Implementation of Context Input Process Product Model on Healthy Indonesia Program Policy with a Family Approach
Abstract
Background: The Healthy Indonesia Program with a Family Approach started in 2017, has now reached the first visit coverage rate of 26.80% as of October 3, 2018, with a Healthy Family Index (IKS) value of 0.165. This figure is still far below the expected target, namely in 2019 it is expected that the visit coverage rate has reached >90% so that in 2019 an intervention plan at the community health center (puskesmas) level can be carried out in accordance with the roadmap of the Ministry of Health. This study aimed to investigate the implementation of the context input process product (CIPP) model in the healthy Indonesia program policy with a family approach.
Subjects and Method: This research is a qualitative descriptive study using a sample of policy makers and implementers of the Healthy Indonesia program with a Family Approach (PIS – PK), namely: Head of Public Health Center, Head of Health Service Division of Karanganyar District Health Office, Person in Charge of Healthy Indonesia Program, implementer of PIS – PK visits, and the surrounding community. The research was conducted in August 2021. Data were collected by means of document review, in-depth interviews, focus group discussions (FGD), and participatory observations. Data is presented in analytical descriptive form.
Results: Data were collected from 16 research respondents. In the input aspect, the implementation of PIS PK is supported by sufficient human resources, although there are still gaps in the fulfillment of types of positions. Financial support, infrastructure, methods, implementation time and cross-sectoral support look very good and in accordance with the mandate of the Minister of Health 39 of 2019 concerning PIS PK. There are still problems in the application of healthy families, making the PIS PK output results not in accordance with manual calculations, so that family interventions both individually and in groups cannot be carried out optimally. Not all puskesmas have also implemented total coverage in the implementation of PIS PK, nor have all puskesmas used IKS value data as one of the inputs in planning puskesmas in the form of RUK and RPK.
Conclusion: The Healthy Indonesia Program (PIS PK) in Karanganyar Regency can be implemented well in terms of context, input and process, but it is still not optimal in the aspect of output because of obstacles in the application of healthy families and the output of PIS PK has not been fully used as a basis for planning at the puskesmas level.
Keywords: : context, input, process, product, Healthy Indonesia Program
Correspondence: Ninawati. Masters Program in Public Health, Universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java. Email: dimniasna@yahoo.com. Mobile: 08112632356.
Journal of Health Policy and Management (2022), 07(01): 34-45
https://doi.org/10.26911/thejhpm.2022.07.01.04.
References
Agustina SC, Trisnanto L, Handono D (2019). Implementasi Program Indonesia Sehat dengan Pendekatan Keluarga (PIS PK) Menggunakan Tenaga Kontrak di Kabupaten Kulon Progo Tahun 2018 (Implementation of the Healthy Indonesia Program with a Family Approach
(PIS PK) Using Contract Workers in Kulon Progo Regency in 2018). Jurnal Kebijakan Kesehatan Indonesia. 08(03): 104-112. https://journal.ugm.ac.id/jkki/article/download/45705/25695.
Agustino. 2014. Dasar dasar Kebijakan Publik (Fundamentals of Public Policy). Bandung: Alfabeta.
Agustinova, DE (2015). Memahami Metode Penelitian Kualitatif : Teori & praktis (Understanding Qualitative Research Methods: Theory & Practical), Yogyakarta: Calpulis.
Astuti TRS, Soewondo P (2020). Financing Readiness Analysis of Hypertension, Diabetes Mellitus and Mental Disorders for the Healthy Indonesia with Family Approach Program 2018 – 2020. Jurnal Ekonomi Kesehatan Indonesia. 3(1).
Ayuningtyas (2020). Manajemen Strategis Organisasi Pelayanan Kesehatan: Konsep dan Langkah Praktis (Strategic Management of Healthcare Organizations: Concepts and Practical Steps). Depok: Rajawali Pers.
Azwar A (2010). Pengantar administrasi Kesehatan Edisi Ketiga (Introduction to Health Administration Third Edition). Binarupa aksara: Tangerang.
Bungin B (2009). Analisis Penelitian Data Kualitatif (Qualitative Data Research Analysis). Jakarta: Raja Grafindo.
Darma S, Juanita, Rochadi RK (2018). BPJS Barrier to Strategic Purchasing of Primary Care Service at Public and Private Health Facilities in Sulubussalam, Aceh. Journal of Health Policy and Management. 3(2): 81-91. https://doi.org/10.26911/thejhpm.2018.03.02.03.
Dano JC, Inabangan AA. (2013). The CIPP Model in Evaluating the Affiliated Primary Health Care Centers of Cebu Norman University. CNU Journal of Higher Education. 7: 27-44. https://jhe.cnu.edu.ph/index.php/cnujhe/article/view/72.
Departemen Kesehatan RI (2009). Rancangan Final Rencana Pembangunan Jangka Panjang Bidang Kesehatan 2005 – 2025 (Final Draft of Health Sector Long Term Development Plan 2005 – 2025). Jakarta: Departemen Kesehatan RI.
Divayana, Dewa GH (2015). Evaluasi Program Penanggulangan HIV/AIDS dengan Model CIPP Berbantuan Komputer (Evaluation of HIV/AIDS Control Program with Computer Assisted CIPP Model). Konferensi Nasional Sistem dan Informatika 2015, Denpasar, Indonesia, October, 2015. STMIK STIKOM Bali. Dikutip 20 Oktober 2019 dari https://www.neliti.com/publications/172612/evaluasiprogrampenanggulanganhivaidsdenganmodelcippberbantuankomputer
Frediyanto A, Tamtomo DG, Sulaeman ES (2019). Does the integrated health post have contexual effect on tertiary behavior among hypertensive patients? A multilevel analysis evidence from Surakarta.Journal of Health Promotion and Behavior. 4(3): 224-234
https://doi.org/10.26911/thejhpb.2019.04.03.07.
Handayani L, Ma’ruf NA, Sopacua E (2009). Peran tenaga kesehatan sebagai pelasana pelayanan kesehatan masyarakat (The Role of Health Workers as Implementers of Public Health Services). Buletin Penelitian Sistem Kesehatan. 13(1): 12-20.
Hall D, Stella T, Lee N (2010). CIPP as a Model For Evaluating Learning Spaces. Dikutip 19 November 2019 dari https://researchbank.swinburne.edu.au/items/b9de5b451a284c23ae204916498741b8/1/PDF%20%28Published%20version%29.pdf?.vi=save.
Kementerian Kesehatan RI (2014). Peraturan Menteri Kesehatan Republik Indonesia Nomor 75 Tahun 2014 tentang Pusat Kesehatan Masyarakat. Jakarta: Kementerian Kesehatan RI.
Kementerian Kesehatan RI (2016a). Pedoman Umum Program Indonesia Sehat dengan Pendekatan Keluarga. Jakarta: Kementerian Kesehatan RI.
Kementerian Kesehatan RI (2016b). Peraturan Menteri Kesehatan Republik Indonesia Nomor 39 Tahun 2016 tentang Pedoman Penyelenggaraan Program Indonesia Sehat dengan Pendekatan Keluarga. Jakarta: Kementerian Kesehatan RI.
Kementerian Kesehatan RI (2016e). Petunjuk Teknis Penguatan Manajemen Puskesmas Dengan Pendekatan Keluarga (Technical Guidelines for Strengthening Community Health Center Management with a Family Approach). Jakarta: Kementerian Kesehatan RI.
Kementerian Kesehatan RI (2017). Pedoman Monitoring dan Evaluasi Pelaksanaan Program Indonesia Sehat dengan Pendekatan Keluarga (PIS PK) (Guidelines for Monitoring and Evaluation of the Implementation of the Healthy Indonesia Program with a Family
Approach (PIS PK). Jakarta: Kementerian Kesehatan RI.
Kementerian Kesehatan RI (2018). Pembinaan Teknis Program Indonesia Sehat dengan Pendekatan Keluarga (PIS PK) Tahun 2018. Dikutip 22 Oktober 2019 dari http://www.dinkes.kalteng.go.id/beritapembinaanteknisprogramindonesiasehatdenganpendekatankeluargapispktahun2018.html
Kementerian Kesehatan RI (2019a). Laporan Nasional Riskesdas 2018. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan Riset Kesehatan Dasar (Riskesdas) (2018). Hasil Utama Riskesdas 2018. Badan Penelitian dan Pengembangan Kementerian
Kesehatan. http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf
Kementrian Kesehatan RI (2020). Panduan Pelaksanaan Program Indonesia Sehat dengan Pendekatan Keluarga (PIS PK) pada Masa Pandemi Covid-19 serta Adaptasi Kebiasaan Baru (Guidelines for the Implementation of the Healthy Indonesia Program with a Family
Approach (PIS PK) during the Covid-19 Pandemic and the Adaptation of New Habits). Jakarta: Kementerian Kesehatan
Kiberu VM, Mars M, Scott RE (2017). Barriers and Opportunities to Implementation of Sustainable eHealth Programmes in Uganda: A literature review. Afr J Prm Health Care Fam Med. 9(1): a1277. https://doi. org/10.4102/phcfm.v9i1.1277.
Kitreerawutiwong N, Mekrungrengwong S, Phetphum C (2017). Assessing the implementation of the Family Care Team in the District Health System of Health Region 2, Thailand. Journal of the Family Medicine and Community Health.DOI:10.15212/FMCH.2017.0139.
Laelasari E, Anwar A, Soerachman R (2017). Evaluation of Preparedness of Healthy Indonesia Program Implementation through Family Approach. Journal of Health Ecology, 16(2): 57 – 52.
Lahdji A (2019). Overview of survey results of the healthy indonesia program with a family approach in the area of Penggaron Lor, Semarang. Medical Journal Faculty of Medicine Muhammadiyah Surabaya. 3(2). DOI: 10.30651/jqm.v3i2.2612.
Marwandi D, Sulaeman ES, Pawito (2020). Effect of leadership style of the head of the community health center and other determinants on the health personnel performance in Boyolali, Central Java. J Health Policy and Manage. 5(1): 74 – 84. https://doi.org/10.26911/thejhpm.2020.05.01.07.
Mahendradhata Y, Probandari AN, Danu SS, Wilastonegoro NN, Sebong PH (2019). Manajemen Pogram Kesehatan (Health Program Management). Yogyakarta: Gadjah Mada University Press.
Nutley T, Reynolds HW (2013). Improving the use of health data for health system strengthening. Journal of Global Health Action. 6(1).
Purwati, Tamtomo D, Sulaeman ES (2016). Context, input, process, product analysis in the implementation of iron supplementation program in Banyumas, Central Java. Journal of Health Policy and Managemet. 1(2): 113-120 https://doi.org/10.26911/thejhpm.2016.01.02.06.
Rahardjo M (2010). Triangulasi dalam Penelitian Kualitatif. n.d. Dikutip tanggal 4 Desember 2019 dari http://mudjiarahardjo.com/artikel
Rojali, Darmawan W, Gunawan AT (2018). Survey on the Implementation of Indonesian Health Family Program in Cluwak District, Pati Regency, Central Java Province. Internasional Journal of Innovative Research in Science, Engineering and Technology. 7(3). DOI: 10.15680/IJIRSET.2018.0703059.
Silalahi U (2015). Asas Asas Manajemen. Bandung: Refika Aditama.
Shivali S, Majra JP, Akshaya KM, Qadiri GJ (2015). Family centered approach in primary health care: Experience from urban area of Mangalore, India. The Scientific World Journal. 1 – 8.
Stufflebeam DL (2002). The CIPP Model For Evaluation, dalam Daniel L. Stufflebeam, dkk. (eds), Evaluation in Education and Human Service. Boston: Kluwer Academic Publisher.
Stufflebeam DL, Kellaghan T, Wingate LA (2003). International Handbook of Educational Evaluation. Chapter 2 The CIPP Model for Evaluation. Boston : Kluwer Academic Publisher.
Suhadi dan Rais MK (2018). Perencanaan Puskesmas Edisi Revisi (Health Center Planning Revised Edition). Jakarta: CV Trans Info Media.
Sulaeman ES (2014). Manajemen Kesehatan: Teori dan praktik di puskesmas (Health Management: Theory and practice in puskesmas). Edisi Revisi. Yogyakarta: Gadjah Mada University Press.
Sulaeman ES (2017). Kebijakan Kesehatan: Teori dan implementasi (Health Policy: Theory and implementation). Surakarta: UNS Press.
Usman H (2013). Manajemen Teori, Praktik, dan Riset Pendidikan (Management Theory, Practice and Educational Research). Edisi 4. Jakarta: Bumi Aksara.
