SITUASI PERAWAT PEGAWAI TIDAK TETAP DI DAERAH TERPENCIL PEGUNUNGAN MERATUS KABUPATEN HULU SUNGAI TENGAH – SEBUAH EVALUASI TERHADAP IMPLEMENTASI KEBIJAKAN

Abstract

Background: The operation of mobile health center activities
is currently unable to increase the coverage and provide equal
distribution of basic health service for people in isolated areas.
The cost for mobile health center activities is relatively
high; it needs lots of staff and the service hours are limited. As
the budget for mobile health center operation is limited, the
frequency of mobile health center activities is relatively low.
Further consequence is that the implementation of survaillance
and priority program is constrained. To improve health service
for people living in isolated areas of Meratus Mountain the
District Government of Hulu Sungai Tengah in 2002 issued a
policy on Non Permanent Staff Nurses. This policy is aimed to
provide continuous and accessible basic health service for
the community whenever they need it.
Method: This was a descriptive qualitative study that used a
case study design and was carried out at 4 villages that got
allocation of non permanent staff nurses with as many as 14
informants. Primary data were obtained from indepth interview
whereas secondary data were obtained from document
search particularly documents at Hulu Sungai Tengah district
health office and health centers. Observation was also made
to get information not covered in indepth interview.
Result: The result shows improvement in availability of basic
services to the community. On the other hand limited facilities
are made available to the non permanent staff nurses, along
with inadequate equipment, supplies, and vehicle to do their
work. Also there is lack of additional incentive and regular
monitoring to support them.
Conclusion: Basic health service was available more continuously
and more accessible for people at isolated areas.
However, findings also suggest that the policy of non permanent
staff nurses for isolated areas of Meratus Mountain, District
of Hulu Sungai Tengah had not been fully supported by
necessary facilities, equipment, additional incentives and monitoring.
Keywords: policy evalution, non permanent staff nurses, isolated
areas,