Analisis Implementasi Integrasi Layanan PPIA HIV ke Layanan Antenatal di Kota Depok 2017
| Main Authors: | Puspitasari, Mira Miranti, Junadi, Purnawan |
|---|---|
| Format: | Article info Qualitative study application/pdf Journal |
| Bahasa: | eng |
| Terbitan: |
Center for Health Policy and Management
, 2018
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| Subjects: | |
| Online Access: |
https://journal.ugm.ac.id/jkki/article/view/36396 https://journal.ugm.ac.id/jkki/article/view/36396/22510 |
Daftar Isi:
- Pencegahan penularan HIV dari ibu ke anak (PPIA) pada ibu hamil merupakan kegiatan essensial pada layanan antenatal, sehingga adanya integrasi akan lebih efektif untuk meningkatkan jangkauan ibu hamil melakukan skrining HIV yang bertujuan mencegah penularan secara vertikal dari ibu ke anak. Analisis Implementasi ditujukan untuk melihat pelaksanaan skrining HIV pada ibu hamil terintegrasi dalam layanan antenatal terpadu di Kota Depok 2017. Metode pada penelitian ini adalah kualitatif dengan teknik pegambilan data WM, FGD dan telaah dokumen.Hasil dari penelitian didapatkan aspek komunikasi berupa sosialisasi pedoman pelaksanaan kebijakan belum optimal terutama untuk layanan swasta. Dari sisi dana tidak dilakukannya alokasi anggaran spesifik program PPIA mempengaruhi implementasi, kewenangan petugas pelaksana sudah optimal, belum tersedianya struktur birokrasi yaitu SOP dan fragmentasi untuk layanan terintegrasi, lingkungan sosial berupa dukungan masyarakat, layanan kesehatan swasta yang belum optimal dan masih adanya stigma negatif. Kesimpulan didapatkan bahwa implementasi integrasi layanan PPIA ke layanan antenatal belum optimal hal ini didukung konseling pra-tes dan pasca tes belum efektif, cakupan skrining HIV bumil masih rendah, mekanisme rujukan yang belum berjalan dengan baik dan proses pencatatan dan pelaporan serta monitoring evaluasi yang belum terintegrasi. Direkomendasikan melakukan pemetaan kegiatan yang sudah dilakukan, membuat regulasi dan roadmap perencanaan kegiatan yang bertujuan untuk perluasan layanan dan dapat menggandeng sektor swasta. Prevention of HIV transmission from mother to child (PMTCT) in pregnant women is an activity on antenatal services, the existence of integration would be more effective to increase coverage of pregnant women do HIV screening aimed at preventing contagion vertically from mother to child. Analysis of Implementation aimed to see the implementation of HIV screening of pregnant women integrated to antenatal care in Depok, 2017. Method is qualitative data develop techniques with WM, FGD and review documents. The result is socialization program policies especially for private service not optimal. A special budget allocation of PMTCT has not been made thus affecting the implementation, the Authority managing officers are already optimally, bureaucratic structure which consists of SOP and fragmentation of policy not available, the social environment in the form of community support, private health services that has not been optimized and still the existence of negative stigma. The conclusions obtained that the implementation of the Integration PMTCT to antenatal care has not been optimal this is supported counselling pre-test and post test has not been effective, HIV screening coverage bumil is still low, the referral mechanism has not been going well and the process of recording and reporting as well as monitoring evaluations that have not been integrated. Recommended doing mapping activities already done, making regulation and roadmap planning activities aimed at the expansion of the services and may be working with the private sector.