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Background: The tip of iceberg phenomenon in Indonesia, which is related to drug abuse, is already at an alarming stage. The effects of Tramadol drug abuse are not only on the health side but on the socio-economic aspects of society as well as security and order. The POM Agency has issued Head of POM Agency Regulation No.10 Year 2019 regarding Guidelines for the Management of Certain Drugs which are often misused with the aim of protecting the public from misuse and misuse of certain drugs. PBF is a distribution company for certain drugs which is suspected to still be a gap for the distribution of certain drugs such as Tramadol. This study aims to determine the implementation of the policy of managing certain drugs which are often abused in Jakarta specifically the distribution of tramadol drugs by PBF. Subjects and Methods: This study used a qualitative approach by means of interviews and document review, this research was conducted in March to June 2020. The main informants in this study were BPOM officials, BBPOM in Jakarta, Jakarta Provincial Health Office and 6 PBF. The variables studied were the size and objectives of the policy, resources, characteristics of the implementing agency, communication between organizations, disposition of implementers, and the social, economic, political environment. Data were collected by interview and document review. Data were analyzed descriptively. Result: the implementation of policies on the management of certain drugs which are often abused in Jakarta, especially the distribution of Tramadol drugs by PBF has not been optimal. The size and objectives of the implementation policy are optimal. Resources in the form of budgets have not been allocated specifically, facilities are good, HR is not optimal in terms of numbers, Characteristics of implementing agencies in the form of relationships between organizations are not optimal and fragmentation is good, Communication between organizations namely transmission, consistency and clarity is optimal, Implementing disposition in the form of understanding , the direction of acceptance and intensity is good, and social, economic and political environmental factors have supported the implementation of the policy. Conclusion: The performance of the implementation of policies on the management of certain drugs which are often abused in the Jakarta area, in particular the distribution of Tramadol Medicines in the Regulation of the Head of POM RI Number 10 of 2019 based on the theoretical variable Van meter and Van horn approach in general has not been optimally implemented.
The challenges of drug and food control require the BPOM Technical Operation Unit (UPT) to work optimally amid limited resources. The analysis of the relative efficiency of the BPOM Technical Operation Unit in 2019 was carried out with the aim of improving the planning, budgeting, and strategic policies of BPOM to improve performance at each UPT. Calculation of relative efficiency using the DEA (Data Envelopment Analysis) method. This study uses a mixed method with a cross sectional research design. The research sample was 31 UPT BPOM that met the requirements as a DMU (Desicion Making Unit), and 10 informants for the deepening of the process that were missed in the analysis using the DEA method. First, a sensitivity analysis was conducted to determine the input and output variables that could be included in the study. The results of the sensitivity analysis, there are 3 inputs and 4 outputs that can be analyzed by the DEA method. The results of the DEA analysis showed that there were 15 efficient UPTs and 16 inefficient UPTs. The results of the deepening of the process are known that the efficient and inefficient UPT have implemented efficiency strategies well, such as saving on official travel by paying at cost, involving human resources in other fields if there is a high workload in one field, the policy of providing overtime pay is only in the field of sample testing and administration, budget optimization with budget revisions. In relation to cross-sectoral, efficient UPT implements ways to involve higher institutions so that there is awareness from related cross-sectors. In the priority program for safety food in the village and the safety food in the market, UPTs which is not efficient, simplifies the process and makes regular visits. DEA is a method of relative efficiency analysis with the concept of maximizing the ratio of output and input. The existence of a VRS (Variable return to Scale) model that has considered the process that is expected to eliminate the shortcomings contained in the calculations using the DEA method, but because the calculations are carried out mechanically, it is necessary to deepen the process to explore things that are not obtained from the calculations, especially for organizations that are involves considerable external factors
Tesis ini membahas tentang Analisa Implementasi Kebijakan Peraturan Daerah Kabupaten Indramayu Nomor 8 Tahun 2009 tentang Pencegahan dan Penanggulangan HIV dan AIDS di Kabupaten Indramayu. HIV / AIDS merupakan salah satu penyakit yang menjadi target MDGs WHO 2000 – 2015. Penderita HIV di Indonesia tahun 2008 sebesar 277.700 orang, 49 diantaranya berada di Indramayu. Tahun 2009, 263 penderita berada di Indramayu. Di tahun yang sama, Pemerintah Daerah mengesahkan Peraturan Daerah Kabupaten Indramayu Nomor 8 Tahun 2009 tentang Pencegahan dan Penanggulangan HIV dan AIDS. Tahun 2011 penderita menjadi 490 orang. Terdapat penemuan kasus baru sebanyak 227 kasus. Penelitian ini adalah penelitian kualitatif. Hasil penelitian menunjukkan bahwa kebijakan ini belum diimplementasikan dengan baik. Titik lemah implementasi terletak pada sosialisasi yang kurang, komunikasi yang belum efektif, sumber daya baik manusia maupun finansial yang masih kurang, disposisi yang belum pada tempatnya termasuk insentif yang belum diberikan, juga struktur birokrasi yang terfragmentasi. Dari hasil penelitian ini disarankan agar pemerintah Indramayu harus melaksanakan sosialisasi, segera menyusun dan menyelesaikan SOPs formal untuk melaksanakan Perda ini, koordinasi yang lebih baik dengan elemen pendukung implementasi Peraturan Daerah, juga penambahan SDM dan anggaran biaya untuk mendukung implementasinya. Kata Kunci : HIV, AIDS, Perda, Indramayu
The purpose of this thesis is to elicit the he implementation of Indramayuregional Regulation Number 8 Year 2009 regarding The Prevention and Control ofHIV & AIDS at Indramayu Regency. HIV / AIDS is one of The MDGs targets ofYear 2000 – 2015. Indonesia had 277.700 peoples with HIV/AIDS in 2008, and 49 ofthem were in Indramayu. By the year of 2009, peoples with HIV/AIDS in Indramayu was increased into 263 people. In the same year, the regional government ofIndramayu have passed Regional Regulation Number 8 Year 2009 regarding Prevention and Control of HIV & AIDS. In 2011, peoples with HIV/AIDS areincreased into 490 peoples with 277 of new cases are found. The research to conduct this study is qualitative research. The results of thisstudy found the policy has not been implemented properly. The weak points of thisimplementations are a lack of socialization, ineffective communication, lack ofresources both human and financial, incentives are not provided, and the fragmented structure of government. We suggested that the Indramayu’s government shouldcarry out socialization and immediately prepares and completes the formal SOPs inaddition a good coordination must be established with the supporting elements, and adding more peoples and budgets to support the implementation of this regionalregulation. Key words : HIV, AIDS, Regulation, Indramayu
There are 714 Medical Device Distributors (PAK) that have been inspected by the Directorate of Medical Devices and Household Health Supplies (PKRT), the Ministry of Health of the Republic of Indonesia during 2016-2018 with the results of 119 PAK fulfilling the requirements for Good Distribution Medical Device Practice (CDAKB), 442 PAKs did not meet CDAKB requirements, 46 PAKs were recommended to obtain CDAKB certificates and 153 PAKs had their PAK permits revoked. This study aims to determine the performance of the implementation of Regulation of the Minister of Health Number 4 of 2014 in the Implementation of the 2019 CDAKB and the relationship between variables that influence it. This research method is qualitative, carried out from March to July 2020, through in-depth interviews with informants, observation, and document review. The results showed that in 2019 there were 386 PAKs that had monitored and evaluated the implementation of the CDAKB, of which there were 114 PAKs that had met the CDAKB requirements. Several factors that can hinder policy implementation include standards and policy targets that have not been translated into performance indicators, incentives from policy resource variables that have not been properly recorded and socialized, and characteristics of the implementing agency in terms of limited human resources and sub-optimal relations between organizations. . The researcher recommends the need to formulate regulations that contain mandatory CDAKB certification for all PAK and make the implementation of CDAKB an indicator of activities.
The local government of Kudus Regency has committed to accelerating the handling of stunting cases and is trying to realize Kudus zero stunting by issuing Regional Regulation Number 53/2020 concerning the Acceleration of Stunting Prevention in Kudus Regency. However, the implementation of convergence in Kudus has not run optimally. The results of the work meeting on the assessment of the integrated stunting prevention convergence action in Central Java in 2020, the capacity for implementing situation analysis and inputting as well as the quality of situation analysis with cross-sectoral involvement in Kudus Regency has not been optimal, the stunting discussion has not been carried out intensively, and there are no regulations to strengthen publications of stunting prevention. In addition, the COVID-19 pandemic has led to a refocusing of the budget from other services and programs, including stunting prevention. The purpose of this study is to analyze the implementation of policies to accelerate stunting prevention during the COVID-19 pandemic in Kudus Regency. This research is qualitative research. Data were collected through in-depth interviews with informants and document review with the Edward III framework covering the variables of communication, resources, disposition, and bureaucratic structure and Van Meter and Van Horn covering variables of the economic, social and political environment. Research informants are representatives from regional apparatus who are members of the stunting prevention acceleration team at the district, sub-district, and village/kelurahan levels as well as the Human Development Cadre (KPM). The study was conducted from April to May 2022. The results show that policy implementation has been running but sensitive nutrition interventions have not been maximized, communication is limited due to the COVID-19 pandemic, the available resources are adequate, and there are policy guidelines that are known and understood by policy implementers, coordination is not optimal. , the economic and social environment is not yet sufficiently supportive and the political environment is sufficiently supportive of policies. In conclusion, the implementation of the policy to accelerate stunting prevention during the COVID-19 pandemic has not run optimally, with constraints on human resource variables, coordination, as well as the economic and social environment. Thus, the implementation of convergence still needs to be improved by carrying out activities in a coordinated manner between institutions. Socialization to the community continues to be intensified so that policy objectives can be achieved. This policy need to be adjusted with the latest Presidential Regulation on accelerating stunting reduction.