Abstract. Dengue Hemorrhagic Fever (DHF) is still a public health problem that is difficult to deal with inTasikmalaya City, West Java Province. In 2019, the region experienced very significant cases increase leadingto an Outbreak. Various attempts have been made without optimal results. DHF control program managersexpressed the urgent need for strong policies, but no empirical studies have been carried out. It is importantto analyze evidence as justification for urgency and impetus in the policy agenda. This policy research withnaturalistic qualitative research with Analysis for Policy approach aims to explore evidence on the urgency ofDHF control regional regulations at policy stakeholders’ aspect. The results of this study revealed the evidenceof DHF Control Regional Regulation’s establishment urgency. Those are increasing community endangeringsituation of DHF cases; the urgent need of policies for program managers; and the corroborating evidence, asthe results of stakeholder analysis, in the form of majority stakeholder are the main policy stakeholder whohave the power and strong interest in supporting the policies’ urgency. The urgency level of DHF controlRegional Regulation based on this research has reached an emergency level, so there should be efforts toestablish DHF control Regional Regulation in Tasikmalaya City.Keywords: Stakeholders, Policy Urgencies, Regional Regulations, DHF
Background : In order to support the global commitment in addressing the burden of non-communicable diseases, the government through the Ministry of Health set the one of the targets of the National Development Strategy Plan is the promotion and preventive service through the availability of health promotion personnel at the Puskesmas. To meet these needs the government issued a policy that is the Regulation of the Minister of Health No. 82 of 2015 on Technical Guidance Special Allocation Fund for Health Operational Support where one of financing is for promotive and preventive activities directed to finance one (1) contract health promotion workers. Aims : To analyze the implementation of the policy of Non-Physical Special Allocation Fund of 2016 to recruit Health Promotion Contract Workers for Puskesmas in Sumbawa and Sleman districts. Methods : A single case study study was established using Implementation Research carried out at the Health Office in Sumbawa and Sleman districts. Informants were interviewed using the Consolidated for Implementation Research (CFIR) framework as a guide in collecting and analyzing qualitative data. Result :The most dominant factor of CFIRs affecting the implementation of contract labor policies is the internal communication network, particularly the involvement of the management. Organizational needs are the reasons for implementing a policy, but this is not a major factor in the implementation of a policy. Meeting the needs of the organization is influenced by the involvement factor of the leader of the organization in this case the leadership commitment to the vision of the organization, the implementation is also influenced by the external communication network organization that is: advocacy, coordination and cooperation with cross-related sector. Conclusion : The policy of recruitment of contract workers in Sleman district was successfully implemented because the policy makers and implementers played a good role, while Sumbawa regency did not implement this policy because of the difference perception about the need of health promotion personnel between Puskesmas as implementer of policy and health department as policy maker which supervises the Puskesmas.
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