Deni Kurniadi Sunjaya, Deni Kurniadi
Department of Public Health, Faculty of Medicine, Universitas Padjadjaran

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Journal : Jurnal Kebijakan Kesehatan Indonesia

Evaluasi kebijakan pembangunan puskesmas pembantu di Propinsi Kalimantan Tengah Winarno, Kus; Hasanbasri, Mubasysyir; Sunjaya, Deni Kurniadi
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 2 (2013)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.185 KB) | DOI: 10.22146/jkki.v2i2.3219

Abstract

Background: The objective of health development is improvingcommunity health status through increasing public access tohealth services. One of strategy is by supporting facilities forhealth service by developing auxiliary health center for allremote district at Central Kalimantan Province. CentralKalimantan Province with 1,9 million of population, consistedof 14 district, 1348 villages, 805 auxiliary health center. It meansthat only 59% village have facilities for health service such asauxiliary health center.Objectives: This research aimed to know how formulationprocess and implementation of policy of developing auxiliaryhealth center by using provincial funds.Method: It was descriptive case study using mainly methodqualitative designed by semi structured in-depth interview anddocument study. Research subject is stakeholder at levelprovince and chosen district. This research executed inProvince Public Health Service of Central Kalimantan and onechosen district.Result: Development of secondary health center in CentralKalimantan Province is the realization of Central KalimantanProvince local decree number 12 and 13 year 2005 fulfilmenton RPJPD and RPJMD. Initially, the budgeting concept wasplanned by Tugas Pembantuan mechanism, but this mechanismwas not agreed. This scheme was a top down program fromprovince government. Problems occurred in the implementationare 1). Bad monitoring, 2). Lack of reporting by developer, 3).Remote location of, 4). Varieties in cost of production, 5).Shortage health care workforce, 6). Equipments unmatchedthe need of health care provider. Evaluation is executed, butonly concerning physical progress problem. In the meantime,there was increased allocation of DAK fund in each district.Conclusion: Development of auxiliary health center in CentralKalimantan Province which funded by province fund, is notrequired by district. There was no agenda surroundingdevelopment of auxiliary health center. The role of stakeholderin compilation of agenda setting for this policy was only anormative role.Keyword. Auxiliary health center policy, evaluation,decentralization, central Kalimantan
KEBIJAKAN NASIONAL DALAM KONTEKS LOKAL: TANTANGAN IMPLEMENTASI KEBIJAKAN DESA SIAGA DAN RUJUKAN PELAYANAN KESEHATAN DI KABUPATEN KEPULAUAN YAPEN PAPUA Maing, Yosef; Supriyati, Supriyati; Sunjaya, Deni Kurniadi
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 1 (2013)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (452.259 KB) | DOI: 10.22146/jkki.v2i1.3227

Abstract

Background:One of the policies in health to achieve IndonesiaSehat 2010 was the development of desa siaga that wasbased on Decree of Ministry of Health number 564/MENKES/SK/VIII/2006 regarding the guidance on the implementation ofDesa Siaga. Desa Siaga is a community based health effortthat involved community self funding agency such as PKK,religious organization, and private sector.Method:This was a qualitative descriptive research that usedexplanatory analysis with case study design. The researchinformant was district government, health office, communityleaders and public figure as well as health care provider. Thedata was collected with interview, observation anddocumentation. Data analysis was conducted with case studyanalysis.Result: This research showed that the implementation of DesaSiaga was with top–down method that used social mobilizationapproach. The district government and community was verymuch supporting the policy of Desa Siaga. Difficult geographiclocation, limited human resources in health and limited fundingwere the main obstacles in the implementation of Desa Siagapolicy and health service referral. The main problem of referralimplementation was transportation and funding. The readinessof community and village aparatur to assist the poor communitywas still very minimum.Conclusion: This research proven that Desa Siaga programwas very important for community in the district of Yapenarchipelago. Nevertheless, difficulties in geographiccondition,limited human resources in health as well as limited fundinghas resulted in difficulties in the implementation of Desa Siagapolicy and health service referral in the district of Yapenarchipelago. The regional and central government have notbeen able to respond to the needs of Desa Siaga.Keyword: Policy Implementation, Desa siaga, Papua.