KEBIJAKAN NASIONAL DALAM KONTEKS LOKAL: TANTANGAN IMPLEMENTASI KEBIJAKAN DESA SIAGA DAN RUJUKAN PELAYANAN KESEHATAN DI KABUPATEN KEPULAUAN YAPEN PAPUA

Abstract

Background:One of the policies in health to achieve Indonesia
Sehat 2010 was the development of desa siaga that was
based on Decree of Ministry of Health number 564/MENKES/
SK/VIII/2006 regarding the guidance on the implementation of
Desa Siaga. Desa Siaga is a community based health effort
that involved community self funding agency such as PKK,
religious organization, and private sector.
Method:This was a qualitative descriptive research that used
explanatory analysis with case study design. The research
informant was district government, health office, community
leaders and public figure as well as health care provider. The
data was collected with interview, observation and
documentation. Data analysis was conducted with case study
analysis.
Result: This research showed that the implementation of Desa
Siaga was with top–down method that used social mobilization
approach. The district government and community was very
much supporting the policy of Desa Siaga. Difficult geographic
location, limited human resources in health and limited funding
were the main obstacles in the implementation of Desa Siaga
policy and health service referral. The main problem of referral
implementation was transportation and funding. The readiness
of community and village aparatur to assist the poor community
was still very minimum.
Conclusion: This research proven that Desa Siaga program
was very important for community in the district of Yapen
archipelago. Nevertheless, difficulties in geographiccondition,
limited human resources in health as well as limited funding
has resulted in difficulties in the implementation of Desa Siaga
policy and health service referral in the district of Yapen
archipelago. The regional and central government have not
been able to respond to the needs of Desa Siaga.
Keyword: Policy Implementation, Desa siaga, Papua.