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Journal : INFOKUM

The Implementation of the (Human Immunodeficiency Virus) / (Acquired Immune Deficiency Syndrome) Prevention Policy at the Kedungwaringin Community Health Center, Kedungwaringin District, Bekasi Regency Nani Maryani; Yeti Rohayati; Yofy Syarkani
INFOKUM Vol. 13 No. 06 (2025): Infokum
Publisher : Sean Institute

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Abstract

This study aims to analyze the implementation of the HIV/AIDS prevention policy at the Kedungwaringin Community Health Center (Puskesmas), Bekasi Regency, based on the Van Meter and Van Horn policy implementation model, which includes six variables: policy standards and objectives, resources, inter-organizational communication, implementing characteristics, socio-economic-political conditions, and implementers’ disposition. The research employed a descriptive qualitative method, with data collected through in-depth interviews with program managers, health workers, and PLWHA (People Living with HIV/AIDS). The results show that the implementation of the policy has a clear legal basis and standard operating procedures (SOPs), but they are not yet fully understood by all implementers, particularly cadres who have not received further training. Limited human resources, operational funds, and training are the main obstacles to program effectiveness. Vertical communication with the Health Office functions well through the SIHA 2.1 application, but horizontal communication with village authorities, NGOs, and the community remains suboptimal. In addition, social stigma against PLWHA and economic barriers among the community hinder sustainable access to health services. Program implementers’ motivation tends to decline due to high workloads, lack of incentives, and insufficient supervision. In conclusion, the implementation of the HIV/AIDS prevention policy at the Kedungwaringin Community Health Center has been carried out but is not yet optimal. Strengthening human resource capacity, regional budget support, cross-sectoral coordination, and educational and inclusive approaches are needed to reduce stigma and expand service coverage. Support from all stakeholders is essential for the policy to be implemented effectively and sustainably.
Implementation of the Digital Service System Policy at the Population and Civil Registration Office of Bandung Regency Bambang Triana Prima; Yeti Rohayati; Diani Indah
INFOKUM Vol. 13 No. 06 (2025): Infokum
Publisher : Sean Institute

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Abstract

This study analyzes the implementation of the Bedas Digital Service (BDS) policy system at the Population and Civil Registration Office (Disdukcapil) of Bandung Regency using the Van Meter and Van Horn (1975) model. BDS was launched as a response to weaknesses in the manual system for monitoring and supervising population administration services. This qualitative research, employing a single case study design, utilized in-depth interviews, participatory observation, and document analysis. Data were analyzed using Miles and Huberman’s interactive model, along with source and method triangulation. The findings show that BDS implementation achieved 75% of its target. Based on the six variables of the Van Meter and Van Horn model: the policy standards are clear, emphasizing efficiency, monitoring, and transparency; resources are supported by the regional budget (APBD) and free WiFi in 280 locations, although human resources remain limited (only 10 IT operators); vertical and horizontal communication runs effectively; Disdukcapil possesses adequate competence; the environmental conditions show strong political support but digital gaps persist among adult and elderly groups; and implementers’ dispositions are positive. Supporting factors include political backing, competent human resources, WiFi infrastructure, inter-agency coordination, and adoption by younger generations. Inhibiting factors involve server instability, limited personnel, digital divides, dependence on central systems, geographical blank spots, and cautious behavior among staff. BDS has successfully reduced illegal intermediaries, improved transparency (trust index rising from 65% to 88%), and increased time efficiency (from several months to 2–3 days). The one-day service target has not been fully achieved due to technical and operational challenges. Overall, BDS implementation shows significant progress but still requires infrastructure strengthening, additional personnel, and digital literacy programs for optimal outcomes.