Analisis Implementasi Program Puskesmas Santun Usia Lanjut di Wilayah Kabupaten Banjarnegara.

Abstract

Universitas Diponegoro Program Pascasarjana Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi dan Kebijakan Kesehatan Minat Manajemen Kesehatan Ibu dan Anak 2011 ABSTRAK Lia Aria Ratmawati Analisis Implementasi Program Puskesmas Santun Usia Lanjut di Wilayah Kabupaten Banjarnegara xv, 113 halaman + 20 tabel + 4 gambar + 12 lampiran Di Kabupaten Banjarnegara pada tahun 2010, hanya 61,8% usia lanjut yang terlayani perawatan kesehatannya, masih dibawah target yang ditetapkan sebesar 70%. Implementasi suatu program dapat dipengaruhi oleh komunikasi, sumberdaya, disposisi dan struktur birokrasi. Penelitian ini bertujuan mengetahui bagaimana implementasi program Puskesmas Santun Usia Lanjut di wilayah Kabupaten Banjarnegara. Jenis penelitian kualitatif dengan pendekatan cross sectional. Pengumpulan data dilakukan dengan observasi dan wawancara mendalam (Indepth Interview) menggunakan pedoman wawancara. Ada 5 Puskesmas yang diteliti dengan informan utama adalah pelaksana program, sedangkan informan triangulasinya koordinator program, Kepala Puskesmas serta Kasie Kesehatan Remaja dan Usia Lanjut Dinas Kesehatan Kabupaten Banjarnegara. Hasil penelitian menunjukkan bahwa komunikasi yang telah dilakukan Dinas Kesehatan Kabupaten Banjarnegara secara komprehensif melalui sosialisasi hanya berlangsung satu kali pada tahun 2007 dengan media paparan. Ketersediaan sumber daya yang meliputi sumber daya tenaga kesehatan di Puskesmas kurang memadai karena tugas rangkap dan petugas belum mendapatkan pelatihan. Alokasi dana khusus belum ada karena belum dianggap program prioritas. Sarana prasarana menggunakan yang tersedia di Puskesmas. Sikap pelaksana menunjukkan adanya dukungan terhadap pelaksanaan program. Pencatatan dan pelaporan di Puskesmas sudah dibuat namun untuk pelaporannya tidak rutin dan supervisi yang dilakukan belum terjadwal secara rutin. Disarankan kepada Dinas Kesehatan Kabupaten Banjarnegara untuk masalah komunikasi dengan sosialisasi yang berkesinambungan melalui berbagai media seperti leaflet atau poster. Pelatihan petugas untuk pelayanan usia lanjut, selain itu disarankan pengalokasian dana dan pemenuhan sarana prasarana untuk kemudahan pelayanan. Petunjuk/ pedoman kerja yang jelas dapat menumbuhkan komitmen. Melakukan supervisi, monitoring dan evaluasi secara berkesinambungan. Kata kunci : Implementasi, Puskesmas, Santun Usia Lanjut Kepustakaan : 34, 1997 – 2010 Diponegoro University Postgraduate Program Master’s Program in Public Health Majoring in Health Policy Administration Sub Majoring in Maternal and Child Health Management 2011 ABSTRACT Lia Aria Ratmawati Analysis on Program Implementation of Elderly Friendly Primary Healthcare in Banjarnegara District xv, 113 pages + 20 tables + 4 figures + 12 enclosures In Banjarnegara district, in the year of 2010, only 61.8% of elderly people health care was reached. This was below the target set by 70%. Implementation of a program could be influenced by communication, resources, disposition and bureaucracy structure. The objective of this study was to know how the implementation of elderly honoring puskesmas in Banjarnegara district. This was a qualitative study with cross sectional approach. Data was collected by observation and in-depth interview using interview guideline. There were 5 puskesmas studied and the main informants were program executors. Triangulation informants were program coordinator, head of puskesmas, and chief of youth and elderly health unit of Banjarnegara district health office. Results of the study showed that communication that had been done comprehensively by Banjarnegara district health office via socialization was only run once in 2007 using exposition media. The availability of health workers resources in the puskesmas was insufficient due to multiple tasks and the workers had not received training. There was no special funding allocation because it was not considered priority. Facilities used whatever was available in the puskesmas. Executor’s attitude indicated that there was support to the program implementation. Recording and reporting in the puskesmas had been made but reporting did not routine done and no routine schedule for supervision. It was suggested to Banjarnegara district health office to solve communication problem by conducting continually socialization using variety of media such as leaflet and poster, to train workers to serve elders, to allocate budget and to fulfill facilities to make service easier, to create understandable job guideline that was able to raise commitment and to supervise, to do monitoring and evaluation continually. Key words : Implementation, elderly honoring puskesmas Bibliography : 34, 1997 – 2010