Abstrak:

Penyakit DBD termasuk penyakit berbasis lingkungan ,jumlah dan penyebarannya kasus cenderung meningkat, seringkali menimbulkan KLB. Tujuan penelitian ini diketahuinya gambaran perilaku masyarakat dan faktor-faktor yang berhubungan dengan perilaku masyarakat dalam pemberantasan sarang nyamuk demam berdarah dengue (PSN-DBD) di Kecamatan Kuningan Kabupaten Kuningan. Desain penelitian cross sectional yang dilakukan pada 6 desa, 10 kelurahan dengan responden ibu rumah tangga dengan wawancara.

Hasil penelitian diperoleh gambaran perilaku baik dalam PSN-DBD 51,3%, pengetahuan responden tinggi 94%%, sikap responden bersikap positif 61,3%, reponden belum terpapar penyuluhan 57,3%. Variabel yang berhubungan dengan perilaku masyarakat adalah pendidikan (P Value=0,0001), pengetahuan (P Value=0,001), pemeriksaan jentik (P Value=0,001), sarana dan prasarana (P Value=0,001), dan biaya (P Value=0,004). Dan faktor yang paling dominan adalah pendidikan.

Saran : Peningkatan upaya penyuluhan dan pendidikan masyarakat tentang DBD.

DHF including environmentally based disease, the number and distribution of cases is likely to increase, often causing outbreaks. The purpose of this study known picture of people's behavior and the factors related to people's behavior in the mosquito nest eradication of dengue hemorrhagic fever (PSN-DBD) in Kuningan Kuningan District. Cross-sectional design of the study conducted in 6 villages, 10 villages with respondents housewife with interviews.

The results obtained in both the behavioral description PSN-DBD 51.3%, high 94% of respondents knowledge%, positive attitude 61.3% of respondents, the respondents have not been exposed to 57.3% extension. Variables related to the behavior of people is education (P value = 0.0001), knowledge (P value = 0.001), examination of larvae (P value = 0.001), facilities and infrastructure (P value = 0.001), and cost (P Value = 0.004). And the most dominant factor is education.

Suggestion: Increase outreach efforts and public education about dengue.

Abstrak: Program BOK di Kabupaten Kuningan meningkatan dana operasional Puskesmas tahun 2011 dan 2012 menjadi 2 kali lipat, tetapi hal tersebut tidak berbanding positif dengan pencapaian cakupan indikator SPM bidang kesehatan. Ini mengindikasikan bahwa implementasi program BOK di Puskesmas Kabupaten Kuningan belum berjalan sesuai harapan. Tujuan penelitian ini untuk menganalisis faktor-faktor yang mempengaruhi implementasi kebijakan BOK di Puskesmas Kabupaten Kuningan berdasarkan variabel kondisi lingkungan, hubungan antar organisasi, sumber daya organisasi, serta karakteristik dan kapabilitas instansi pelaksana.

Penelitian ini menggunakan metode kualitatif dan dilakukan antara Bulan Maret-April 2013 berlokasi di 4 Puskesmas dan Dinas Kesehatan dengan jumlah informan 23 orang. Pelaksanaan BOK di Kabupaten Kuningan tahun 2011-2012 memberikan banyak manfaat kepada Puskesmas khususnya operasional kegiatan preventif dan promotif. Tetapi ini tidak berpengaruh positif terhadap pencapaian SPM bidang kesehatan. SPM cenderung menurun dan item tidak mencapai target cenderung meningkat.

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BOK programs in Kuningan District to improve operational funds of public health centers in 2011 and 2012 to 2-fold, but it is not comparable positive with the achievement coverage of health SPM indicators. This indicates that the implementation of BOK programs in public health centers of Kuningan District has not run as expected. The purpose of this study to analyze the factors that influence implementation of the BOK policy in public health centers of Kuningan District, based on variable environmental conditions, inter-organizational relationships, organizational resources, as well as the characteristics and capabilities of executing agencies.

This study uses a qualitative method and conducted between March-April 2013 and is located at 4 public health centers with the Health Department informant number 23. Implementation of BOK programs in Kuningan district in 2011-2012 provides many benefits to the public health center especially operational to preventive and to promotive activities. But this is not a positive influence on the achievement in health SPM. SPM tends to decrease and the item does not reach the target is likely to increase.