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Journal of Indonesian Health Policy and Administration
Published by Universitas Indonesia
ISSN : 24601330     EISSN : 24773832     DOI : 10.7454
Core Subject : Health, Education, Social,
Education Environmental Science Health Professions Public Health
Journal of IHPA (Indonesian Health Policy and Administration) is a scientific journal which presents original articles on knowledge and information of research about the latest delevopment in the field of health, especially related to the issue of health policy and administration. This journal is published by Department of Health Administration and Policy, faculty of Public Health, Universitas Indonesia and IAKMI. The articles or manuscript contained in the journal of IHPA includes the realm of research, case study, or conceptual.
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Search results for , issue "Vol 4, No 1 (2019)" : 5 Documents clear
ACCUPRESSURE PROGRAM AT THE HEALTH CENTERS IN SOUTH JAKARTA IN 2018 Sandra Octaviani Dyah Puspita Rini; Anhari Achadi
Journal of Indonesian Health Policy and Administration Vol 4, No 1 (2019)
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (395.655 KB) | DOI: 10.7454/ihpa.v4i1.2431

Abstract

Abstract. Traditional Health Services is a treatment or therapy using methods and medication that is based on the experience and skills of our ancestors that can be accounted for and is in accordance with the norms prevailing in the community. One example is acupressure, ehich is a healing method that uses pressure on certain points of the body or acupuncture points. This type of service has been regulated in various laws on traditional health. However, not all Health Centers provide this service. In South Jakarta City, there are only two Health Centers that provide acupressure services. This is a qualitative research, and aims to analyze the policies and implementation of the implementation of acupressure services in the Health Centers and its obstacles. The data was collected through in-depth interviews and document review. In this study we found that the quality and quantity of health workers trained in acupressure and their comprehension of the program was inadequate. In addition, the room for acupressure is only found in health centers that have provided this service. Communication is still a problem, because there is no regulation socialization regarding the regulation of acupressure services for policy implementers. However, 60% of patients were satisfied with the services provided. Abstrak. Pelayanan Kesehatan Tradisional adalah pengobatan/atau perawatan dengan cara dan obat yang berdasarkan pada pengalaman dan keterampilan turun temurun secara empiris, dapat dipertanggungjawabkan dan diterapkan sesuai dengan norma yang berlaku di masyarakat. Salah satu diantaranya adalah akupresur. Akupresur merupakan suatu cara penyembuhan dengan teknik penekanan titik-titik tertentu pada tubuh (titik-titik akupunktur) yang menggunakan jari-jari tangan ataupun alat bantu seperti batang kayu. Pelayanan jenis ini sudah dituangkan dalam berbagai undang-undang tentang kesehatan tradisional. Namun, tidak semua puskesmas menyelenggarakan layanan ini. Di Kota Jakarta Selatan, hanya terdapat dua Puskesmas yang menyelenggarakan pelayanan akupresur. Penelitian ini adalah penelitian kualitatif, dan bertujuan untuk menganalisis kebijakan dan implementasi pelaksanaan pelayanan akupresur di Puskesmas serta hambatannya. Metode pengumpulan data melalui wawacara mendalam dan telaah dokumen. Dalam penelitian ini ditemukan bahwa kualitas dan kuantitas tenaga kesehatan yang terlatih akupresur dan mengerti tentang program masih belum mencukupi. Selain itu, ruangan untuk akupresur hanya terdapat pada puskesmas yang sudah menyediakan pelayanan ini. Komunikasipun masih menjadi masalah, karena belum ada sosialisasi regulasi tentang pengaturan pelayanan akupresur bagi pelaksana kebijakan.
AN ANALYSIS ON THE IMPLEMENTATION OF THE INTEGRATED GUIDANCE POST (POSBINDU) ACTIVITIES FOR NON-COMMUNICABLE DISEASES AT BOGOR CITY IN 2018 Alfiyah Alfiyah; Pujiyanto Pujiyanto
Journal of Indonesian Health Policy and Administration Vol 4, No 1 (2019)
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.974 KB) | DOI: 10.7454/ihpa.v4i1.2388

Abstract

Abstract. One of the endeavors that the government has done to prevent and control non-communicable diseases (NCD) by increasing community participation in the early detection of NCDs is the NCD Integrated Guidance Post (Posbindu). However, in 2017, only 12.96% of the residents in Bogor City accessed it. This meant that the 30% target was not reached. The in this study, we researched the implementation of the NCD Posbindu at Bogor City. Data was gathered through in-depth interviews, Focus Group Discussion (FGD), documentary research, and observations. Eleven informants was interviewed and 24 informants was involved in the FGD. Two NCD Posbindus was observed at Mekarwangi and Cipaku Public Health Centers (PHC). We discovered that the standards and policies have supported the program, but not all the informants were aware of the targets of the program; there were also problems in the number and abilities of the human resources involved, ineffective communication between the cadres, in the coordination between the cadres, and lack of support from local public figures. The program had adequate funding from the regional budget, the Operational Health Aid Funds, and donations from the community. Although more funds are necessary for the promotion and prevention part of the program. We recommend that new cadres are recruited and trained, and that a reward system is used to provide motivation for the cadres.Abstrak. Salah satu upaya pemerintah untuk mencegah dan mengendalikan penyakit tidak menular melalui peningkatan peran serta masyarakat dalam deteksi dini faktor risiko penyakit tidak menular adalah melalui Pos Pembinaan Terpadu (Posbindu) Penyakit Tidak Menular (PTM). Namun, pada tahun 2017 cakupan kunjungan masyarakat ke Posbindu PTM di Kota Bogor hanya sebesar 12,96%. Ini berarti target yang ditetapkan (30%) belum tercapai. Penelitian ini bertujuan untuk mengetahui bagaimana implementasi kegiatan Posbindu PTM di Kota Bogor. Metode yang digunakan adalah wawancara mendalam, Focus Group Discussion (FGD), telaah dokumen dan observasi. Informan penelitian terdiri dari 11 informan wawancara mendalam dan 24 informan FGD. Observasi dilakukan di 2 Posbindu PTM di Puskesmas Mekarwangi dan Puskesmas Cipaku. Peneliti menemukan bahwa standar dan kebijakan yang ada telah mendukung program, tetapi belum semua informan mengetahui siapa target program, selain itu juga terdapat permasalahan dalam jumlah dan kemampuan kader, komunikasi yang tidak efektif antar kader, koordinasi antar kader, dan kurangnya dukungan dari tokoh masyarakat local. Pendanaan program tidak mengalami masalah, karena dana program berasal dari APBD, dana Bantuan Operasional Kesehatan, dan sumbangan masyarakat. Walaupun masih membutuhkan pendanaan lebih lanjut untuk promosi dan pencegahan. Peneliti merekomendasikan dilaksanakannya pembaharuan informasi dan pelatihan yang berkala untuk para kader, perekrutan kader baru, pemberian reward atau pemilihan kader teladan dan Posbindu PTM terbaik, peningkatan kerja sama lintas sektor lembaga pendidikan, pemerintah dan swasta.
AN ANALYSIS ON THE PREPAREDNESS FOR IMPLEMENTING THE MINIMAL STANDARDS FOR SERVICE IN THE HEALTH FIELD AT DEPOK CITY IN 2017 Zakiah Muhammad Rokib; Purnawan Junadi
Journal of Indonesian Health Policy and Administration Vol 4, No 1 (2019)
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (201.99 KB) | DOI: 10.7454/ihpa.v4i1.2000

Abstract

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. 
A SURVEY ON THE COMMUNITY SATISFACTION INDEX BASED ON KEPMENPAN NO. 25/M.PAN/2/2004 AT KANUJOSO DJATIWIBOWO REGIONAL GENERAL HOSPITAL, BALIKPAPAN IN 2018 Mieke Savitri; Dea Yasmine Armando
Journal of Indonesian Health Policy and Administration Vol 4, No 1 (2019)
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.404 KB) | DOI: 10.7454/ihpa.v4i1.2855

Abstract

Abstract. Community Satisfaction Index (CSI) Survey is used to measure the community’s perception on the services that they receive. In hospitals, it is used to determine whether a service or facility needs to be improved or not, and where it must be improved. In 2018, a descriptive qualitative study was performed at RSUD Dr. Kanujoso which would measure the public’s perception on the services that the hospital provided. The survey was based on the 14 aspects of CSI of the State Apparatus Empowerment Minister Decree No. 25/M.PAN/2/2004. We discovered that the highest rate was held by the Hemodialysis Unit with 100% and the lowest was held by the Medical Rehabilitation Unit with 74.18%. The other units ranged between 74.89%-90.83%. While the average score for the hospital was 78.42%, which meant that the hospital’s perfoemance was good. In general, the hospital provided good service, as evident in the average score of 78.42%. 93.6% of patients prefer to return to the hospital and 97,6% would recommend the hospital. Although some improvements were necessary, such as in the speed and fairness. Therefore, the staff involved in those areas should received further training. Abstrak. Indeks Kepuasan Masyarakat adalah data dan Informasi mengenai tingkat kepuasan masyarakat yang diperoleh dari hasil pengukuran secara kuantitatif dan kualitatif atas pendapat masyarakat dalam memperoleh pelayanan dari aparatur penyelenggara pelayanan publik. Desain Survei Kepuasan Masyarakat terhadap Pelayanan di RSUD Kanujoso Wibowo 2018 ini bersifat deskriptif dengan pendekatan kualitatif yang akan mengukur tingkat kepuasan berbasis persepsi masyarakat pada saat menerima layanan kesehatan dikaitkan dengan 14 aspek Indeks Kepuasan Masyarakat dari Keputusan Menteri PAN Nomor: 25/M.PAN/2/2004. Berdasarkan unit layanan, indeks kepuasan masyarakat tertinggi ada di unit Hemodialisa dengan nilai 100,00 (sangat baik). 12 unit layanan lainnya masuk dalam kategori baik dan sangat baik dengan rentang nilai 74,18-90,83. Unit Rehab Medik menjadi unit layanan dengan indeks kepuasan masyarakat terendah yaitu hanya sebesar 74,18, walaupun nilai tersebut masih masuk dalam kategori baik. Nilai Indeks pelayanan dari 14 aspek indeks kepuasaan masyarakat untuk pelayanan di RSUD Kanujoso Djatiwibowo adalah 78,42 artinya kinerja unit pelayanan adalah baik.
AN ANALYSIS ON THE IMPLEMENTATION OF THE HUMAN RESOUCES IN THE HEALTH FIELD PLANNING POLICY IN DEPOK, 2017 Hani' Annadoroh; Yaslis Ilyas
Journal of Indonesian Health Policy and Administration Vol 4, No 1 (2019)
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (717.043 KB) | DOI: 10.7454/ihpa.v4i1.2303

Abstract

Abstract. According to the Minister of Health Regulation no. 33/2015 (Permenkes 33) on Guidelines for Composing the Human Resources in the Health Field (HRH) Planning, planning for HRH must be done from the bottom up. In 2016, Depok City has implemented the regulation, but the results were not applicable. This qualitative study analyzes the process of creating the planning document at Depok City in 2017 through in-depth interviews and documentary research. We discovered that the 2017 HRH planning document in Depok City did not completely follow all the steps stated in Permenkes 33. Ineffective communication caused lack of commitment and support from the stakeholders, which in turn, caused the lack of support from the bureaucratic structure, such as standard operational procedures, regulation, and allocation of resources, whether it was manpower, funding, or facilities. Therefore, we recommend that the socialization or advocation process to the stakeholders to be increased.Abstrak. Menurut Peraturan Menteri Kesehatan nomor 33 Tahun 2015 tentang Pedoman Penyusunan Perencanaan Kebutuhan Sumber Daya Manusia dalam bidang Kesehatan (SDMK), perencanaan SDMK harus dilakukan secara berjenjang dari bawah ke atas. Di tahun 2016, kota Depok telah melaksanakan permenkes tersebut, akan tetapi hasilnya belum dapat dijadikan pertimbangan dalam manajemen kepegawaian. Penelitian ini merupakan penelitian kualitatif yang bertujuan untuk melakukan analisis terhadap pelaksanaan penyusunan dokumen perencanaan kebutuhan SDMK kota Depok tahun 2017 dengan teknik pengumpulan data berupa wawancara mendalam dan telaah dokumen. Hasil penelitian menunjukkan bahwa penyusunan dokumen perencanaan kebutuhan SDMK kota Depok tahun 2017 belum sesuai dengan tahapan yang terdapat dalam Permenkes 33 tahun 2015. Permasalahan disebabkan oleh komunikasi yang tidak efektif, yang menyebabkan tidak adanya komitmen dan dukungan dari pemangku kepentingan, sehingga tidak terdapat dukungan dari struktur birokrasi yang berupa SOP dan peraturan, dan alokasi sumber daya, baik manusia, dana, maupun fasilitas. Untuk itu, sebaiknya proses sosialisasi atau advokasi ke para pemangku kepentingan ditingkatkan.

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