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ABSTRAK
Tesis ini membahas implementasi kebijakan larangan merokok pada kantor Kementerian Kesehatan. Pemerintah telah menerbitkan beberapa peraturan perundang-undangan terkait pengendalian dampak rokok, salah satunya Undangundang Nomor 36 Tahun 2009 tentang Kesehatan. Hingga kini implementasi kebijakan-kebijakan tersebut belum memperlihatkan hasil yang signifikan. Prevalensi perokok dari tahun ke tahun terus bertambah. Dilingkungan kantor Kementerian Kesehatan sendiri kebijakan larangan merokok belum dilaksanakan secara optimal. Desain penelitian ini adalah kualitatif eksplanatoris. Hasil penelitian menunjukkan bahwa titik lemah pelaksanaan kebijakan larangan merokok di lingkungan Kementerian Kesehatan adalah kurangnya penegakkan hukum. Sangat disarankan kepada pihak berwenang untuk segera membuat pedoman pelaksanaan kebijakan larangan merokok di Kementerian Kesehatan. Kata kunci : Rokok, hukum, kebijakan
ABSTRACT
This thesis discusses the implementation of policies banning smoking on the health ministries. Government has issued several laws and regulations related to controlling the impact of smoking, one of which the law number 36 of 2009 on health. Until now the implementation of these policies have not shown significant results. Prevalence of smokers from year to year continues to grow. Environment of their own health ministries have implemented a smoking ban policy optimally. This research design is qualitative explanatory. Results showed that the weak points of policies banning smoking in an office environment the ministry of health is the lack of law enforcement. Highly recommended to the authorities to immediately create policy guidelines for the implementation of smoking bans in the Ministry of Health. Keywords : Cigarette, laws, regulations
Training is carried out in an effort to improve the quality of health workers. Training is basically a learning process that aims to improve performance, professionalism, and/or support career development. Training for health workers can be organized by government, regional department, or community with the condition that the training must be accredited and held by an accredited health training provider institution. The availability of institutions providing training in the health sector accredited by the central government in Indonesia is still limited when compared to the number of health workers who are entitled to receive quality training. Therefore this study was conducted to analyze the implementation of the accreditation policy for institutions providing training in the health sector by observing factors that contribute to the implementation of a policy include the size and objectives of the policy, communication, resources, characteristics of the implementing agency, environment, disposition of the implementer, as well as the performance of the implementation policy. This research is a qualitative research using two methods of data collection, in-depth interviews and document review at Direktorat Peningkatan Mutu Tenaga Kesehatan and accredited training institutions in the health sector. The results of the study show that in general the achievement of the indicators that are the performance targets for institutional accreditation policies has been achieved, although the distribution has not yet been seen in all provinces in Indonesia. On several factors, such as clarity and patterns of information delivery, other efforts need to be developed so that information can be clearly understood by all implementers in an effective and efficient manner, especially for Direktorat Peningkatan Mutu Tenaga Kesehatan. Then on environmental factors, an in-depth and widespread approach and coordination is needed so that there are more and more opportunities for health workers to take part in accredited training organized by accredited training institutions.
Kebijakan terkait kemandirian sediaan alat kesehatan telah diterbitkan sejak tahun 2016. Namun, jumlah izin edar dan jumlah transaksi pengadaan alat kesehatan dalam pengadaan e katalog masih didominasi oleh alat kesehatan impor. Hal ini menunjukkan bahwa belum terjadi kemandirian dalam produksi alat kesehatan dalam negeri. Penelitian ini bertujuan untuk mengevaluasi implementasi kebijakan pengembangan industri alat kesehatan dalam negeri. Penelitian ini menggunakan pendekatan kualitatif dengan melakukan wawancara mendalam pada aktor kebijakan yang terlibat, asosiasi perusahaan alat kesehatan, dan pengguna alat kesehatan dan telaah dokumen. Penelitian ini melihat bagaimana kebijakan tersebut diimplementasikan dari aspek kebijakan, sumber daya, komunikasi, kesetaraan akses, potensi pasar, dan kualitas produk. Secara umum, kebijakan pengembangan industri alat kesehatan dalam negeri sudah berjalan, namun dalam implementasinya masih terdapat banyak tantangan untuk dapat mencapai optimal. Lemahnya sistem tata kelola dalam pengembangan industri alat kesehatan menyebabkan implementasi kebijakan tidak optimal.
Policies related to self-reliance in medical device provision have been issued since 2016. However, the number of marketing authorizations and procurement transactions for medical devices in the e-catalog remain dominated by imported medical devices. This indicates a lack of self-sufficiency in domestic medical device production. This study aims to evaluate the implementation of policies for developing the domestic medical device industry. This research employs a qualitative approach, utilizing in-depth interviews with involved policy actors, medical device company associations, and medical device users, alongside document analysis. The study wants to see how the policy implemented from the aspects of policy, resources, equitable access, market potential, and product quality. These aspects are then evaluated to determine whether the policy implementation aligns with the existing policy content. Generally, the policy for domestic medical device industry development is underway, however, its implementation still faces numerous challenges to achieve optimal results. Weak governance in the medical device industry's development leads to suboptimal policy implementation.
Perubahan iklim telah berkontribusi pada peningkatan frekuensi dan intensitas bencana, dengan Indonesia menempati peringkat kedua sebagai negara dengan risiko bencana tertinggi di dunia. Dampaknya mencakup gangguan kesehatan, peningkatan kasus penyakit menular, serta ketidakstabilan sistem pangan. Permenkes No. 75 Tahun 2019 diterbitkan sebagai kebijakan strategis untuk memperkuat kesiapsiagaan sektor kesehatan dalam menghadapi krisis akibat bencana. Penelitian ini bertujuan untuk menganalisis implementasi kebijakan tersebut di Dinas Kesehatan Kabupaten Bandung Barat serta mengidentifikasi faktor pendukung dan penghambatnya. Menggunakan pendekatan kualitatif dengan metode studi kasus, data dianalisis berdasarkan kerangka teori Edward III, Grindle, serta Mazmanian & Sabatier. Hasil menunjukkan bahwa implementasi tergolong cukup baik, ditandai dengan optimalisasi PSC dan pembentukan tim tanggap darurat. Namun demikian, pelaksanaannya masih menghadapi sejumlah kendala, seperti komunikasi lintas sektor dan bidang yang belum optimal, keterbatasan sumber daya, serta struktur birokrasi yang belum sepenuhnya efektif. Selain itu, rendahnya persepsi risiko dan dominasi pendekatan yang bersifat responsif turut menjadi tantangan. Temuan ini menekankan pentingnya penguatan kapasitas daerah, koordinasi lintas sektor, serta perencanaan yang adaptif dan berkelanjutan untuk mendukung sistem penanggulangan krisis kesehatan yang lebih efektif.
Climate change has contributed to the increasing frequency and intensity of disasters, placing Indonesia as the second most disaster-prone country in the world. Its impacts include public health disruptions, rising infectious disease cases, and instability in the food system. Minister of Health Regulation No. 75 of 2019 was issued as a strategic policy to strengthen the health sector's preparedness in responding to crisis situations caused by disasters. This study aims to analyze the implementation of the regulation at the West Bandung District Health Office and identify its supporting and inhibiting factors. Using a qualitative approach with a case study method, the data were analyzed based on the theoretical frameworks of Edward III, Grindle, and Mazmanian & Sabatier. The findings indicate that the implementation is progressing, as reflected in the optimization of the Public Safety Center (PSC) and the establishment of emergency response teams. However, several challenges persist, including limited cross-sectoral and interdepartmental communication, resource constraints, and an underdeveloped bureaucratic structure. Furthermore, low risk perception and a predominantly reactive approach remain major obstacles. These findings highlight the need for strengthening local institutional capacity, improving intersectoral coordination, and advancing adaptive and sustainable planning to support a more resilient health crisis management system.
The absence of performance indicators in the implementation of public relations in the health sector in Tangerang Regency has implications for the resulting outcome targets to be unclear. The General Guidelines for Public Relations in the Health Sector have not been well socialized so that there are still obstacles in carrying out these guidelines in a comprehensive manner. The absence of a public relations team in the form of a functional position has also contributed to the role of public relations that has not been able to run in accordance with the applicable rules. This study aims to analyze the implementation of public relations policy in the health sector in Tangerang Regency and see its effectiveness based on the theory of Edward III. The results of this study are expected to be input for developing appropriate policy strategies or evaluation actions. This study uses qualitative methods with in-depth interview techniques and document review. The results of the study indicate that the implementation of public relations in the health sector in Tangerang Regency has been running. However, the socialization of the General Guidelines for Public Relations in the Health Sector has not yet been optimal, resulting in a less in-depth understanding of the principles of public relations activities. Besides that, it is also necessary to have clear indicators in the implementation of public relations activities that are based on the principle of public relations activities in PMK number 81 of 2015, so that the implementation of public relations policies in the health sector can run better in Tangerang Regency.
Abstrak
Pembentukan kebijakan pengendalian dampak tembakau dipengaruhi oleh faktor diantaranya kesehatan, ekonomi, hukum dan politik. Keempat faktor tersebut merupakan faktor yang saling mempengaruhi didalam membentuk kebijakan pengendalian dampak tembakau. Faktor Kesehatan merupakan faktor yang paling utama dalam pembentukan kebijakan ini. Tingginya prevalensi perokok di Indonesia, perokok dewasa pria maupun wanita, dan terutama perokok remaja dan anak-anak. Rokok menyebabkan sakit dan kematian. Faktor ekonomi tidak seluruhnya mempengaruhi, ekonomi yang terkait beban sakit dan mati saja yang merupakan faktor yang mempengaruhi bagi dibentukan kebijakan ini. Ekonomi terkait pertanian dan industri diatur dalam kebijakan yang berbeda dengan kebijakan pengendalian tembakau. Faktor hukum merupakan faktor yang harus ada dalam memberikan dasar hukum, payung hukum dan menjadi hukum positif yang ditaati dan melindungi kepentingan kesehatan masyarakat dari dampak buruk rokok. Sedangkan faktor politik merupakan faktor penentu dalam mewujudkan kebijakan pengendalian tembakau. Sedangkan faktor politik merupakan kunci bagi sebuah kebijakan untuk dapat diwujudkan menjadi hukum positif. Proses, persepsi dan komitmen dari pembentuk kebijakan merupakan faktor politik yang sangat mempengaruhi pembentukan kebijakan pengendalian dampak tembakau.
The making of policies on the control of Tobacco Effects on Health is affected by various factors, including health, economy, law and politics. Those four factors are mutually affecting in the making of policies on the control of tobacco effects. The health factor is the most dominant factor in this matter, including the high level of smokers? prevalence in Indonesia, adult male and female smokers, and especially teenage and child smokers. Cigarettes cause diseases and death. The economic factor does not entirely affect the policy making, only economic aspects which are related to the burden of illness and death are influential to the policy making. Economic aspects related to agriculture and industry are regulated by policies which are separated from the policies on tobacco control. The legal factor must exist in order to provide legal basis and legal umbrella, and will also become the positive law which must be complied with and will protect public health interest from the negative impacts of cigarettes. Whereas the political factor is a determining factor in realizing policies on tobacco control. The political factor is also a key factor for enabling a policy to become a positive law. The process, perception and commitment of the policy-makers constitute the political factors which greatly affect the making of policies on the control of tobacco effects.
