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KONSTRUKSI MODEL PERILAKU PELAYANAN KESEHATAN (CONSTRUCTION OF PUBLIC HEALTH SERVICE BEHAVIORAL MODEL) alexsander alexsander
Inovasi Vol 16 No 1 (2019): JURNAL INOVASI VOL. 16 NO. 1 MEI 2019
Publisher : Badan Penelitian dan Pengembangan Provinsi Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33626/inovasi.v16i1.114

Abstract

ABSTRACT Midwives as the street level bureacrats have the responsibility to overcome the problem of high rate of maternal and child mortality in Bengkulu City. The implementation of midwife duty is in dilemma due to many factors. As a result, midwifery service behavior is considered not optimal. This study aims to explore the behavior of midwives. Exploration is expected to produce a model that provides description and explanation the entity practices of Street level bureaucrats in health services delivering. Qualitative methods with case study design are used in this research. Data collection techniques are carried out with FGD, in-depth interviews, literature study and observations. The informants of the study are the midwives, patients, and multi-stakeholder. The collected data were analyzed through an inductive reasoning process, triangulation,and Vensim PLE 7.2. The study found 20 factors in three layers (service quality layer, coping behavior layer, and behavioral determinant layer) that interact with each other. Coping behavior has been moderator between service quality layer and behavioral determinat layer. Those factors contruct the unique model which simplified interaction among resources factors, personal value, and clients. The dynamic interaction shapes a behavior model of midwives in health services shows how dillematic among scarcity of resource, ambiguity and discretion blended in the routine and simplification to cope with the client needs. Some parts in the model have the possibility to be developed into strategic policy study. But before, it needs a simulation by using a variety of numerical data to test the model. Keywords: midwife, behavior, health services, dynamics system
GRAND STRATEGY PENGUATAN RESILIENSI KELOMPOK NELAYAN TRADISIONAL DI DESA PESISIR BENGKULU TENGAH Alexsander Alexsander; Harmiati Harmiati
Jurnal Ilmu Sosial dan Humaniora Vol 13 No 1 (2024)
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/jish.v13i1.64963

Abstract

Dilema resiliensi komunitas nelayan tradisional pesisir merupakan refleksi kondisi nelayan untuk terus bertahan dan melestarikan aktivitasnya menghadapi kerawanan ekonomi, ekologi, dan sosial. Penelitian ini bertujuan merumuskan grand strategy penguatan  resiliensi kelompok nelayan tersebut. Penelitian menggunakan kerangka analisis Strength-Weakness-Opportunity-Threats(SWOT) dari Steis (2019) dan David (2013). Metode yang digunakan yaitu metode campuran  dengan desain exploratoty sequential. Pada tahap kualitatif identifikasi dilakukan untuk menentukan faktor internal dan faktor eksternal. Informan penelitian terdiri dari kepala desa, nelayan, dan masyarakat. Triangulasi dilakukan berdasarkan sumber, waktu, dan metode. Analisis data dilakukan dengan model interaktif. Pada tahap kuantitatif 17 item kuisioner dirumuskan dengan menggunakan  skala Likert. Pengujian validitas dan reliabilitas dibantu dengan aplikasi SPSS 28.1.1. Populasi penelitian sebanyak 64 orang nelayan dengan sampel sebesar 54 responden (dk=95%). Analisis data dilakukan melalui pembobotan untuk menentukan nilai IFAS dan  EFAS.  Nilai tersebut kemudian dimasukkan dalam kuadran grand strategy. Analisis data kualitatif  menghasilkan beberapa faktor internal(S-W) dan faktor eksternal(O-T). Hasil IFAS (-1,25) dan EFAS(1,08) menunjukkan posisi kuadran II. Grand strategy konservatif yang perlu dilakukan yaitu; meningkatkan keterampilan nelayan dalam penangkapan dan pengolahan ikan, kaderisasi nelayan muda, dan mengembangkan industri perkapalan rakyat. Penelitian memberikan saran kebijakan untuk pelaksanaan program yang lebih baik, perlindungan terhadap nelayan muda, dan pengembangan perkapalan nelayan.