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Abstrak :
ABSTRAK
Program Indonesia Sehat dengan Pendekatan Keluarga PIS PK merupakancara Puskesmas untuk meningkatkan jangkauan sasaran dan mendekatkan aksespelayanan kesehatan di wilayah kerja Puskesmas dengan mendatangi keluarga. Salahsatu tujuan PIS PK adalah mendukung Standar Pelayanan Minimum SPM agar semuaorang mendapat jenis dan mutu pelayanan sesuai dengan rentang usia dan kondisikesehatannya secara minimal. Skala prioritas nasional dalam mencapai Indonesia Sehatsalah satunya adalah menanggulangi penyakit tidak menular termasuk hipertensi,Diabetes Melitus dan Gangguan Jiwa yang semakin hari prevalensinya semakinmeningkat. Hipertensi, Diabetes Melitus dan Gangguan Jiwa merupakan salah satuindikator keluarga sehat dalam PIS PK untuk mencapai SPM.Penelitian ini bertujuan mengetahui gambaran kesiapan pembiayaan hipertensi,diabetes melitus dan gangguan jiwa untuk mendukung pelaksanaan PIS PK di kotaDepok termasuk permasalahan yang ada. Penelitian ini menggunakan metode kualitatifdengan teknik wawancara mendalam dan telaah dokumen terkait. Kesiapan pembiayaanhipertensi, Diabetes Melitus dan Gangguan Jiwa dihitung dengan menggunakan metodecosting SPM. Hasil penelitian menunjukkan bahwa belanja kesehatan untuk kegiatanPIS PK digunakan untuk sosialisasi, edukasi dan pendataan. Mengacu pada perhitungancosting SPM, Depok mampu melaksanakan SPM untuk Pelayanan Dasar Hipertensi,Diabetes Melitus dan Gangguan Jiwa karena hanya menggunakan 1,38 APBDKesehatan Belanja Langsung Non Gaji Kota Depok.Dinas Kesehatan Kota Depok belum siap dalam melaksanakan PIS PK dalamhal komitmen, SDM, dan anggaran. Saat ini Dinas Kesehatan Depok sudah memahamiPIS PK namun pelaksanaannya tergantung pada ketersediaan pembiayaan yang berasaldari pencairan anggaran DAK Non Fisik. Hal ini disebabkan karena terdapat jeda waktucukup lama antara proses pengusulan dan realisasi pencairan anggaran sementara SDMterbatas. Diperlukan proses perencanaan yang lebih optimal serta pengalokasian SDMsesuai kebutuhan.

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ABSTRACT
Healthy Indonesia Program with Family Approach PIS PK is a way to expandPuskesmas rsquo reach and coverage and providing closer access to health services throughfamily home visitations. Overcoming non communicable diseases i.e., hypertension,diabetes mellitus and mental disorder is a national priority in achieving HealthyIndonesia Indonesia Sehat . One of the goals of PIS PK is to support the MinimumService Standards SPM assuring everyone receives the minimum requirements of typeand quality of services in accordance with the range of age and health. The prevalenceof non communicable diseases continues to increase, even though communicablediseases remain at high rates. Managing non communicable diseases specificallyhypertension, Diabetes Mellitus and mental disorders are among the indicators ofhealthy families in achieving SPM in PIS PK.This study aims to determine the readiness of financing directed forhypertension, Diabetes Mellitus and mental disorders to support the implementation ofthe PIS PK in the city of Depok, as well as uncover challenges faced. This researchutilizes a qualitative approach through in depth interviews and study of relateddocuments. Analysis of readiness of financing for hypertension, Diabetes Mellitus andmental disorder is calculated using the SPM costing method. The results indicatedhealth spending for PIS PK activities were utilized for socialization, education and datacollection. Referring to SPM costing calculation, the City of Depok was able toimplement SPM for hypertension, Diabetes Mellitus and Mental Disorder with usingonly 1.38 of the total APBD non salary APBD .Depok City Health Office is not ready in implementing PIS PK, specifically interms of commitment, human resources, and budget. Though already familiar with PISPK, Depok City Health Office states due to its limited resources, PIS PKimplementation depends on the availability of funding from DAK Non Physicaldisbursement that tends to have a lengthy lag time between the proposal process and therealization of the disbursement. The preparation of fnancing PIS PK requires a moreoptimal planning process and allocation of human resources as needed.

Abstrak :
Tesis ini bertujuan untuk menganalisis implementasi Program Indonesia Sehat denganpendekatan keluarga PIS-PK di Kabupaten Bandung tahun 2017. Proses implementasikebijakan dilihat dari unsur proses kebijakan, komunikasi, ketersediaan sumberdayatenaga, biaya, fasilitas yang dibutuhkan, proses disposisi, dan struktur birokrasi ditingkat dinas kesehatan dan di puskesmas. Selain itu peneliti juga menganalisa faktorkondisi sosial, ekonomi dan politik terkait peran dan dukunganstakeholder terhadapimplementasi program keluarga sehat ini. Desain penelitian ini adalah penelitiankualitatif dengan metode deskriptif eksploratif. Penelitian ini dilaksanakan di dinas kesehatan dan 12 puskesmas percontohan di wilayah Kabupaten Bandung. Metode pengambilan data menggunakan metode wawancara mendalam dan focus group discussion FGD kepada beberapa informan yang dipilih purposif sampling, informan dari dinas kesehatan dan puskesmas serta melakukan trianggulasi data dengan telaahdokumen. Hasil penelitian didapatkan bahwa disposisi dan persepsi yang kurang dari pengambil keputusan key decision maker di dinas kesehatan mengakibatkan kurangnya dukungan dan komitmen sehingga memberikan dampak kurangnya komunikasi, tidak berjalannya koordinasi, dan tidak jelasnya struktur birokrasi. Kurangnya komunikasi di dinas kesehatan mempengaruhi proses perencanaan, pembiayaan, pelaksanaan sampai monitoring evaluasi. Komunikasi yang kurang efektif mempegaruhi keterlibatan lintas sektoral di tingkat Kabupaten Bandung. Implementasi program keluarga sehat di puskesmas tidak berjalan optimal. Hambatan utama implementasi di puskesmas karena keterbatasan tenaga dan anggaran. Meskipun sebagian besar puskesmas percontohan sudah melaksanakan beberapa tahapan pelaksanaan program, dari target pendataan keluarga yang ditetapkan sebesar 30 ditahun 2017, hasil cakupan sementara hanya mampu mencapai kurang dari 5. Disposisi dan komunikasi menjadi faktor yang sangat mempengaruhi implementasi program di tingkat dinas kesehatan. Sedangkan faktor ketenagaan dan pembiayaan merupakan faktor penghambat utama implementasi program ditingkat puskesmas. Persepsi dan sikap dari organisasi profesi PPNI dan IBI dan institusi pendidikan terkait program ini cukup baik dan mendukung. Studi ini diharapkan mampu menjadi bahan masukan kepada dinas kesehatan untuk meningkatkan manajemen program terutama dalam proses komunikasi, koordinasi, perencanaan dan pembiayaan dan distribusi tenaga kesehatan dalam implementasi program. ......Aim. This thesis aims to analyze the policy implementation of the Indonesian HealthProgram with Family Approach PIS PK in Bandung Regency in 2017. The process of policy implementation is seen from the elements of policy process, communication, availability of resource,manpower, cost, facilities needed, disposition process and bureaucracy structure at the the Health Center Office and the community health center. This study is also to analyze social, economic, and political factors related to the role and support of stakeholders towards the implementation of the program. Methods. This study was a qualitative research with descriptive design. This research was conducted in the the Health Center Office and twelve community health centers in Bandung Regency area. Data were collected using in depth interview and Focus Group Discussion FGD with informants from those institutions selected using purposive sampling. Data triangulation with document review was performed to ensure the trustworthiness. Results. The result of the research showed that lack of disposition and perception of key decision makers inthe Health Center Office levelresulted in the lack of support and commitment, which caused of lack of communication, coordination and clarity of bureaucratic structure. The lack of communication at the level of the Health Center Office affected the process of planning, financing, implementation and evaluation as well as influenced cross sectoral engagement at Bandung district level. The implementation of health family program at the community health center was not optimal. The main obstacles to the implementation were limited manpower and budget. Although most community health centers had implemented several stages of program implementation, however, from 30 of the target of the program in 2017, the coverage only reached less than 5. Conclusion. Disposition and communication were the main factors affecting the implementation of programs at the Health Center Office level. While manpower and financing were the main factors inhibiting the implementation of the program at the community health center level. However, perceptions and attitudes of professional organizations Indonesian National Nurses Association and Indonesian Midwifery Association and the educational institutions related to this program were quite good and supportive.This study recomend to health center office to improving of communication and coordination in Bandung District level and re organizing and distributing of manpower such as nurse, midwifery, public health, sanitarian, and nutritionist to support this program.

Abstrak :
Faktor penyebab stunting menurut WHO 2013 secara komprehensif diuraikan menjadi faktor langsung dan tidak langsung. Prevalensi Balita stunting di Indonesia tergolong cukup tinggi dan distribusinyapun tidak merata, antara desa kota maupun antar provinsi. Tujuan penelitian ini ingin melihat bagaimana gambaran prevalensi stunting, capaian indikator PISPK, serta bagaimana hubungan 12 indikator PISPK dengan prevalensi stunting di kabupaten/kota di Indonesia tahun 2017. Desain penelitian ini adalah studi crossectional dengan sampel sebanyak 452 kabupaten/kota di Indonesia, menggunakan data sekunder prevalensi stunting dan 12 indikator program PIS-PK. Analisis statistik yang di lakukan yaitu univariat,Uji korelasi Spearmen dan Pearson serta analisis multivariat dengan menggunakan uji regresi linear ganda.Hasil penelitian ini menunjukkan. Hasil uji bivariat di peroleh variabel dengan prevalensi stunting yang berhubungan secara signifikan adalah persentase keluarga mempunyai akses atau menggunakan jamban sehat - , persentase keluarga sudah menjadi anggota Jaminan Kesehatan Nasional JKN - , persentase bayi mendapatkan imunisasi dasar lengkap - , persentase ibu melakukan persalinan di fasilitas kesehatan - , persentase penderita tuberkulosis paru mendapatkan pengobatan sesuai standart , persentase penderita hipertensi melakukan pengobatan secara teratur. Hasil uji multivariat di dapatkan persentase keluarga mempunyai akses atau menggunakan jamban sehat merupakan faktor dominan yang berhubungan dengan prevalensi stunting.Dari hasil penelitian ini diharapkan pemerintah dan semua pihak dapat meningkatkan program-program yang sudah berjalan selama ini dalam meningkatkan akses jamban sehat oleh keluarga di Indonesia, serta program lainnya yang berhubungan dengan prevalensi stunting, seperti peningkatan fungsi Posyandu. ......Stunting factors according to WHO 2013 are comprehensively described to be direct and indirect factors. The prevalence of under five stunting in Indonesia is quite high and the distribution is uneven, between urban and inter provincial villages. The purpose of this study is to see how the prevalence of stunting, PISPK indicator achievement, and how 12 PISPK indicator relationship with stunting prevalence in districts cities in Indonesia in 2017. The design of this study is cross sectional study with 452 districts cities in Indonesia, using data secondary prevalence of stunting from the results of Nutrition Status Monitoring PSG and 12 indicators of PIS PK program. Statistical analysis done was univariate, Spearmen and Pearson correlation test and multivariate analysis using multiple linear regression test. The results of this study show that bivariate test results obtained by variables with prevalence of stunting are significantly related is the percentage of families have access or use healthy latrine, the percentage of families have become members of the National Health Insurance JKN, the percentage of infants get basic immunization complete, the percentage of mothers performing delivery at health facilities, the percentage of patients with pulmonary tuberculosis get treatment according to standard, the percentage of hypertensive patients perform regular treatment. Multivariate test results in obtaining a percentage of families having access to or using healthy latrine were the dominant factors associated with stunting prevalence. From the results of this study, it is expected that the government and all parties can improve the programs that have been running so far in improving access to healthy latrines by families in Indonesia, as well as other programs related to the prevalence of stunting, such as improving the function of Posyandu.

Abstrak :
Tesis ini membahas tentang pengembangan dasbor pemanfaatan raw data hasil pendataan Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) sebagai alat bantu perencanaan di Puskesmas. Belum lengkapnya informasi terkait indikator PIS-PK pada dasbor terdahulu melatarbelakangi pengembangan sistem. Penelitian ini merupakan riset operasional dengan teori pendekatan sistem. Pengembangan sistem informasi ini menggunakan metode Rapid Application Development (RAD) secara iterative. Hasil penelitian berupa dasbor yang berisi tabel dan grafik yang memberikan informasi dari 12 indikator PIS-PK secara detail.

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This thesis discusses the development of dashboards using raw data from the Indonesian Program data collection with the Family Approach (PIS-PK) as a planning tools at the Puskesmas. This research is operational research with a systems approach theory. The incomplete information regarding the PIS-PK indicators in the previous dashboard lies behind the development of the system. The development of this information system uses the Rapid Application Development (RAD) method iteratively. The research results are in the form of a dashboard that contains tables and graphs that provide information from 12 detailed PIS-PK indicators.