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PONEK is a comprehensive maternal and neonatal emergency service and is organized by the hospital 24 hours a day and 7 days a week. The purpose of this study was to investigate the implementation of PONEK in RSU Adhyaksa. This study uses a qualitative approach with the Rapid Assessment Procedure (RAP) method. Data was collected through in-depth interviews with 13 informants, document review, and observation. The results of the research based on input elements, namely the lack of a PONEK team in human resources, training that needs to be improved, there is no compliance monitoring SPO, socialization of SPO that is still lacking, the information system is inadequate, the process element is not optimal, the support services that are not yet running the hospital blood bank, monitoring and evaluation that have not been carried out, and aspects of disposition that have not shown a commitment to program implementation due to lack of direction, coordination and communication. In the output, the indicators of sectio cesarean operation have not yet been achieved. The conclusion is that the implementation of PONEK has not run optimally yet not by following the 24-hour PONEK implementation standard. Recommendations need regulations related to neonatal maternal services in clinical forensics, improve communication, socialization, and coordination, improve the function of direction, monitoring and evaluation, increase the function of hospitals to become hospitals capable of PONEK can establish coordination and networks of other health facilities.
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.
