Evaluasi supervisi Program Pemberantasan Penyakit AIDS/HIV, Tuberkulosis, Malaria di Dinas Kesehatan Provinsi Kepulauan bangka Belitung

ETYLUSFINA, dr. Yodi Mahendradhata, M.Sc

2008 | Tesis | S2 Ilmu Kesehatan Masyarakat (Kebij. dan Manaj. Pe

Latar Belakang : Salah satu prioritas pemerintah dalam bidang kesehatan adalah penanggulangan penyakit menular, diantaranya AIDS/HIV, TB dan malaria. Pencapaian indikator keberhasilan untuk ketiga program tersebut di Provinsi Kepulauan Bangka Belitung masih belum optimal. Untuk mengoptimalkan program kesehatan, Dinas Kesehatan Provinsi Kepulauan Bangka Belitung harus didukung dengan mekanisme supervisi yang baik. Sayangnya hingga saat ini kegiatan supervisi yang dilaksanakan masih lemah, sehingga perlu diteliti secara lebih detail. Tujuan : Tujuan penelitian ini adalah untuk mengeksplorasi pola supervisi program P2 AIDS/HIV, TB, Malaria di Dinkes Prov. Kep. Bangka Belitung Metode : Metode yang digunakan adalah metode kualitatif dengan rancangan penelitian studi kasus yang bersifat deskriptif untuk mendeskripsikan kegiatan supervisi yang dilaksanakan oleh Program P2 AIDS/HIV, TB, Malaria di Dinas Kesehatan Provinsi Kepulauan Bangka Belitung. Hasil : Infrastruktur supervisi bercirikan struktrur organisasi berdasarkan tupoksi sehingga pengambilan keputusan secara hirarkis, dan tergantung pada pedoman dari Depkes. Selain itu teknik supervisi dengan frekuensi supervisi yang sedikit, juga jarang menggunakan checklist, tanpa ada pemberitahuan jadwal, dan waktunya singkat. Dalam implementasinya, supervisi tidak berdasarkan analisis untuk masalah, sehingga lebih bersifat administratif dan dilakukan dengan kunjungan langsung atau tradisional, belum ada koordinasi dengan subdin lain dan hanya berorientasi pencatatan dan pelaporan, serta follow-up jarang diberikan sehingga tidak ada perbaikan kegiatan. Akibatnya dari sisi output supervisi, feedback jarang diberikan, dan kinerja program belum mencapai target yang ditentukan. Kesimpulan : Supervisi program P2 AIDS/HIV, TB, Malaria di Dinas Kesehatan Provinsi Kepulauan Bangka Belitung secara umum masih lemah baik dalam infrastruktur, implementasi, output supervisi, dan pola supervisi bersifat sentralistik. Penguatan infrastruktur, implementasi dan output supervisi disertai dengan penguatan kapasitas supervisor diharapkan dapat memperkuat kegiatan supervisi.

Background: One of the government priorities in health sector is the control of communicable diseases such as AIDS/HIV, Tuberculsis (TB) and malaria. The achievement of the program at the Province of Bangka Belitung Island is not yet optimum. To optimize its health program the Health Office of the Province of Bangka Belitung Island has to be supported with good supervision mechanism. However, until today supervision activities in this province are still weak so that a study on this issue should be done in more details. Objective: The objective of the study was to explore pattern of AIDS/HIV, TB and malaria disease eradication program supervision at the Health Office of Bangka Belitung Island Province. Method: The study used qualitative method with descriptive case study design to describe supervision activities carried out by AIDS/HIV, TB, malaria disease eradication program at the Health Office of Bangka Belitung Island Province. Result: Supervision infrastructure was characterized by organizational structure based on main duties and function so that decision was made hierarchical, and depend on supervision guideline from Department of Health. Besides, frequency of supervision was low, checklist was rarely used, there was no prior notification on schedule and supervision was carried out for a short time. Supervision was not based on problem analysis but on administrastive aspect only. Supervision was done traditionally through direct visit. There was no coordination with other sub office and supervision was mainly recording and reporting oriented. Follow ups were rarely made therefore there was no improvement in the activity. Further consequences were less feedback and progam performance did not achieve the target specified. Conclusion: Supervision of AIDS/HIV, TB and malaria disease eradication program at the Health Office of Bangka Belitung Island Province in general was relatively weak either in infrastructure, implementation, output, and supervision pattern was centralistic. Strengthening infrastructure, implementation and output of supervision as well as capacity of supervisor should be made in order to improve supervision activities.

Kata Kunci : Layanan Kesehatan,Program Pemberantasan Penyakit,Evaluasi Supervisi, supervision, program implementation, disease eradication, AIDS/HIV, Tuberculosis, malaria