AN ANALYSIS ON THE POLICY IMPLEMENTATION OF ANTIBACTERIAL RESISTANCE CONTROL AT THE HOSPITAL

Nani indriana, Wiku Bakti. B Adisasmito

Abstract


Abstract. In order to control Antibacterial Resistance at the hospital in Indonesia, the Government of Indonesia established an Antibiotics Resistance Control Committee and issued a Regulation from the Ministry of Health, regulation no 8/2015 on an antibiotics resistance control program at the hospital. This is an investigation on the Antibacterial Resistance Control Program (ARCP) at the Hospital, which compares its implementation at a government hospital and a private hospital, Persahabatan Central General Hospital (CGH) and Bogor Indonesian Red Cross Hospital (BIRCH). This was a descriptive study with a qualitative analysis obtained through indepth interviews and documentary research. We discovered that the ARCP was implemented better at Persahabatan CGH compared to BIRCH. Problems include ineffective communication, limited resources, lack of an antibiotic guideline (at BIRCH), lack of coordination between organizations, lack of supervision from the government, and the lack of motivation to implement the policy. These issues can be solved by intensifying the socialization of the policy, conducting more workshops and trainings for private and government hospitals that has not received any, providing an incentive for them to implement the program, such as including ARC into hospital accreditation indicators, and clarifying the benefits of the program to the stakeholders. Abstrak. Salah satu upaya pengendalian resistensi antibiotika di Indonesia adalah pembentukan pembentukan Komite Pengendalian Resisten Antibiotika (KPRA) dan diterbitkannya Permenkes no. 8 Tahun 2015 tentang program pengendalian resistensi antibiotika (PPRA) di rumah sakit (RS). Penelitian ini bertujuan untuk menggali lebih dalam terhadap implementasi kebijakan PPRA di RS dibandingkan antara RS pemerintah dengan RS swasta yaitu RS Persahabatan dan RS PMI. Metode penelitian merupakan studi deskriptif dengan analisis kualitatif melalui wawancara mendalam dan telaah dokumen. Hasil penelitian menyimpulkan bahwa pelaksanaan PPRA di RS Pemerintah lebih baik dari RS Swasta. Saran yang diajukan adalah mempercepat peningkatan kesadaran akan pentingnya PPRA, terutama bagi RS.

Keywords


PPRA; Antibacterial Resistance; Hospital; Policy Implementation

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References


Chudlori B, Kuswandi M, dan Indrayudha P. (2012). Pola Kuman dan Resistensinya Terhadap Antibiotika dari Spesimen Plus di RSUD Dr. Moewardi Tahun 2012. Jurnal Farmasi Indonesia Pharmacon vol. 13(2):70–76. Diunduh dari: https://publikasiilmiah.ums.ac.id/bitstream/handle/11617/3372/2012-13-2- 70.pdf?sequence=1&isAllowed=y

Data Workshop PPRA RS Rujukan. (2016). Jakata: Kemenkes RI.

Hayati, Z., Azwar, A., & Puspita, I. (2016). Pola dan Sensitivitas Antibiotik Bakteri Yang Berpotensi Sebagai Penyebab Infeksi Nosokomial di Ruang Rawat Bedah RSUDZA Banda Aceh. YARSI Medical Journal vol. 20(3), hal. 158–166. Diunduh dari: http://academicjournal.yarsi.ac.id/index.php/jurnal-fk-yarsi/article/view/168/104 pada tnaggal 17 Maret 2017.

Holmes AH, Moore LSP, Ord S, et al. (2016). Understanding the mechanisms and drivers of antibiotics resistance. Antibioticss: Access and Sustainable Effectiveness vol. 387(10014): 176-187.

Huttner A, Harbarth S, Carlet J, et al. (2013). Antibiotics resistance: a global view from the 2013 World Healthcare- Associated Infections Forum. Antibiotics Resistance and Infection Control, 2(31):13.

Kemenkes RI. (2015). Permenkes RI No. 8 Tahun 2015 tentang PPRA di RS. Hukor Depkes RI. Jakarta. Diunduh dari: https://doi.org/10.1017/CBO9781107415324.004.

KPRA. (n.d.). KPRA. Retrieved March 17, 2017. Diunduh dari: https://kpra.wordpress.com/

Moeloek FN. (2015). Tantangan dan Komitmen dalam Penanganan: Antibiotics Resistance (AMR) di Indonesia - Sehat Negeriku. Diunduh dari http://sehatnegeriku.kemkes.go.id/ baca/blog/20150629/1912686/tantangan-dan-komitmen-dalam-penanganan-antibiotics-resistance-amr-di-indonesia/ pada tanggal 17 Maret 2017.

Nawawi, I. (2009). Public Policy: analisis, strategi. advokasi dan praktek. Jakarta: Putra Media Nusantara.

Negara, S. K. (2014). Analisis Implementasi Kebijakan Penggunaan AntibiotikaRasional Untuk Mencegah Resistensi Antibiotika di RSUP Sanglah Denpasar: Studi KasisInfeksi Methicillin Resistant Staphylococcus Aureus. ARSI, 1(1), 42–50. Retrieved from http://journal.ui.ac.id/index.php/arsi/article/viewFile/5211/3496

Refdanita, Maksum R, Nurgani A, dan Endang P. (2004). Pola Kepekaan Kuman Terhadap Antibiotika di Ruang Rawat Intensif RS Fatmawati Jakarta Tahun 2001-2002. Makara Kesehatan vol. 8(2), hal. 41–48. Diunduh dari http://journal.ui.ac.id/index.php/health/article/viewFile/293/289 pada tanggal 17 Maret 2017.

Simões AS. (2016). Prevention and Control of Antibiotics Resistant Healthcare- Associated Infections: The Microbiology Laboratory Rocks! Front Microbiol vol. 7, hal. 855. Diunduh dari http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4895126/ pada tanggal 17 Maret 2017.

Subarsono, A. (2016). Analisis Kebijakan Publik: Konsep, Teori dan Aplikasi. Yogyakarta: Pustaka Pelajar.

Supriadi A. (2012). Analisis Prakondisi Implementasi Kebijakan Peningkatan Kompetensi Guru. Jurnal Pendidikan Dan Pembelajaran (JPP).

Tjaniadi P, Lesmana M, Subekti D, et al. (2003). Antibiotics Resistance of Bacterial Pathogens Associated with Diarrheal Patients in Indonesia. The American Journal of Tropical Medicine and Hygiene vol. 68(6), hal. 666–670.

Winarno, B. (2012). Kebijakan Publik: Teori, Proses dan Study Kasus. Yogyakarta: CAPS

World Health Organization. (2015). Global Action Plan on Antibiotics Resistance. Geneva: WHO Document Production Series.




DOI: http://dx.doi.org/10.7454/ihpa.v3i2.2128

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