STRATEGI PENDEKATAN PROGRAM PELAYANAN KB Strategi pendekatan dalam program keluarga berencana antara lain : 1. Pendekatan kemasyarakatan (community approach). GARIS – GARIS BESAR PROGRAM PENGAJARAN PELAYANAN KB AKADEMI KEBIDANAN SAKINAH KEPULUNGAN GEMPOL PASURUAN. 2.5.Strategi pendekatan dan cara operasional program pelayanan KB Strategi program KB terbagi dalam dua hal, yaitu: 1. Strategi Operasional 3 Strategi Dasar . Strategi Pendekatan dan Cara Operasional Program Pelayanan KB Strategi pendekatan dalam program keluarga berencana antara lain : 1. Pendekatan kemasyarakatan (community approach). Diarahkan untuk meningkatkan dan menggalakkan peran serta. Strategi Program KB Strategi program KB terbagi dalam dua hal yaitu: A. Strategi operasional Peningkatan kapasitas sistem pelayanan Program KB Nasional Peningkatan kualitas dan prioritas program Penggalangan dan pemantapan komitmen. Peningkatan kapasitas sistem pelayanan Program KB Nasional 2. Peningkatan kualitas dan prioritas program. Adapun strategi pendekatan yang dilakukan dalam program pelayanan kb meliputi: Pendekatan Kemasyarakatan. Ruang Lingkup Program KB 5. Strategi Pendekatan dan Cara operasional 6. Dampak program KB terhadap pencegahan kelahiran. CTJ, Diskusi, Role play dll 3 SDA. MAKALAH PROGRAM KB DI INDONESIA ~ BAHAN KULIAH DAN MAKALAH KESEHATANBAB IPENDAHULUAN1. LATAR BELAKANGGerakan KB Nasional adalah gerakan masyarakat yang menghimpun dan mengajak segenap potensi masyarakat untuk berpartisipasi aktif dalam melembagakan dan membudayakan Norma Keluarga Kecil Bahagia Sejahtera (NKKBS) dalam rangka meningkatkan mutu sumber daya manusia. Tujuan gerakan KB Nasional adalah mewujudkan keluarga kecil bahagia sejahtera yang menjadi dasar bagi terwujudnya masyarakat yang sejahtera melalui pengendalian kelahiran dan pertumbuhan penduduk Indonesia.(bahan kuliah dan makalah kesehatan)Aseptor KB (peserta keluarga berencana/family planning participant) ialah PUS yang mana salah seorang menggunakan salah satu cara/ alat kontrasepsi untuk pencegahan kehamilan, baik melalui program maupun non program. Tujuan umum dari program KB adalah menurunkan angka kelahiran dan meningkatkan kesehatan ibu sehingga di dalam keluarganya akan berkembang Norama Keluarga Kecil Bahagia Sejahtera (NKKBS). Sasaran dalam program ini adalah Pasangan Usia Subur (PUS) yang ditetapkan berdasarkan survei PUS yang dilaksanakan sekali dalam satu tahun dan pelaksanaannya di koordinasikan oleh Petugas Lapangan KB (PLKB)RUMUSAN MASALAH Menjelaskan Organisasi- organisasi KB di Indonesia. Ruang lingkup program KB2. Strategi pendekatan dan cara operasional program KB3. Dampak program KB terhadap pencegahan kelahiran. TUJUANAdapun tujuan dari penulisan makalah ini adalah untuk memenuhi tugas mata kuliah Pelayanan KB pada jurusan D3 Kebidanan Semester IV3. MANFAATManfaat dari penulisan makalah ini yaitu untuk mengetahui Program KB di Indonesia. BAB IITINJAUAN PUSTAKAPengertian KBUpaya peningkatkan kepedulian masyarakat dalam mewujudkan keluarga kecil yang bahagia sejahtera (Undang- undang No. Keluarga Berencana (Family Planning, Planned Parenthood) : suatu usaha untuk menjarangkan atau merencanakan jumlah dan jarak kehamilan dengan memakai kontrasepsi. WHO (Expert Committe, 1. Mendapatkan objektif- obketif tertentu, menghindari kelahiran yang tidak diinginkan, mendapatkan kelahiran yang diinginkan, mengatur interval diantara kehamilan dan menentukan jumlah anak dalam keluarga. Tujuan Program KBTujuan umum adalah membentuk keluarga kecil sesuai dengan kekutan sosial ekonomi suatu keluarga dengan cara pengaturan kelahiran anak, agar diperoleh suatu keluarga bahagia dan sejahtera yang dapat memenuhi kebutuhan hidupnya. Tujuan lain meliputi pengaturan kelahiran, pendewasaan usia perkawinan, peningkatan ketahanan dan kesejahteraan keluarga. Kesimpulan dari tujuan program KB adalah: Memperbaiki kesehatan dan kesejahteraan ibu, anak, keluarga dan bangsa; Mengurangi angka kelahiran untuk menaikkan taraf hidup rakyat dan bangsa; Memenuhi permintaan masyarakat akan pelayanan KB dan KR yang berkualitas, termasuk upaya- upaya menurunkan angka kematian ibu, bayi, dan anak serta penanggulangan masalah kesehatan reproduksi. Tujuan KB berdasar RENSTRA 2. Keluarga dengan anak ideal. Keluarga sehat. Keluarga berpendidikan. Keluarga sejahtera. Keluarga berketahanan. Keluarga yang terpenuhi hak- hak reproduksinya. Penduduk tumbuh seimbang (PTS)Sasaran Program KBSasaran program KB tertuang dalam RPJMN 2. Menurunnya rata- rata laju pertumbuhan penduduk menjadi sekitar 1,1. Menurunnya angka kelahiran total (TFR) menjadi sekitar 2,2 per perempuan. Menurunnya PUS yang tidak ingin punya anak lagi dan ingin menjarangkan kelahiran berikutnya, tetapi tidak memakai alat/cara kontrasepsi (unmet need) menjadi 6 persen. Meningkatnya peserta. KB laki- laki menjadi 4,5persen. Meningkatnya penggunaan metode kontrasepsi yang rasional, efektif, dan efisien. Meningkatnya rata- rata usia perkawinan pertama perempuan menjadi 2. Meningkatnya partisipasi keluarga dalam pembinaan tumbuh kembang anak. Meningkatnya jumlah keluarga prasejahtera dan keluarga sejahtera- 1 yang aktif dalam usaha ekonomi produktif. Meningkatnya jumlah institusi masyarakat dalam penyelenggaraan pelayanan Program KB Nasional. Ruang Lingkup KBRuang lingkup KB antara lain: 1. Keluarga berencana; 2. Kesehatan reproduksi remaja; 3. Ketahanan dan pemberdayaan keluarga; 4. Penguatan pelembagaan keluarga kecil berkualitas; 5. Keserasian kebijakan kependudukan; 6. Pengelolaan SDM aparatur; 7. Penyelenggaran pimpinan kenegaraan dan kepemerintahan; 8. Peningkatan pengawasan dan akuntabilitas aparatur negara. Mengadakan penyuluhan KB, baik di Puskesmas maupun di masyarakat (pada saat kunjungan rumah, posyandu, pertemuan dengan kelompok Pembinaan Kesejahteraan Keluarga, dasawisma dan sebagainya). Termasu ke dalamnya kegiatan penyuluhan ini adalah konseling untuk PUS. Menyediakan dan pemasangan alat- alat kontrasepsi, memberikan pelayanan pengobatan efek samping KB. Mengadakan kursus keluarga berencana untuk para dukun bersalin. Dukun diharapkan dapat bekerjasama dengan Puskesmas dan bersedia menjadi motivator KB untuk ibu- ibu yang mencari pertolongan pelayanan dukun. Strategi Program KBStrategi program KB terbagi dalam dua hal yaitu: Strategi dasar. Strategi operasional. Strategi dasar. Lima grand strategi (strategi dasar) yang merupakan program utama dalam mensukseskan Keluarga Berencana Nasional guna mewujudkan keluarga kecil bahagia sejahtera. Program Keluarga Berencanaa) Pengembangan kebijakan tentang pelayanan KB, KIE peran serta masyarakat dalam KB dan kesprob) Peningkatan akses dan pelayanan KB dan kesproc) Peningkatan penggunaan kontrasepsi yang efektifdan efisiend) Penyediaan alat, obat dan cara kontrasepsi dengan memprioritaskan keluarga miskine) Penyelenggaraan promosi dan pemenuhan hak- hak kespro termasuk KIE dan konseling. Program Kesehatan Reproduksi Remajaa) Pengembangan kebijakan pelayanan KRR bagi remajab) Penyelenggaraan promosi KRR, pemahaman dan pencegahan dan bahaya NAPZA, termasuk KIE dan konseling bagi masyarakat, keluarga dan remajac) Penguatan dukungan dan partisipasi masyarakat terhadap penyelenggaraan program KRR yang mandiri. Program Ketahanan dan Pemberdayaan Keluargaa) Pengembangan dan memantapkan ketahanan dan pemberdayaan keluargab) Penyelenggaraan advokasi, KIE dan konseling bagi keluargac) Pengembangan pengetahuan dan keterampilan kewirausahaan melalui pelatihan teknisd) Pengembangan cakupan dan kualitas UPPKSe) Pengembangan cakupan dan kualitas kelompok binakeluarga bagi keluarga dengan balita, remaja dan lanjutusia. Penguatan Pelembagaan Keluarga Kecil Berkualitasa) Pengembangan sistem pengelolaan dan informasi (personil, sarana dan prasarana) untuk mendukung keterpaduan programb) Peningkatan kemampuan tenaga lapangan dan kemandirian kelembagaan KB yang berbasis masyarakatc) Pengelolaan data dan informasi keluarga berbasis data mikrod) Pengkajian dan pengembangan serta pembinaan dan supervise pelaksanaan program. Dampak Program KB Terhadap Pencegahan Kelahiran. Program keluarga berencana memberikan dampak, yaitu : 1. Penanggulangan masalah kesehatan reproduksi; 3. Peningkatan kesejahteraan keluarga; Peningkatan derajat kesehatan; 4. Peningkatan mutu dan layanan KB- KR; 5. Peningkatan sistem pengelolaan dan kapasitas SDM; 6. Pelaksanaan tugas pimpinan dan fungsi manajemen dalam penyelenggaraan kenegaraan dan pemerintahan berjalan lancar. Selama kurun waktu 1. Dengan demikian rata- rata laju pertumbuhan penduduk pada kurun waktu 1. Sedangkan jumlah penduduk pada tahun 1. Oleh karena itu, rata- rata laju pertumbuhan penduduk telah turun menjadi 1,9. Jumlah penduduk pada tahun 1. Laju pertumbuhan penduduk sebesar 1,7. Usaha penurunan angka kelahiran secara langsung dilakukan melalui program keluarga berencana. Pada akhir Repelita IV angka kelahiran kasar adalah sebesar 2. Seperti halnya angka kelahiran, maka angka fertilitas total juga mengalami penurunan. Hal tersebut menunjukkan kecenderungan makin kecilnya jumlah anak yang dilahirkan oleh seorang wanita selama hidupnya. Pada tahun 1. 98. Penurunan angka kelahiran dan angka fertilitas merupakan ha. Pelaksanaan program KB merupakan usaha yang mempunyai dampak langsung terhadap hasil pencapaian tersebut. Sementara itu peningkatan taraf hidup masya. Dari data yang ada diketahui bahwa wanita yang berstatus kawin dan berumur 1. Sedangkan yang pernah mema- kai alat kontrasepsi telah mencapai 6. Tingkat kematian terutama untuk bayi dan anak lazim dipakai sebagai indikator keadaan sosial ekonomi masyarakat atau indikator kesejahteraan rakyat. Angka kematian bayi menurut hasil Sensus Penduduk 1. Angka tersebut telah mengalami penurunan menjadi 6. Dengan turunnya angka kematian tersebut, rata- rata angka harapan hidup diperkirakan akan meningkat dari 6. Penurunan tingkat kematian dan menaiknya angka harapan hidup ini terutama disebabkan oleh keberhasilan program kesehatan dalam meningkatkan derajat kesehatan dan gizi penduduk. Sementara itu, hasil- hasil pembangunan di berbagai sektor juga memberikan andil yang berarti dalam usaha penurunan tingkat kematian. BAB IVPENUTUPKESIMPULANDengan adanya program KB yang didukung dengan strategi pendekatan dan cara operasional program pelayanan KB diharapkan dapat menurunkan angka kelahiran dan meningkatkan kesehatan ibu sehingga di dalam keluarganya akan berkembang Norma Keluarga Kecil Bahagia Sejahtera (NKKBS). DAFTAR PUSTAKAArjoso, S. Rencana Strategis BKKBN. Maret, 2. 00. 5. BKKBN, 1. Kependudukan KB dan KIA. Bandung, Balai Litbang. NRC- POGI, 1. 99. Buku Acuan Nasional Pelayanan Keluarga Berencana. Makalah Perkumpulan Keluarga Berencana Indonesia.
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Crosby~ Beary Thanksgiving Care ~ A little itty bitty bear for a little itty bitty care. For I so love thanksgiving celebrations I just have to share. How precious it is to spend so much time. Pondering on God's goodness, in this heart of mine. That I want to wrap my arms 'round sweet pumpkin friends. And whisper I love you. Again and again. Soft Whispers for you from Derry's Heart Poems . Estonian proverb. Best of all is it to preserve everything in a pure, still heart,and let there be for every pulse a thanksgiving, and for every breath a song. Konrad von Gesner: ~ Happy Thanks To You ~My thanksgiving will be happy all because of you,For God gave me a friend to blow away the blues. He knew I needed someone, my heart to bless, With the fruit of His spirit, He selected all His best. For you offer a gentle joy, sweeter than peach, Your goodness overflows, just within reach. As an apple a day, keeps the doctor away,Like the peace you share, is so nice every day. So please take these thoughts I offer to you. For you deserve the abundance. Of my gratitude. Soft Whispers from Derry's Heart Poems . Psalms 4. 2: 8~My Friend, My Thanksgiving Blessing~There's days I feel so many blessings. There's days I feel there's few. But each day, I'm glad for one so special - I thank our God for you. You're always far, but nearer yet we cannot be. And for that, I cannot ask But you're my friend for always, yes, and that is no small task. You think of me, when it is hushed. Or when a day is toilsome, rushed. You think of me at dawn's bright glow. You pray for me at dusk And so today I thank you so dear friend, for the love that you convey. I thank My God for blessing me. With you, in every way. Soft whispers from Derry's Heart Poems . It's the one who has a friend to whom they turn.~ Joy Of Thanksgiving ~If I should count my blessings then what could I include. Where should I begin, what loveliness is true.. Might I start without, of all that I can see,From horizon to horizon.. Oh, there's far too much for me. Then shall I glance around, at all close within my gaze. The many blessings for my comfort, given in a myriad of ways Then the sweetness of God's presence. His life to ever know. The peaceful joy and love He gives. String the pearls of His favor. Hide the dark parts, except so far as they are breaking out in light! Give this one day to thanks, to joy, to gratitude! Nesbit ~ Thanksgiving Love ~There are very special treasures we appreciate with love. The abundant blessings we receive always more than just enough. The delight of dearest friends, our homes where love's the key. That open wide the door of love for you and me. On this day that we remember the sharing of that love. Our hearts as one together lift in praise to God above. Soft whispers from Derry's Heart Poems . Oh, such special seeds of love. Caring, sharing, giving all and now thanksgiving comes. 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This is my final appointment before I actually start my diet and exercise program. Basically, the doctor told me what I already knew: My cholesterol is a bit too high (at risk for heart disease, etc.)My blood sugar is a bit too high (at risk for diabetes)My tryglicerides are way too high (at risk for a heart attack)My blood pressure is too high (at risk for a stroke or heart disease)I'm overweight and out of shape. He said that I have insulin resistance/metabolic syndrome, which basically is all the symptoms above. The good news is that he said the 2. Program can fix all these problems at once. Upton said that the 2.
Program actually hits all three of these areas, and this . He also told me that to be a 2. I'll be meeting with Dr. Upton again after 5 weeks of the program. Today’s Breeder magazine, puppy starter kits, awards and competition information, the Purina Points rewards program and more. Sunday, January 2. Weekly weight loss goals. I read on a web site formula that helps you calculate your base caloric requirements to maintain your current weight. According to this calculation, I need to eat 2. From what I hear of the Pro Club diet plan, they keep you on about 1. That means that over a week, I will be 7. Given that to lose a pound you need a caloric deficit of 3. I should lose two pounds per week (assuming that formula was accurate as was my math). Exercise should help increase this as will losing water weight. I've seen other, less complicated formulas for calories required to maintain a given weight. One formula says to muliply your weight by 1. This would put me at 3. This seems high, but let's go with it. If this is accurate, then I will lose a little over 3 pounds per week. My goal is to lose 2 pounds per week of the 1. That would equal 3. This is not my final goal, but I would be pleased with this result. What would really be good is if I could lose 2. This would put my total loss at 3. That would be awesome. Friday, January 2. A shared secret. It turns out my dirty little secret (pigging out on things before I go on my diet) may not be anything to be proud of, but I am not unique in doing this. This is where they find out how out of shape you are so that you have something to gauge yourself against at the end of the program. They also go over the policies of the program. Some of the things that I have to commit to are: Meet with the personal trainer 3 times weekly. Meet with the dietitian weekly. Meet with the doctor as appropriate. Work out twice a week on my own. Keep track of everything I eat in a food journal. Some of the other things I learned: No caffeine (yikes!)No alcohol (not a problem)At least 6. Yikes!!!)Body composition (percentage of body fat, measured with electrodes connected to my hand and foot)Blood pressure (which was rediculously high . Generally, things were not too good. My blood suger was slightly above normal, as was my cholesterol (which was one of the things that got me into the program). My good cholesterol was too low, and my triglycerides were over twice what they should be (not good). Nelson assured me that after 5 weeks things would be much better. I certainly hope so.. Finally, I paid for the whole thing today ($1,2. Next up is my consultation with the doctor that happens next Monday. Stay tuned.. For example, Panera Bread just opened in Issaquah. This is one of my favorite places to eat from when I lived in St. Louis, and all my old favorites are now available to me (especially asiago cheese bagels!) I've been going there way more than I should because I know that soon I won't be able to have this food soon. This is probably not the best way to start a diet.. Saturday, January 2. Let the games begin! I got a call on Friday from the 2. It looks like things are really going to take off. Here's what I've got scheduled: A one hour meeting with a psychologist. I guess this is where things will really take off. Let the games begin! Saturday, January 1. What I've done so far.. So far, I've done the following: Saw my doctor and got a full blood test and physical. The good thing is that I'm ready to work really hard to make it happen. Now if we could just get started.. I have three areas that I need to work on: weight, blood pressure and cholesterol. Weight. I currently weigh 2. I had been about 2. At that point I made a decision to start running and was really good for about 6 months. I got up to about 2. Unfortunately, I started to get some pain in my left knee and, according to the physical therapist, had to stop the running for a while to heal. Then I got sick, then the holidays came, etc., etc. Next thing I knew, I was off the bandwagon completely. The weight started to come back, and before I knew it I was back to 2. Unfortunately, I didn't stop when I got back to my starting weight. I kept gaining until I got to the weight I'm at now. It really sucks because this week I actually had to buy 3. I've been on 8mgs of Aceon each day, and even still my BP is a little high: generally 1. I've measured it where the bottom number was as high as 9. High Cholesterol. My cholesterol is probably the least of my worries. It is high, but not dramatically high. The last time I got a full blood test, it was 2. I know its not good, but it could be worse. Stay tuned for my goals.. Tuesday, January 1. What and why. Welcome to Bill's 2. Lifestyle Program blog. This blog is where I'll follow my progress as I go through the 2. Lifestyles program at the Pro Club in Bellevue, WA. The 2. 0/2. 0 Lifestyles program is a medically- supervised weight loss program. What. 20/2. 0 is a very intensive plan that consists of 1. After the main program is complete, program participants move to a maintenance phase of the program that is a slightly scaled down version of the program. According to the staff of the program, 4. My employer, Microsoft, pays for 8. Since the program can cost up to $1. Microsoft spends a significant amount on this for the employees going through the program. However, Microsoft claims that for every dollar they spend on the program, they save well over a dollar in insurance costs. Why. I am going through the 1. I am eligible for Microsoft's assistance since I have high blood pressure and high cholesterol. In addition I am clinically overweight (my BMI is approximately 2. The doctor who invented and runs the program states that he can get 7. Although Microsoft pays for a significant portion of the program, I have to put significant financial skin in the game: over $1. I actually think this a good thing in that if I fall off the wagon, I will have thrown away a grand for nothing. Stay tuned for postings about what I hope will be a very successful program. Marvelous Greeting card software helps you make stunning greeting cards. Making a greeting card that contains something sweet, sentimental or special to you may be more meaningful to you and the recipient. If you can find the right tool to assist you, you can absolutely design a greeting card as attractive as any store- bought one. With the help of it, you can express your feelings in a custom greeting card to your sweetheart, friends and relatives. Arc. Soft also offers Greeting Card Software for Mac to help Mac users to make pro- like cards. 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