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Tesis ini membahas tentang kebijakan yang digunakan dalam pengadaan PNS kesehatan dan pola hubungan kelembagaan dalam pengadaan PNS kesehatan di daerah. Penelitian ini adalah penelitian analitik kualitatif. Hasil penelitian menyarankan perlunya harmonisasi kebijakan dan hubungan antar organisasi yang lebih baik ditingkat pusat agar kebijakan yang dibuat dengan target pemerintah daerah dapat diakomodir. Disamping itu saran yang diberikan dari hasil penelitian ini adalah adanya transparansi dalam pengadaan PNS kesehatan di daerah dan revisi peraturan pemerintah dalam pengadaan PNS di daerah. Kata kunci: Kebijakan, hubungan kelembagaan, PNS
ABSTRACT This thesis discusses the policy used in the recruitment of health civil servants and patterns of institutional relationships in the recruitment of health.civil servants in the region. The study was a qualitative analytical research. The results suggest the need for harmonization of policies and the relationship between the organization a better in the central level so that policies made to local government targets can be accommodated. Besides, the advice given from the results of this study is transparency in the recruitment of health civil servants in the region and the revision of government regulations in the recruitment of civil servants in the region. Key words: Policy, institutional relations, civil servants
Erupsi Gunung Merapi pada tahun 2010 telah mengakibatkan jatuhnya korban jiwa baik meninggal, luka-luka maupun pengungsi serta kerusakan infrastruktur di wilayah Provinsi DI Yogyakarta dan Jawa Tengah. Penanganan pada masa tanggap darurat bidang kesehatan melibatkan berbagai pihak dari tingkat pusat dan daerah. Tesis ini membahas mengenai koordinasi pada bidang kesehatan yang dilakukan oleh Kementerian Kesehatan dan Dinas Kesehatan Provinsi DIY pada masa tanggap darurat. Desain studi menggunakan metode kualitatif eksploratif dengan melakukan telaah dokumen dan wawancara mendalam kepada pihak yang terlibat langsung dalam peristiwa tersebut. Hasil yang diperoleh menjadi bahan evaluasi bagi pemerintah, khususnya di bidang kesehatan dalam melakukan koordinasi pada masa tanggap darurat akibat bencana dengan memperjelas alur tugas, pendelegasian wewenang, alur informasi yang penting dalam pengambilan sebuah keputusan yang cepat dan tepat sesuai kebutuhan terhadap penanganan permasalahan akibat bencana.
Eruption in 2010 has resulted in loos of life like dead, injured and displaced person as well as damaged to infrastructure in both DI Yogyakarta and Jawa Tengah Provinces. Respons in health sector has involved multi parties from central and local levels. This thesis described the coordination of the sector conducted by Ministry of Health and Provincial Health Office DI Yogyakarta on emergency respons due to Mount Merapi Eruption 2010. Study design using qualitative methods with document review and in-depth interviews to official person who directly involved in disaster mentioned. The results obtained to evaluate government action, particularly in the area of health in coordinating emergency respons during disaster, to clarify the task flow, delegation of authority and the flow of information are important in making a rapid dan approriate decision as needed for handling the health problems caused by disaster.
Provider initiated testing and counseling (PITC) merupakan program penanggulangan HIV/AIDS yang tepat dilaksanakan di Rutan Klas I Cipinang. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan pemanfaatan pelayanan PITC. Penelitian ini menggunakan pendekatan cross sectional survey dengan data primer melalui kuesioner pada 130 responden tahanan dan Napi yang berisiko HIV/AIDS. Hasil penelitian menunjukan pemanfaatan pelayanan PITC sebanyak 52 responden atau 40% belum memanfaatkan pelayanan PITC . Hubungan antara pemanfaatan pelayanan PITC dengan penerimaan stigma dan diskriminasi terkait HIV/AIDS merupakan hubungan yang paling signifikan (p value = 0,000 ,OR 20,781). Sedangkan keyakinan manfaat PITC (p value = 0,000, OR = 12,372), Dukungan keluarga dan institusi (p value = 0,000, OR = 9,993), kebutuhan Pelayanan PITC (P value = 0,001, OR = 6,587), pengetahuan PITC (p value = 0,002, OR = 6,130), mempunyai hubungan yang signifikan. Maka dari itu, diperlukan kerjasama lintas program petugas kesehatan dan petugas keamanan, dalam bentuk penyuluhan rutin bagi pihak keluarga tahanan dan WBP yang berisiko HIV/AIDS untuk mengurangi stigma dan diskriminasi yang timbul dari pihak terdekat.
Provider initiated testing and counseling (PITC) is the response to HIV / AIDS is the right place in Class I Cipinang Rutan. This study aimed to identify factors associated with utilization of PITC services. This study uses cross-sectional survey approach with the primary data through questionnaires to 130 respondents detainees and inmates at risk of HIV / AIDS. The results showed a picture of service utilization PITC as much as 52 respondents or 40% did not use PITC services. The relationship between service utilization PITC with the acceptance of stigma and discrimination associated with HIV / AIDS is the most significant relationship (p value = 0.000, OR 20.781). While the benefits of PITC confidence (p value = 0.000, OR = 12.372), family and institutional support (p value = 0.000, OR = 9.993), Service needs of PITC (P value = 0.001, OR = 6.587), knowledge of PITC (p value = 0.002, OR = 6.130), had a significant relationship. With the results of this study is expected to be important information for policy makers to make this study as a reference in applying the PITC so that service standards more quickly accessed and used by WBP-risk prisoners and HIV / AIDS.
The Covid-19 pandemic has exposed vulnerabilities in Indonesia’s health system and served as a wake-up call for the government to strengthen preparedness at the country’s points of entry. One key instrument for preventing and controlling the spread of potentially pandemic infectious diseases is the implementation of health quarantine. Health quarantine at points of entry is carried out by the Health Quarantine Technical Implementation Unit (UPT). However, these units face various challenges, such as weak and inconsistent cross-sectoral coordination and communication across regions, outdated regulations, limited human resources, inadequate infrastructure, and insufficient technology. This study aims to analyze policies related to institutional structure, work systems, and resources of the Health Quarantine UPT in Indonesia. A mixed-methods approach with an explanatory sequential design was used, starting with an online survey of 287 respondents, followed by in-depth interviews with 7 informants. The results show that institutional strengthening is needed, including the establishment of an Agency or Directorate General focused on health quarantine affairs—or even an independent body modeled after the CDC (Centers for Disease Control and Prevention), in which surveillance, research, and laboratory functions are integrated under one organization using a one-health approach. Although UPT work systems are relatively effective with the presence of NSPK and SOPs, many SOPs need to be updated to meet current health quarantine challenges. Additionally, a gap remains between workforce needs and available personnel, affecting the effectiveness of the UPT’s functions. Therefore, structured, measurable, and sustainable human resource planning is required to comprehensively strengthen institutional capacity.
Organizational commitment of employees in the public sector is necessary,especially in contact with public services. Currently, in the community assessmentof the quality of human resources (HR) in Indonesia is still low, especially inworkers who work in government, or known as civil servants (PNS). This studyaims to determine the relationship between motivation and organizationalcommunication climate and organizational commitment Civil Servant of Secretaryof The Agency for Development and Empowerment Human Resources of Healthusing a cross sectional study. The population of this research are all employees ofSecretary of The Agency for Development and Empowerment Human Resourcesof Health with civil servant status. Total population in this study were a total of 143people. Based on the research hypotheses on the relationship between motivationand organizational commitment using Pearson correlation test obtained correlationvalue of (r = 0.616), which states the motivation showed a strong relationship withorganizational commitment (Sugiyono, 2010) and the value of significance (p =0.000 ), so it can be concluded that motivation significantly related toorganizational commitment, further research hypothesis on the relationship betweenorganizational communication climate and organizational commitment obtained acorrelation value of (r = 0.523) and has a significance value ( p = 0.000), so it canbe concluded that organizational communication climate significantly related toorganizational commitment. In multivariate analysis found that motivation is themost dominant variable related to organizational commitment, while theorganizational communication climate does not have a significant effect onorganizational commitment after the test together. With no significant climatevariables organizational communications after the test together with the variables ofmotivation not mean organizational communications climate variables is notimportant, but the other variables must be taken into consideration and be examinedagain to be combined so that a variable that affects the organizational commitmentif tested together.Keywords : civil servants , motivation , organizational communication climate ,organizational commitment
This study described health worker training planning policies to see the performance of the implementation policies. This study uses qualitative approach through in-depth interviews and document observation. The analysis was carried out using the policy implementation model of Edward III (1980) and Van Meter & Van Horn (1975) to analyze factors that influence the process of the implementation policies, such as size and policy objectives, resources, communication between organization and implementation of activities, bureaucratic structure and characteristics of implementing agencies, disposition, social, economic and political environment, and implementation policies. The results show that the performance of planning policy implementation for health worker training was not optimal: the training program has not been based on training needs, and there are still policy outputs that are not in accordance with the guidelines. Factors influencing the implementation of the health worker training planning policies are still found to have obstacles: the size and objectives of the policy are not yet clear, the resources are inadequate, the socialization of the policy is still limited, the inconsistencies in policy implementation, the application of SOP is not optimal, and supervision mechanisms are not yet clear. This is necessary to evaluate these factors for successful policy implementation.