential for projecting confidence and authority. Consider the following tips for staying composed: Stay calm Actively listen Pause and reflect Maintain eye contact Know your material in advance Anticipate common questions Rehearse your responses 15
Speaking impact Your ability to communicate effectively will leave a lasting impact on your audience Effectively communicating involves not only delivering a message but also resonating with the experiences, values, and emotions of those listening 16
Dynamic delivery Learn to infuse energy into your delivery to leave a lasting impression One of the goals of effective communication is to motivate your audience Metric Measurement Target Actual Audience attendance # of attendees 150 120 Engagement duration Minutes 60 75 Q&A interaction # of questions 10 15 Positive feedback Percentage (%) 90 95 Rate of information retention Percentage (%) 80 85 17
Final tips & takeaways Consistent rehearsal Strengthen your familiarity Refine delivery style Pacing, tone, and emphasis Timing and transitions Aim for seamless, professional delivery Practice audience Enlist colleagues to listen & provide feedback Seek feedback Reflect on performance Explore new techniques Set personal goals Iterate and adapt 18