Upaya pencegahan penularan HIV dari ibu ke anak PPIA pada ibu hamil merupakankegiatan essensial pada layanan antenatal, dengan integrasi akan lebih efektif untukmeningkatkan jangkauan ibu hamil melakukan skrining HIV yang bertujuan mencegahpenularan secara vertikal dari ibu ke anak. Analisis Implementasi integrasi ditujukanuntuk melihat pelaksanaan skrining HIV pada ibu hamil yang terintegrasi dalamlayanan antenatal terpadu di Kota Depok Tahun 2017. Metode pada penelitian iniadalah kualitatif dengan teknik pengambilan data WM, FGD dan telaah dokumendilihat dari komunikasi, sumber daya, disposisi,sikap pelaksana, struktur birokrasi danlingkungan sosial. Hasil dari penelitian didapatkan aspek komunikasi dalam bentuksosialisasi mengenai program dan pedoman pelaksanaan belum optimal dijalankan halini berpengaruh kepada aspek lainnya yaitu ketersediaan sumber daya baik fasilitas,dana maupun SDM masih terbatas dan berfokus pada layanan di Puskesmas, strukturbirokrasi berupa SOP dan fragmentasi koordinasi antar bidang yang terlibat belumterintegrasi, lingkungan sosial berupa dukungan masyarakat, dukungan layanankesehatan swasta yang belum optimal dan adanya stigma negatif mempengaruhiimplementasi integrasi PPIA ke layanan antenatal. Disisi lain disposisi berupa sikappelaksana dan sumber daya berupa kewenangan sudah sesuai dengan pedoman.Kesimpulan didapatkan bahwa implementasi integrasi layanan PPIA ke layananantenatal belum optimal hal ini didukung konseling pra-tes dan pasca tes belum efektif,cakupan skrining HIV bumil masih rendah, mekanisme rujukan yang belum berjalandengan baik dan proses pencatatan dan pelaporan serta monitoring evaluasi yangbelum terintegrasi. Direkomendasikan melakukan koordinasi efektif agar dapatmelakukan pemetaan tentang apa yang sudah dilakukan sehingga akan dapat dibuatroad map perencanaan dan regulasi agar proses komunikasi kepada semua pelaksanadan advokasi kepada stake holder dilakukan dengan efektif yang akan berpengaruhkepada ketersediaan sumber daya, disposisi, pembentukan struktur birokrasi danlingkungan sosial yang mendukung implementasi kebijakan.
Prevention of mother to child HIV transmission PMCT in pregnant women isan essential activity in antenatal care, so that the existence of integration would be moreeffective to increase coverage of pregnant women do HIV screening aimed atpreventing the transmission vertically from mother to child. In areas with concentratedHIV epidemic status and expanded, mandatory HIV tests and counseling is offered andbecame part of antenatal care and laboratory examination time labor for all pregnantwomen. The analysis of integrated implementation is aimed at seeing theimplementation of HIV screening of pregnant women that is integrated with antenatalcare in Depok city ,2017. Method in this research is qualitative data develop techniqueswith WM, FGD and review the document by using the views of communication, resources, disposition of the attitude of the implementor, the bureaucratic structure andthe social environment. Result of the research, communication aspects of the obtainedin the form of socialization about the program and implementation of the guidelineshave not been optimally run. It is influential to other aspects, such availability of goodfacility resources, funds or human resources is still limited and focuses on public healthcentre, bureaucratic structure in form of SOP and coordination field fragmentationinvolved has not yet been integrated, the social environment in the form of communitysupport, private health service support that is not optimal and the existence of negativestigma affect the implementation of the integration of the PMTCT to antenatal care. Disposition be implementor attitude and resources in the form of authority is incompliance with the guidelines but is not supported by the availability of resourcesraises the indifference of the executor. The conclusions obtained that theimplementation of the Integration PMTCT to antenatal care has not been optimal. Recommended effective coordination in order to do perform the mapping of what isalready done so will can be made road map planning and regulation in order to makethe communication process to managing and advocating to all stake holders is doneeffectively that will affect the availability of resources, establishment of a bureaucraticstructure, disposition and social environment which supports the implementation of thepolicy. |
T51552-Mira Miranti Puspitasari.pdf :: Unduh