Peran Puskesmas dalam Pengembangan Desa Siaga di Kabupaten Bantul

https://doi.org/10.22146/jkki.v1i3.25042

Lucia Sri Rejeki(1), Mubasysyir Hasanbasri(2*), Guardian Yoki Sanjaya(3)

(1) Dinas Kesehatan Kabupaten Bantul, Provinsi Daerah Istimewa Yogyakarta
(2) Universitas Gadjah Mada
(3) Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Health Center’s Role Alert Village’s Development in Bantul Regency

Background: Alert village is a village where the residents have the readiness of resources, the ability, and the intention to independently prevent and overcome health problems or threats, disaster, and emergency. Health center has a duty as the facilitator of the alert village’s development, where besides providing basic medical care, health center is expected to be able to carry out the mobilization and the community empowerment. If the facilitation process succeeded, it can evoke intentions and community independence in health, so that alert village’s liveliness comes from community’s initiative and is not from health center. This kind of development strategy leads to community development. Objective: This research aims to review the role of health center within alert village’s development, especially towards the facilitation of alert village’s development. Method: This research uses the qualitative descriptive method along with a case study design, to describe health center’s perception towards alert village’s development and health center’s role as the alert village’s facilitator. The subjects of this research are the heads of health centers and midwife coordinators, as well as the community leaders: the heads of the public’s welfare affair and the chief of village’s women organization. The datas are collected through in-depth interviews. Results: This research showed various activities of Community-Based Health Efforts as the form of alert village’s implementation. The facilitation which health center provides to actualize active alert village had not showed community development, but rather a social mobilization. The obstructions are that health center has not been provided with facilitation techniques and the community’s culture is less independent in health. Conclusion: Alert village’s development towards community development has not been utterly well responded by the community.

Keywords: Facilitation, Alert village, Community development.

Latar Belakang: Pengembangan masyarakat menjadi salah satu topik yang paling populer didalam konteks intervensi ke- sehatan masyarakat. Di Indonesia, Desa Siaga merupakan ben- tuk pengembangan masyarakat di bidang kesehatan. Desa Sia- ga adalah desa yang penduduknya memiliki kesiapan sumber- daya dan kemampuan serta kemauan untuk mencegah dan mengatasi masalah/ancaman kesehatan, bencana dan kega- watdaruratan secara mandiri. Puskesmas memiliki tugas seba- gai fasilitator pengembangan desa siaga, dimana selain mem- berikan pelayanan medis dasar, diharapkan mampu melaksana- kan tugas penggerakan dan pemberdayaan masyarakat. Fasili- tasi pengembangan desa siaga ini tergantung kemampuan pus- kesmas, disini diharapkan puskesmas mampu menerapkan prin- sip-prinsip fasilitasi yang efektif. Apabila proses fasilitasi ber- hasil akan menumbuhkan kemauan dan kemandirian masya- rakat di bidang kesehatan, sehingga keaktifan desa siaga ber- asal dari inisiatif masyarakat bukan dari puskesmas. Fasilitasi pengembangan seperti ini mengarah pada community devel- opment. Tujuan: Penelitian ini bertujuan untuk melakukan kajian terha- dap peran puskesmas dalam fasilitasi pengembangan desa siaga. Metode: Penelitian ini menggunakan metode deskriptif kualitatif dengan rancangan studi kasus, untuk mendeskripsikan peran puskesmas sebagai fasilitator desa siaga. Subyek penelitian adalah kepala puskesmas dan bidan koordinator, serta tokoh masyarakat : kepala bagian kesejahteraan rakyat desa, ketua Tim Penggerak PKK desa, dan kader kesehatan. Data dikumpul- kan melalui wawancara mendalam dan observasi. Hasil: Desa siaga telah dilaksanakan dengan berbagai kegiatan Upaya Kesehatan Bersumberdaya Masyarakat (UKBM), namun belum semuanya berjalan seperti yang diharapkan. Puskesmas telah berupaya dalam mendampingi pengembangan desa siaga, namun fasilitasi yang dilakukan puskesmas belum mewujudkan community development, melainkan lebih kearah mobilisasi sosial. Kesimpulan: Pengembangan desa siaga kearah community development belum terwujud dalam masyarakat.

Kata Kunci : Fasilitasi, Desa siaga, Community development.


Keywords


desa siaga;village alert system; Community development; Indonesia;community development;primary health center.

Full Text:

PDF


References

Kementerian Kesehatan Republik Indonesia. Pedoman Pelaksanaan Pengembangan Desa Siaga, Jakarta: Kementerian Kesehatan Republik Indonesia; 2010.

Prendiville P. Developing Facilitation Skills: A Handbook for Group Facilitators, Dublin: Combat Poverty Agency; 2008.

Sumpeno W. Menjadi Fasilitator Genius, Yogyakarta: Pustaka Pelajar; 2009.

MacQueen KM., McLellan E., Metzger DS., Kegels S., Strauss RP., Scotti R., Blanchard L., Trotter RTI, What Is Community? An Evidence-based Definition for Participatory Public Health. American Journal of Public Health. 2009; 91(12): 1929-1938.

Cary LJ. Community Development as A Process, Columbia, USA: University of Missouri Press; 1970.

Dinkes Kab. Bantul. Profil Dinas Kesehatan Kabupaten Bantul Tahun 2011, Bantul, Yogyakarta: Dinas Kesehatan Kabupaten Bantul; 2011.

Kementerian Kesehatan Republik Indonesia. Pedoman Umum Pengembangan Desa Siaga dan Kelurahan Aktif, Jakarta: Kementerian Kesehatan Republik Indonesia; 2010.

Moleong LJ. Metodologi Penelitian Kualitatif, Bandung: Rosdakarya; 2007.

Haryanto R. Program Pengembangan SDM dan Pemberdayaan Masyarakat Melalui Pola Kemitraan: Tinjauan Pelaksanaan Tahun 2005-2007 dan Rencana Tahun 2008. Rapat Koordinasi YDSM dengan Mitra. Bogor: YDSM; 2007.

Bailis LN., Melchior A. Promoting and sustaining civic partnerships: A conceptual history, framework, and a call to action. CRF ServiceLearning Network, 2004; 10 (1): 1-5.

Brinkerhoff JM. Assessing and improving partnership relationships and outcomes: a proposed framework. Evaluation and Program Planning, 2002; 25 (3): 215-231.

Edstorm J. Buku Pegangan Fasilitator: Fasilitasi yang Efektif Jakarta: USAID dan LGSP; 2008.

Mir G., Allgar V., Cottrell D., Heywood P., Evans J., Marshall J. Health Facilitation and Learning Disability, Leeds: Centre for Health and Social Care, University of Leeds; 2007.

Oakham G. Core Fascilitation Concepts. The Wayside Network; 2004.

Clarke S., Blackman R., Carter I. Facilitation Skills Workbook Middlesex, UK: Tearfund Publications; 2004.

Harnisch L. Core Values Facilitator Guide, United States: Oregon Department of Human Services; 2003.

Burke DW. Basic Facilitation Skills, Boston, MA: The Human Leadership and Development Division of The American Society for Quality; 2002.

Blackburn S. Fascilitation Tools and Techniques, Australia: The Wayside Network; 2004.

Granner ML., Sharpe PA. Evaluating community coalition characteristics and functioning: a summary of measurement tools. Health Educ Res, 2004; 19 (5): 514-532.

El Ansari W., Phillips CJ. Empowering healthcare workers in Africa: Partnerships in health-beyond the rhetoric towards a model. Critical Public Health, 2001; 11 (3): 231-252.

Eilbert KW., Lafronza V. Working together for community health—a model and case studies. Evaluation and Program Planning, 2005; 28 (2): 185-199.

Kanter RM. Collaborative advantage: The art of alliances. Harvard Business Review, 1994; 72 (4): 94.

Seifer SD., Connor K. Community Campus Partnerships for Health: Faculty Toolkit for Service-Learning in Higher Education, Scotts Valley, CA National Service-Learning Clearinghouse; 2007.

Rahardiantoro D. An Effort to Humanize Human [Internet] Available from : www.datawork. indonesia.com/resource/article/index.php? actarticle&id=254te=Community&title2= Community%20Development%20 [Accessed 24 Desember 2010] ; 2008.

Dunham A. Community Welfare Organization, Principles and Practice, New York: Thomas Y. Crowel Company; 1958.



DOI: https://doi.org/10.22146/jkki.v1i3.25042

Article Metrics

Abstract views : 1183 | views : 1678

Refbacks

  • There are currently no refbacks.


Copyright (c) 2012 Jurnal Kebijakan Kesehatan Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

The Jurnal Kebijakan Kesehatan Indonesia : JKKI [ISSN 2089 2624 (print); ISSN 2620 4703 (online)] is published by Center for Health Policy and Management (CHPM). This website is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. Built on the Public Knowledge Project's OJS 2.4.8.1.
 Web
Analytics View My Stats