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Awaludin
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Religion Arts Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Public Health Social Sciences Veterinary Other

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IMPLEMENTASI PROGRAM INTEGRASI LAYANAN PRIMER (ILP) DALAM UPAYA PENINGKATAN KESEHATAN MASYARAKAT DI INDONESIA – SYSTEMATIC REVIEW Jannah, Putri Isriyatil; Eliana, Desy; Anindya, Fauzia Liesly; Trisasri, Ruri; Awaludin; Rizki, Rahmat Kurniawan
Journal of Health Service Management Vol 29 No 00 (2026): Vol 29/Edisi Khusus/Februari/2026
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v29i00.25774

Abstract

Background: Primary health care plays a key role in ensuring the achievement of Universal Health Coverage (UHC), which is a main goal in the global health system. As one effort to strengthen primary health care services, the Indonesian government launched the Integrated Primary Care (IPC) Program (Program Integrasi Layanan Primer - ILP). Objective: This study aims to determine and analyze the implementation of the ILP program as an effort to improve public health in Indonesia. Methods: Literature searches were conducted using the Google Scholar databases, using the keywords: "primary care integration," "effectiveness of the IPC Program," "Puskesmas," and "constraints of the IPC Program." Results: The literature search process applied clear inclusion and exclusion criteria to obtain relevant literature. Based on the six articles obtained using the PRISMA method, the implementation of the Integrated Primary Care (IPC) Program (ILP) at the Puskesmas plays a vital role in improving public health status. Conclusions: Collaboration among policymakers, village governments, health workers, and health cadres is a key point in the success of the IPC Program.
ANALISIS IMPLEMENTASI KEBIJAKAN PENCEGAHAN DAN PENGENDALIAN HIV/AIDS: MENUJU PENCAPAIAN TARGET ”THREE ZERO” DI WILAYAH KABUPATEN CIREBON Melati, Puji; Awaludin
Journal of Health Service Management Vol 29 No 00 (2026): Vol 29/Edisi Khusus/Februari/2026
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v29i00.27095

Abstract

Background: HIV/AIDS remains a major public health challenge in Indonesia, particularly in regions where new cases continue to increase. Cirebon Regency is one of the high-vulnerability areas, reporting 464 new HIV cases in 2024, predominantly among men who have sex with men (MSM). Local government efforts to achieve the global Three Zero targets zero new HIV infections, zero AIDS-related deaths, and zero stigma and discrimination require critical examination to assess policy effectiveness and alignment. Objective: This study aimed to analyze the implementation of HIV/AIDS prevention and control policies in Cirebon Regency, identify supporting and inhibiting factors in policy implementation, and assess the relevance of local policies to achieving the Three Zero targets. Methods: This study employed a qualitative descriptive policy analysis approach. Primary data were collected through in-depth interviews and limited observation involving four key informants: the Head of the Disease Prevention and Control Section of the Cirebon District Health Office, the HIV Program Coordinator at the District Health Office, the HIV Program Officer at Kalimaro Community Health Center, and a representative of a non-governmental organization supporting people living with HIV (PLHIV). Secondary data were obtained from policy documents and official program reports, including the HIV/AIDS Information System (SIHA), and were used solely to provide contextual information on program coverage and service gaps. The study did not apply a mixed-methods design. Data were analyzed using the Miles and Huberman interactive model, comprising data reduction, data display, and conclusion drawing, with validity ensured through source and method triangulation Results: The findings indicate that HIV/AIDS policy implementation in Cirebon Regency has not yet fully aligned with the Three Zero targets. Major challenges include the absence of a specific regional regulation on HIV/AIDS, limited intersectoral coordination, and persistent social stigma toward PLHIV. Antiretroviral therapy (ARV) coverage reached 80.7%, remaining below the global target of 95%. Conclusions: Strengthening regional regulations, expanding community-based education, and enhancing cross-sector collaboration are essential to accelerate progress toward achieving the Three Zero targets in Cirebon Regency.
IMPLEMENTASI DAN TATA KELOLA SINERGI PROGRAM HIV–TBC DI KABUPATEN CIREBON: ANALISIS CAPAIAN, HAMBATAN, DAN ARAH PENGUATAN LAYANAN TERPADU Awaludin; Putri Isriyatil Jannah; Puji Melati
Journal of Health Service Management Vol 29 No 00 (2026): Vol 29/Edisi Khusus/Februari/2026
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v29i00.27438

Abstract

Background: The integration of HIV and tuberculosis (TB) services is a key strategy to achieve communicable disease elimination targets. At the subnational level, the effectiveness of integration is strongly influenced by governance capacity, continuity of care, and interoperability of health information systems. Cirebon District has established a local regulatory framework for HIV–TB collaboration; however, its implementation and performance remain suboptimal. Objective: This study aimed to analyze the performance, barriers, and governance of HIV–TB program synergy in Cirebon District during 2024–August 2025 and to identify directions for strengthening integrated services. Methods: This study employed a convergent parallel mixed-methods design, integrating descriptive quantitative analysis of routine program data with qualitative thematic content analysis. Program performance data were obtained from the HIV/AIDS Information System (SIHA), the Tuberculosis Information System (SITB), and the Public–Private Mix for TB Control (PHTC) dashboard. Policy implementation was examined through a review of Regent Regulation No. 33/2016 and semi-structured interviews with key program managers and service providers. Quantitative and qualitative findings were analyzed concurrently and integrated at the interpretation stage. Results: HIV testing coverage exceeded 100% of the target among groups integrated into routine health services, such as pregnant women (103.2%), but was lower among tuberculosis (TB) patients (84.7%) and markedly low among stigmatized populations, including transgender individuals (52.0%) and people who inject drugs (33.3%). The cumulative number of people living with HIV/AIDS continued to rise, reaching 3,960 cases by 2025, with 492 new cases reported in 2024. The HIV–TB cascade analysis revealed that only 46.8% of TB patients were recorded as having undergone HIV testing. A total of 28 HIV–TB patients (approximately 0.6% of all TB patients) were identified, and all initiated antiretroviral therapy; however, no patients received tuberculosis preventive therapy (TPT). Fragmentation between the SIHA and SITB information systems, along with weak cross-program coordination, undermined continuity of care. Conclusions: HIV–TB program synergy in Cirebon District is constrained primarily by weaknesses in governance and health system integration rather than by a lack of clinical services. Strengthening operational integration, data interoperability, and performance-based supervision is essential to ensure that expanded HIV testing and treatment translate into measurable reductions in HIV–TB transmission and mortality.
Co-Authors Abdul Rahman Aghnia Wulandari Agus Oman Sudrajat Ala Purnawati Ali Supriadi Amirudin Andriyanto Ani Kusbandiyah Anindya, Fauzia Liesly Anis Marsela Anthoni Gerhan Balqis Ummiyamarroh Dasa febriyanti Defi Rizka Rahmawati Desy Eliana Hasnawati Helmawati Herni Justiana Astuti Ibnu Rizki Sobirin ILHAM Jannah, Putri Isriyatil Jazuli, La Ode Ahamd Jazuli, Laode Ahmad Joni Joni Haryadi, Joni Lale Hidayatin Shani Lalu Maulana Kusumaningrat Latifa Linda Wulandari Magistra Sayyidina Al Kautsar Marwana Melati, Puji Misu, La Miza Muramdani Mohamad Salam Muhammad Arfin Muhammad Muayyadin MUTHMAINNAH Nazwa Khaerinnita Noorhya Akhmar Ramadhan Putri, Eva Nurhilallaily Nuzuliati Oki Prayogi Pramuda Octabudiaji Puji Melati Putri Isriyatil Jannah Putri Ramadani Rais Hidayat Rasmi Nur Anggraeni Rizal Ardiansyah Rizki Plasnajaya Rizki, Rahmat Kurniawan Rohani Ronny Andesto Ro’yal aini Salim Samsul Mujtahidin Siska Alia Fadila Siti Aidiyatul Fitriani Sri Haryani Sri Muliani Sri Setyaningsih Sri Wahyuni Sudirman Suherman Suherman Supian Azhari Susi Susanti Teuku Fahmi Aulia Trisasri, Ruri Uli Marsella WARUWU, KHAMO Wasmen Manalu Zulfiana