Zulaika, Siti and Ghani, Rafif Al (2025) IMPLEMENTASI KEBIJAKAN PEMBERIAN ASI EKSKLUSIF DI PUSKESMAS SAWAH LEBAR KECAMATAN RATU AGUNG KOTA BENGKULU PROVINSI BENGKULU. Diploma thesis, Institut Pemerintahan Dalam Negeri.
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Abstract
ABSTRACT Problem Statement/Background (GAP): Improving maternal and child health is a critical component of achieving Sustainable Development Goal (SDG) 3, with exclusive breastfeeding during the first six months of an infant’s life serving as a key indicator. In Bengkulu City, this policy is regulated by Regional Regulation No. 03 of 2017 and Mayor Regulation No. 09 of 2019. However, the exclusive breastfeeding coverage at Sawah Lebar Community Health Center in 2023 remains low, at only 17.1%. Purpose: This study aims to describe the implementation of the exclusive breastfeeding policy based on the policy implementation theory by Goggin et al. (1990), as well as to identify the supporting and inhibiting factors affecting its execution. Method: A qualitative descriptive approach was employed, utilizing data collection methods including in-depth interviews, observations, and document reviews. Informants were selected using purposive and snowball sampling techniques. Data analysis followed Creswell’s (2023) model, involving data reduction, coding, categorization, pattern identification, and interpretation. The theoretical framework applied was Goggin et al.’s (1990) policy implementation model, encompassing message content, message form, and perceptions of leadership. Result: The results of the study indicate that the implementation of the policy has not been optimal, as reflected in the dimensions of message content, message form, and perception of leadership—none of which have functioned effectively. Supporting factors include the commitment of healthcare workers, the role of Posyandu cadres, and maternal awareness. The main inhibiting factors are the lack of family support, socio-cultural influences, and limited breastfeeding facilities in the workplace. Conclusion: In general, the policy implementation has not been carried out optimally, as evidenced by the ineffectiveness of the message content, message form, and perception of leadership dimensions. Partial success is supported by the commitment of healthcare workers, the active role of Posyandu cadres, and maternal awareness. However, the implementation continues to face obstacles, primarily due to the lack of family support, socio-cultural factors, and the limited availability of breastfeeding facilities in the workplace. Keywords: Policy Implementation, Exclusive Breastfeeding, Maternal and Child Health ABSTRAK Permasalahan/Latar Belakang (GAP): Peningkatan kesehatan ibu dan anak merupakan bagian penting dalam pencapaian Sustainable Development Goal (SDGs) goals ke-3, salah satunya melalui indikator pemberian ASI eksklusif selama enam bulan pertama kehidupan bayi. Di Kota Bengkulu, kebijakan ini telah diatur melalui Peraturan Daerah No. 03 Tahun 2017 dan Peraturan Wali Kota No. 09 Tahun 2019. Meski demikian, cakupan ASI eksklusif di Puskesmas Sawah Lebar pada tahun 2023 masih tergolong rendah, yakni hanya 17,1%. Tujuan: Penelitian ini bertujuan untuk mendeskripsikan implementasi kebijakan pemberian ASI eksklusif berdasarkan teori implementasi kebijakan Goggins et.al (1990) serta mengidentifikasi faktor-faktor yang mendukung maupun menghambat pelaksanaannya. Metode: Penelitian menggunakan pendekatan kualitatif deskriptif dengan metode pengumpulan data berupa wawancara mendalam, observasi, dan dokumentasi. Informan dipilih melalui teknik purposive sampling dan snowball sampling. Analisis data merujuk pada model Creswell (2023), melalui tahapan reduksi data, koding, pengelompokan, pencarian pola, dan interpretasi. Teori yang digunakan adalah model implementasi kebijakan dari Goggin et al. (1990), yang mencakup dimensi isi pesan, bentuk pesan, dan persepsi terhadap pimpinan. Hasil/Temuan: Hasil penelitian menunjukkan bahwa implementasi kebijakan ini belum optimal dengan keterangan dari dimensi isi pesan, bentuk pesan, dan persepsi terhadap pimpinan belum ada satupun yang berjalan dengan optimal. Adapun faktor pendukung meliputi komitmen tenaga kesehatan, peran kader Posyandu, dan kesadaran ibu, sedangkan penghambat utamanya adalah kurangnya dukungan keluarga, faktor sosial budaya, serta keterbatasan fasilitas menyusui di tempat kerja. Kesimpulan: Secara umum, implementasi kebijakan belum berjalan secara optimal, ditunjukkan oleh belum efektifnya dimensi isi pesan, bentuk pesan, dan persepsi terhadap pimpinan. Keberhasilan sebagian didukung oleh komitmen tenaga kesehatan, peran aktif kader Posyandu, dan kesadaran ibu. Namun, implementasi masih terkendala oleh kurangnya dukungan keluarga, faktor sosial budaya, serta keterbatasan fasilitas menyusui di tempat kerja. Kata Kunci: Implementasi Kebijakan, ASI Eksklusif, Kesehatan Ibu dan Anak
| Item Type: | Thesis (Diploma) |
|---|---|
| Subjects: | H Social Sciences > H Social Sciences (General) |
| Divisions: | Campus > IPDN Kampus Jatinangor |
| Depositing User: | Kebijakan Pemerintahan FPP |
| Date Deposited: | 24 Jun 2025 03:32 |
| Last Modified: | 24 Jun 2025 03:32 |
| URI: | http://eprints.ipdn.ac.id/id/eprint/24956 |
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