Regional Health System Policy Formulation Model in Majalengka District

Abstract

This research was motivated by the fact that the Majalengka Regency Government does not yet have references and guidelines for regional health development that are appropriate to the specific conditions, needs and health problems in each region. This prompted the Majalengka Regency Government to prepare a Regional Health System (SKD) policy which was carried out together with the Regional People's Representative Council (DPRD) of Majalengka Regency, but in its implementation there were several obstacles and problems that made the preparation process not in accordance with the stages of preparing public policy formulation. The aim of this research is to study and carry out in-depth analysis and data analysis related to the Regional Health System policy formulation model in Majalengka Regency. This research uses a qualitative method with a case study approach. The research instrument is the researcher himself through interviews, questionnaires, documentation and observation. Data analysis uses triangulation. The research results explain that the Majalengka Regency Regional Health System policy formulation process has not been effective as assessed from seven stages, namely: 1) Problem Assessment; 2) Determination of goals; 3) Alternative Formulation; 4) Model Preparation; 5) Determination of criteria; 6) Alternative Assessment; 7) Formulation of Recommendations. Factors causing the ineffectiveness of the Regional Health System policy formulation process in Majalengka Regency: 1) Problem Assessment: only paying attention to the important aspects of national policy and provincial policy; 2) Determining objectives: specific regional and community conditions and needs have not been accommodated firmly and clearly; 3) Alternative Formulation: only refers to Presidential Decree 72/2012; 4) Model preparation: regional policy collaboration is not yet visible and causal relationships have not been clearly revealed; 5) Determining criteria: using commitments that have been determined by WHO and nationally; 6) Alternative Assessment: refers to the priority scale of study results from academic texts); 7) Formulation of recommendations: based on the national health system which is handed down to the regions.