Challenges and Solutions in Implementing a Healthy Indonesia Program with a Family Approach

Abstract

The Healthy Indonesia Program with a Family Approach (PISPK) is conducted by
puskesmas by integrating existing resources, with the family’s target. All families
will get access to comprehensive health services. The implementation of PISPK
since 2016 has not been optimal because it has many obstacles. The analysis aims
to identify the obstacles, and to find solutions to implemented PISPK optimally.
Implementation research was carried out using Participatory Action Research
(PAR). The team (researcher and subject) implemented PISPK together based on
stages that integrated into puskesmas management, at 4 puskesmas in South
Lampung. Researchers assisted and recorded data collected qualitatively (self-
assessment, in-depth interviews, Focus Group Discussion), and quantitatively.
There are any obstacles occurred in the implementation of PISPK such as the
absence of regulations and cross-sectoral supports; lack of knowledge and
support from village officials, community leaders, and the public; limited
resources; lack of understanding of the substantive; application; lack of data
analysis capabilities. These obstac-les can be minimized by making some
breakthroughs, such as advocacy and issuance of local government regulations on
PISPK involving cross-sectors; increase socialization; periodic coordination,
monitoring, and evaluation; making innovations (On Job Training, collaboration
with universities and health volunteer, Healthy Family Coverage Pocket Book,
developing data analysis methods). The implementation of PISPK has many
obstacles that can be minimized by optimizing existing potentials and support
from stakeholders. Puskesmas need to increase socialization; team organizing;
data analysis; coordination, and routine monitoring evaluation. Pusdatin needs to
improve KS applications to be more user-friendly.