scholarly journals Pelaksanaan Kebijakan DAK Non Fisik Bidang Kesehatan untuk Tenaga Kontrak Promosi Kesehatan di Kabupaten Sumbawa dan Kabupaten Sleman Tahun 2016

2017 ◽  
Vol 6 (3) ◽  
pp. 149
Author(s):  
Yuniati Yuniati ◽  
Laksono Trisnantoro ◽  
Dwi Handono Sulistyo

ABSTRACTBackground : In order to support the global commitment in addressing the burden of non-communicable diseases, the government through the Ministry of Health set the one of the targets of the National Development Strategy Plan is the promotion and preventive service through the availability of health promotion personnel at the Puskesmas. To meet these needs the government issued a policy that is the Regulation of the Minister of Health No. 82 of 2015 on Technical Guidance Special Allocation Fund for Health Operational Support where one of financing is for promotive and preventive activities directed to finance one (1) contract health promotion workers. Aims : To analyze the implementation of the policy of Non-Physical Special Allocation Fund of 2016 to recruit Health Promotion Contract Workers for Puskesmas in Sumbawa and Sleman districts. Methods : A single case study study was established using Implementation Research carried out at the Health Office in Sumbawa and Sleman districts. Informants were interviewed using the Consolidated for Implementation Research (CFIR) framework as a guide in collecting and analyzing qualitative data. Result :The most dominant factor of CFIRs affecting the implementation of contract labor policies is the internal communication network, particularly the involvement of the management. Organizational needs are the reasons for implementing a policy, but this is not a major factor in the implementation of a policy. Meeting the needs of the organization is influenced by the involvement factor of the leader of the organization in this case the leadership commitment to the vision of the organization, the implementation is also influenced by the external communication network organization that is: advocacy, coordination and cooperation with cross-related sector. Conclusion : The policy of recruitment of contract workers in Sleman district was successfully implemented because the policy makers and implementers played a good role, while Sumbawa regency did not implement this policy because of the difference perception about the need of health promotion personnel between Puskesmas as implementer of policy and health department as policy maker which supervises the Puskesmas. Keyword : Implementation, outcome, DAK non-Physical policy, Contract force health promotion, Consolidated Framework for Implementation ResearchABSTRAKLatar belakang: Isu global tentang beban penyakit tidak menular menjadi salah satu dasar kebijakan nasional di bidang kesehatan. Penyakit tidak menular adalah penyebab 68% kematian di dunia dan sebagian terjadi pada negara berpenghasilan menengah ke bawah. Dalam rangka mendukung komitmen global pemerintah melalui Kementerian Kesehatan menetapkan salah satu sasaran Rencana Strategi Pembangunan Nasional (RPJMN) adalah upaya pelayanan promotif dan preventif dalam rangka menurunkan kejadian penyakit tidak menular yang dalam beberapa tahun terakhir berkembang pesat. Untuk memenuhi kebutuhan tersebut pemerintah melalui Kementerian Kesehatan mengeluarkan kebijakan yaitu Peraturan Menteri Kesehatan Nomor 82 Tahun 2015 tentang Juknis Dana Alokasi Khusus sebagai Bantuan Operasional Kesehatan dimana salah satu pembiayaannya adalah untuk kegiatan promotif dan preventif yang diarahkan untuk membiayai satu (1) orang tenaga kontrak promosi kesehatan. Tujuan untuk menganalisis pelaksanaan kebijakan Dana Alokasi Khusus Non Fisik Tahun 2016 untuk merekrut Tenaga Kontrak Promosi Kesehatan di Kabupaten Sumbawa dan Kabupaten Sleman Metode: Penelitian studi kasus tunggal terjalin dengan strategi pendekatan menggunakan Riset Implementasi ini dilakukan di Dinas Kesehatan di Kabupaten Sumbawa yang belum melaksanakan kebijakan Tenaga Kontrak Promosi Kesehatan dan Kabupaten Sleman yang telah melaksanakanya. Informan diwawancarai dengan menggunakan kerangka kerja The Consolidated for Implementation Research (CFIR) sebagai panduan dalam pengumpulan dan analisis data kualitatif. Partisipasi aktif pembuat keputusan kebijakan baik di Pusat maupun di Daerah ikut dilibatkan selama proses penelitian berlangsung, mulai dari penentuan topik, pertanyaan penelitian sampai pada pelaksanaan penelitian. Kata kunci: Implementasi, outcome, kebijakan DAK non Fisik, Tenaga Kontrak promosi kesehatan,Consolidated Framework for Implementation Research

2020 ◽  
Vol 9 (2) ◽  
pp. 237-246
Author(s):  
Kazi Fahmida Farzana ◽  
Siti Darwinda Mohamed Pero ◽  
Muhammad Fuad Othman

In Malaysia, refugees remain mostly invisible and face various challenges in terms of protection, healthcare and education. They are often preserved as ‘illegal immigrants’, therefore always at risk of arrest, detention, punishment and deportation. The worse sufferers of these are the children and youth, who are also considered to be illegitimate and deprived of rights including the right to education. This is a case study of a young Rohingya refugee man whose dedication and struggles, despite his problematic identity imposed by various authorities, continue to find a way out and serve fellow refugees through a community organization. However, the dream to have an education and flourish as a full-fledged human being remains a far cry for those marginalized, underprivileged Rohingya refugees and their children. Their experience in Malaysia is far from exceptional, of the sufferings that refugees are forced to bear in many countries in South and Southeast Asia. Nonetheless, this case aims to facilitate the basic understanding of displacement, the refugee situation, international law and particularly refugee children’s rights to education. It provides a deeper understanding of the root causes of Rohingya’s current ‘stateless’ situation in Malaysia, identifies the challenges faced by a refugee community organization, refugee children’s struggles and rights to education. It initiates thoughts to examine the government policies and look for alternative strategies that may benefit the refugee children as well as the national development in the long run. Dilemma: Are Rohingya in Malaysia ‘refugees’ or ‘economic migrants’? Should the children of Rohingya be given access to education? Should Malaysia sign the 1951 Refugee Convention? Theory: Statelessness theory Type of the Case: Experience-based applied single case study Protagonist: Present Options Malaysia can take the stand that being nonsignatory to the 1951 Refugee Convention and its 1967 protocol, it is not bound to come up with policies for refugees. By providing ‘temporary’ shelter to a significant number of refugees and asylum-seekers, Malaysia has done enough for the refugees. At the international level, Malaysia is considered to be sympathetic towards refugees. Refugee and asylum seekers’ presence has been exerting pressure on Malaysian culture and society. In contrast, refugee and migration issues are receiving attention from the government and civil society in Malaysia. Former government has tried to adopt some policies like providing short-term work permit for a small number of registered Rohingya refugees in certain plantations and manufacturing sectors on an experimental basis to avoid social and economic risks posed by unemployed refugees. Malaysia should sign the 1951 Refugee Convention and its 1967 protocol because it is a member of the United Nations (UN) and party to many other major international human rights documents such as Convention against Torture and Other Cruel Inhuman or Degrading Treatment or Punishment (CAT) and Convention on the Rights of the Child (CRC) to name a few. Discussions and Case Questions What are the root causes of Rohingyas’ current statelessness situation and how should the Malaysian government tackle the issue? What are the challenges faced by Rohingya community organizations in integrating with the society? Should Malaysia look at improving the Rohingya children’s access to education or the community should take on the responsibility?


2020 ◽  
Vol 49 (2) ◽  
pp. 185-206
Author(s):  
Wiebke Rabe ◽  
Genia Kostka ◽  
Sabrina Habich-Sobiegalla

Socio-economic development is often linked to efficient infrastructure provision. In China, the government has rolled out ambitious infrastructure projects as part of its national development strategy. There is much to praise about China’s infrastructure provision, such as its remarkable scale and speed of infrastructure delivery. However, based on studying 153 infrastructure cases between 1983 and 2018 and two in-depth case studies, we find that China’s infrastructure performance is not as positive as often assumed. We show that infrastructure projects continuously arrive significantly over budget. We argue that this cost performance depends – similar to Western countries – on inaccurately anticipating technical hindrances and geographical challenges. In addition, however, we identify another important and so far less discussed project performance determinant specifically relevant to the Chinese context: population resettlements and land acquisition.


2021 ◽  
Vol 9 (2) ◽  
pp. 158-168
Author(s):  
M.O. Abanikannda ◽  
D.A. Adekomi

Since after independence in Nigeria in 1960, the country has been fighting for good governance and a capable state in terms of economic and socioeconomic. The Nigeria development programs have been implemented to achieve the objectives. In 2009, the government of Nigeria embarked upon vision 2020, the ambition to position Nigeria to become one of the top 20 economic in the world national development by 2020 by linking the objective of the National Economic and Empowerment Development Strategy(NEEDS) and the seven-point agenda. However, there are certain questions that need to be asked such as; how much the vision 2020 myth is becoming reality; how has Nigeria performed in terms of good governance and a capable state as far as vision 2020 is concerned. Keywords: government of Nigeria, good governance, vision 2020, national development, ambition and capable state


Author(s):  
Azamat Maksüdünov

Digital transformation has been increasing in all fields of human being around the globe. Within this global trend Kyrgyz Republic also declared its National Development Strategy for 2018-2040 in 2018, which outlines the contours of the country's digital transformation. In the country, 2020 is declared the year of digitization and the process has begun. Although all this transformation processes are crucial in terms of development and building transparent state, such significant changes don’t occur without challenges. Along with main obstacles such as poor infrastructure, limited financial and human resources, residents’ readiness to embrace e-services is also matter. In this context, the main purpose of this study is to examine residents’ readiness level to e-government services. The scope of the study is limited to Bishkek, capital of Kyrgyz Republic, for several reasons. First of all, e-government services are piloted in Bishkek, and then implemented in other regions. The second reason is related to high rate of online population in Bishkek. Primary data were obtained using structured questionnaire among residents. Findings of this empirical study can provide useful insights in terms of public policy on digital transformation. Especially, the government can gain very useful insights into readiness level of consumers and their anxieties about e-government services. Deeper understanding of users’ behavior can be reliable base for making decision to eliminate this problem as an obstacle for digital transformation.


2018 ◽  
Vol 5 (2) ◽  
pp. 34-44
Author(s):  
Jhoni Trisno

This study was conducted to describe the communication network in the management and provision of public information in Government Public Relations and Regional Work Unit (SKPD) in Solok City. The description of the communication network was obtained using descriptive qualitative research methods with data collection techniques of interview, observation and documentation. The communication network observed revolves around the functions of the communication network, connectivity, communication network typology, and separator of Solok City Public Relations Division and other Regional Work Units (SKPD). The results of the study illustrate that; 1) The function of the Government Public Relations communication network with other SKPD in the City of Solok as a technical person in charge of being able to manage the organization's internal communication. The Public Relations Department has provided information technology in the form of an application system in the form of integrated internet in each organizational unit, 2) Connectivity of the Public Relations Section of Solok City Regional Secretariat and other SKPD have strong and close connections because they use informal communication that prioritizes interpersonal closeness, the Public Relations and other SKPD departments in Solok City Government are running decentralized, 4) In the communication network of the Solok City Regional Secretariat and other SKPD, each member of each agency can communicate with each other, either directly or using media, such as telephones.


2018 ◽  
Vol 6 (2) ◽  
pp. 148
Author(s):  
Suy Rathny ◽  
Rashmi Chatterjee ◽  
Yen Yat ◽  
Md Amjad Hossain Reyad ◽  
Chhay Leaksmy

The elderly people in Cambodia are confronting multiple sources of vulnerability; these include living with poorness, health functional disabilities, health issues, social isolation, and limited opportunities to get involved. The government of Cambodia is concerning about the welfare of the elderly, as expressed in the National Development Strategy where government pledges its commitment to promoting the welfare of the elderly by protecting and ensuring that the elderly people are provided with basic needs. On the other hand, social protection in Cambodia has been largely neglected or addressed with inadequate tools and insufficient funds, which leads Cambodia to vulnerability. The principal purpose of this review is to produce a summary of overall social protection system and government associated with the elderly in Cambodia.


2021 ◽  
Vol 10 (10(6)) ◽  
pp. 1848-1866
Author(s):  
Judy Mwenje ◽  
Vitalis Basera

The main objective of this paper was to determine business excellences and stakeholders influencing the late adoption of quality management systems in Zimbabwe hotel industry and suggest recommendation that encourages adoption of quality management systems. The study followed a multi case study approach, with 9 hotels from Harare chosen purposively to represent the hotel industry in Zimbabwe. In-depth interviews and focus group discussions were used to get data from hotel managers, key stakeholders and staff members. Directed content analysis was used to analyse data. The results revealed that hotels in Zimbabwe do not follow internationally recognised business excellence models. Five key external stakeholders – banks, Zimbabwe Tourism Authority, Tourism Business Council of Zimbabwe, Hospitality Association of Zimbabwe, tourists and Standard Association of Zimbabwe were identified to be influencing adoption of quality management systems in the hotel industry. The study recommended for the establishment of local business excellence models that are specific to hotels in Zimbabwe and for the government to avail accessible revolving bank loans for the hotels to invest towards quality management systems. The determination of the external stakeholders influencing late adoption of quality management systems in the hotel industry and use of business excellence models will help improve the adoption of QMSs under Zimbabwe's National Development Strategy 1 (NDS) to realise Vision 2030 "Towards a Prosperous and Empowered Upper Middle-Income Society".


2020 ◽  
Vol 16 (5) ◽  
pp. 929-949
Author(s):  
A.M. Chernysheva

Subject. After the collapse of the USSR, smaller countries chose different paths in their economic policy during the globalization and the multipolar world. The EU, USA and Russia made a palpable contribution to the economic policy of smaller countries. Some countries of the former USSR failed to find their course, while the others immediately followed their development strategy and stuck to it persistently. Objectives. I examine the economics of the monodirectional strategy of smaller countries of the former USSR. I also evaluate how the countries found their position among different leading countries as points of attraction. The study is based on the assumption that the single direction of the national development and adherence to the same point of attraction will ensure the sustainable development. However, the economic development level depends on the health of a certain economy as a point of attraction. Methods. The study is based on the systems approach, comparative and statistical methods for analyzing macroeconomic data series. Results. I investigated the dynamics of key macroeconomic data in the Republic of Belarus, Latvia and Estonia, such as GDP per capita in current values, unemployment rate and Purchasing Power Index. Given the current phase of globalization and multipolar world, it is crucial for smaller countries to choose a development strategy to follow persistently and achieve proper macroeconomic indicators that depend on the economic stability of counties they treat as their benchmarks. Conclusions and Relevance. I should mention the successful economic policy of Estonia and Latvia, which followed the same course as the other EU countries, as opposed to the Republic of Belarus tending to the policy of the Russian Federation. Nevertheless, the monodirectional development strategy also helps smaller countries ensure their economic stability.


2018 ◽  
Author(s):  
Sumitro Sarkum

This study aims to figure out what the relationship of empowerment of SMEs through methods of zoning as marketing strategy of SMEs in two different markets (offline and online). The zoning strategy with information and communication system integrated brings together socialization and promotion in a market. This system can help the government in taking and formulating policies to unite SMEs in a new market by not leaving the old market. The method in this study uses qualitative descriptive. There are three propositions produced in this initial research, the first; Offline and online marketing is very relevant for SMEs in Indonesia. Second; marketing information system is access for SMEs to find out the demand or market needs both domestically and internationally. And third; The zoning system can be used as an online development strategy for SMEs to synchronize two different markets, namely offline and online. Further research is needed to validate the propositions found, to generate hypotheses and empirical evidence, we recommend using mix methods for future research.


2018 ◽  
Vol 6 (1) ◽  
pp. 14
Author(s):  
Harsono . ◽  
Bagoes Widjanarko ◽  
Priyadi Nugraha Prabamurti

Penerapan perilaku hidup bersih dan sehat pada tatanan rumah tangga di Indonesia pada tahun 2015, baru mencapai 55%. Padahal dari sisi perilaku per indikator idealnya diatas 80%. Faktor risiko timbulnya Penyakit Tidak Menular(PTM) antara lain karena gaya hidup seperti merokok, obesitas, inaktivitas, peminum alcohol dan narkoba. Lemahnya upaya preventif dan promotif dalam upaya kesehatan masyarakat (UKM) disebabkan salah satunya oleh distribusi tenaga promotif preventif di Puskesmas masih belum merata.. Keberadaan tenaga kontrak Promotor Kesehatan di Puskesmas diharapkan mampu menjawab kekurangan tenaga promotif preventif di Kabupaten Indramayu. Namun keberadaan mereka menjadi prokontra sehingga dapat berpengaruh pada kinerja dalam pelayanan promosi kesehatan di Puskesmas.Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi kinerja tenaga kontrak promotor kesehatan dalam pelayanan promosi kesehatan Puskesmas di Kabupaten Indramayu. Jenis penelitian ini menggunakan pendekatan kuantitatif dengan rancangan studi cross sectional. Besar sampel adalah 35 orang. Analisis data secara univariat, bivariat dengan Chi square dan multivariat dengan regresi logistik. Hasil penelitian ini menunjukan bahwa kinerja tenaga kontrak promotor kesehatan dalam pelayanan promosi kesehatan Puskesmas di Kabupaten Indramayu sebagian besar responden berkinerja tinggi (51,4%). Hasil uji statistic menunjukan bahwa terdapat hubungan antara pengetahuan (p=000), kemampuan diri (p=0,000), persepsi beban kerja (p=0,011), motivasi (p=0,010), imbalan (p=0,024) dan sarana prasarana (p=0,001) dengan kinerja tenaga kontrak promotor kesehatan dalam pelayanan promosi kesehatan Puskesmas di Kabupaten Indramayu. Faktor yang memiliki pengaruh paling kuat terhadap kinerja tenaga kontrak promotor kesehatan adalah faktor pengetahuan dengan nilai Odds Ratio (OR=17,84 95% CI=1,99-149,5) dan kemampuan diri (OR=17,36 95% CI=1,4-220). Rekomendasi pada penelitian ini adalah perlu adanya pelatihan e-learning dan in-house training, pembinaan tenaga kontrak, dan penyediaan sarana prasarana promosi kesehatan. Abstract The application of clean and healthy life behavior at household order in Indonesia in 2015, had just reached 55%. From the behavior side, where every indicator should be above 80% as the ideal one. The weakness of preventive and promotion effort in accordance with the community health efforts, one of the reasons is because the distribution of the health preventive and promotion agent into the community health centre is not all totally covered yet. The presence of the out-sourcing health promoter agent in the community’s health center is expected to be able to supply the lack of health preventive and promotion agent in Indramayu. However, their presence become pros and cons, which can influence to the performance in theservice of health promotion in community’s health centre. This research aimed to analyze the elements which influence their performance to carry out health promotion service in every community’s health centre in Indramayu. Type of observational study with cross sectional design.The population in this study amounted to 105 people, consisting of 35 contract workers, 35 heads of Puskesmas, and 35 co-workers contract workers.The sampling technique is purposive sampling in total population or saturated sampling, so the same sample size is 105 people. The data are analyzed by univariat, bivariat method with Chi square and multivariate with logistic regression. The results of this study indicate that the performance of health promotion contract workers in health promotion service of Puskesmas in Indramayu Regency most of the respondents are high performers (51.4%). Based on the test of Chi-Square, it shows that the elements related to the out-sourcing health promoter in carrying out the health champagne service at community’s health centre in Indramayu are knowledge (score p=000), self ability (p=0,000), duty perception (p=0,011), motivation (p=0,010), reward (p=0,024), means and infrastructures (0,001). The most influence factors to the performance to the out-sourcing health promoter in carrying out the health champagne service at community’s health centre are knowledge factor (p=0,009) with the OR score=17,84 95% CI=1,99-149,5.Therefore, as the recommendation, the training for the candidates of health promoters, e-learning, in-house training, and also the out-sourcing coaching as well, and providing means and infrastructures of health promotion.


Sign in / Sign up

Export Citation Format

Share Document