Hasil Pencarian  ::  Simpan CSV :: Kembali

"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.

---

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."

"Faktor penyebab stunting menurut WHO 2013 secara komprehensif diuraikan menjadi faktor langsung dan tidak langsung. Prevalensi Balita stunting di Indonesia tergolong cukup tinggi dan distribusinyapun tidak merata, antara desa kota maupun antar provinsi. Tujuan penelitian ini ingin melihat bagaimana gambaran prevalensi stunting, capaian indikator PISPK, serta bagaimana hubungan 12 indikator PISPK dengan prevalensi stunting di kabupaten/kota di Indonesia tahun 2017. Desain penelitian ini adalah studi crossectional dengan sampel sebanyak 452 kabupaten/kota di Indonesia, menggunakan data sekunder prevalensi stunting dan 12 indikator program PIS-PK. Analisis statistik yang di lakukan yaitu univariat,Uji korelasi Spearmen dan Pearson serta analisis multivariat dengan menggunakan uji regresi linear ganda.Hasil penelitian ini menunjukkan. Hasil uji bivariat di peroleh variabel dengan prevalensi stunting yang berhubungan secara signifikan adalah persentase keluarga mempunyai akses atau menggunakan jamban sehat - , persentase keluarga sudah menjadi anggota Jaminan Kesehatan Nasional JKN - , persentase bayi mendapatkan imunisasi dasar lengkap - , persentase ibu melakukan persalinan di fasilitas kesehatan - , persentase penderita tuberkulosis paru mendapatkan pengobatan sesuai standart , persentase penderita hipertensi melakukan pengobatan secara teratur. Hasil uji multivariat di dapatkan persentase keluarga mempunyai akses atau menggunakan jamban sehat merupakan faktor dominan yang berhubungan dengan prevalensi stunting.Dari hasil penelitian ini diharapkan pemerintah dan semua pihak dapat meningkatkan program-program yang sudah berjalan selama ini dalam meningkatkan akses jamban sehat oleh keluarga di Indonesia, serta program lainnya yang berhubungan dengan prevalensi stunting, seperti peningkatan fungsi Posyandu.

---

Stunting factors according to WHO 2013 are comprehensively described to be direct and indirect factors. The prevalence of under five stunting in Indonesia is quite high and the distribution is uneven, between urban and inter provincial villages. The purpose of this study is to see how the prevalence of stunting, PISPK indicator achievement, and how 12 PISPK indicator relationship with stunting prevalence in districts cities in Indonesia in 2017. The design of this study is cross sectional study with 452 districts cities in Indonesia, using data secondary prevalence of stunting from the results of Nutrition Status Monitoring PSG and 12 indicators of PIS PK program. Statistical analysis done was univariate, Spearmen and Pearson correlation test and multivariate analysis using multiple linear regression test.

The results of this study show that bivariate test results obtained by variables with prevalence of stunting are significantly related is the percentage of families have access or use healthy latrine, the percentage of families have become members of the National Health Insurance JKN, the percentage of infants get basic immunization complete, the percentage of mothers performing delivery at health facilities, the percentage of patients with pulmonary tuberculosis get treatment according to standard, the percentage of hypertensive patients perform regular treatment.

Multivariate test results in obtaining a percentage of families having access to or using healthy latrine were the dominant factors associated with stunting prevalence. From the results of this study, it is expected that the government and all parties can improve the programs that have been running so far in improving access to healthy latrines by families in Indonesia, as well as other programs related to the prevalence of stunting, such as improving the function of Posyandu. "

"Program Prioritas Kementrian Kesehatan Republik Indonesia dalam Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) sesuai dengan Peraturan Menteri Kesehatan Nomor 39 tahun 2016 tentang Pedoman Penyelenggaraan PIS-PK. Ditemukan bahwa untuk kegiatan di luar Puskesmas masih dibutuhkan tenaga untuk melakukan kunjungan rumah sehingga banyak ODGJ yang belum memiliki kepatuhan dalam mengkonsumsi obat secara rutin. Fenomena tersebut menimbulkan pertanyaan mengenai bagaimana pelaksanaan Program Indonesia Sehat dengan Pendekatan Keluarga pada layanan kesehatan jiwa di Puskesmas Kecamatan Jatinegara, berdasarkan enam elemen dan faktor-faktor yang mempengaruhi pelaksanaan co-production. Metode yang digunakan dalam penelitian ini adalah post-positivist, mengumpulkan data dengan melakukan wawancara mendalam serta dokumen-dokumen sebagai data sekunder, dan melakukan analisis secara kualitatif. Analisis dilakukan dengan acuan teori yang dipakai yakni Elemen co-production oleh Lucie, Josh& David dan Faktor-faktor yang mempengaruhi pelaksanaan co-production oleh Bovaird& Loeffler. Hasil dari penelitian ini yakni : 1) adanya keterlibatan masyarakat melalui kader namun belum dioptimalkan; 2) kurang seimbangnya jumlah SDM yang terbatas, dengan jumlah penduduk dan luas wilayah kecamatan Jatinegara; 3) sosialisasi dan pendataan masih perlu ditingkatkan

---

The Republic of Indonesia's Ministry of Health's Priority Program in the Healthy Indonesia Program with the Family Approach (PIS-PK) in accordance with Minister of Health Regulation No. 39 of 2016 concerning Guidelines for Implementing PIS-PK. They also still have no access to local health facilities because there is no effective referral system for mental health cases in the community. This phenomenon raises questions about how the implementation of the Healthy Indonesia Program with the Family Approach to mental health services in the Jatinegara District Health Center, based on six elements and factors that influence the implementation of co-production. The method used in this research is post-positivist, collecting data by conducting in-depth interviews and documents as secondary data, and conducting qualitative analysis. The analysis was carried out with reference to the theory used namely the Co-production Element by Lucie, Josh & David and the Factors influencing the implementation of co-production by Bovaird & Loeffler. The results of this study are: 1) there is community involvement through cadres but has not been optimized; 2) unbalanced limited number of human resources, with the total population and area of ​​the district of Jatinegara; 3) socialization and data collection still needs to be improved."