Juliana Wati, Dedi Kusnadi, Indah Sulisdiani

IMPLEMENTASI KEBIJAKAN PROGRAM POS PEMBINAAN TERPADU PENYAKIT TIDAK MENULAR (POSBINDU PTM) DI DESA MAKKAWING KECAMATAN BALAI KABUPATEN SANGGAU

Introduction

Implementasi kebijakan program pos pembinaan terpadu penyakit tidak menular (posbindu ptm) di desa makkawing kecamatan balai kabupaten sanggau. Menganalisis implementasi Posbindu PTM di Makkawing, Sanggau. Mengevaluasi efektivitas program pencegahan PTM, kendala sumber daya, dan partisipasi masyarakat. Rekomendasi solusi.

Abstract

Penelitian ini bertujuan untuk menganalisis proses implementasi Kebijakan Program Pos Pembinaan Terpadu Penyakit Tidak Menular (Posbindu PTM) Di Desa Makkawing Kecamatan Balai Kabupaten Sanggau, program ini merupakan salah satu program yang bertujuan untuk meningkatkan peran serta masyrakat dalam pencegahan dan penemuan faktor resiko PTM. Dalam penelitian ini peneliti menggunakan metode deskritif dengan pendekatan kualitatif. Teknik pengumpulan data yang digunakan adalah reduksi data, penyajian data dan penarikan kesimpulan. Peneliti menggunakan teori implementasi dari O. Jones (dalam Tahir 2011:122) yang di maksudkan untuk mengoprasikan sebuah program dengan memperhatikan tiga aktivitas utama kegiatan yaitu 1) Organisasi; 2) Interprestasi; 3) Aplikasi. Hasil penelitian diketahui bahwa dalam implementasi program Posbindu PTM di Desa Makkawing adapun kondisi setelah implementasi berdasarkan aktivitas isi kebijakan, yaitu 1) pada aktivitas organisasi sumber daya manusia sudah baik dalam segi pendidikan dan jumlah, namum sumber daya anggaran dan sarana prasaran masih kurang; 2) Pada aktivitas Interprestasi terhadap program Posbindu belum optimal disebabkan alat-alat untuk mengecek kesehatan masih kurang, masyrakat kurang dalam pemahaman tentang Posbindu PTM padahal para kader sudah memahami dengan baik hanya saja para kader kurang mengsosialisasikan kegiatan Posbindu ini; 3) pada akivitas Aplikasi sudah cukup baik para kader sudah melakukanpelayanan yang baik sesuai pedoman pelaksanaan serta pelayanan sudah lima meja dan sesuai dengan fungsinya masing-masing namun masyrakat yang datang sedikit. Saran terkait penelitian ini adalah pihak Pihak Puskesmas serta pelaksana program posbindu berkordinasi dengan masyarakat, menambah alat-alat yang dibutuhkan serta menambah anggaran program iniKata Kunci: Implementasi, Pelayanan, Program Posbindu, Penyakit Tidak Menular 

Review

This study investigates the implementation of the Integrated Non-Communicable Disease Guidance Post (Posbindu PTM) program in Makkawing Village, Sanggau Regency. Addressing Non-Communicable Diseases (NCDs) through community-based participatory programs like Posbindu PTM is a critical public health initiative, making this research highly relevant to current health policy and practice. The paper aims to meticulously analyze the implementation process, employing a descriptive qualitative approach. It utilizes O. Jones's renowned implementation theory, focusing on organizational aspects, interpretation of the program, and its practical application, providing a structured lens to evaluate policy execution at the local level. The research effectively identifies key challenges and successes across the three dimensions of O. Jones's framework. In terms of 'Organization,' while human resources demonstrated adequate education and numbers, significant deficiencies were noted in budget allocation and essential infrastructure. The 'Interpretation' phase revealed suboptimal program understanding within the community, compounded by a lack of necessary health screening tools, despite the cadres themselves possessing a good grasp of the program and its objectives. Furthermore, the 'Application' aspect, though showing commendable service delivery by cadres following established protocols and a five-table system, suffered from low community attendance. These findings highlight a critical disconnect between the operational readiness of cadres and the actual engagement and comprehension of the target community, exacerbated by resource limitations. The study offers valuable insights into the on-ground realities of health program implementation in a rural Indonesian context. Its strength lies in its systematic application of a robust theoretical framework to diagnose specific implementation gaps. The clear identification of issues, such as resource scarcity, insufficient community understanding, and limited socialization, provides a strong basis for actionable recommendations. The suggestions for improved coordination between health centers and the community, along with calls for increased equipment and budget, are pragmatic and directly address the identified weaknesses. While the abstract focuses on a single village, its detailed findings contribute significantly to understanding localized implementation hurdles and can inform strategies for enhancing community participation and resource mobilization in similar public health programs.

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