Yodi Mahendradhata
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Peran Stakeholder Kunci dalam Kebijakan Penanggulangan dan Pencegahan HIV/AIDS Studi Kasus di Kabupaten Sorong Provinsi Papua Barat Mitsel, Mitsel; Mahendradhata, Yodi; Padmawati, Retna Siwi
Jurnal Kebijakan Kesehatan Indonesia Vol 4, No 2 (2015)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (245.286 KB) | DOI: 10.22146/jkki.v4i2.36096

Abstract

Background.: The problem of HIV in Indonesia today has become a major problem not only in health but also has led to problems of social, culture, economic and politic. Cases of HIV in Sorong District in 2007 reached 16 cases, but on 1 July 2014 at increased to 1.029 cases. Data from Sorong KPAD showed a huge increase in the periode of 7 years. Increase in the number of cases should be a considered serious concern by the local goverment in make commitments and allocating budgets particularly in reduction and prevention of HIV in Sorong. Objective: To determine the role of key stakeholders in the policy of reduction and prevention of HIV in District of Sorong, West Papua. Method: This is a qualitative research with case study de- sign. Case study approach is used for the purpose of techni- cal research, in principle is to answer “why there is no spe- cific policy of the local goverment in the response to HIV pre- vention and how the role of the key stakeholders in the reduc- tion and HIV prevention policy in health district of Sorong.This research is carried out in District Sorong, West Papua. The subjects of this study were BAPPEDA, DPRD,Sub-Dinas PP&PL, Health Office of Distrist Sorong and KPAD as the key stakeholders in policy making at the local level. Result : The result showed that the advocacy of the key stakeholders in prevention and reduction of HIV/AIDS by KPAD and Health Department has not gone well, which there are no reports to the key stakeholders as an policy makers, resulting in weak support for the allocation of funds in prevention and reduction of HIV /AIDS in Sorong District, West Papua. Until now there is no local regulation on HIV/AIDS. Conclusion. Advocacy of the key stakeholder in this regard KPAD and Health district of Sorong should be more active as a key policymakers to both the executive (BAPPEDA) and legis- lative (DPRD) so that the response to HIV/AIDS in Distrist Sorong can run optimally. Latar Belakang : Permasalahan HIV/AIDS pada saat ini telah menjadi masalah besar di Indonesia. Peningkatan Kasus HIV/ AIDS di Kabupaten Sorong mencapai 16 kasus tahun 2007 namun meningkat menjadi 1.029 per Juli tahun 2014. Data dari KPAD Kabupaten Sorong ini menunjukkan peningkatan yang sangat besar dalam periode 7 tahun terakhir. Peningkatan jumlah kasus ini merupakan masalah yang seharusnya menjadi perhatian serius oleh Pemda Kabupaten Sorong dalam membuat komitmen dan mengalokasikan anggaran dari APBD secara khusus dalam Kebijkan Penanggulangan dan Pencegahan HIV/ AIDS. Tujuan Penelitian : Untuk mengetahui peran Stakeholder Kunci dalam kebijakan penanggulangan dan pencegahan HIV/AIDS di Kabupaten Sorong Provinsi Papua Barat. Metode Penelitian : Jenis penelitian adalah penelitian kulaitatif dengan rancangan studi kasus. Pendekatan studi kasus digunakan karena tujuan penelitian ini pada prinsipnya adalah untuk menjawab mengapa (why) belum ada kebijakan secara khusus dalam kebijakan Pemerintah Kabupaten Sorong dalam upaya Penanggulangan dan Pencegahan HIV/AIDS dan bagaimana (how) Peran advokasi Stakeholder Kunci dalam Kebijakan Penanggulangan dan Pencegahan HIV/AIDS di Kabupaten Sorong. Penelitian dilakukan di Kabupaten Sorong Provinsi Papua Barat, subyek penelitian ini adalah BAPPEDA, DPRD, Subdin P2&PL Dinas Kesehatan, dan KPAD sebagai Stakeholder Kunci dalam membuat kebijakan di tingkat daerah Kabupaten Sorong. Hasil . Hasil penelitian menunjukkan bahwa advokasi dari stakeholder kunci dalam penanggulangan dan pencegahan HIV/AIDS oleh KPAD dan Dinas Kesahatan belum berjalan dengan baik, belum ada laporan ke stakeholder kunci pembuat kebijakan, membuat lemahnya dukungan alokasi dana dalam upaya pencegahan dan penangulangan HIV/AIDS di Kabupaten Sorong. Sampai saat ini belum ada Perda HIV/AIDS. Kesimpulan dan saran. Advokasi dari stakeholder kunci yaitu KPAD dan Dinas Kesahatan harus lebih giat dilakukan terhadap stakeholder kunci yang membuat kebijakan baik kepada eksekutif (BAPPEDA) maupun legislatif (DPRD) agar upaya penanggulangn dan pencegahan HIV/AIDS di kabuapen Sorong bisa berjalan dengan maksimal,
Sustainability Capacity of HIV/AIDS Programmes in Yogyakarta, Indonesia Sebong, Perigrinus; Sulistio, Dwi Handono; Mahendradhata, Yodi
International Journal of Public Health Science (IJPHS) Vol 6, No 4: December, 2017
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v6i4.8763

Abstract

The Indonesian government established the prevalence target of HIV <0.50% in 2019 to control the spreading of HIV through the National Medium Term Development Plan. To ensure the sustainability of this development plan, a study of the strategic capacity of HIV/AIDS programmes is needed to provide an overview so that the program can be sustained over time. This study aimed to explore the sustainability capacity of HIV/AIDS programmes in Yogyakarta. This was a descriptive study utilizing a qualitative approach. The study involved 42 participants as key informants selected by a purposive sampling technique, and the data were examined using content analysis. By setting priorities of the local government supported by the Provincial Health Office and with the coordination of the Yogyakarta Province AIDS Commission, the programs are able to maintain sustainable HIV and AIDS programmes in Yogyakarta. Funding capacity, evaluation, programme adaptation and communication have not been optimal to ensure the sustainability. Stability of funding is the main obstacle to achieving the sustainability of HIV and AIDS programs. However, with good planning, partnership structure and sufficient organizational capacity, this approach can ensure the HIV and AIDS programmes will continue with the targets set by the Yogyakarta Provincial Health Office. The government in Yogyakarta needs to increase funding capacity, and improve communication to ensure sustainability. The strategy should include adaptation and evaluation of programs through strengthening private sector financing, formulating a communication plan and improving the capacity to respond to change.
Evaluasi Program Terpadu Pengendalian Malaria, Pelayanan Ibu Hamil dan Imunisasi di Kabupaten Hulu Sungai Selatan dan Kota Banjarbaru Provinsi Kalimantan Selatan Rogayah, Hanifah; Mahendradhata, Yodi; Padmawati, Retna Siwi
Jurnal Kebijakan Kesehatan Indonesia Vol 4, No 1 (2015)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (204.348 KB) | DOI: 10.22146/jkki.v4i1.36088

Abstract

Background: To reduce child and maternal mortality, as well as mortality and morbidity of malaria, an integrated malaria control program along with antenatal care and immunization has been implemented through malaria screening and provision of LLIN to pregnant women and the provision of LLIN to children under five who received full immunization. Objective: The objective of this study is to evaluate integrated malaria control program in Hulu Sungai Selatan District and Banjarbaru City, South of Kalimantan Province by exploring input, process and output of the program. Method: The study uses evaluation formative approach using qualitative method with exploratory qualitative design. Data is collected through in-depth interviews, focus group discussion, checklist of observation and documents related to the integrated program. Data analysis was performed with the reduction and presentation of the data, visualization, conclusions, and verification that describe the input, process and output variabels relevant to integrated malaria control program. Result: The dominant challenges in the input are commodity, funds, as well as the organization of integrated programs. Implementation of the integrated program is not optimal in the form of policies, capacity building, QA, supervision, and recording and reporting. The integrated program did not achieve the intended output in terms of LLIN coverage for children under f ive as well as pregnant women ANC coverage (Trimester I and IV). Conclusion: The implementation of integrated malaria control program in general was relatively weak in terms of input, process and output. Adequate inputs and processes to strengthen the implementation of the integrated program are necessary, so it can be one of the exit strategies for malaria control in pregnant women and children under five. Latar Belakang: Dalam upaya menurunkan angka kematian ibu dan anak serta angka kesakitan dan kematian akibat malaria, telah dilaksanakan program terpadu pengendalian malaria, pelayanan ibu hamil dan imunisasi melalui skrining malaria dan pemberian kelambu berinsektisida pada ibu hamil serta pemberian kelambu pada balita yang mendapat imunisasi lengkap.Tujuan: Penelitian ini bertujuan untuk mengevaluasi program terpadu di Kabupaten Hulu Sungai Selatan dan Kota Banjarbaru Provinsi Kalimantan Selatan dengan mengeksplorasi input, proses dan output program. Metode: Penelitian ini merupakan penelitian evaluasi formatif, dengan metode kualitatif dan desain penelitian kualitatif eksploratif. Pengumpulan data dengan wawancara mendalam, diskusi kelompok terarah serta observasi dan checklist dokumentasi. Hasil: Tantangan yang paling besar dan dominan pada input adalah komoditi, dana, serta organisasi program terpadu. Belum optimalnya pelaksanaan proses program terpadu berupa kebijakan, capacity building, QA , supervisi, serta pencatatan dan pelaporan. Tidak tercapainya output program terpadu yaitu cakupan kelambu pada balita dan cakupan kunjungan ANC ibu hamil (K1 atau K4). Kesimpulan: Program terpadu pengendalian malaria, pelayanan kesehatan ibu hamil dan imunisasi belum optimal pada komponen input, proses dan output. Adekuatnya input dan proses dapat memperkuat pelaksanaan program terpadu, sehingga dapat menjadi salah satu exit strategi pengendalian malaria pada ibu hamil dan balita.
Faktor yang berhubungan dengan tidak terkonversinya BTA positif pada pengobatan kasus baru di Semarang Marizan, Marizan; Mahendradhata, Yodi; Wibowo, Trisno Agung
Berita Kedokteran Masyarakat (BKM) Vol 32, No 3 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (497.953 KB) | DOI: 10.22146/bkm.7674

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Tujuan: Penelitian untuk mengidentifikasi faktor yang berhubungan dengan tidak terkonversinya BTA positif pada pengobatan kasus baru.Metode: Penelitian case control melibatkan 128 kasus dan 128 kontrol. Analisa data dengan uji chi square dan regresi logistik.Hasil: Terdapat lima faktor yang signifikan yaitu umur (p=0.023; 95% CI 1.055-4.464; OR=2.143), jenis kelamin (p=0.003; 95% CI 1.269-3.696; OR=2.164), efek samping obat (p=0.031; 95% CI 0.953-45.959), penyakit penyerta (p=0.001; 95% CI 1.598-9.306; OR=3.702) dan gradasi hasil BTA (p=0.000; 95% CI 2.663-9.862; OR=5.063). Gradasi hasil BTA yang terkuat berhubungan setelah dikontrol jenis kelamin dan penyakit penyerta (p=0.000; OR=5.922; 95% CI:3.074-11.410).Kesimpulan: Faktor yang berhubungan adalah umur, jenis kelamin, efek samping obat, penyakit penyerta dan gradasi hasil BTA. Ada tiga faktor yang terbukti secara bersama-sama mempengaruhi adalah gradasi hasil BTA, penyakit penyerta dan jenis kelamin.
Faktor determinan penggunaan kelambu berinsektisida di Bengkulu: analisis Riskesdas 2013 Apriana, Lina; Ahmad, Riris Andono; Mahendradhata, Yodi
Berita Kedokteran Masyarakat (BKM) Vol 32, No 1 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (334.255 KB) | DOI: 10.22146/bkm.6923

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Determinant factors affecting the use of insecticide-treated nets in Bengkulu: analysis from basic health survey 2013PurposeThis study aimed to identify determinant factors that influence the use of insecticide-treated nets and to evaluate the effectivity of the mosquito nets usage, in pregnant women and young children in Bengkulu, based on  basic health survey 2013.MethodThis study used a cross-sectional design. Study population were all members of households in Bengkulu that used insecticide-treated nets, based on basic health survey 2013.ResultsThere were no significant correlations between employment status, education, vulnerable children, use of community health center, housing, and use of wire gauze with insecticide-treated nets. Multivariate logistic regression tests showed that there were some socio-demographic variables, behavior, and environment that affected mosquito net usage.ConclusionSocial determinants of demographic factors, behavioral determinant factors, environmental determinant factors, and presence of children affected the use of insecticide-treated nets, but the use of mosquito nets was not effective against vulnerable groups (pregnant women).
Challenges of PMTCT and MCHS Integration in Indonesia, Analysis by Integration Analysis Framework and CFIR Wiraharja, Regina Satya; Trisnantoro, Laksono; Mahendradhata, Yodi; Praptoharjo, Ignatius
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i3.14570

Abstract

Integration was strategy of PMTCT (Prevention of Mother to Child HIV Transmission) and MCHS (Mother and Child Health Services) since 2006. This systematic review explored integration level between PMTCT and MCHS. Literature searched from June 2015 to January 2016 through Google, Google Scholar, University Library Website, Portal Garuda, ProQuest, PubMed and 90 institutions in Jakarta. Keywords were PMTCT, HIV Mother, PPIA HIV Evaluation and HIV PMTCT Evaluation. We yielded 157 literatures from 1995-2015. Research should be done at Public Primary Health Care (PHC), discussed PMTCT implementation, and captured perspectives of staffs or decision makers. Thematic analysis was done using Atun’s Integration Analysis Framework and CFIR. We included 7 studies. No study explored overall dimensions of integration, especially planning function. Challenges were resources, execution, needs of patients, networks and communications, policies, leadership, and access to information. Only 4 studies showed PMTCT results. Coverage of first visit counseling was 9-100% and percentage of pregnant women tested was 3.9 -60%. PMTCT integration was partial. Integration was not a sole solution to results. Planning should be done together with regional and local level, involving stakeholders to disseminate PMTCT information, increasing ownership and leadership. We proposed Atun’s Framework and CFIR for further research.