Analisis Dampak Penghentian Tugas Kpa Kota Yogyakarta Berdasarkan Peraturan Presiden Nomor 124 Tahun 2016

Abstract

Kasus HIV AIDS di Kota Yogyakarta mengalami kecenderungan naik setiap tahunnya. Namun disaat yang bersamaan, pemerintah pusat membubakaran beberapa Lembaga Non Struktural (LNS) yang dianggap tidak efektif. Melalui Peraturan Presiden No.124/2016 pasal 17a ayat 1 pemerintah pusat resmi menghentikan tugas Komisi Penanggulangan AIDS Nasional (KPAN) per 31 Desember 2017. Hal ini tentu saja berimbas kepada KPA Daerah seluruh Indonesia, termasuk KPA Kota Yogyakarta. Disaat mereka giat dan gencar melakukan upaya meminimalisir penyebaran HIV AIDS hingga menorehkan prestasi. Hal tersebut pada akhirnya menimbulkan dampak yang cukup signifikan dalam upaya meminimalisir penyebaran HIV AIDS, diantaranya pengalihan tanggung jawab penanggulangan HIV AIDS dan sudut pandang penanganan HIV AIDS, potensi kekurangan SDM ASN dalam upaya penanggulangan HIV AIDS, dan perubahan pola koordinasi penanggulangan HIV AIDS.

Rethinking the Role of Local AIDS Commission in HIV Prevention After the National AIDS Commission Dissolved

“…The coordination process need to be improved as a mechanism to enhance the provincial and district AIDS commission's performance (Mahendra, 2019). Conducting formal meetings between BPAC, Regional AIDS Commission, and with other OPDs can improve communication between the AIDS commission and the government which leads to improvement of the coordination on HIV activities as well as to allocate the budget (Tambunan et al, 2020).…”

“…The basis to issue Presidential Decree No. 124 of 2016 is the result of government evaluation which shows that INAC is considered to have a less effective and less-efficient performance (Mahendra, 2019).…”

“…Furthermore, without the national coordinating agency, the coordination of HIV response becomes the responsibility at provincial and district level and cross-governmental agencies (Sudewo, 2022). Structurally, the dissolution of INAC may not directly impact on the local AIDS commission due to the decentralized Indonesian governance but it has shifted the responsibility on the HIV AIDS prevention and management from the AIDS Commission to the Provincial Health Office (PHO), the focus of the HIV management, shortage of human resources, funding and changes in the coordination pattern ( Mahendra, 2019;Setiawan et al, 2020;Iryawan et al, 2022) HIV prevention programs in Bali have been carried out since the first case was encountered in Bali in 1997. Before 2003, the effort to halt HIV prevention in Bali was based on projects by overseas donors, carried out on in a small scale by focusing on a certain key population (Lubis et al, 2021).…”