scholarly journals Mengapa Program Pelayanan Kesehatan Peduli Remaja (PKPR) di Puskesmas Kota Magelang tidak Optimal?

2021 ◽  
Vol 9 (1) ◽  
pp. 28-37
Author(s):  
Ratna Nur Pujiastuti ◽  
Ayun Sriatmi ◽  
Nurhasmadiar Nandini
Keyword(s):  
Health Center ◽  
Monitoring And Evaluation ◽  
Health Programs ◽  
Care Level ◽  
Performance Targets ◽  
Department Of Health ◽  
Descriptive Approach ◽  
The Government ◽  
Communication And Coordination ◽  
Depth Interviews

Adolescents are particularly vulnerable to a variety of health risks, especially about sexual promblems and reproductive health problems. The government develops adolenscent health programs in Indonesia by using the Adolenscent Friendly Health Service (PKPR) at the health care level. Adolescent health programs in 2019 at Magelang city has not achieved performance targets, so that it becomes attention to optimizing the PKPR program. This research is to find out cause the implementation of the PKPR program in Magelang Tengah health center which is not optimal with influencing factors. The method of research was qualitative with descriptive approach. The technique of collecting data was through in-depth interviews with subject sellection with purposive sampling criteria. Data analysis used content analysis. Analyzed variables were communication, resources, dispositions or attitudes, and bureaucratic structure. The results showed that implementation of PKPR in health center has not been optimal because have some constraints which influenced by several factors, such as the lack of communication between PKPR teams in coordinating scheduling activities, the understanding and clarity about PKPR program owned by officers was limited, the function of public service room in health center has not been optimal to provided service to adolescent, and monitoring and evaluation was limited. Therefore, it needs to communication and coordination was scheduled regularly so that has a good team management, and needs to monitoring and assessment of SNPKPR by Department of Health regularly in order to know the achievement and factors which influence the unoptimability of implementation PKPR program in the health center.

scholarly journals Studi Kualitatif Implementasi Kebijakan Eliminasi Malaria di Wilayah Endemis Rendah Kabupaten Pangandaran dan Pandeglang

2021 ◽  
Vol 13 (1) ◽  
pp. 55-68
Author(s):  
Tri Wahono ◽  
Endang Puji Astuti ◽  
Andri Ruliansyah ◽  
Mara Ipa ◽  
Muhammad Umar Riandi
Keyword(s):  
Human Resources ◽  
Policy Implementation ◽  
Malaria Control ◽  
Malaria Elimination ◽  
Global Fund ◽  
Health Sector ◽  
Health Programs ◽  
The Government ◽  
Depth Interviews ◽  
Control Implementation

The government targets malaria elimination in Java and Bali by 2023. But until 2020, Pangandaran and Pandeglang Regency haven’t received malaria-free certification. This qualitative study was conducted to provide an overview of Pangandaran and Pandeglang malaria control implementation by comparing it to Activity Indicators based on the Indonesian Minister of Health Decree on malaria elimination. In-depth interviews, using thematically interview guidelines, were conducted to 48 key informants such as policyholders and people in charge of health programs and cross-sectoral at the provincial, district, sub-district, and village levels. Thematic analysis was used in the theme of policy implementation, budget, facilities and infrastructures, human resources, and cross-sector cooperation. The result shows that malaria control is implemented according to the decree, but some activities haven’t been done. The analysis on policy implementation theme shows that both districts have carried out according to the guidelines, with innovation in the form of establishing Posmaldes (village malaria post) in Ujung Kulon National Park in Pandeglang. APBD, APBN, and Global Fund are used as budget sources. Both districts stated that facilities and infrastructures are sufficiently available, but there is a lack in human resources’ quantity and varying degrees of competencies. There is also a lack of cross-sector cooperation because malaria control hasn’t become a priority in those sectors and they are only acting as supports to the health sector. Efforts to control malaria are considered less optimal due to the absence of malaria elimination regulations, varied human resource capabilities, and the limitation in the duties and functions of cross-sectors.

scholarly journals PERAN KELOMPOK TANI DALAM KEGIATAN USAHATANI KAKAO DI DESA KETULUNGAN KECAMATAN SUKAMAJU KABUPATEN LUWU UTARA

2019 ◽  
Vol 7 (2) ◽  
pp. 92-101
Author(s):  
Ulfa Lestari ◽  
Megawati Idris
Keyword(s):  
Data Collection ◽  
Extension Agents ◽  
Pests And Diseases ◽  
Cocoa Farmer ◽  
Qualitative Descriptive ◽  
Descriptive Approach ◽  
Farmer Groups ◽  
The Government ◽  
Depth Interviews

The formation of farmer groups will make it easier for farmers to carry out their farming activities. This study aims to examine the role of farmer groups in cocoa farming activities in Ketulungan Village. The approach used in this study is a qualitative descriptive approach. Respondents were cocoa farmer groups selected using a purposive method. Data collection is done by in-depth interviews with respondents and informants. The informants in this study were extension agents both from related institutions and from the private sector. The results of this study indicate that the role of farmer groups in farming activities includes: (1) Farmer groups as a forum for sharing information, namely farmer groups disseminating information obtained from instructors to their members through meetings; (2) Farmer groups as a place of discussion, namely farmer groups as a place to find solutions to problems in cocoa farming activities such as maintenance and handling of pests and diseases; (3) Farmer groups as a forum for learning, namely farmer groups as a place to get knowledge about cocoa cultivation; (4) Farmer groups as production units, namely farmer groups as providers of facilities and infrastructure in farming activities of their members such as providing fertilizer and cocoa seeds; (5) Farmer groups as a place of cooperation, namely farmer groups capable of cooperating with extension agents, PT Mars and its members in carrying out their farming activities. It is expected that farmer groups, more actively collaborate in farming activities and can cooperate with the government and other parties to improve their farming activities.

scholarly journals Government Policies on Agro-Tourism in Indonesia

2022 ◽  
Vol 19 ◽  
pp. 141-149
Author(s):  
Roslina Roslina ◽  
Rita Nurmalina ◽  
Mukhamad Najib ◽  
Yudha Heryawan Asnawi
Keyword(s):  
Developing Countries ◽  
Tourism Development ◽  
Document Analysis ◽  
Government Policies ◽  
The Government ◽  
Communication And Coordination ◽  
Depth Interviews

In developing countries, tourism positions the government not just as a policymaker, but also as a party that assists in the implementation of policies. Government initiatives towards the promotion of agro-tourism, for example, are implemented by agro-tourism-related legislation and policies. However, agro-tourism development has not been optimal due to a lack of communication and coordination between parties, as well as inadequate execution of legislation or regulations controlling agro-tourism. The purpose of this study was to assess and examine government agro-tourism legislation and policies in Indonesia. The study is qualitative in nature, evaluating and analysing ten government's agro-tourism legislation and policies, with data collected through document analysis and in-depth interviews and analysed descriptively. The findings demonstrate that the government's agro-tourism regulations include controlling cross-sectoral collaboration in agro-tourism development, certification for agro-tourism guides, the establishment of agro-tourism commissions, and agro-horticulture business arrangements, among other things. Regulations and policies are ineffectual because there is a lack of engagement, coordination, and synergy among the parties involved in agro-tourism. Collaboration is required not just in terms of bureaucracy, but also in terms of resources in order to establish, promote, and maintain agro-tourism sustainability. The suggestions and limitations of the current study are also discussed.

scholarly journals Anatomy of the Privatization of State-Owned Enterprises (SOEs) in Ghana: Implication for Policy and Accountability

2019 ◽  
Vol 9 (4) ◽  
pp. 181
Author(s):  
Eugene Danso
Keyword(s):  
Monitoring And Evaluation ◽  
Policy Outcomes ◽  
Principal Agent ◽  
Private Ownership ◽  
Principal Agent Theory ◽  
Performance Targets ◽  
Agent Theory ◽  
Administrative Policy ◽  
Company Limited ◽  
The Government

With the administrative and operational functions of State-Owned Enterprises (SOEs) becoming increasingly complex and sophisticated among developing countries by the 1980s, privatization was recommended by the IMF/World Bank as a remedy to these institutional deficiencies . This is contingent on the neoclassical debate that private ownership rather than public ownership of management and operations of SOEs results in prudent policy process and accountability. Therefore, this study sought to assess the validity of this assertion by employing the Principal-Agent theory in assessing the level of accountability between the citizens (principal) and the government (agent) during private ownership of service delivery. As a qualitative study, this paper adopts unobtrusive content analysis of an empirical study of the privatization of Ghana Water Company Limited (GWCL). The government (agent) under the Principal-Agent theory is to ensure that the private operator, Aqua Vitens Rand Limited (AVRL) respects the terms of divestiture, while upholding the principles of accountability. However, the findings of the study suggest that the failure of government (agent) to uphold core accountability mechanisms such as transparency, accessibility to information, sense of ownership, responsiveness, and conformity to established monitoring and evaluation measures, contributed to the inability to achieve key performance targets, leading to the unsuccessful policy outcome of the privatization contract. This paper, therefore, argues that the failure to adopt accountability mechanisms in the divestiture of SOEs will inevitably compromise administrative policy outcomes.

scholarly journals Policy Implementation Performance Related to the Procurement of PRB Drugs in the Subdistrict Primary Healthcare Center Pharmacy and PRB Pharmacy in Central Jakarta Quarter I, II, and III of 2019

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Sari Ulfa Nardia ◽  
Amal Chalik Sjaaf
Keyword(s):  
Health Center ◽  
District Health ◽  
Healthcare Center ◽  
Descriptive Approach ◽  
Policy Institute ◽  
Catastrophic Disease ◽  
Document Review ◽  
Depth Interviews ◽  
Primary Healthcare Center

Back-Referral Program (PRB) is one way to improve the quality of the health services for BPJS participants in conducting quality control and cost control. The unavailability of pharmacies and drugs for PRB causes the PRB program not to run optimally, thus increasing the catastrophic disease sufferers and absorbing big claims in JKN. This study is qualitative research with a descriptive approach using the method of in-depth interviews and document review. The research informants' criteria were: the elements of the leadership and policy management officers in the DKI Jakarta Provincial Health Office, Central Jakarta Health Office, Central Jakarta BPJS Health Center, Central Jakarta District Health Center, and Central Jakarta PRB Pharmacy. The results showed that the implementation performance was not optimal, which was influenced by policy standards and objectives, resources, communication between organizations, the implementers' attitude, the implementing organization's characteristics, and the economic, social, and politics. Coordination, commitment, and evaluation of activities from the Ministry of Health, BPJS Health, Government Service Goods Procurement Policy Institute, and DKI Jakarta Provincial Health Office are needed in terms of the availability of this PRB drug.

scholarly journals Analysis of Immunization Program Management in Achieving Universal Child Immunization (UCI) Coverage at Bebesen Health Center, Central Aceh Regency

2021 ◽  
Vol 2 (4) ◽  
pp. 95-109
Author(s):  
Thomson P. Nadapdap ◽  
Asyiah Simanjorang ◽  
Suparti Suparti
Keyword(s):  
Health Center ◽  
Qualitative Method ◽  
Secondary Data ◽  
Monitoring And Evaluation ◽  
Educational Background ◽  
Program Management ◽  
Primary Data ◽  
Immunization Program ◽  
Depth Interviews ◽  
Minimum Education

The purpose of the study was to analyze the implementation of immunization program management in an effort to achieve UCI at the Bebesen Health Center, Central Aceh Regency. This research uses descriptive qualitative method. The research location is Bebesen Public Health Center, Central Aceh Regency. Sources of data used consisted of primary data, secondary data and tertiary data. Data collection techniques in the form of observation, in-depth interviews with 10 informants and documentation. Data analysis techniques are carried out through data reduction, data presentation and drawing conclusions. To analyze the availability of resources for the implementation of the immunization program at the Bebesen Health Center, Central Aceh Regency, the researchers used management theory including input, process and output consisting of the availability of officers, sources of funds and facilities and infrastructure. The implementation of the immunization program consists of planning, implementation, monitoring and evaluation. The output can be seen in the UCI coverage at the Bebesen Health Center. It has not yet reached the target where the achievement is still 71.4%. The conclusion of this study is that the staff's resources have met the qualification standards, namely having a medical or nursing educational background and having STR with a minimum education of DIII in the field of Health, as well as sufficient funds, facilities and infrastructure. The evaluation has been carried out and it is necessary to increase cross-sectoral collaboration.

Aspek Manajemen Dalam Kegiatan Surveilans Epidemiologi Covid-19 Di Puskesmas Dharmarini Kabupaten Temanggung

2021 ◽  
Vol 9 (3) ◽  
pp. 225-235
Author(s):  
Annisa Nida Sakina ◽  
Chriswardani Suryawati ◽  
Eka Yunila Fatmasari
Keyword(s):  
Public Health ◽  
Health Center ◽  
Health Monitoring ◽  
Epidemiological Surveillance ◽  
Primary Data ◽  
Research Subjects ◽  
Community Based ◽  
Public Health Center ◽  
Descriptive Approach ◽  
Depth Interviews

Dharmarini Public Health Center has a high number of COVID-19 cases and there are COVID-19 epidemiological surveillance activities that are not in accordance with those stated in the guidelines, specifically in health monitoring and in terms of Community-Based Surveillance that vulnerable populations have not been recorded and reported. Based on a preliminary study, Dharmarini Public Health Center only has a surveillance officer and experienced obstacle in cross-sectoral coordination. This study aims to analyze the management aspects of COVID-19 epidemiological surveillance at Dharmarini Public Health Center include planning, organizing, actuating, and controlling. This is a qualitative research with analytical descriptive approach. Primary data collection was done by in-depth interviews and research subjects were selected by purposive sampling. The result shows that management aspects in COVID-19 epidemiological surveillance activities at Dharmarini Public Health Center have been carried out from planning, organizing, actuating, to controlling, but there are still shortcomings including in actuating that not all officers involved have received training, there is obstacle in cross-sectoral coordination, the implementation of health monitoring can still be improved, there are refusals in tracing, Community Based Surveillance has not been fully implemented, supervision has only been held once, and in controlling aspect that the evaluation carried out is still not comprehensive. Dharmarini Public Health Center is suggested to optimize the actuating and controlling aspects in COVID-19 epidemiological surveillance.

scholarly journals AN ANALYSIS ON THE PREPAREDNESS FOR IMPLEMENTING THE MINIMAL STANDARDS FOR SERVICE IN THE HEALTH FIELD AT DEPOK CITY IN 2017

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Zakiah Muhammad Rokib ◽  
Purnawan Junadi
Keyword(s):  
Monitoring And Evaluation ◽  
Healthcare Services ◽  
Fundamental Rights ◽  
Noncommunicable Diseases ◽  
Web Based ◽  
The Government ◽  
Specialized Team ◽  
Depth Interviews ◽  
Health Field ◽  
The Ideal

Abstract. Health is one of the fundamental rights for every person, therefore it must be provided by the government. To guarantee the quality and type of health services, the Minimal Standards for Services (SPM) must be established. This includes the SPM for the productive age healthcare services (SPM BKUP). This type of healthcare is important since it covers about 60-70% of the current population. In this research, we analyzed the discrepancy between the reality and the ideal in the implementation of the SPM BKUP qualitatively through in-depth interviews, focus group discusions, and studying the related documents. We discovered that in Depok City 10 of the 13 indicators for implementation were incomplete. These were the Noncommunicable diseases (NCDs) risk factor conseling, technical trainings for the screening officer and web-based surveillance, NCDs integrated services, recording and reporting, monitoring and evaluation, communication, the attitude of the implementer, manpower, facilities, and funding. And that the other three indicators, incentives for the implementers that reached the target, standard operational procedures for the implementation of the SPM BKUP, and a specialized team for the implementation. Therefore, Depok City was only minimally prepared to implement the SPM.Abstrak. Kesehatan adalah hak yang sangat mendasar bagi manusia, untuk itu negara harus hadir dalam pemenuhannya. Dalam era otonomi daerah, Standar Pelayanan Minimal (SPM) bidang kesehatan menjadi jaminan penyelenggaraan pelayanan kesehatan dengan jenis dan mutu pelayanan dasar yang sama. Salah satu jenis layanan dasar adalah SPM bidang kesehatan pada usia produktif (SPM BKUP). Jenis layanan dasar ini bernilai strategis bagi kinerja Pemerintah Daerah, karena berdasarkan BPS (2017) komposisi penduduk usia produktif menempati proporsi 60-70% dari seluruh jumlah penduduk dan nilai strategis bagi pengendalian Penyakit Tidak Menular (PTM) karena bentuk skrining. Analisis kesiapan ditujukan untuk melihat seberapa besar jarak antara kondisi ideal dengan kenyataan yang sebenarnya. Penelitian ini menggunakan metode kualitatif dengan teknik WM, FGD dan telaah dokumen terkait.  Hasil penelitian didapatkan 10 dari 13 indikator kesiapan implementasi, belum lengkap dimiliki Kota Depok, meliputi konseling faktor risiko PTM, Pelatihan teknis petugas skrining dan surveilans berbasis web,  pelayanan terpadu PTM, pencatatan pelaporan, monitoring evaluasi, komunikasi, sikap pelaksana, ketersediaan SDM, fasilitas dan dana. Sementara 3 indikator yang belum sama sekali dimiliki yaitu insentif bagi pelaksana yang mencapai target, SOP pelaksanaan SPM BKUP dan Tim penanggung jawab penyelenggaraan SPM BKUP. Kesimpulan didapatkan bahwa Kota Depok memiliki kesiapan yang minimal dalam rangka implementasi SPM BKUP. 

scholarly journals Implementation of the Policy of Poverty Alleviation Acceleration Program in Bokat District, Buol Regency, Central Sulawesi Province, Indonesia

2021 ◽  
Vol 1 (1) ◽  
pp. 132-139
Author(s):  
Ikhlasiani T. Tonggil ◽  
Irawati Igirisa ◽  
Arifin Tahir
Keyword(s):  
Poverty Alleviation ◽  
Community Outreach ◽  
Monitoring And Evaluation ◽  
First Year ◽  
Program Policy ◽  
Qualitative Descriptive ◽  
Descriptive Approach ◽  
The Government ◽  
Central Sulawesi ◽  
Different Levels

The purpose of this study is to explore the implementation of the poverty alleviation acceleration program policy through the regional government's leading programs, especially maize commodity, in Bokat District, Buol Regency.  It relied on a qualitative descriptive approach by revealing the phenomenon encountered by the farmers who received assistance in several villages, Bokat District. Data collection techniques involved interviews with several informants, continuous observations, and documents related to the poverty alleviation policy in Buol Regency. Further, data analysis was performed by data reduction and presentation, along with conclusion drawing. The results show that the policy has been implemented according to the predetermined stages through Regional Regulation Number 7 of 2015, including community outreach, business capital strengthening, empowerment, monitoring, and evaluation. However, it is found out that the policy is yet to be optimal. The community outreach conducted by the government has not been effective since only a few people took part. This stage also provides business capital strengthening by giving them processing fees, seeds, fertilizers, and pesticides. Still, both stages are only carried out in the first year at each location where the poverty alleviation acceleration program is promoted. In addition, an empowerment program that can support the development of maize commodity as the regional government's leading program has not been executed. Monitoring and evaluation of such a policy have not been entirely performed, impacting different levels of success each village reaches. On this ground, the poverty alleviation acceleration program policy needs to be re-evaluated to also detect any problems in the area, increase people's income, and bring success to the policy implementation.

scholarly journals ANALISIS FAKTOR PELAYANAN ANTENATAL TERPADU DI WILAYAH KERJA PUSKESMAS TEMBILAHAN HULU

2020 ◽  
Vol 4 (1) ◽  
pp. 34-45
Author(s):  
Sandra Harianis ◽  
Mia Ritasari ◽  
Dewi Erlina Asrita Sari ◽  
Madinah Madinah
Keyword(s):  
Data Collection ◽  
Pregnant Women ◽  
Health Center ◽  
Group Discussion ◽  
Monitoring And Evaluation ◽  
Phenomenological Approach ◽  
Pregnancy And Childbirth ◽  
Measure Blood Pressure ◽  
The Right ◽  
Depth Interviews

The health of pregnant women is still a national health problem. Ante Natal Care (ANC) services integrated with 10 standards can improve maternal and fetal health. However, in recent years complications of pregnancy and childbirth have increased which should be identified early with the right ANC. This study aims to explore the implementation of ANC 10 standards and obstacles in their implementation. This study uses a qualitative design with a phenomenological approach. The study began with qualitative data collection through focus group discussion (FGD) and in-depth interviews and quantitative data collection through filling out questionnaires in October-November 2018 in the working area of ​​the Upper Tembilahan Health Center. The sample of this study was all midwives at the Tembilahan Hulu health center and pregnant women were randomly taken as many as 138 people. The findings of this study note 35 out of 138 (25.4%) pregnant women received standard ANC 10 services in full. Weigh BB and measure TB (86.23%), measure blood pressure (100%), nutritional status (88.41%), measure TFU (85.51%), value of fetal presentation (81.88%), srining T (81.16%), Fe tablets (71.01%), labor checks (81.88%), case management (82.61%), and speech meetings (69.57%). The obstacle of midwives is inadequate facilities and infrastructure and the weak skills of midwives in implementing standards. The need for monitoring and evaluation of KIA program holders and guidance and training for integrated ANC servants for all midwives.

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