scholarly journals Cross-Sectoral Engagement in the Eradication of Schistosomiasis in Indonesia

2021 ◽  
Vol 13 (10) ◽  
pp. 82
Author(s):  
Gunawan Gunawan ◽  
Junus Widjaja ◽  
Phetisya Pamela Frederika Sumolang ◽  
Hayani Anastasia

BACKGROUND: Indonesia has planned a roadmap to eradicate schistosomiasis and achieved the elimination of schistosomiasis by 2025. Through cooperation between the Ministry of Health and the Ministry of National Development Planning or the National Development Planning Agency (Bappenas). The roadmap is a reference to plan the shared action multiple sectors, central-regional and communal coordinated by the National Development Planning Agency (Bappenas) and Development Planning Agency at Sub-national Level (Bappeda). OBJECTIVE: analyzing cross-sectoral involvement in 2019 in efforts to eradicate schistosomiasis. The research method is to analyze data and information regarding the schistosomiasis control program in 2019. MATERIAL AND METHODS: The data and information in the study came from six Regional Apparatus Organizations (OPD) in Poso and seven OPDs in Sigi Central Sulawesi. RESULT: This study reveals that, based on the roadmap to eradicate schistosomiasis, mass treatment regarding schistosomiasis for humans is 70-94%; mass medication for livestock is 50%; surveillance on intermediate snails, humans, and animals is 70-94%; 6,000 animals and 49%; the campaigns for behavioral changes and an increase in community participation in 18 villages and multi-sector coordination and intensive integrated supervision is 50%. Meanwhile, public toilets in the focus areas and livestock management have not proceeded. The prevalence of schistosomiasis in humans showed yields of 0.13%, 0%, and 0.0% in the Napu, Bada, and Lindu Plateaus. In addition, the prevalence of schistosomiasis in animals was 3.4% and 2.3% in buffalo and horses. CONCLUSION: Schistosomiasis control in terms of health can reduce the prevalence of schistosomiasis in humans. And schistosomiasis control is not a priority program in terms of agriculture. Who did not build schistosomiasis control programs in 2019 upon good coordination between the central and local governments?

2019 ◽  
Vol 47 (4) ◽  
Author(s):  
Hayani Anastasia ◽  
Junus Widjaja ◽  
Anis Nurwidayati

Abstract In Indonesia, schistosomiasis is caused by Schistosoma japonicum with Oncomelania hupensis lindoensis as the intermediate host. Schistosomiasis can infect humans and all species of mammals. In order to achieve schistosomiasis elimination by 2020, schistosomiasis control including environmental management, has been carried out by multi-sectors. A cross-sectional study was conducted in 2018 to evaluate multi-sectoral schistosomiasis control programs. Data were collected by in-depth interviews with stakeholders, stool survey, snail survey, field observation, and document reviews. About 53.6% of control programs targeted in the schistosomiasis control roadmap were not achieved. Moreover, there was no significant difference between the number of foci area prior to the control programs and that of after the control programs completed in 2018. In addition, the prevalence of schistosomiasis in the humans was 0-5.1% and in mammals was in the range of 0 to 10%. In order to overcome the problems, establishment of a policy concerning schistosomiasis as a priority program beyond the Ministry of Health is needed. Innovative health promotion with interactive media is also needed to be applied. Nonetheless, the schistosomiasis work teams need to be more active to collaborate with other sectors and the Agency of Regional Development of Central Sulawesi Province as the leading sector. Keywords: schistosomiasis, control program, multi-sector, evaluation Abstrak Schistosomiasis di Indonesia disebabkan oleh cacing trematoda jenis Schistosoma japonicum dengan hospes perantara keong Oncomelania hupensis lindoensis. Schistosomiasis selain menginfeksi manusia, juga menginfeksi semua jenis mamalia. Untuk mencapai eliminasi schistosomiasis pada tahun 2020 dilakukan pengendalian schistosomiasis oleh lintas sektor termasuk di dalamnya pelaksanaan manajemen lingkungan. Upaya pencapaian eliminasi schistosomiasis dilakukan terutama dengan manajemen lingkungan yang direncanakan bersama oleh lintas sektor. Penelitian cross sectional dilakukan untuk mengevaluasi pelaksanaan program pengendalian schistosomiasis oleh lintas sektor dan implementasi pengendalian schistosomiasis terpadu untuk eliminasi schistosomiasis. Pengumpulan data dilakukan dengan wawancara mendalam stakeholder, review dokumen, survei keong, observasi lapangan, dan survei tinja. Hasil penelitian menunjukkan 53,6% kegiatan yang direncanakan dalam roadmap tidak terlaksana tahun 2018. Perbandingan jumlah fokus yang ditemukan pada akhir tahun 2018 tidak jauh berbeda dengan sebelum kegiatan pengendalian. Prevalensi schistosomiasis pada manusia tahun 2018 berkisar 0-5,1%. Prevalensi schistosomiasis pada hewan berkisar 0-10%. Untuk mengatasi permasalahan yang dihadapi perlu adanya rekomendasi kebijakan schistosomiasis sebagai kegiatan prioritas di kementerian di luar kesehatan sehingga memungkinkan perencanaan kegiatan yang lebih terarah oleh lintas sektor. Selain itu perlu dilakukan promosi kesehatan yang lebih inovatif dengan menggunakan media yang lebih menarik dan interaktif. Peranan aktif kelompok kerja tim pengendalian schistosomiasis perlu ditingkatkan dengan Bappeda sebagai leading sector. Kata kunci: schistosomiasis, pengendalian, lintas sektor, evaluasi


2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Izzuddin Latif ◽  
Widayati Widayati

Facilitation of Development Planning is very urgent and vital as an instrument to increase effectiveness in building synergy in terms of regional development in accordance with the mandate of the law on national development planning, namely in accordance with Permendagri Number 86 of 2017. Kendal Regency Facilitation Process by the Central Java provincial government those that have been implemented well will produce legal products that are able to explain the central government's development programs and there will not be problems in the future. The problems of Regional Development Planning, which have been carried out by the Central Java provincial government, are still much sought to be in accordance with the conditions and needs and well implemented in accordance with the laws and regulations, the need for a better solution to avoid future problems ; Time problems that are less effective, and so that scheduling is done in great detail and in a short amount of time, to improve the performance and effectiveness of facilitation. Regarding the issuance of the Minutes is not quite right than the issuance of the Governor's Decree, the Javanese provincial government should be publishing the provisions of the results of facilitation that have been carried out.The Kendal Regency Government also seeks to ask the provincial government to establish a governor's decree so that it can form the basis of the legal umbrella of regional development planning, which is in accordance with the substance of the Minister of Home Affairs Regulation No. 86 of 2017, relating to the Regional Development planning process in Kendal District, which was previously in 2016 has been amended by the new regulation by referring to Permendagri regulation No. 86 of 2017, Kendal District Government seeks to ask the Governor of Central Java as the provincial government to provide facilitation that is in accordance with Kendal Regency characteristics, with reference to the effectiveness of the time given so that the bureaucracy that is built can be effective and efficient.Keywords: Facilitation, Juridical, Regional Development Planning


2015 ◽  
Vol 776 ◽  
pp. 101-107
Author(s):  
Alit Merthayasa

Government of Indonesia through Ministry of National Development Planning/Head of BAPPENAS, recently launched a new initiative in regard to Sustainable Development Program/project criteria called Readiness Criteria. The purpose of the criteria is to select proposed development program / project submitted by local governments as well as donor/funding agency especially related to grant or loan funds, through assessment or screening process. The main criteria consist of: relevance, effectiveness, efficiency, sustainability and impact criteria. The screening process implemented using design and monitoring framework (DMF), which is introduced and developed by ADB funded project’s in Indonesia. Decision of the selection process was made based on project assessment tools (PAT). Nowadays, readiness criteria will be implemented during pre-design phase or during proposal submission stages under the planning and budgeting period as stated by Indonesia Development Planning Board/BAPPENAS.


2020 ◽  
Vol 4 (1) ◽  
pp. 31-34
Author(s):  
Rizma Aldillah

The imbalance between the land supply and the need for land, has caused many problems, sometimes the problem is very difficult to find a solution. With the redistribution of the TORA program in the Southeast Sulawesi province, it helped to slow down the problem slowly. Problems that often occur in the TORA program are generally narrow and unequal land ownership, land conflicts, legal inconsistencies, and damage to natural resources. To that end, the implementation of landreform activities in support of the TORA program in Southeast Sulawesi Province is a synergy of programs from the Central Government which is coordinated with the local Regional Government, in this case the Forestry Service, Forest Area Strengthening Agency, National Land Agency, Regional Development Planning Agency, Cipta Karya Construction and Design, Department of Agriculture and Animal Husbandry in the Southern Province. So that the true purpose of the Agrarian Reform is to restructure the structure of ownership, use and utilization of agrarian resources, especially land by the state as the basis of national development to realize a more equitable agrarian structure for all Indonesian people, in this case the people of Southeast Sulawesi Province.


2018 ◽  
Vol 3 (4) ◽  
pp. 798
Author(s):  
Muhammad Khairil

SEZ (Special Economic Zone) is one of the government's policy programs in national development planning. Reliable and excellent business and investment activities are the main objectives of the Special Economic Zone policy. Promotion strategy in attracting investors interest continue to be enhanced by Palu City Government. The purpose of this research is to know the efforts made by Palu City Government in pushing Palu Special Economic Zone to potential investors. The method used is qualitative method with case study approach. The results of this study indicate the interest to attract investors to do personal selling done by direct communication between the Government of Palu City and Central Sulawesi Provincial Government with potential investors. Finally constructed suggestions for the strategy of promotion of Special Economic Zones to attract potential investors to invest in Special Economic Zones.The contribution of this research is to provide insight on personal selling with potential investors done by the government of Palu and the Central Sulawesi province.


2019 ◽  
Vol 13 (2) ◽  
pp. 125-132
Author(s):  
Junus Widjaja ◽  
Hayani Anastasia

Abstract Schistosomiasis in Indonesia is endemic only in Napu and Bada highlands in Poso District and Lindu highlands in Sigi District, Central Sulawesi. Schistosomiasis control program has been done since 1982; however, it is not successful yet. The objective of this study was to re-identify the active focus area of O.h. lindoensis and the schistosomiasis control program by multi-sector and community. This study mapped the foci area and designed an action plan for schistosomiasis control by multi-sector in provincial level, Poso District, and Sigi District. The sectors involved are Agency for Regional Development, Regional Institute of Research and Development, Health Services, Agriculture Office, Plantation, and Animal Health Office, Maritime and Fisheries Office, Public Works Office, and Village Empowerment Office. The foci area of O.h. lindoensis were distributed in 16 villages in Napu, with a total of 242 foci area. The schistosomiasis control program by multi-sectors was making water catchment, making new paddy field, irrigation, molluscicide, cleaning foci area, draining, re-use of abandoned paddy field and plantation. There is a need for a regulation about budgeting and environmental management in sub-district and village level to support community participation in cleaning foci area, mass drug treatment, and stool survey. Abstrak Schistosomiasis di Indonesia hanya ditemukan di Dataran Tinggi Napu dan Dataran Tinggi Bada, Kabupaten Poso serta Dataran Tinggi Lindu, Kabupaten Sigi, Sulawesi Tengah. Sejak tahun 1982 telah dilakukan upaya pemberantasan tetapi sampai saat ini belum berhasil. Tujuan penulisan adalah mengidentifikasi kembali fokus keong perantara schistosomiasis yang masih aktif dan menyusun rencana aksi  lintas sektor serta peran serta masyarakat dalam penanganan fokus keong. Kegiatan meliputi pemetaan kembali dan melakukan pertemuan menyusun rencana aksi pengendalian schistosomiasis dengan lintas sektor terkait di tingkat Provinsi Sulawesi Tengah, Kabupaten Poso dan Kab. Sigi. Organisasi Perangkat Daerah (OPD) yang terlibat antara lain Badan Perencanaan Pembangunan Daerah (Bappeda), Badan Penelitian dan Pengembangan Daerah (Balitbangda), Dinas Kesehatan, Dinas Pertanian, Perkebunan dan Kesehatan Hewan, Dinas Kelautan dan Perikanan, Dinas Pekerjaan Umum dan Dinas Pemberdayaan Masyarakat Desa (PMD). Fokus keong Oncomelania hupensis lindoensis tersebar pada 16 desa di Dataran Tinggi Napu. Jumlah fokus keong O. hupensis lindoensis 242 fokus. Rencana aksi lintas sektor dengan pembuatan bak penangkap air, pencetakan sawah, pembuatan saluran air permanen dan penyemprotan moluskisida sedangkan peran serta masyarakat berupa pembersihan, pengeringan, pengaktifan sawah dan kebun. Perlu ada regulasi pembiayaan untuk pengembangan manajeman lingkungan dan regulasi di tingkat kecamatan atau desa untuk peningkatan peran serta masyarakat dalam pelaksanaan pembersihan fokus keong, pengobatan massal dan survei tinja.  


2020 ◽  
Vol 48 (3) ◽  
Author(s):  
Ahmad Erlan ◽  
Junus Widjaja ◽  
Anis Nur Widayati ◽  
Malonda Maksud ◽  
Intan Tolistiawaty ◽  
...  

Abstract Schistosomiasis in Indonesia has been found in three endemic areas of Central Sulawesi Province and its control program has long been implemented for more than 35 years, but the transmission has remained unchanged. A new integrated and community based strategy, namely “Bada”was implemented in Lengkeka Village.in 2019. The study aimed to determine the impact of the implementation of Bada model to control schistosomiasis using mixed methods. The Bada model consisted of four actions, namely design of village regulations, formation of schistosomiasis control team, the improvement of capacity for several key persons and integrated schistosomiasis control with various sectors. The results showed the increase of stool collection coverage from 54.59% in 2018 to 71.92% in 2019 and the mass drug administration coverage, from 53% in 2018 to 86.04% in 2019. The snail focci areas were reduced from five to three areas. The schistosomiasis prevalence in human was 0% in 2019. The study also found the increasing of the knowledge, attitude, and practice about schistosomiasis and its prevention of people in the study area.. Based on the results, the Bada model can be considered to be implemented in other schistosomiasis endemic areas, with regard to the local wisdom. Keywords: Schistosomiasis, community empowerment, development of Bada model, Lengkeka, Poso Abstrak Schistosomiasis di Indonesia ditemukan di Provinsi Sulawesi Tengah dan upaya pengendalian sudah dilakukan selama lebih dari 35 tahun terakhir, tetapi sampai saat ini penularan masih terjadi. Sebuah strategi baru pengendalian schistosomiasis terintegrasi dan berbasis masyarakat, yang disebut pengembangan model “Bada” diimplementasikan di Desa Lengkeka tahun 2019. Penelitian dilakukan dengan mixed methods Pengembangan tersebut terdiri atas empat kegiatan, yaitu penyusunan peraturan desa, pembentukan tim pengendalian Schistosomiasis desa/Tim Peda’, peningkatan kapasitas dalam pengendalian schistosomiasis melalui beberapa tokoh masyarakat dan program pengendalian Schistosomiasis terintegrasi lintas sektor. Hasil implementasi menunjukkan terjadi penurunan kasus schistosomiasis pada manusia dan hewan mamalia ternak menjadi nol, meningkatkan cakupan pengumpulan tinja manusia, dari 54,59% menjadi 71,92%, juga meningkatkan cakupan pengobatan dari 53% pada tahun 2018 menjadi 86,04% pada tahun 2019. Pengembangan Model Bada dapat menurunkan jumlah daerah fokus dari 5 menjadi 3 daerah fokus, juga menambah pengetahuan, sikap dan perilaku masyarakat secara signifikan. Berdasarkan hasil tersebut Pengembangan Model Bada dapat dipertimbangkan untuk diimplementasikan di daerah endemis schistosomiasis lain di Provinsi Sulawesi Tengah, dengan tetap mempertimbangkan kearifan lokal masingmasing desa. Kata kunci: Schistosomiasis, pemberdayaan masyarakat, pengembangan model Bada, Lengkeka, Poso.


2018 ◽  
Vol 15 (1) ◽  
pp. 17
Author(s):  
Anggraeny Puspaningtyas

Many problems related to the process of development planning in the region is the existence of  “ego sectoral” between the government apparatus in carrying out development. It can be seen that each agency tends to emphasize its duties and functions in development activities. Less optimal process of implementation of development process due to lack of synergy between sectors and target. Limitations of funds as a stimulant are also not matched by the active role of local governments to emerge regulations to encourage superior sectors. The purpose of this study is to analyze the preparation of economic development plans based on local economic potential in Banyuwangi by using interactive planning approach. In national development planning as well as in regional development planning, planning approach can be done in two ways: sectoral and regional (region) approach. Interactive planning method used in this research, to make planning in the future based on current problems faced then designing planning design to overcome those problems.


2020 ◽  
Vol 2 (2) ◽  
pp. 1-9
Author(s):  
I Wayan Sutrisna

National development has a multidimensional goal, one of which is to realize a democraticIndonesian society, because with a more democratic condition, it allows the public to be more open toparticipate in development in all fields. The development of faster and more complex developmentdemands all components involved in the development process and democracy able to realize what isthe goal of national development.Community participation in the development process in Indonesia in general is currently very low. Thecommunity is still reluctant to engage in a continuous manner in the entire process of developmentplanning, implementation and evaluation carried out by the government. This low participation is aresult of government policies that are still lacking in providing space for every citizen to participate indevelopment. The implementation of the Development Planning Conference (Musrenbang) starting atthe village level up to the national level is considered by some as merely a serimonial process. Nationaldevelopment based on community empowerment will be realized if the government has a strong desireto implement it. The government encourages and provides opportunities for the public to be involved inthis participatory pattern. This pattern makes the community more empowered and participates inenjoying the cake of economic growth resulting from the development process that is carried out.Quality economic growth makes development carried out by the government together with allcomponents of the nation able to improve the welfare of society at large in accordance with what is thegoal of national development itself. National development balanced with active community participation or empowered communities will produce a force capable of realizing national goalsaccording to their goals. Encouraging community participation in developing Indonesia from theregions will be realized if the government has a good desire to implement it. The government mustencourage and provide opportunities for the public to be involved in this participatory pattern. Thispattern makes the community more empowered and participates in enjoying the cake of economicgrowth resulting from the development process that is carried out


Sign in / Sign up

Export Citation Format

Share Document