Analysis Of The Implementation Of The Dengue Hemorrhagic Fever Prevention And Management Program In Reducing The Kelurahan -based DHF Incident In Medan City In 2014
Introduction
Dengue Hemorrhagic Fever (DHF) is a serious concern in Indonesia, caused by the dengue virus transmitted through Aedes aegypti mosquito bites. In Medan, the implementation of DHF handling programs in 2014 in the City Health Office (DKK) was influenced by four important factors: communication, resources, dispositions, and bureaucratic systems. This study aims to analyze the extent to which these factors contribute to the success of the DHF-based control.
Background of the Study
DHF is a significant public health concern in Indonesia, with a high incidence rate in Medan. The disease is caused by the dengue virus, which is transmitted through the bite of an infected Aedes aegypti mosquito. The implementation of DHF handling programs in Medan in 2014 was influenced by four important factors: communication, resources, dispositions, and bureaucratic systems. These factors are crucial in determining the success of the DHF-based control.
Methodology
This study employed an observational qualitative research method, involving in-depth interviews with key informants, including the Head of Puskesmas and DHF program officers in the field. Data collection was done through source triangulation, gathering valid information from multiple sources. The results showed that the implementation of DHF prevention and handling policies had not been successful optimally.
Results
The results of the study showed that the implementation of DHF prevention and handling policies had not been successful optimally. Several problems were identified, especially in the aspect of communication, where the lack of meeting schedules and low quality and quantity of human resources became obstacles. Although the disposition of officers showed good intentions, the realization in the field was not in line with the hope because the program was not carried out continuously and the lack of funds became the main obstacle.
Discussion
The results of the study highlighted several challenges in the implementation of DHF prevention and handling programs in Medan. The lack of effective communication between various related parties, including the government and the community, was a significant obstacle. Additionally, the lack of adequate resources, both in terms of quantitative and qualitative, hindered the implementation of the program.
Conclusion
The implementation of DHF prevention and handling programs in Medan requires more attention in terms of planning and coordination. Effective communication between various related parties, including the government and the community, must be strengthened. In addition, training to increase the capacity of health workers in the field is very important so that they can carry out tasks better.
Recommendations
Challenges in providing resources, both in terms of quantitative and qualitative, need to be overcome with more adequate budgeting and support from the local government. In terms of disposition, although officers show high enthusiasm in handling DHF, additional incentives or motivation are still needed so that they are more committed to running the program.
Future Directions
In the context of the bureaucratic system, it is necessary to have a comprehensive evaluation to identify procedures that can complicate program implementation. Ease of access to funds and unnecessary reducing bureaucracy will help improve the efficiency of the implementation of the DHF program going forward.
Conclusion
Overall, DHF prevention in Medan requires strong collaboration between various parties and a more holistic approach to overcome existing problems. With the right steps and ongoing evaluation, it is expected that the number of dengue incidents can be reduced, and public health can be more guaranteed.
Limitations of the Study
This study has several limitations. The study was conducted in a specific context, Medan City, and may not be generalizable to other areas. Additionally, the study relied on in-depth interviews with key informants, which may not provide a comprehensive understanding of the implementation of DHF prevention and handling programs.
Future Research Directions
Future research should focus on evaluating the effectiveness of DHF prevention and handling programs in other areas, using a more comprehensive approach. Additionally, research should be conducted to identify the most effective strategies for improving communication, resources, dispositions, and bureaucratic systems in the implementation of DHF prevention and handling programs.
Implications for Practice
The findings of this study have several implications for practice. Healthcare providers and policymakers should prioritize effective communication, adequate resources, and strong dispositions in the implementation of DHF prevention and handling programs. Additionally, policymakers should consider reducing bureaucracy and improving access to funds to improve the efficiency of program implementation.
Conclusion
In conclusion, the implementation of DHF prevention and handling programs in Medan requires more attention in terms of planning and coordination. Effective communication between various related parties, including the government and the community, must be strengthened. In addition, training to increase the capacity of health workers in the field is very important so that they can carry out tasks better. With the right steps and ongoing evaluation, it is expected that the number of dengue incidents can be reduced, and public health can be more guaranteed.
Q: What is Dengue Hemorrhagic Fever (DHF)?
A: Dengue Hemorrhagic Fever (DHF) is a serious concern in Indonesia, caused by the dengue virus transmitted through Aedes aegypti mosquito bites.
Q: What were the four important factors that influenced the implementation of DHF handling programs in Medan in 2014?
A: The four important factors that influenced the implementation of DHF handling programs in Medan in 2014 were communication, resources, dispositions, and bureaucratic systems.
Q: What were the challenges identified in the implementation of DHF prevention and handling policies in Medan?
A: The challenges identified in the implementation of DHF prevention and handling policies in Medan included the lack of effective communication between various related parties, including the government and the community, inadequate resources, both in terms of quantitative and qualitative, and the lack of continuous program implementation.
Q: What are the recommendations for overcoming the challenges in the implementation of DHF prevention and handling programs in Medan?
A: The recommendations for overcoming the challenges in the implementation of DHF prevention and handling programs in Medan include strengthening effective communication between various related parties, providing more adequate resources, both in terms of quantitative and qualitative, and improving the capacity of health workers in the field.
Q: What is the importance of a comprehensive evaluation of the bureaucratic system in the implementation of DHF prevention and handling programs?
A: A comprehensive evaluation of the bureaucratic system is important in identifying procedures that can complicate program implementation and improving the efficiency of the implementation of the DHF program.
Q: What are the implications of the study for practice?
A: The findings of the study have several implications for practice, including prioritizing effective communication, adequate resources, and strong dispositions in the implementation of DHF prevention and handling programs, and reducing bureaucracy and improving access to funds to improve the efficiency of program implementation.
Q: What are the future research directions based on the study?
A: Future research should focus on evaluating the effectiveness of DHF prevention and handling programs in other areas, using a more comprehensive approach, and identifying the most effective strategies for improving communication, resources, dispositions, and bureaucratic systems in the implementation of DHF prevention and handling programs.
Q: What are the limitations of the study?
A: The study has several limitations, including being conducted in a specific context, Medan City, and relying on in-depth interviews with key informants, which may not provide a comprehensive understanding of the implementation of DHF prevention and handling programs.
Q: What are the conclusions of the study?
A: The study concludes that the implementation of DHF prevention and handling programs in Medan requires more attention in terms of planning and coordination, effective communication between various related parties, including the government and the community, must be strengthened, and training to increase the capacity of health workers in the field is very important so that they can carry out tasks better.
Q: What are the expected outcomes of the study?
A: The expected outcomes of the study are that the number of dengue incidents can be reduced, and public health can be more guaranteed, with the right steps and ongoing evaluation.