POLICY IMPLEMENTATION OF A HEALTHY INDONESIA PROGRAM WITH A FAMILY APPROACH IN BANDUNG DISTRICT

2021 ◽  
Vol 8 (3) ◽  
pp. 143-155
Author(s):  
Uri Zaenuri ◽  
Ria Arifianti ◽  
Ratna Meisya Dai

The purpose of this study was to determine the implementation of the Healthy Indonesia Program with a Family Approach which is indispensable as a determinant of the success of the Bandung Regency Government's performance in the health sector. The Healthy Indonesia Program with a Family Approach is a priority program of the Ministry of Health which is implemented by the Center for Community Health. The implementation of the Healthy Indonesia Program with a Family Approach in Bandung Regency was only carried out in 2017 with program socialization activities at the Health Office and Community Health Center levels. The research method used is descriptive qualitative with the approach of Donald van Meter and Carl van Horn's policy implementation model. The findings from the implementation of the Healthy Indonesia Program with a Family Approach in Bandung Regency have been implemented but have not yet reached the target of total coverage. The Bandung Regency Healthy Family Index is included in the unhealthy assessment (<0.8). So that the success of implementation will be achieved when making improvements from deficiencies, both in terms of standards and policy targets or policy measures and objectives, resources, characteristics of the implementing organization, attitudes of the implementers, communication between organizations and implementing activities, and the social, economic and political environment. Suggestions from this study are to improve the empowerment of family roles and community potential with training methods for community cadres, continue the enumerator recruitment program to assist with home visits and data collection and data input, advocate for budget allocations sourced from regional revenue and expenditure budgets.

2020 ◽  
Vol 9 (1) ◽  
pp. 143
Author(s):  
Ariyanto Ariyanto

A healthy family is condition that is prosperous in terms of physical, mental, and social which then allows a whole family to be able to socially normal life. A family is said to be healthy if it can overcome existing problems or conflicts and maintain healthy relationships between family members. Families are said to be healthy if they meet the 12 indicators established by the Ministry of Health.Method To find out the description of 12 indicators of healthy families in the Work Area of the Pall X Community Health Center in Jambi City, this type of research is descriptive with a Cross Sectional approach. The population was all family heads in the Pall X Community Health Center in Jambi City, with a sample of 203 family heads. Data analysis was performed using a univariate test.Results: 87.4% did not attend the family planning program, 77.8% stated that at birth there were those in the hospital and those in the midwife's house, 90% who had complete basic immunizations, 60% had given breast milk, 89.7% had performed monitoring the growth of children under five, 100% as patients who do not regularly treat pulmonary TB, 95.5% of patients do not treat their hypertension regularly, 97.9% do not take medication regularly, 85.6 have family members who smoke, 76.2 % of all family members have become JKN members, 100% have access to clean water and use it for daily needs and 98% of other families have and use healthy latrines. Results, it is recommended that the Puskesmas improve information dissemination regarding 12 Indicators of Healthy Families by conducting counseling in the work area. Information can be improved by empowering sub-district health centers, health cadres and village midwives.


2021 ◽  
Vol 3 (1) ◽  
pp. 10-16
Author(s):  
Elis Anggeria ◽  
Yosni Yohana Sipayung ◽  
Kristin Mei Sara Zebua

Social interaction is a relationship between humans, both in individuals and in groups. Social interaction in society occurs because of social contact and communication. Pulmonary TB is an infectious disease caused by Mycobacterium tuberculosis. This study aimed to determine the social interaction of pulmonary tuberculosis patients at Helvetia Community Health Center in Medan. This study used a descriptive design. The population in this study were all patients suffering from pulmonary tuberculosis. The sample size was determined using a purposive sampling technique, and it was found that the sample size was 33 respondents. The data collection used observation form. The data analysis used frequency distribution. The result shows various respondents' characteristics. The majority were 29-43 years old, male, high school educated, self-employed, and have suffered from TB ≤ 3 years. Based on the study result, 25 of 33 sample patients with pulmonary tuberculosis still interacted socially with their community. The conclusion is that patients with pulmonary tuberculosis still socially interact with the community in their neighborhood.


2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Per Nilsen ◽  
Ida Seing ◽  
Carin Ericsson ◽  
Ove Andersen ◽  
Nina Thórný Stefánsdóttir ◽  
...  

Abstract Background Social distancing policies to ensure physical distance between people have become a crucial strategy in the battle against the spread of the coronavirus. The aim of this project is to analyze and compare social distancing policies implemented in Denmark and Sweden in 2020. Despite many similarities between the two countries, their response to the coronavirus pandemic differed markedly. Whereas authorities in Denmark initiated mandatory regulations and many severe restrictions, Swedish authorities predominantly promoted voluntary recommendations. Methods The project is an interdisciplinary collaboration between researchers in Denmark and Sweden with different disciplinary backgrounds. The project is based on a comparative analysis, an approach that attempts to reach conclusions beyond single cases and to explain differences and similarities between objects of analysis and relations between objects against the backdrop of their contextual conditions. Data will be gathered by means of document analysis, qualitative interviews, and a questionnaire survey to address three research questions: (1) What social distancing policies regarding the coronavirus have been formulated and implemented, who are the policymakers behind the policy measures, which implementers are expected to implement the measures, and who are the targets that the measures ultimately seek to influence? (2) How have the social distancing policies and policy measures been justified, and what types of knowledge form the basis for the measures? and (3) What are the differences and similarities in citizens’ perceptions of acceptability and compliance with social distancing policy measures in relation to the coronavirus? Discussion To create a structure for addressing the three research questions, the project applies a theoretical framework informed by the policy and implementation science literatures. The framework consists of five interdependent domains that have an impact on policy implementation: (1) policymakers, (2) policy characteristics, (3) implementers, (4) targets, and (5) policy environment. Details of the framework are provided in the article.


2018 ◽  
Vol 3 (1) ◽  
pp. 9
Author(s):  
Innana Mardhatillah ◽  
Yaslis Ilyas

Data 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.


Author(s):  
Sri Puji Wahyuni ◽  
Adang Bachtiar

Abstract. This paper analyzed the Policy Implementation of Community Health Center (CHC) as Report Obligation Recipient Institution for Narcotic Addicts in Jakarta Province in 2014. The design of the study employed a mixed methods approach of Sequential Explanatory. The implementation analysis employed the model developed by Donald Van Meter and Carl Van Horn. Within the model, policy implementation was associated with performance. The relationship was influenced by six variables: standards and targets, resources, communication among implementing agencies, implementing agency characteristics, attitudes of the implementers, as well as social, economic, and political factors. We found that variations of those six variables influenced policy performance linearly.Keywords: descriptive analysis, a variation of variables, the performance of the policy 


2020 ◽  
Author(s):  
Per Nilsen ◽  
Ida Seing ◽  
Carin Ericsson ◽  
Ove Andersen ◽  
Nina Thórný Stefánsdóttir ◽  
...  

Abstract Background: Social distancing policies to ensure physical distance between people have become a crucial strategy in the battle against the spread of the Coronavirus. The aim of this project is to analyze and compare social distancing policies implemented in Denmark and Sweden in 2020. Despite many similarities between the two countries, their response to the Coronavirus pandemic differed markedly. Whereas authorities in Denmark initiated mandatory regulations and many severe restrictions, Swedish authorities predominantly promoted voluntary recommendations.Methods: The project is an interdisciplinary collaboration between researchers in Denmark and Sweden with different disciplinary backgrounds. The project is based on a comparative analysis, an approach that attempts to reach conclusions beyond single cases and to explain differences and similarities between objects of analysis and relations between objects against the backdrop of their contextual conditions. Data will be gathered by means of document analysis, qualitative interviews, and a questionnaire survey to address three research questions: (1) What social distancing policies regarding the Coronavirus have been formulated and implemented, who are the policymakers behind the policy measures, which implementers are expected to implement the measures, and who are the targets that the measures ultimately seek to influence? (2) How have the social distancing policies and policy measures been justified, and what types of knowledge form the basis for the measures? and (3) What are the differences and similarities in citizens’ perceptions of acceptability and compliance with social distancing policy measures in relation to the Coronavirus?Discussion: To create a structure for addressing the three research questions, the project applies a theoretical framework informed by the policy and implementation science literatures. The framework consists of five interdependent domains that have an impact on policy implementation: (1) policymakers; (2) policy characteristics; (3) implementers; (4) targets; and (5) policy environment. Details of the framework are provided in the article.


2020 ◽  
Vol 4 (2) ◽  
pp. 131 ◽  
Author(s):  
Suharto Suharto ◽  
Fitriani Pramita Gurning ◽  
Muchti Yuda Pratama ◽  
Emdat Suprayitno

One of the diseases that is now considered a problem that has received enough attention from the government is HIV and AIDS. Talking about HIV and AIDS means it discusses health issues that are currently quite sensitive to talk about. This relates to the unique nature of this disease. Besides the case which is like an iceberg phenomenon, namely the spread of HIV and AIDS cases that cannot be predicted at the initial phase and also has not found a cure to cure it. The purpose of this study is to obtain in-depth data on the implementation of HIV/AIDS policies in the Model Health Center, whether the policies made by the government run well or not in the field. This research uses a qualitative research method with descriptive research type on June 28, 2019, by interviewing informants and distributing questionnaires. As for the total overall value of the Government Policy Implementation is 235. The value of the implementation of government policies, amounting to 78.33% of the 100% expected results. The overall total value of HIV and AIDS is 83. HIV/AIDS counts in the working area of the Exemplary Health Center, which is 92.22% of the 100% expected results. Conclusions policy implementation has been going well and has been socialized to the community and health services, people at risk and sufferers of  HIV/AIDS in the work area of the Community Health Center already has its own organization where this organization is expected to help achieve the goals of this HIV/AIDS program, and to achieve this goal the Community Health Center conducts activities in the form of mobile clinics where the exemplary Community Health Center goes directly to conduct examinations to the community, and in terms of treatment for patients so far it can be said to be in good category and runs smoothly but there are obstacles where sufferers continue to do things that can trigger the development of the HIV virus although in addition patients continue to take drugs to inhibit and minimize the development of the HIV virus.


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