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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.
Teleconsultation FKTP is one of the policies issued by BPJS Kesehatan. The definition used in this Teleconsultation is Indirect Contact Service, which is the provision of health services through an information system used by FKTP and Participants as a means of communication, or through an information system provided by BPJS Health, as a means of two-way communication/consultation. This policy began to be implemented in April 2020 and until August 2021, national achievements are still not optimal, only a few districts/cities have shown better achievements, one of which is the highest achievement in the Malang City FKTP. This study aims to analyze the implementation of the FKTP Teleconsultation policy in preventing the spread of COVID-19 without patients losing their rights to access health services, using qualitative methods, during October 2021 - December 2021 at the Malang City FKTP. Data collection techniques through FGD and in-depth interviews with key informants and document review, using the Van Meter and Van Horn Policy Implementation. The results of the research in November 2021 obtained that the KBK Contact Number reached 135/mill from the minimum target of 150/mill, the Indirect Contact Number for health facilities compliance indicators on quality was only achieved with a weight of 15% of the 20% target, 100% of Malang City FKTP had Teleconsultation implementation, and utilization by patients slowly increased up to 33.66% and there was an increasing trend of collaborative FKTP. In this study, the researcher suggests that the training of FKTP officers be carried out periodically, starting with teleconsultation to Prolanis participants, direct supervision as a routine activity and political support through the Malang City Government to be able to increase free hotspots that can be accessed by residents, so they can take advantage of the services. Teleconsultation
Penelitian ini dilakukan dengan tujuan untuk mengetahui implementasi kebijakan kesehatan jiwa dan psikososial pada masa pandemi COVID-19 di Kota Depok, Jawa Barat. Metode penelitian menggunakan pendekatan kualitatif melalui wawancara mendalam kepada informan dan telaah dokumen dengan framework Van Meter & Van Horn, serta keabsahan data menggunakan triangulasi sumber dan metode. Penelitian ini dilakukan selama bulan Oktober sampai Desember 2020.
Hasil penelitian menunjukkan beberapa kegiatan pelaksanaan kesehatan jiwa tidak terlaksana karena adanya pembatasan sosial, ukuran dan tujuan kebijakan dipahami dan telah dilaksanakan, kurangnya koordinasi lintas sektor, minimnya ketersediaan sumber daya manusia dan kompetensi bidang kesehatan jiwa, komunikasi antar organisasi berjalan baik, disposisi pelaksana baik, serta adanya pengaruh lingkungan ekonomi, sosial dan politik.
Kesimpulannya implementasi kebijakan kesehatan jiwa dan psikososial pada masa pandemi COVID-19 belum berjalan dengan baik dikarenakan pembatasan sosial, minimnya sumber daya manusia dan kompetensi bidang kesehatan jiwa, serta kurangnya koordinasi lintas sektor. Rekomendasinya perlu dibuat Surat Edaran maupun Rencana Aksi Daerah tentang pelaksanaan kesehatan jiwa dan psikososial pada masa pandemi termasuk upaya mitigasi
Depok is the first city to find cases of COVID-19 infection, until 19 October 2020 there have been 6,661 people were confirmed positive. Due to the increasing number of cases, the Depok City Government implemented Large-Scale Social Restrictions (PSBB). The implementation of these policies also affects mental and psychosocial health.
The purpose of this study is to find out the implementation of mental health and psychosocial policies during the COVID-19 pandemic in Depok City, West Java Province. The research method used a qualitative approach through in-depth interviews with informants and document review with the Van Meter & Van Horn framework, and the validity of the data used triangulation of sources and methods. This research was conducted from October to December 2020.
The results showed that some mental health implementation activities were not carried out due to social restrictions, policies and objectives were understood and implemented, lack of cross-sector coordination, lack of availability of human resources and competence in mental health, communication between organizations is running well, the disposition of the executor is good, as well as the influence of the economic, social and political environment.
In conclusion, the implementation of mental health and psychosocial policies during the COVID-19 pandemic has not been going well due to social restrictions, lack of human resources and mental health competence, and lack of cross-sector coordination. The recommendations need to formulate neither Circular Letter nor Regional Action Plan on the implementation of mental and psychosocial health during the pandemic including mitigation efforts
The COVID-19 pandemic has led to a decrease in the trend of outpatient in-person visits to healthcare facilities. Telehealth is an alternative solution in responding to the challenges of health services due to the COVID-19 pandemic. This study aims to describe of telehealth implementation in outpatients in several developed country during pandemic COVID-19. This tudy used a scoping review method. Literature searches are carries out through online databases namely Pubmed, ScienceDirect, Scopus, and Sage Journal. There were 22 studies included in this study. The results showed that there was an increase in the use of telehealth during the COVID-19 pandemic by outpatients. The developed countries include in this study are America, Australia. English, Italian, German and Polish. The types of telehealth services used include teleconsultation, telemedicine, telemonitoring, teleneurology, virtual care, virtual visits, and video-observed therapy. The media used while using telehealth services by patients are telephone audio, video calls, and web-based applications. The implementation of telehealth during the COVID-19 pandemic has provided benefits for outpatients. However, there are still has challenges in implementing telehealth in several developed countries and in Indonesia. Thus, there is still a need for continuous improvement and development to get benefit from better telehealth services.
Trends in the case of the spread of COVID-19 in Indonesia is always increasing andcurrently Indonesia become a country which having the highest number of COVID-19 casesin South East Asia. The trend of increasing cases of COVID-19 is also occurred in DepokCity, West Java. On July 17, 2020 there were 1.058 positive cases in Depok City. Thissituation absolutely become a challenge for University of Indonesia Hospital as a newHospital in Depok City. But in the other side, nowadays University of Indonesia Hospital isappointing as referral hospital for COVID-19 in Depok City. The purpose of this researchis to learn University of Indonesia Hospital readiness in serving patients during COVID-19.This qualitative study used in depth interview, observation, document review (document andsocial media). The research utilizes approach of Hospital Readiness for COVID-19 WHOwhich have comprehensive recommendations for preparing hospital in the COVID-19 era.The results of this research found that University of Indonesia Hospital readiness wasgenerally good in providing service for patients in the COVID-19 era. In general, only threecomponents are fully prepared, while seven components still lack 2 until 3 recommendationsaction of WHO.Key words:COVID-19, hospital readiness, hospital preparedness, kesiapan rumah sakit.
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.
