Dana Alokasi Khusus (DAK) Non Fisik Kefarmasian merupakan salah satu anggaran APBN yang diberikan kepada Kabupaten/Kota di bidang Kefarmasian dengan menu distribusi obat, vaksin, dan bahan medis habis pakai (BMHP) serta dukungan pemanfaatan sistem informasi atau aplikasi logistik obat dan BMHP secara elektronik sebagai upaya pemerintah dalam menjamin ketersediaan obat di pelayanan kesehatan dasar. Fokus dalam penelitian ini adalah implementasi kebijakan penerapan DAK non fisik BOK kefarmasian di Dinas Kesehatan Kabupaten Purwakarta. Kinerja implementasi kebijakan perlu dianalisis dalam rangka evaluasi untuk menghasilkan umpan balik bagi proses pengembangan kebijakan selanjutnya. Teknik pengumpulan data yaitu melalui wawancara mendalam kepada informan kunci, observasi, dan telaah dokumen. Penelitian ini menggunakan pendekatan model implementasi kebijakan Van Meter dan Van Horn. Hasil penelitian diperoleh bahwa masih perlu ditingkatkan pemahaman terhadap pelaksana dalam menyusun perencanaan kegiatan serta rendahnya kepatuhan pelaporan realisasi DAK Non fisik sesuai dengan Petunjuk teknis yang ditetapkan
Background: Schizophrenia is a mental disorder that causes a person to become physiologically dysfunctional for himself and for social interactions. Compliance with taking medication is very important for schizophrenic patients so that patients can recover and prevent relapse. Methods: Adherence to taking medication includes the correct behavior of an individual with medical advice, the use of drugs according to the instructions and includes the use at the right time. This research uses quantitative analytic research with cross sectional method complemented by qualitative research. Results: The results showed 201 schizophrenic patients who met the inclusion criteria as many as 198 patients. The results of univariate, bivariate and multivariate analysis showed that patients aged 0-30 years were 59.1%. Factors related to medication adherence are distance to health care facilities and disease history. And the most dominant factor from the multivariate results was a history of disease with an OR of 17.815. Conclusion: To improve medication adherence for schizophrenic patients, various supports are needed both within themselves (the patient) and outside of the patient's factors so that they can assist in the treatment process and the patient's recovery.
The Social Assurance Organizing Agency (BPJS) makes more easy people provide health provider, such as to increase resilience and welfare of the family planning family planning acceptors of PUS. Banten Province has an unmet need rate (6%) from the national average. For discontinuation of contraceptive use, Banten Province reached below 20%, namely 19.5%. For this reason, it is necessary to motivate health workers to family planning acceptors in the use of BPJS for the participation of hormonal contraception. The goal of this research was analyze the relationship between the benefit of BPJS with the participation of contraceptive pills, injections 1 and 3 months. The research method is descriptive analysis with a questionnaire instrument. The research design used is cross. sectional analysis of the results using chi square. One of the reasons for the high number of unmeeded needs is the health workforce, namely the lack of counseling and providing information from health workers which causes the client's lack of knowledge in choosing the type of contraception. Suggestions in the future for the participation of midwives in independent practice with BPJS in providing IUD and implant contraceptive services.
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