Health Communication Planning Implementation for the Healthy Living Community Movement Program based on Management by Objectives Theory in Banyumas Regency

Abstract

GERMAS (Healthy Living Community Movement) is a program initiated by the Ministry of Health of the Republic of Indonesia to carry out comprehensive and holistic interventions to cultivate healthy living behavior in society. Regarding to this issue, several activities were launched in the forms of promotive, preventive, curative and rehabilitative efforts as a continuum of care or integrated sustainable care in line with the spirit of community empowerment and increasing multisectoral action. This study is to examine the implementation of Management by Objectives (MBO) Theory of Peter Drucker through the Community Health Center (Puskesmas) in GERMAS program. This research uses a descriptive-qualitative method with emphasis on triangulation of data collection techniques in the form of observation, interviews and literacy studies. In-depth observations and interviews were carried out with the Youth Posyandu team leader at the Puskesmas North Purwokerto 2, Banyumas District Nutrition Expert, Banyumas District pediatrician, and 15 Youth Posyandu cadres as an implementation of the use of data source triangulation. The other data were obtained from written documents such as Basic Health Research, Government Regulations from the Ministry of Health of the Republic of Indonesia, Technical Instructions for Organizing Youth Posyandu from the Ministry of Health, as well as the results of internal meetings at the Banyumas District Service regarding the implementation of Youth Posyandu. The results revealed that, (1) The stages of top management commitment have been clearly defined and stated in Presidential Instruction (Inpres) Number 1 of 2017. (2) The participation stage is marked by the setting of more concrete goals, namely preparing for a demographic bonus in the 2020-2035 range, Golden Indonesia 2045, and threats to the mental and physical health of teenagers. The release of the Technical Guidelines for the Implementation of Youth Posyandu in 2018 by the Ministry of Health constitutes an indicator of guidelines for program implementation. However, at present the implementation has not optimally conducted in various Puskesmas. This is caused by a lack of human resources, daily routine work that takes up a lot of time, and other programs already running also need attention. (3) The communication stage is marked by the implementation of the program for adolescents. The importance of raising awareness regarding the crucial importance of this program is not easy because teenagers consider that the age of 10-19 years is a healthy and productive age, so invitations to join Posyandu are less attractive.