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Latar Belakang : jumlah cakupan skrining kanker serviks merupakan indikator terhadap keberhasilan program skrining kanker serviks di Puskesmas sebagai bentuk dari implementasi kebijakan pengendalian kanker serviks. Peningkatan jumlah cakupan yang cukup tinggi pada program skrining Pilot Project Bulan Cegah Kanker Serviks dan penurunan jumlah cakupan skrining pasca Pilot Project menunjukkan adanya faktor-faktor yang mempengaruhi penurunan cakupan tersebut. Tujuan : Penelitian ini bertujuan untuk membandingkan pelaksanaan program rutin skrining kanker serviks dengan program skrining Pilot Project Bucekas yang diidentifikasi dari faktor-faktor yang mempengaruhi implementasi kebijakan yaitu Kondisi Lingkungan, Hubungan Antar Organisasi, Sumber Daya Organisasi, dan Karakteristik Kapabilitas Instansi serta upaya terhadap program keberlangsungan (sustainability). Metode : penelitian kualitatif dengan disain retrospektif kebijakan terhadap 6 informan kunci. Hasil : terdapat perbedaan di dalam implementasi kebijakan program skrining rutin kanker serviks dengan program Pilot Project Bucekas dilihat dari keempat faktor yang mempengaruhi implementasi kebijakan pengendalian kanker serviks di Sudinkes Jaksel. Kesimpulan : penguatan terhadap komitmen birokrasi, peran stakeholder, kerjasama lintas program dan sektoral, fungsi manajemen, promosi kesehatan, jejaring dan ketersediaan dana menjadikan Pilot Project Bucekas lebih berhasil dibandingkan dengan program skrining rutin dalam meningkatkan cakupan skrining kanker serviks dan belum adanya program sustainability yang matang terhadap program skrining rutin kanker serviks. Pembelajaran dari program Pilot Project Bucekas dapat menjadi landasan kebijakan yang akan diambil oleh policy maker di Sudinkes Jakarta Selatan dan Dinkes Propinsi DKI Jakarta. Kata kunci : skrining kanker serviks, metoda IVA, preventif, kebijakan
Background : The number of cervical cancer screening coverage is an indicator of the success of cervical cancer screening program in the Community Health Center as a form of cervical cancer control policy implementation. Increasing the amount of coverage is high enough in screening programs “Pilot Project Prevent Cervical Cancer Month” ( Bucekas) and decrease the amount of coverage after Universitas Indonesia the Pilot Project showed that factors influencing the decline in coverage. Purpose : this study aimed to compare the implementation of routine cervical cancer screening program with a screening program identified Bucekas Pilot Project of the factors that influence the implementation of the policy are environment conditions, the Inter-Organization Relationship, Organizational Resources and Capabilities Agency Characteristics and efforts toward program sustainability. Methods : qualitative research design with retrospective policy to 6 key informants. Results: there are differences in policy implementation routine cervical cancer screening program with Pilot Project Bucekas program views of the four factors that influence the implementation of cervical cancer control policy at South Jakarta Health Office. Conclusions : The strengthening of the commitment of the bureaucracy, the role of stakeholders, cooperation and cross-sectoral program, the function of management, health promotion, networking and the availability of funds makes the Pilot Project Bucekas more successful than the routine screening program in improving the coverage of cervical cancer screening and the absence of a mature sustainability programs against routine screening program for cervical cancer. Learning from the Pilot Project Bucekas program can be the base policy to be taken by policy makers in South Jakarta Sudinkes and health office of DKI Jakarta. Keywords : cervical cancer screening, VIA methode, policy
Kata Kunci: Implementasi, Skrining Kesehatan
Health screening is one of the BPJS Kesehatan programs in order control health care costs. However, in 2016 the achievement program only reaches 17% of the target. The purpose of this research is to perceive the implementation of health screening for type 2 Diabtes Melitus and hypertension at BPJS Kesehatan, Branch Office, East Jakarta, 2017. This study used qualitative method, in which data was obtained from observation, document review, and in-depth interview with informants at Primary Care and BPJS Kesehatan. Research result indicate that there are issues regarding communication, resources, attitude of implementor, and implementation of health screening. Author suggests that improvement efforts are to be made regarding screening socialization toward Primary Care, human resource planning, screening Standard Operation Procedure (SOP) at Primary Care, and maximize the utilization of BPJS mobile screening.
Keyword: implementation, health screening
Tesis ini membahas analisis Implementasi Kebijakan Pelaporan Rumah Sakit Lanjutan Program Jamkesmas pada Pusat Pembiayaan dan Jaminan Kesehatan Tahun 2012. Penelitian ini menggunakan pendekatan kualitatif dengan melakukan wawancara mendalam dari informan terpilih. Hasil penelitian menunjukkan dari aspek Input Laporan masih ada Rumah Sakit yang melaporkan belum sesuai dengan manlak aspek proses berdasarkan kepada teori implementasi kebijakan Edward III faktor komunikasi, sumber daya, disposisi dan struktur birokrasi, serta aspek Umpan balik Kesimpulannya, Implementasi Kebijakan Pelaporan PPK Lanjutan Program Jamkesmas pada Pusat Pembiayaan dan Jaminan Kesehatan Tahun 2012 belum dilaksanakan secara maksimal, karena belum adanya batas waktu penyampaian Saran peneliti bagi Pusat Pembiayaan dan Jaminan Kesehatan adanya batas waktu penyampaian pelaporan dan umpan balik secara berkala dan tertulis terhadap Rumah Sakit lanjutan tersebut.
This thesis discusses the analysis of the Policy Implementation Advanced Reporting Hospital JAMKESMAS Program at the Center for Financing and Health Security in 2012. This study used a qualitative approach by conducting indepth interviews from selected informants. Results of the study showed there are still aspects of the Report Input Hospital reported manlak not in accordance with aspects of the process of policy implementation is based on the theory of Edward III factor of communication, resources, disposition and bureaucratic structure, aspect Feedback conclusion, Reporting Implementation Program Advanced Hospital JAMKESNAS the Central Financing and Health Insurance in 2012 has not been fully implemented, because there is no deadline for submission of suggestions researcher for the Center for Health Financing and Guarantee the deadline reporting and feedback on the advanced Hospital.
kata kunci : program rujuk balik, implementasi
