Evaluation of the Context of the Implementation of the Development Program for Five New Regional General Hospitals (RSUD) in Bandung Regency
Abstract
The program to build five new regional public hospitals (RSUD) in Bandung Regency was initiated as a strategic effort to improve equitable access to health services, especially in remote areas, as targeted by the 2021–2026 Regional Medium-Term Development Plan (RPJMD) (Bandung Regency, 2021). This study evaluates the program's implementation process, focusing on two operational RSUDs: RSUD Cimaung and RSUD Kertasari. The approach used was descriptive qualitative with the Stufflebeam CIPP evaluation model, focusing on the process dimension, which includes technical/administrative planning, actor involvement, inter-agency coordination, transparency, field constraints, budget implementation, and realization of development outputs (Stufflebeam & Zhang, 2017). The results indicate that the program implementation process in both RSUDs was relatively effective: intensive cross-agency coordination accelerated construction, resulting in the completion of the two RSUDs in 3.5 years (faster than the 5-year plan) (Anggara, 2014). Technical and administrative planning was implemented in accordance with regulations (feasibility study, permits, DED) (Bandung Regency Health Office, 2021), with primary funding from the Regional Budget (APBD) allocated in stages, supplemented by support from the central government's Special Allocation Fund (DAK) (Bandung Regency Health Office, 2023). Stakeholder engagement was well-established, including collaboration between the Health Office and the Public Works and Housing Agency (PUPR) and outreach to the local community. Transparency was maintained through internal oversight and community participation (e.g., through local NGOs), thus increasing accountability (Freeman, 2006). However, challenges such as limited human resources and facilities were encountered during the initial operation, particularly at the more remote Kertasari Regional Hospital (Ministry of Health of the Republic of Indonesia, 2023). These challenges were addressed through the gradual recruitment of contract workers and equipment assistance from the provincial government. Overall, the evaluation process indicated that program implementation was on track and produced the expected output (the hospital was established and serving the community), but continued improvement was needed (Stufflebeam & Shinkfield, 2007). Recommendations are given to maintain cross-sector coordination, increase information transparency, accelerate the procurement of infrastructure, and strengthen the strategy for providing human resources, especially for regional public hospitals in remote areas, to ensure optimal service.
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References
Abdul Kadir Karding. (2008). Evaluasi Pelaksanaan Program Bantuan Operasional Sekolah. Semarang: Komputindo.
Alam, S. (2009). Analisis Kebijakan Publik. Bandung: Penerbit XYZ.
Alamsyah, M. (2016). Evaluasi Kebijakan: Pendekatan dan Implementasi. Jakarta: ABC Publisher.
Anderson, J. E. (2003). Public policy making: An introduction (6th ed.). Boston: Houghton Mifflin.
Anderson, J. E. (2003). Public Policy-Making: An Introduction. Boston: Houghton Mifflin Company.
Anggara, S. (2014). Dasar-dasar kebijakan publik. Bandung: Pustaka Ilmu.
Ayuningtyas, D. (2014). Pengantar kebijakan kesehatan. Rajawali Pers.
Bappenas. (2007). Pedoman pelaksanaan evaluasi program. Jakarta: Kementerian PPN/Bappenas.
Bappenas. (2007). Pedoman Pelaksanaan Evaluasi. Jakarta: Badan Perencanaan Pembangunan Nasional.
Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). Thousand Oaks, CA: Sage.
Dewi, R. (2020). Siklus kebijakan publik. Yogyakarta: Gadjah Mada University Press.
Dinas Kesehatan Kabupaten Bandung. (2023). Laporan kinerja Dinas Kesehatan Kabupaten Bandung tahun 2023. Kabupaten Bandung.
Dye, T. R. (2017). Understanding public policy (15th ed.). New York: Pearson.
Fayol, H. (1949). General and industrial management. Pitman Publishing.
Fernandes, R. (1984). Evaluasi program dan pelatihan. Jakarta: LP3ES.
Freeman, R. (2006). Learning in public policy. In P. Moran, M. Rein, & R. E. Goodin (Eds.), The Oxford handbook of public policy (pp. 367–388). Oxford University Press.
Freeman, R. (2006). Policy Analysis and Governance. New York: Routledge.
Friedrich, C. J. (1971). Man and his government: An empirical theory of politics. New York: McGraw-Hill.
Islamy, M. I. (2014). Prinsip-prinsip perumusan kebijakan negara. Jakarta: Bumi Aksara.
Kawengian, G. (2015). Manajemen dan Evaluasi Kebijakan Publik. Manado: UNSRAT Press.
Kementerian Kesehatan Republik Indonesia. (2023). Profil Kesehatan Indonesia Tahun 2022. Jakarta: Kemenkes RI.
Lindblom, C. E. (1986). The policy-making process. Englewood Cliffs, NJ: Prentice Hall.
Luthans, F. (1998). Organizational behavior (8th ed.). McGraw-Hill.
Madani, A. (2011). Agenda Setting dalam Kebijakan Publik. Jakarta: Penerbit Grafindo.
Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook (2nd ed.). Sage Publications.
Nuraini, A., Isnaini, A., & Mahyuni, M. (2020). Manajemen rumah sakit dan konsep green hospital: Studi implementatif di Sumatera. Jurnal Kebijakan Kesehatan, 8(2), 122–130.
Patton, M. Q. (2002). Qualitative research & evaluation methods (3rd ed.). Sage Publications.
Pratama, A., & Sari, D. (2023). Evaluasi kinerja gedung puskesmas di Kabupaten Bandung. Jurnal Pondasi, 21(1), 33–44.
Purwanto, E. A. (2004). Kebijakan Publik: Teori dan Aplikasi. Jakarta: Erlangga.
Riant, R. N. (2006). Evaluasi kebijakan publik. PT Elex Media Komputindo.
Samodra Wibawa. (1994). Analisis kebijakan publik. Yogyakarta: Gadjah Mada University Press.
Sawitri, S. (2007). Evaluasi program pendidikan. Universitas Terbuka.
Sellang, S. (2016). Manajemen pelayanan publik dan kesejahteraan sosial. Makassar: UNM Press.
Setiawan, B. (1999). Panduan evaluasi program pembangunan. Direktorat Pemantauan dan Evaluasi Bappenas.
Setyawan, D., Wahyudi, T., & Ramadhan, A. (2019). Renstra Rumah Sakit Ernaldi Bahar Provinsi Sumatera Selatan 2019–2023. Palembang: Dinas Kesehatan Sumatera Selatan.
Shafritz, J. M., & Russell, E. W. (2003). Introducing public administration (4th ed.). Longman.
Stake, R. E. (2006). Multiple case study analysis. Guilford Press.
Stufflebeam, D. L., & Shinkfield, A. J. (2007). Evaluation Theory, Models, and Applications. San Francisco: Jossey-Bass.
Stufflebeam, D. L., Madaus, G. F., & Scriven, M. S. (1983). Evaluation models: Viewpoints on educational and human services evaluation. Boston: Kluwer-Nijhoff.
Sudjana, D. (2006). Evaluasi Program Pendidikan: Untuk Pendidikan Nonformal dan Pengembangan Sumberdaya Manusia. Bandung: Falah Production.
Sudjana, D. (2006). Metode evaluasi pendidikan. Remaja Rosdakarya.
Sugiyono. (2013). Metode penelitian kuantitatif, kualitatif dan R&D. Bandung: Alfabeta.
Suharno, D. (2009). Dasar-dasar kebijakan publik. Yogyakarta: UNY Press.
Terry, G. R. (2000). Principles of management (8th ed.). AITBS Publishers.
Tyler, R. W. (1950). Basic Principles of Curriculum and Instruction. Chicago: University of Chicago Press.
Wahab, S. A. (2008). Analisis Kebijakan: Dari Formulasi ke Implementasi Kebijakan Negara. Jakarta: Bumi Aksara.
WHO. (2023). Global monitoring report on universal health coverage. World Health Organization. https://www.who.int/
Winarno, B. (2004). Kebijakan publik: Teori dan proses. Jakarta: PT Bumi Aksara.
Winarno, B. (2007). Kebijakan publik untuk negara berkembang. Yogyakarta: Pustaka Pelajar.
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