Analisis Kesiapan Pembiayaan Hipertensi, Diabetes Melitus dan Gangguan Jiwa dalam Mendukung Program Indonesia Sehat dengan Pendekatan Keluarga (PIS PK) Tahun 2018-2020

AbstrakProgram Indonesia Sehat dengan Pendekatan Keluarga (PIS PK) merupakan cara Puskesmas untuk meningkatkan jangkauansasaran dan akses pelayanan kesehatan dengan mendatangi keluarga. Skala prioritas nasional dalam mencapai IndonesiaSehat salah satunya adalah menanggulangi penyakit tidak menular termasuk hipertensi, Diabetes Melitus dan Gangguan Jiwayang prevalensinya semakin meningkat. Hipertensi, Diabetes Melitus dan Gangguan Jiwa merupakan salah satu indikatorkeluarga sehat dalam PIS PK untuk mencapai SPM. Penelitian ini menggunakan metode kualitatif dengan teknik wawancaramendalam dan telaah dokumen. Kesiapan pembiayaan Hipertensi, Diabetes Melitus dan Gangguan Jiwa dihitung denganmenggunakan metode costing SPM. Hasil penelitian menunjukkan bahwa belanja kesehatan untuk PIS PK digunakan untuksosialisasi, edukasi dan pendataan. Mengacu pada perhitungan costing SPM, Kota Depok mampu melaksanakan SPM untukPelayanan Dasar Hipertensi, Diabetes Melitus dan Gangguan Jiwa karena hanya menggunakan 1,38% APBD KesehatanBelanja Langsung (Non Gaji). Akan tetapi, Kota Depok belum siap dalam melaksanakan PIS PK dalam hal komitmen, SDM,dan anggaran. Kota Depok sudah memahami PIS PK namun pelaksanaannya tergantung pada ketersediaan pembiayaan yangberasal dari pencairan anggaran DAK Non Fisik. Hal ini disebabkan karena terdapat jeda waktu antara proses pengusulandan realisasi pencairan anggaran sementara SDM terbatas. Diperlukan proses perencanaan yang lebih optimal sertapengalokasian SDM sesuai kebutuhan.AbstractHealthy Indonesia Program with Family Approach (PIS PK) is a way to expand Puskesmas reach and access to health servicesthrough family home visit Overcoming non-communicable diseases (NCD) is a national priority in achieving Healthy Indonesiabecause the prevalence of NCD continues to increase. Managing NCD specifically hypertension, Diabetes Mellitus andmental disorders are among the indicators of healthy families in achieving PIS PK.This research uses the qualitative methodthrough in-depth interviews and related document. Analysis of readiness of financing for hypertension, Diabetes Mellitusand mental is calculated using costing methode of SPM. The results indicated health spending for PIS PK activities wereutilized for socialization, education and data collection. Referring to SPM costing calculation, the City of Depok was able toimplement SPM for hypertension, Diabetes Mellitus and Mental Disorder with using only 1.38% of the total APBD (non-salary).Depok City is not ready in implementing PIS PK, specifically in terms of commitment, human resources, and budget.Though already familiar with PIS PK, Depok City states due to its limited resources, PIS PK implementation depends on theavailability of funding from Non-Physical DAK disbursement that tends to have a lengthy lag time between the proposal processand the realization of the disbursement. The financing of PIS PK requires a more optimal planning process and allocationof human resources as needed.AbstractHealthy Indonesia Program with Family Approach (PIS PK) is a way to expand Puskesmas reach and access to health servicesthrough family home visit Overcoming non-communicable diseases (NCD) is a national priority in achieving Healthy Indonesiabecause the prevalence of NCD continues to increase. Managing NCD specifically hypertension, Diabetes Mellitus andmental disorders are among the indicators of healthy families in achieving PIS PK.This research uses the qualitative methodthrough in-depth interviews and related document. Analysis of readiness of financing for hypertension, Diabetes Mellitusand mental is calculated using costing methode of SPM. The results indicated health spending for PIS PK activities wereutilized for socialization, education and data collection. Referring to SPM costing calculation, the City of Depok was able toimplement SPM for hypertension, Diabetes Mellitus and Mental Disorder with using only 1.38% of the total APBD (non-salary).Depok City is not ready in implementing PIS PK, specifically in terms of commitment, human resources, and budget.Though already familiar with PIS PK, Depok City states due to its limited resources, PIS PK implementation depends on theavailability of funding from Non-Physical DAK disbursement that tends to have a lengthy lag time between the proposal processand the realization of the disbursement. The financing of PIS PK requires a more optimal planning process and allocationof human resources as needed.