Putri, Likke Prawidya
Center for Health Policy and Management

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Implementasi Program Pengelolaan Penyakit Kronis (Prolanis) di Puskesmas Poasia Kota Kendari Ramsar, Ulfayani; Trisnantoro, Laksono; Putri, Likke Prawidya
Jurnal Kebijakan Kesehatan Indonesia Vol 6, No 4 (2017)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1522.398 KB) | DOI: 10.22146/jkki.v6i4.26899

Abstract

Background: The Chronic Disease Management Program (Prolanis) is a system of health services and proactive approach, implemented in an integrated manner involving participants, health facilities and BPJS Health in order to maintain health for BPJS Health participants who suffer from chronic diseases to achieve optimal quality of life With the cost of effective and efficient health services. Prolanis program is to improve the quality of life of BPJS participants who suffer from chronic diseases, especially diabetes mellitus (DM) type II and hypertension. This prolanis is implemented by a government-owned first-level health facility (FKTP). Aims: to describe the influence of external factors, internal and individual character to the scope of implementation of prolanis program in kendari city. Method: The research type is descriptive research with qualitative method by using single case study design. Informants in this study are stakeholders who play a role in the Implementation of Chronic Disease Management Program (Prolanis) at Poasia Health Center of Kendari City which consists of 12 informants. The way data collection is done is by observation, in-depth interviews, and document review. This research was conducted in April-May 2017. It was analyzed with qualitative abalisa. Result: From the result of the research, it is obtained from the external influences in this case the health service fully supports the prolanis activity. On the internal factors obtained puskesmas poasia is good enough to carry out prolanis. And on the character factor of the invidu still the lack of knowledge and understanding of the health personnel involved in the implementation of prolanis. Conclusion: improving the knowledge and understanding of health personnel involved in the prolanis program. 
Dampak Keterlibatan BAPPEDA dalam Rangka Pengembangan Kapasitas SKPD Lintas Sektor bagi Perencanaan dan Penganggaran Program Kesehatan Ibu dan Anak di Provinsi Papua Harbianto, Deni; Trisnantoro, Laksono; Marthias, Tiara; Kurniawan, Muhammad Faozi; Putri, Likke Prawidya; Marbun, Deswanto
Jurnal Kebijakan Kesehatan Indonesia Vol 5, No 2 (2016)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (522.697 KB) | DOI: 10.22146/jkki.v5i2.30786

Abstract

ABSTRACTBackground: Maternal and child mortality rate in Indonesia is still high. Indonesia is also expected not to reach the target of MDG 4 and 5 in 2015. In an effort to improve the health status of mothers and children in the context of decentralization, planning and budgeting at the district health is an important element of the health system. Evidence-Based Budgeting Planning Approach (EBP/PPBB), is a planning approach models that use data and academic health evidence in the framework of program decision-making as a references. Objectives: Describe the impact results of the PPBB KIA implementation in order to analyze, the impact of BAPPEDA involvement in maternal and child health planning advocacy through coordination across sectors.Research Methods: This study is a descriptive-correlative study that analyze the impact of BAPPEDA involvement in cross- sectoral planning for MCH programs, that are carried out in accordance with bottleneck analysis of the existing health system, using 66 interventions based continuum of care.Results: Cross-sectoral involvement in the planning and budgeting for MNCH brings a positive impact on the district health work plan. Bappeda involvement is crucial to coordinate cross-sectoral program for MNCH.Conclusions: Capacity of district planning staff is limited and should be improved, lack of evidence in planning is due to lack of health data, and the cross sector advocacy for health budgeting is insufficient. PPBB approach can improve capacity on planning on evidence-based and integrated planning for MNCH across-sectoral. Key Word: Planning, Maternal and Child Health, Cross Sectoral ABSTRAKLatar Belakang: Angka kematian ibu dan anak di Indonesia masih tinggi. Indonesia juga diprediksi tidak dapat mencapai target MDG 4 dan 5 pada tahun 2015. Dalam upaya peningkatan status kesehatan ibu dan anak dalam konteks desentralisasi, perencanaan dan penganggaran kesehatan di kabupaten merupakan elemen sistem kesehatan yang penting. Pendekatan Perencanaan Penganggaran Berbasis Bukti (PPBB) KIA, merupakan bentuk model perencanaan yang menggunakan bukti data dan referensi akademis dalam rangka pengambilan keputusan program kesehatan.Tujuan: memaparkan hasil implementasi PPBB-KIA dalam rangka melihat hubungan keterlibatan Bappeda dalam advokasi perencanaan perencanaan kesehatan ibu dan anak melalui koordinasi lintas sektor.Metode Penelitian: Kajian ini secara deskriptif-korelatif keterlibatan Bappeda dalam perencanaan lintas sector untuk progam KIA yang dilakukan sesuai dengan sumbatan sistem kesehatan yang ada dan berdasarkan 66 intervensi berbasis continuum of care.Hasil: Keterlibatan lintas sektor dalam perencanaan dan penganggaran KIA membawa dampak positif terhadap rencana kerja. Peran Bappeda semakin kuat dan memberikan kontribusi positif dalam kegiatan ini. Keterlibatan Bappeda terlihat berpengaruh dalam koordinasi program KIA untuk lintas sektor. Kesimpulan: Peningkatan kapasitas staf perencanaan kabupaten yang masih terbatas, kurangnya data kesehatan, peran advokasi lintas sektor ke Pemda yang belum kuat untuk meningkatkan pembiayaan kesehatan. Pendekatan PPBB dapat meningkatkan kapasitas perencanaan KIA secara berbasis bukti nyata terpadu dan terintegrasi dan lintas sektor di daerah. Kata Kunci: Perencanaan, Kesehatan Ibu dan Anak, Lintas Sektor