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All Journal Jurnal Penelitian Pendidikan IPA (JPPIPA) Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Berita Kedokteran Masyarakat
Arrohmah, Munib
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Education Materials Science & Nanotechnology Nursing Physics Public Health

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Local government implementation of health sector minimum standards policy: a stakeholder analysis Arrohmah, Munib; Suryoputro, Antono; Budiyono
BKM Public Health and Community Medicine Vol 40 No 03 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i03.12250

Abstract

Purpose: This study aims to analyze the roles and positions of stakeholders in health-sector minimum service standards policy implementation (HS-MSSPI) in Wonosobo based on stakeholders' interests, authority, attitudes, influence, and involvement. Methods: This research is a descriptive qualitative study. The stages in this research are stakeholder identification, data collection through in-depth interviews, data analysis based on the stakeholder classifi- cation approach and stakeholder mapping theory. Results: The results of stakeholder classification show that decision-makers consist of the Regency Legislative Council, Regency Secretariat, Agency for Regional Development, and Health Office. Providers comprise the Health Office, Public Health Center, and Health Cadres, while Representatives comprise the Sub-District Govern- ment, Village Government, and Family Welfare Guidance (PKK) Cadres. Stakeholder mapping results show that there are two types of positions in the decision-maker category: savior and time bomb. In the provider category, there are three positions - savior, friend, and sleeping giant. At the same time, all representatives are in the friend position. Conclusion: It appears that stakeholders involved in the implementation of the HS-MSSPI in Wonosobo have not utilized their full authority to provide support and involvement. Perhaps there is room for improvement in terms of stakeholder engagement and collaboration to ensure the program's success.
The Role of Stakeholders in the Provision of Minimum Service Health Care in Wonosobo Regency Arrohmah, Munib; Antono Suryoputro; Budiyono
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 5: MAY 2024 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i5.5194

Abstract

Introduction: Wonosobo regency is one of the districts with the lowest achievement of minimum service standards in the health sector in Central Java. In 2022, Wonosobo District could only achieve 16.67%. The implementation of a policy requires the cooperation of all stakeholders. The low achievement of Wonosobo District shows the lack of commitment of the local government and other stakeholders in efforts to provide health services according to minimum service standards. Objective: This study aims to identify the stakeholders involved and how their roles in the fulfilment of health services according to minimum service standards in Wonosobo district so that it can be an evaluation material for stakeholders in optimising efforts to fulfil minimum service standards. Method: This research uses a descriptive method with a qualitative approach. The research informants were identified using a purposive mechanism based on stakeholder involvement. Primary data collection in this research was conducted through in-depth interviews using tools such as interview guidelines, recording and note-taking equipment. Secondary data was obtained through legislative documents and derivative products issued by the Wonosobo District Government and its subordinate organisations, as well as literature reviews. Result: The results of the stakeholder identification show that there are 9 stakeholders involved, representing policy-making groups (Wonosobo District Parliament, Wonosobo District Secretariat, Wonosobo District Development Planning Agency, Wonosobo District Health Office), policy-implementing groups (District Health Office, PHC and health cadres) and support groups outside the system (sub-district government, village government and PKK cadres). Conclusion: Based on the mapping conducted, there are two categories of stakeholders in this study, namely key players and subjects. Wonosobo District Parliament, Wonosobo District Secretariat, Wonosobo District Development Planning Agency, Wonosobo District Health Office, and PHC are in the key player position. Health cadres, sub-district governments, village governments and PKK cadres are in the subject position.
The Implementation of Minimum Service Standard (MSS) in Health Sector at District Level and It’s Obstacles: Systematic Literature Review Arrohmah, Munib; Suryoputro, Antono; Budiyono, Budiyono
Jurnal Penelitian Pendidikan IPA Vol 9 No 10 (2023): October
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i10.5251

Abstract

Minimum Service Standard (MSS) in health sector is a mandatory that must be implemented by every regional government in Indonesia, so the MSS target must be 100% annually. However, the report shows that the MSS in health sector has not reached the target. National achievements in 2021 for trimesters I, II, III and IV respectively is 2.38%, 7.55%, 9.95% and 52.85%. In 2022, the achievements increased and the percentages for each trimester are 26.53%, 31.05%, 39.25% and 77.49%, but still not meet the target. This condition shows the unoptimized implementation of Minimum Service Standard (MSS) in health sector that could affected to health service delivery and society welfare. This study aims to identify the implementation and obstacles of Minimum Service Standard (MSS) in health sector at district level. This study is a systematic literature review. 9 literatures on Google Scholar database and Garuda Portal selected according PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). The result shows some obstruction in the MSS in health sector’s implementation including human resources quantity and quality, inadequate infrastructure, lack of cross-sectoral and community support, and unoptimal planning and budgeting system. Based on these results it can be concluded that regional government should focused on recource factors including human recources and infrastructure, organizational factor to optimilize internal and external commitment and support including community support and budgeting support.
Co-Authors Antono Suryoputro Antono Suryoputro BUDIYONO Budiyono Budiyono