[ABSTRAK
COMBI merupakan singkatan dari Communication for Behavioural Impact yangditerjemahkan menjadi Komunikasi untuk Perubahan Perilaku. COMBI mewakilipenggabungan dari berbagai pendekatan dan didalamnya terdapat lima aksi komunikasiterpadu, yaitu (1) Mobilisasi administrasi/kehumasan/advokasi, (2) Mobilisasimasyarakat, (3) Advertensi/periklanan, (4) Penjualan pribadi /komunikasi interpersonal,(5) Titik pelayanan promosi. Penerapan pendekatan COMBI dilaksanakan pada bulanMaret (minggu ke 11) tahun 2006 di 10 kecamatan wilayah Kota Jakarta Timur yangluas wilayah dan jumlah penduduknya terbesar dibandingkan 5 wilayah lainnya di DKIJakarta dan jumlah kasus DBDnya juga terbesar yaitu 8.107 kasus. Hasil sementara daripelaksanaan pendekatan COMBI menunjukkan adanya penurunan angka kasus DBDyang cukup bermakna pada minggu ke 31 tahun 2006 walaupun masih berfluktuatifdibandingkan dengan angka kasus yang terjadi pada tahun 2005, sebelum adanyapelaksanaan COMBI di Kotamadya Jakarta Timur. Hingga awal tahun 2007 pada bulanFebruari, angka kasus DBD di DKI Jakarta masih terus menunjukkan kecenderungannaik dengan angka 2.263 kasus dan 8 kematian. Jika tidak segera ditanggulangi bersamaoleh semua wilayah yang berada di DKI Jakarta maka DKI dapat kembali menjadipenyumbang terbesar angka kasus DBD dan yang lebih parah dapat mengakibatkanterjadinya KLB.Penelitian bertujuan untuk mendapatkan gambaran pelaksanaan pendekatanCOMBI dalam upaya menurunkan angka kasus DBD di wilayah Kotamadya JakartaAnalisis pendekatan..., Intan Endang, FKM UI, 2007iiiTimur. Jenis penelitian adalah kualitatif, sedangkan metode yang digunakan adalahwawancara mendalam, observasi tidak terstruktur dan telaah data sekunder terhadaphasil laporan pelaksanaan kegiatan COMBI. Informan yang diteliti dibagi dalamkelompok penentu kebijakan, pejabat lintas sektor yang aktif terlibat, petugas kesehatan,tokoh masyarakat dan masyarakat.Hasil penelitian menunjukkan bahwa potensi SDM pengelola COMBI yangcukup baik akan mempengaruhi proses pelaksanaan kegiatan COMBI secara baik danberhasil guna. Kegiatan-kegiatan yang dijabarkan dalam hasil penelitian menunjukkanbahwa ke lima aksi komunikasi terpadu dalam COMBI telah dilaksanakan olehpengelola COMBI. Hanya saja ditemukan beragam pesan yang kurang fokus namuntidak menjadi masalah terhadap perubahan perilaku yang terjadi di masyarakat.Informan dapat menyampaikan pesan yang beragam tersebut dengan cara membacanyalangsung dari media. Pesan COMBI yang selalu diingat dan diucapkan oleh informanadalah PSN 30 menit setiap hari Jumat dari jam 09.00-09.30. Dari hasil penelitiandiperoleh gambaran perubahan perilaku yang dirasakan sebagian besarindividu/masyarakat yaitu semakin sering dan rutin melakukan PSN dan menimbulkanmanfaat langsung bagi individu/masyarakat dengan terjadinya penurunan angka kasusDBD di wilayah Jakarta Timur.Dengan demikian dapat disimpulkan bahwa pelaksanaan COMBI di JakartaTimur menunjukkan hasil yang sesuai dengan tujuan COMBI yaitu terjadinya perubahanperilaku di masyarakat dan berdampak pada penurunan angka kasus DBD, walaupunmengalami beberapa hambatan dana, sarana-prasarana dan masih adanya masyarakatyang kurang kesadarannya melakukan PSN secara rutin. Sehubungan dengan itu, makaada beberapa saran yang penulis sampaikan yaitu memperbaiki perencanaan anggaransesuai kebutuhan, uji kelayakan untuk diimplementasikan di wilayah DKI Jakartalainnya, pelatihan bagi petugas Puskesmas dan kader untuk memahami perubahanperilaku di masyarakat, pesan diuji kembali berdasarkan tanggapan masyarakat untukmengubah dan menyelaraskan strategi komunikasi.

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ABSTRACT
COMBI stands for Communication for Behavioural Impact if translated toIndonesian language COMBI will become Komunikasi untuk Perubahan Perilaku.COMBI represents approaches associated with promoting healthy behaviour and thereare five communication action integrated in COMBI are (1) Public relations /advocacy /administrative mobilization, (2) Community mobilization, (3) Sustained appropriateadvertising, (4) Personal selling/ interpersonal communication/counseling, (5) Point ofService promotion. COMBI approaches implementation was conducted on March (week11th ) 2006 in 10 district of East Jakarta which the biggest district and populationcompared to the other five district in DKI Jakarta . It was also notice that 8.107 casesoccurred in this district and this number is superior among the other districts. Provisionalresult from COMBI approaches act shows that the Dengue fever case number havebeen intensively declining on week 31st 2006 even tough the result still fluctuatedcompared to the number happened in 2005, before COMBI conducted in East Jakarta.Until early 2007 on February, number of dengue fever in DKI Jakarta DBD increasingwith 2.263 cases and 8 death. This matter should be taken care immediately by alldistrict in DKI, otherwise DKI could be the biggest contributor for dengue fever numberand even get worst when becoming outbreak.Research was made to find idea for COMBI approaches act regarding to declinedengue fever number in East Jakarta. This research type is qualitative, In depth interviewAnalisis pendekatan..., Intan Endang, FKM UI, 2007vand secondary data discover through report of COMBI result method was utilized tocollect the data. The informant who will examined will be divide in policy maker group,active involved sector official, provider, public figure and community.The research result shows that COMBI approaches act will be affected from thehuman resource of COMBI officers. These activities explained that research outcomeshows the fifth communication actions which integrated in COMBI have been carry outby COMBI officer COMBI. Nevertheless several of unfocused message are found, butits doesn?t matter to behaviour change. Informan mentions that message from readingdirectly from media which remembered by all the COMBI message informant isMosquito Nest Termination (MNT) 30 minutes every Friday from 09.00-09.30 am. Theidea of changing behavior individual/public which initiate from research result isconfirmed from behavior alteration almost of individual/public who regularlyperforming PSN and the advantage of behavior alteration to the individual/public isdeclining the dengue fever number in East Jakarta.It was concluding that COMBI activity in East Jakarta come out with matchingCOMBI intend which is behavior alteration to the individual/public is declining thedengue fever number in East Jakarta. Although having several fund difficulty and theindolent community to perform MNT. In regard to the mentioned above writer had a fewsuggestions to make which is amend the budget planning with equivalent amount, propertesting for implemented in the other DKI Jakarta district, training for Center of PublicHealthy officer and kader who understand the behavior alteration in community, retestmessage based on public opinion to vary and harmonize the communication strategy., COMBI stands for Communication for Behavioural Impact if translated toIndonesian language COMBI will become Komunikasi untuk Perubahan Perilaku.COMBI represents approaches associated with promoting healthy behaviour and thereare five communication action integrated in COMBI are (1) Public relations /advocacy /administrative mobilization, (2) Community mobilization, (3) Sustained appropriateadvertising, (4) Personal selling/ interpersonal communication/counseling, (5) Point ofService promotion. COMBI approaches implementation was conducted on March (week11th ) 2006 in 10 district of East Jakarta which the biggest district and populationcompared to the other five district in DKI Jakarta . It was also notice that 8.107 casesoccurred in this district and this number is superior among the other districts. Provisionalresult from COMBI approaches act shows that the Dengue fever case number havebeen intensively declining on week 31st 2006 even tough the result still fluctuatedcompared to the number happened in 2005, before COMBI conducted in East Jakarta.Until early 2007 on February, number of dengue fever in DKI Jakarta DBD increasingwith 2.263 cases and 8 death. This matter should be taken care immediately by alldistrict in DKI, otherwise DKI could be the biggest contributor for dengue fever numberand even get worst when becoming outbreak.Research was made to find idea for COMBI approaches act regarding to declinedengue fever number in East Jakarta. This research type is qualitative, In depth interviewAnalisis pendekatan..., Intan Endang, FKM UI, 2007vand secondary data discover through report of COMBI result method was utilized tocollect the data. The informant who will examined will be divide in policy maker group,active involved sector official, provider, public figure and community.The research result shows that COMBI approaches act will be affected from thehuman resource of COMBI officers. These activities explained that research outcomeshows the fifth communication actions which integrated in COMBI have been carry outby COMBI officer COMBI. Nevertheless several of unfocused message are found, butits doesn’t matter to behaviour change. Informan mentions that message from readingdirectly from media which remembered by all the COMBI message informant isMosquito Nest Termination (MNT) 30 minutes every Friday from 09.00-09.30 am. Theidea of changing behavior individual/public which initiate from research result isconfirmed from behavior alteration almost of individual/public who regularlyperforming PSN and the advantage of behavior alteration to the individual/public isdeclining the dengue fever number in East Jakarta.It was concluding that COMBI activity in East Jakarta come out with matchingCOMBI intend which is behavior alteration to the individual/public is declining thedengue fever number in East Jakarta. Although having several fund difficulty and theindolent community to perform MNT. In regard to the mentioned above writer had a fewsuggestions to make which is amend the budget planning with equivalent amount, propertesting for implemented in the other DKI Jakarta district, training for Center of PublicHealthy officer and kader who understand the behavior alteration in community, retestmessage based on public opinion to vary and harmonize the communication strategy.]