ABSTRAK
Komparasi Implementasi Kebijakan Pengendalian Kanker Serviks Pada ProgramSkrining Rutin Dan Pilot Project Bulan Cegah Kanker Serviks Di Suku DinasKesehatan Jakarta Selatan Tahun 2011- 2012Latar Belakang : jumlah cakupan skrining kanker serviks merupakan indikatorterhadap keberhasilan program skrining kanker serviks di Puskesmas sebagaibentuk dari implementasi kebijakan pengendalian kanker serviks. Peningkatanjumlah cakupan yang cukup tinggi pada program skrining Pilot Project BulanCegah Kanker Serviks dan penurunan jumlah cakupan skrining pasca PilotProject menunjukkan adanya faktor-faktor yang mempengaruhi penurunancakupan tersebut.Tujuan : Penelitian ini bertujuan untuk membandingkan pelaksanaan programrutin skrining kanker serviks dengan program skrining Pilot Project Bucekas yangdiidentifikasi dari faktor-faktor yang mempengaruhi implementasi kebijakan yaituKondisi Lingkungan, Hubungan Antar Organisasi, Sumber Daya Organisasi, danKarakteristik Kapabilitas Instansi serta upaya terhadap program keberlangsungan(sustainability).Metode : penelitian kualitatif dengan disain retrospektif kebijakan terhadap 6informan kunci.Hasil : terdapat perbedaan di dalam implementasi kebijakan program skriningrutin kanker serviks dengan program Pilot Project Bucekas dilihat dari keempatfaktor yang mempengaruhi implementasi kebijakan pengendalian kanker serviksdi Sudinkes Jaksel.Kesimpulan : penguatan terhadap komitmen birokrasi, peran stakeholder,kerjasama lintas program dan sektoral, fungsi manajemen, promosi kesehatan,jejaring dan ketersediaan dana menjadikan Pilot Project Bucekas lebih berhasildibandingkan dengan program skrining rutin dalam meningkatkan cakupanskrining kanker serviks dan belum adanya program sustainability yang matangterhadap program skrining rutin kanker serviks. Pembelajaran dari program PilotProject Bucekas dapat menjadi landasan kebijakan yang akan diambil oleh policymaker di Sudinkes Jakarta Selatan dan Dinkes Propinsi DKI Jakarta
ABSTRACT
Comparison of Cervical Cancer Control Policy Implementation in RoutineScreening Program and ?Pilot Project Prevent Cervical Cancer Month? in SouthJakarta Health Office of Year 2011 - 2012Background : The number of cervical cancer screening coverage is an indicatorof the success of cervical cancer screening program in the Community HealthCenter as a form of cervical cancer control policy implementation. Increasing theamount of coverage is high enough in screening programs ?Pilot Project PreventCervical Cancer Month? ( Bucekas) and decrease the amount of coverage afterthe Pilot Project showed that factors influencing the decline in coverage.Purpose : this study aimed to compare the implementation of routine cervicalcancer screening program with a screening program identified Bucekas PilotProject of the factors that influence the implementation of the policy areenvironment conditions, the Inter-Organization Relationship, OrganizationalResources and Capabilities Agency Characteristics and efforts toward programsustainability.Methods : qualitative research design with retrospective policy to 6 keyinformants.Results: there are differences in policy implementation routine cervical cancerscreening program with Pilot Project Bucekas program views of the four factorsthat influence the implementation of cervical cancer control policy at SouthJakarta Health Office.Conclusions : The strengthening of the commitment of the bureaucracy, the roleof stakeholders, cooperation and cross-sectoral program, the function ofmanagement, health promotion, networking and the availability of funds makesthe Pilot Project Bucekas more successful than the routine screening program inimproving the coverage of cervical cancer screening and the absence of a maturesustainability programs against routine screening program for cervical cancer.Learning from the Pilot Project Bucekas program can be the base policy to betaken by policy makers in South Jakarta Sudinkes and health office of DKIJakarta |
