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Managing Effectiveness of Public Health Performance in Surabaya City, Indonesia Andy fefta Wijaya; Priyo Budi Santoso; Agus Suryono; Tjahjanulin Domai
Jurnal Perencanaan Pembangunan: The Indonesian Journal of Development Planning Vol. 3 No. 3 (2019): December 2019
Publisher : Ministry of National Development Planning Republic of Indonesia/Bappenas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36574/jpp.v3i3.89

Abstract

This paper studies about managing the effectiveness of public health performance in Surabaya City, Indonesia. The research method uses a qualitative approach through focus group discussion elaborated with secondary data of the health sector performance. This paper proves that vertical and horizontal balanced performance measurements in the health sector are essential. Vertical stable performance is in the context of a hierarchical performance of top-level performance and lower-level performance in the public institution. In contrast, a horizontal balanced performance is the arrangement of qualitative and quantitative performance indicators and targets
Implementasi Kebijakan Kawasan Tanpa Rokok dalam Pencegahan Stunting di Kota Malang Alliya Safitri; Alfi Haris Wanto; Tjahjanulin Domai
Jurnal Bina Praja Vol 17 No 2 (2025)
Publisher : Research and Development Agency Ministry of Home Affairs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21787/jbp.17.2025.2589

Abstract

Indonesia has a high prevalence of smoking, which adversely affects public health, particularly children and pregnant women. Exposure to secondhand smoke is a significant risk factor for stunting among toddlers. This study evaluates the implementation of the Smoke-Free Area (SFA) policy in Malang City as a strategy to reduce smoke exposure and prevent stunting. A qualitative descriptive approach using Grindle’s policy implementation theory was employed to assess the roles of government, society, and the private sector. The findings indicate that while the SFA policy has been adopted across public and private sectors, enforcement effectiveness and household compliance remain low. Cultural factors, limited resources, and weak coordination pose significant challenges. Nevertheless, the stunting prevalence decreased from 25.7% in 2021 to 17.3% in 2023, suggesting that the policy has had a positive impact. Strengthening resources, education, and law enforcement is essential to enhance the policy’s effectiveness in preventing stunting.
Koordinasi Lintas Sektor dalam Percepatan Penurunan Stunting: Studi Kasus Implementasi Kebijakan di Kecamatan Pahandut, Kota Palangkaraya Yustikarina Agustiani; Suryadi; Tjahjanulin Domai
Jurnal Bina Praja Vol 17 No 3 (2025)
Publisher : Research and Development Agency Ministry of Home Affairs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21787/jbp.17.2025-2694

Abstract

Stunting is a multidimensional issue whose management depends on cross-sectoral coordination. However, in Indonesia's regional bureaucracy, which is still influenced by patrimonialism, formal coordination is often ineffective, creating tensions between hierarchical policy design and the reality of decentralized implementation. This research uses a qualitative case study design in Pahandut District, Palangka Raya City. The location selection was based not only on the prevalence of stunting (20.8%) but also on its urban-rural hybrid characteristics, which offer an ideal setting for testing Winter's implementation model. Data were collected through in-depth interviews with nine key informants, participant observation, and document analysis, and were then analyzed thematically using triangulation. The stunting policy implementation was determined more by the agency of field actors and informal networks (e.g., WhatsApp groups) than by formal structures. Family Assistance Teams (TPK) acted as street-level bureaucrats, using discretionary resources such as local language use and context-based education to address system limitations. However, they faced minimal incentives and data fragmentation. The findings enrich Winter's model by introducing the concept of "informal governance resilience," the ability of a policy system to survive through informal mechanisms when formal governance fails. Recommendations include institutionalizing informal practices, providing appropriate incentives for TPK, and designing policies that are responsive to local structural barriers.