Analisis Implementasi Program Usaha Kesehatan Sekolah (UKS) di Puskesmas Wilayah Kerja Dinas Kesehatan Kota Manado

Abstract

Universitas Diponegoro Program Pascasarjana Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi dan Kebijakan Kesehatan Minat Manajemen Kesehatan Ibu dan Anak 2012 ABSTRAK Ellen Pesak Analisis Implementasi Program Usaha Kesehatan Sekolah (UKS) di Puskesmas Wilayah Kerja Dinas Kesehatan Kota Manado xiv + 91 halaman + 3 gambar + 20 lampiran Program Usaha Kesehatan Sekolah merupakan kegiatan yang meliputi upaya preventif, promotif, kuratif dan rehabilitasi. Di Kota Manado terjadi penurunan cakupan pelaksanaan Program UKS selama dua tahun berturut-turut (2009-2010). Secara umum penelitian ini bertujuan untuk menjelaskan implementasi Program UKS di puskesmas wilayah kerja Dinas Kesehatan Kota Manado. Metode penelitian yang digunakan adalah kualitatif yang disajikan secara deskriptif eksploratif. Informan utama adalah 3 orang perawat dan 1 orang perawat gigi. Informan triangulasi adalah 4 orang Kepala Puskesmas, 4 orang Guru UKS SD, dan Kasie Kesga DKK Manado. Pengumpulan data dilakukan melalui wawancara mendalam, observasi menggunakan chek list dan studi dokumentasi. Hasil penelitian menunjukkan bahwa Implementasi program UKS di puskesmas masih ada yang tidak sesuai jadwal dalam pelaksanaannya. Komunikasi ke pihak sekolah belum tersampaikan dengan jelas, masih ada yang tidak menggunakan juknis dalam melaksanakan program UKS. Sumberdaya berupa tenaga, dana, dan fasilitas masih belum mencukupi kebutuhan program UKS. SOP pelaksanaan program UKS belum ada secara tertulis. Disarankan kepada DKK Manado untuk mengevaluasi sumberdaya dalam program UKS dan membuat SOP yang belum ada. Bagi puskesmas untuk melaksanakan monitoring dan evaluasi juknis, protap, dan jadwal program UKS, mengusulkan kebutuhan UKS Kit, memberikan tanda penghargaan bagi pelaksana program UKS yang bekerja dengan baik, menginformasikan jadwal kegiatan program UKS kepada pihak sekolah sebelum program dilaksanakan. Kata Kunci : Program UKS, Implementasi, Kebijakan, Puskesmas. Kepustakaan : 45, 1999-2012. Diponegoro University Postgraduate Program Master’s Program in Public Health Majoring in Health Policy Administration Sub Majoring in Maternal and Child Health Management 2012 ABSTRACT Ellen Pesak Analysis on the Implementation of School Health Program at Primary Healthcare Centers in Manado xiv + 91 pages + 3 figures + 20 enclosures School health service (UKS) program was an activity that included preventive, promotive, curative, and rehabilitation services. In Manado municipality, coverage of UKS program implementation for the last two years (2009-2010) decreased. In general, objective of this study was to explain UKS program implementation in primary healthcare centers (puskesmas) of Manado municipality health office work area. This was a qualitative and descriptive-explorative study. The main informants were three nurses and one dental nurse. Triangulation informants were four head of primary healthcare centers, four UKS teachers and a chief of family health section of Manado municipality health office. Data were collected through in-depth interview, observation using checklist, and documentation study. Results of the study showed that several primary healthcare centers still did not implement UKS program according to the schedule. Communication to the school board had not run well. There were primary healthcare centers that still did not apply technical guidelines in the implementation of UKS program. Resources for UKS program implementation such as man power, funding, and facilities were still insufficient. No written standard operating procedure for UKS program implementation was formed. Suggestions addressed to Manado municipality health office are to evaluate UKS program resources and to form standard operating procedures. Suggestions for primary healthcare center are to monitor and evaluate technical guidelines, program regulations, UKS program schedules; to propose UKS kit requirements; to provide awards for UKS program executors who worked well; to inform activity schedules of UKS program to the school board before implementing the program. Key words : UKS program, implementation, policy, puskesmas Bibliography : 45, 1999-2012 .