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"ABSTRAKData and information on the health profile of Indonesia in 2016 showed only 29.5% of infants receive exclusive breastfeeding until 6 months, the low level of exclusive breastfeeding made the government issue a regulation on exclusive breastfeeding in Government Regulation Number 33 of 2012. The study aimed to analyze the policy implementation of exclusive breastfeeding at Cicalengka Community Health Center. The study used qualitative analysis with in-depth interview method, focus group discussion and literature study. The result of this study shows that breastfeeding policy implementation in health centers is not optimal, as seen from the low coverage of exclusive breastfeeding. Socialization of the policy has not been done as a whole, the time and task division is unclear and has no special budget and the standard operating procedures is not really used in carrying out the policy. Communication is the most influential factor in the implementation of the policy. There is no support and commitment from all employees in the implementation of exclusive breastfeeding policy. The suggestion is to consistently socialize to employees and the public, carry out supervision in an effort to secure the policy, run the Standard Operating Procedure (SOP), allocate budget activities in 2018, create a memorandum of understanding with other agencies, and Self-assessment and program evaluation absolutely must do continuously."

"ABSTRAKThe capability of the Internal Government Supervisory Apparatus (APIP) is the ability to carry out supervisory tasks consisting of three interrelated elements: capacity, authority, and competence. The objective of this research is to give policy recommendations for enhanced APIP capability in the Inspectorate General of the Ministry of Health. This research is a descriptive study with qualitative analysis method with in-depth interview and literature study. Results of this research indicate that there are some obstacles: the socialization done only to some employees of Itjen; no Special Team on the process of improving APIP capability; the time and task division is unclear; has no special budget yet; there has not been a derivative rule from the Internal Audit Charter (IAC); no reward and punishment system; no documentation of supervision working papers; the policy has not been internalized. This research concludes that the implementation of the policy has not been reached optimally based on PERKA BPKP Number PER-1633/K/JF/2011. Communication is the most influential factor in the implementation of APIP enhancement policy. The recommendation from this research are consistently socialize to employees within the Inspectorate General, make Standard Operating Procedures (SOP), allocate budget activities in 2018, create memorandum of understanding with other agencies, and self-assessment and program evaluation absolutely must do continuously."

"Penelitian ini akan melihat implementasi dari kebijakan Thaksin Shinawatra dan dampaknya terhadap masyarakat miskin di Thailand. Studi kasus yang akan digunakan adalah kebijakan kesehatan 30 Bath periode tahun 2001-2006 yaitu ketika Thaksin menjabat sebagai Perdana Menteri. Tujuan dari penelitian ini adalah untuk mengetahui dampak yang dirasakan oleh masyarakat miskin setelah kebijakan ini diterapkan. Pertanyaan penelitian yang disusun adalah Bagaimana dampak implementasi Thaksin Shinawatra terkait kebijakan kesehatan 30 Bath kepada masyarakat miskin di Thailand? Dari pertanyaan tersebut terdapat hipotesis kerja yang datang dari pendapat penulis yaitu bahwa implementasi kebijakan Thaksin ini dianggap tidak efektif dan tidak sesuai dengan rencana yang telah dijanjikan karena masih terdapat masyarakat yang tidak merasakan kebijakan ini. Hipotesis tersebut akan dianalisis dalam penelitian ini dengan menggunakan data yang ada. Hasil dari penelitian ini menganggap bahwa dalam implementasi kebijakan kesehatan 30 Bath masih terdapat penyelewengan. Hal ini berdampak negatif kepada masyarakat miskin di desa. Dampak positif sifatnya lebih umum dibandingkan dampak negatif yang dirasakan langsung oleh masyarakat miskin ketika implementasi berjalan.

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This research will look at implementation from Thaksin Shinawatra's policy and its impact towards poor society in Thailand. The case study to be used is health policy 30 Bath period 2001-2006 when Thaksin served as Prime Minister. The purpose of this research is to know the impact felt by the poor after this policy is implemented. The research question is how is Thaksin Shinawatra's implementation impact related to health policy 30 Bath to the poor in Thailand? From the question there is a working hypothesis that comes from the author's opinion that the implementation of Thaksin's policy is considered ineffective and not in accordance with the plan that has been promised because there are still people who do not feel this policy. The hypothesis will be analyzed in this study by using existing data. The results of this study assume that in the implementation of health policy 30 Bath there is still a diversion. This has a negative impact on the poor in the village. Positive impacts are more common than the negative impacts felt by the poor when the implementation works."

"Penelitian ini dilakukan untuk menganalisis implementasi kebijakan pengelolaan bahan berbahaya dan beracun (B3) pasca akreditasi JCI di RSUPN dr.Cipto Mangunkusumo Jakarta Tahun 2014. Fokus penelitian ini adalah implementasi kebijakan pengelolaan B3 dan faktor-faktor yang mempengaruhinya yaitu komunikasi, sumber daya, disposisi dan stuktur birokrasi. Permasalahan yang diangkat dalam penelitian ini adalah berdasarkan data dari laporan ronde manajemen dimana banyak temuan-temuan pengelolaan B3 di lapangan pasca akreditasi JCI yang tidak sesuai dengan prosedur-prosedur yang telah ditetapkan dalam kebijakan pengelolaan B3 dan juga dilihat dari data Unit K3RS dimana terjadi beberapa insiden yang dilaporkan terkait dengan pengelolaan B3 pasca akreditasi JCI. Metode penelitian ini adalah kualitatif dengan teknik pengumpulan data menggunakan wawancara mendalam, observasi tak berstruktur dan telaah dokumen. Pemilihan informan menggunakan teknik purposive sampling. Analisa data dalam penelitian ini menggunakan analisis isi (content analysis).Hasil penelitian menunjukkan bahwa implementasi kebijakan pengelolaan B3 pasca akreditasi JCI di RSUPN dr.Cipto Mangunkusumo belum berjalan dengan baik. Pada faktor komunikasi: Transmisi yang kurang maksimal, ketidakjelasan kebijakan dimana secara isi yang belum lengkap dan penyampaiannya ke lapangan belum optimal serta pelaksanaan kebijakan yang belum konsisten. Selanjutnya, pada faktor sumber daya: SDM, fasilitas dan anggaran masih belum memadai. Pada faktor disposisi implementor yang juga belum baik, para pelaksana kebijakan secara umum kurang cukup kuat memiliki komitmen untuk mendukung pelaksanaan kebijakan pengelolaan B3 ini. Terakhir faktor struktur birokrasi: Mekanisme pelaksanaan, koordinasi dan monitoring yang belum berjalan efektif.

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This study was conducted to analyze the implementation of hazardous materials management's policy after JCI accreditation in RSUPN Dr. Cipto Mangunkusumo 2014. Focus of this research is the implementation of hazardous materials management's policy and factors that influence it, namely communication, resources, disposition and structure bureaucracy.

Issues raised in this research report are based on data from the management rounds where many findings in the field of management of hazardous materials after JCI accreditation is not in accordance with the procedures set out in the hazardous materials management's policy is also seen from the data of K3RS unit where there is some incident were reported to be associated with the hazardous materials management's policy after JCI accreditation.

This research method is qualitative with data collection techniques using in-depth interviews, observation and unstructured document review. Selection of informants using purposive sampling technique. Analysis of the data in this study using content analysis.

The results showed that the implementation of hazardous materials management's policy after JCI accreditation in RSUPN Dr. Cipto Mangunkusumo not going well. In the communication factor: Transmission less than the maximum, where policy uncertainty is incomplete contents and its delivery to the field is not optimal and the implementation of policies that have not been consistent. Furthermore, the factor of resources: human resources, facilities and budgets are not sufficient.

At the implementor disposition factors that also have not been good, the policy implementers generally have less commitment to perform strong enough to support the implementation of this hazardous materials management's policy. Last, bureaucratic structure factor: Mechanism implementation, monitoring and coordination made that have not been effective."

"Tesis ini bertujuan untuk menganalisis implementasi Program Indonesia Sehat denganpendekatan keluarga PIS-PK di Kabupaten Bandung tahun 2017. Proses implementasikebijakan dilihat dari unsur proses kebijakan, komunikasi, ketersediaan sumberdayatenaga, biaya, fasilitas yang dibutuhkan, proses disposisi, dan struktur birokrasi ditingkat dinas kesehatan dan di puskesmas. Selain itu peneliti juga menganalisa faktorkondisi sosial, ekonomi dan politik terkait peran dan dukunganstakeholder terhadapimplementasi program keluarga sehat ini. Desain penelitian ini adalah penelitiankualitatif dengan metode deskriptif eksploratif. Penelitian ini dilaksanakan di dinas kesehatan dan 12 puskesmas percontohan di wilayah Kabupaten Bandung. Metode pengambilan data menggunakan metode wawancara mendalam dan focus group discussion FGD kepada beberapa informan yang dipilih purposif sampling, informan dari dinas kesehatan dan puskesmas serta melakukan trianggulasi data dengan telaahdokumen. Hasil penelitian didapatkan bahwa disposisi dan persepsi yang kurang dari pengambil keputusan key decision maker di dinas kesehatan mengakibatkan kurangnya dukungan dan komitmen sehingga memberikan dampak kurangnya komunikasi, tidak berjalannya koordinasi, dan tidak jelasnya struktur birokrasi. Kurangnya komunikasi di dinas kesehatan mempengaruhi proses perencanaan, pembiayaan, pelaksanaan sampai monitoring evaluasi. Komunikasi yang kurang efektif mempegaruhi keterlibatan lintas sektoral di tingkat Kabupaten Bandung. Implementasi program keluarga sehat di puskesmas tidak berjalan optimal. Hambatan utama implementasi di puskesmas karena keterbatasan tenaga dan anggaran. Meskipun sebagian besar puskesmas percontohan sudah melaksanakan beberapa tahapan pelaksanaan program, dari target pendataan keluarga yang ditetapkan sebesar 30 ditahun 2017, hasil cakupan sementara hanya mampu mencapai kurang dari 5. Disposisi dan komunikasi menjadi faktor yang sangat mempengaruhi implementasi program di tingkat dinas kesehatan. Sedangkan faktor ketenagaan dan pembiayaan merupakan faktor penghambat utama implementasi program ditingkat puskesmas. Persepsi dan sikap dari organisasi profesi PPNI dan IBI dan institusi pendidikan terkait program ini cukup baik dan mendukung. Studi ini diharapkan mampu menjadi bahan masukan kepada dinas kesehatan untuk meningkatkan manajemen program terutama dalam proses komunikasi, koordinasi, perencanaan dan pembiayaan dan distribusi tenaga kesehatan dalam implementasi program.

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Aim. This thesis aims to analyze the policy implementation of the Indonesian HealthProgram with Family Approach PIS PK in Bandung Regency in 2017. The process of policy implementation is seen from the elements of policy process, communication, availability of resource,manpower, cost, facilities needed, disposition process and bureaucracy structure at the the Health Center Office and the community health center. This study is also to analyze social, economic, and political factors related to the role and support of stakeholders towards the implementation of the program. Methods. This study was a qualitative research with descriptive design. This research was conducted in the the Health Center Office and twelve community health centers in Bandung Regency area. Data were collected using in depth interview and Focus Group Discussion FGD with informants from those institutions selected using purposive sampling. Data triangulation with document review was performed to ensure the trustworthiness.

Results. The result of the research showed that lack of disposition and perception of key decision makers inthe Health Center Office levelresulted in the lack of support and commitment, which caused of lack of communication, coordination and clarity of bureaucratic structure. The lack of communication at the level of the Health Center Office affected the process of planning, financing, implementation and evaluation as well as influenced cross sectoral engagement at Bandung district level. The implementation of health family program at the community health center was not optimal. The main obstacles to the implementation were limited manpower and budget. Although most community health centers had implemented several stages of program implementation, however, from 30 of the target of the program in 2017, the coverage only reached less than 5.

Conclusion. Disposition and communication were the main factors affecting the implementation of programs at the Health Center Office level. While manpower and financing were the main factors inhibiting the implementation of the program at the community health center level. However, perceptions and attitudes of professional organizations Indonesian National Nurses Association and Indonesian Midwifery Association and the educational institutions related to this program were quite good and supportive.This study recomend to health center office to improving of communication and coordination in Bandung District level and re organizing and distributing of manpower such as nurse, midwifery, public health, sanitarian, and nutritionist to support this program."

"Penelitian ini mengenai Implementasi Program JKN (Jaminan Kesehatan Nasional) di RSUD Pasar Rebo. Penelitian ini menggunakan pendekatan post-positivist yang bersifat deskriptif yang bertujuan untuk mengetahui Implementasi Program JKN (Jaminan Kesehatan Nasional) di RSUD Pasar Rebo yang diukur melalui Indikator-Indikator implementasi kebijakan. Jumlah Informan dalam penelitian ini berjumlah 15 orang, teknik pengumpulan data dengan menggunakan wawancara mendalam dan observasi. Hasil dari Implementasi Program JKN (Jaminan Kesehatan Nasional) di RSUD Pasar Rebo adalah masih banyak masalah yang disebabkan oleh minimnya SDM, kerumitan sistem INA-CBG's, masalah pembiayaan klaim dan sosialisasi JKN.

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This research is about the implementation of JKN Program (National Health Insurance) in Pasar Rebo Hospital. This study uses a post-positivist approach which aims to determine the Program Implementation JKN (National Health Insurance) in Pasar Rebo Hospital as measured by Indicators of policy implementation. Number of Informants in this study around to 18 people, the techniques of data collection using in-depth interviews and observation. Result of the Implementation of JKN Program (National Health Insurance) in Pasar Rebo Hospital is still having a lot of problems caused by the lack of human resources, the complexity of the system INA-CBG's financing problems and socialization JKN claims."

"The Doha Miinisterial Conference in 2001 launched the Doha Round with an ambitious Doha Development Agenda (hereinafter "DDA") that focusses on the core market access issues of agriculture, non-agricultural market access (hereinafter "NAMA") and services. Today, after more than a decade of negotiations, conclusion of the DDA is nowhere in sight. The negotiations were in fact suspended in 2006, but resumed in 2007. The Bali Ministerial Conference in December 2013 achieved some measure of success under the new Director General Roberto Azevedo. In particular, since the DDA launch, Ministers have now agreed on a final Trade Faciliation. "