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Masalah hasil kegiatan program Usaha Kesehatan Sekolah yang masih belum optimal yang dikelola oleh lintas program dan lintas sektoral terkait, dikarenakan masih lemahnya koordinasi mulai dari perencanaan, pelaksanaan dan evaluasi. Program UKS yang dibina oleh Tim Pembina UKS secara berjenjang TP UKS Pusat, TP UKS Propinsi, TP UKS Kabupaten dan Kota dan TP UKS Kecamatan, merupakan kegiatan lintas program dan lintas sektor yang harus dikoordinasikan secara baik. Dalam melaksanakan kegiatan program UKS agar tercapai tujuannya secara optimal, perlu perencanaan yang matang dan terpadu baik dengan lintas program maupun dengan lintas sektoral terkait. Pada kenyataannya TP UKS Kota Bandung dalam pencapaian target cakupan masih rendah dan masih terdapat masalah dalam melaksanakan koordinasi. Penelitian ini merupakan studi kasus dengan menggunakan pendekatan kualitatif. Data diperoleh melalui penelusurarn data yang terdokurnentasi, observasi langsung dan wawancara mendalam terhadap 12 informan TP UKS Kota dan Sekretariat TP UKS Kota Bandung . Informan adalah orang-orang yang tertera dalam SK Walikota Bandung Nomor : 441.51SK 390-Bag.Sos/1996 tentang Tim Pembina UKS Kota dan memahami serta mengetahui TP UKS dan Sekretariat. Hasil penetitian ini menunjukkan bahwa perencanaan kegiatan grogram UKS melalui peranan TP UKS Kota belum efektif, karena koordinasi lintas sektoral masih lemah. Maka untuk meningkatkan koordinasi perencanaan TP UKS secara maksimal, disarankan untuk melakukan penyempumaan SK TP UKS dan Sekretariatnya serta mengajak para ketua untuk selalu ikut berpartisipasi aktif dalam kegiatan program UKS Kota, karena ketua yang sekaligus pemimpin instansi terkait merupakan kunci keberhasilan baik koordinasi maupun kegiatan program UKS. Melalui pelaksanaan otonomi daerah, kemungkinan mernudahkan pelaksannaan koordinasi karena satu komando dari gimpinan daerah. Dengan koordinasi yang baik, maka pengelolaan kegiatan program UKS mulai perencanaan, pelaksanaan dan evaluasi akan berjalan lancar.
Analysis on School Health Program (SHP) Activities Planning Through the Role of School Health Program Developing Team in Bandung in 2000The low result of School Health Program activities managed by the related cross-programs and cross-sectors is due to weak coordination in the planning, implementation and evaluation. School Health Program which is developed by School Health Program Developing Team in the levels of Central School Health Program Developing Team, Provincial School Health Program Developing Team, City and Regency School Health Program Developing Team and Sub district School Health Program Developing Team is a cross-programs and cross-sectors activity which should be well coordinated. In implementing School Health Program in order to achieve its goal optimally, an integrated and well prepared planning is necessary either by the related cross-programs and cross-sectors. As a matter of fact School Health Program Developing Team in Bandung still has low achievement of the target range and has problem in the coordination. This research is a case study on qualitative approach. The Data are obtained through documented data exploration, direct observation and intense interviews with 12 informants from City School Health Program Developing Team and the Secretariat of School Health Program Developing Team of Bandung City. The informants are those who are listed in the Mayor Decree of Bandung Number: 441.51SK 390-Bag-Sos/1996 on Developing Team of City School Health Program and understand as well as get acquainted with the School Health Program Developing Team and Secretariat. The research shows that the planning of School Health Program through the role of City School Health Program Developing Team is not effective yet, it is due to weak coordination of the cross-sectors. Thus in order to improve the planning coordination of School Health Program Developing Team maximally, it is suggested to make perfecting action of the Decree of School Health Program Developing Team and its Secretariat and ask the heads to actively participate in the City School Health Program, as the heads who are also directing the related institutions are the success key of the coordination as well as the School Health Programs. By the implementation of local autonomy, it will enable the easier coordination of implementation as it will have one command from the local leader. By good coordination, the School Health Program management including planning, implementation and evaluation will run well.
Hasil penelitian menunjukan bahwa distribusi biaya yang dapat disediakan oleh masyarakat untuk setiap kali kunjungan di BP Umum minimum Rp.2.000, maksimum Rp.25.000, rata-rata Rp 9.200, Periksa kehamilan, bayi & anak minimum Rp.2.000, maksimum Rp.20.000, rata rata Rp 9.850, dan bila sakit gigi minimum Rp.3.000, maksimum Rp25.000; rata-rata Rp.10.050, dengan harapan adanya peningkatan kualitas layanan dan selalu diperiksa oleh dokter serta obat yang memadai. Hasil simulasi tarif dibandingkan biaya satuan normatif, tarif pesaing dan ATPI, maka tarif yang dapat direkomendasikan adalah untuk BP Rp 5.000, KIA, Rp 9.000, dan BP Gigi Rp. 12.500. Masyarakat yang tersingkir perlu diberikan subsidi silang, melalui upaya kartu sehat yang pengaturannya ditentukan bersama dengan pemerintah kecamatan dan desa. Puskesmas merupakan pilihan utama masyarakat Lubuk Alung Kabupaten Padang pariaman untuk mendapatkan pelayanan kesehatan. Masalah ini karena biaya puskesmas terjangkau, serta lokasi puskesmas dengan sarana transportasi relatif lancar.
In performing the price determination of public health center it is done in an arbitrary and political consideration, So that price of public health center services in is felt no Rational. The rational is price that try to consumer surplus. There are several factors to determine a rational price. One of them is determined based on public ability and willingness to pay for the health service, competitors price, and unit cost. With the ratification of Law No. 22 year 1999 regarding Regional Autonomy, the districts goverment is demanded to explore its own financial sources for its operations. The public health center is performing its 18 major programs needs a large amount of money, while the subsidy from the government is insufficient. While it must improve the quality of its services. So, one of the way to adjust the health community center according to the self-financing policy or pure self-financing is the recalculation of the actual rate of the health community services that must be paid by the customer. This research is a descriptive analysis by using Cross-Sectional method. It user interview to collect data interviview is conducted with visitors of public health center in the last month before the research is done.
The result of the research indicates that the cost distribution that can be covered by the people for each visit to General Health Clinic is at minimum of Rp. 2.000; and maximum Rp. 25.000; and average Rp. 9.200.- Mother and children care consultation at minimum of Rp 2.000.- and maximum Rp. 20.000.- and average Rp. 9.850.-, dental health care at minimum of Rp. 3.000.- and maximum Rp. 25.000.-and average Rp. 10.500.- , with the expectation that the quality of service will increase and always examine by doctors with sufficient medicines. The result of price simulation compared to normative unit - cost, the competitor's price ATP1 indicate that the price to be recommended for Health Clinic is Rp. 5.000.-, Mother and Children Health Clinic is Rp. 9.000: and Dental Clinic is Rp. 12.500. The disadvantaged people need to subsidized with cross-subsidy through health card, the arrangement of which can be done with the local government of sub-district and village. The public health center is the main choice of the people of Lubuk Alung, Padang Pariaman district to obtain health services, because the price of public health center reached and its location is accessible with relatively smooth transportation.
