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Studi Kebijakan Pengendalian Schistosomiasis di Kabupaten Poso dan Kabupaten Sigi Provinsi Sulawesi Tengah Tahun 2012
Schistosomiasis is one of the most important parasitic diseases in public health. In Indonesia schistosomiasis caused by worms Schistosoma japonicum in Oncomelania hupensis snail intermediate host lindoensis. The disease is only found in Studi Kebijakan Pengendalian … (Ahmad Erlan, Muh. Junaidi, Ni Nyoman Veridiana, Puryadi, Octaviani)
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Central Sulawesi province in two districts of Poso district and Sigi. This control is performed during routine is still the treatment, the survey focused snails, stool collection, and procurement tool kit. There was no study have ever been carried out regarding the government policy to eradicate schistosomiasis. This study generally aims to provide policy options for local governments in the control of schistosomiasis. Specific objectives to be achieved are to assess
stakeholder perceptions regarding the control of schistosomiasis, appraise the policy that has been used by the local government in the control of schistosomiasis and formulate a policy option. The research method used is a qualitative study with in-depth interviews to stakeholders in Poso district, Sigi, and Central Sulawesi provincial government. The purposive samples were stakeholders who are competent to issue a policy on the control of schistosomiasis. Primary data were collected by in-depth interviews, and secondary data were obtained by collecting ocuments related to schistosomiasis control policies.
The results of in-depth interviews showed that in general all the stakeholders already knew that schistosomiasis is a disease in specific local Indonesian and only found in Central Sulawesi, besides, they also understand the cause and how to control the disease. As a follow-up of the decree issued by the Governor of Central Sulawesi, an integrated team of schistosomiasis control was established, however, no activities have been carried out by the team up to now. There was no clear guidelines have been set up. There is a need to conduct inter-sectoral meeting in order to eliminate the cases below 1%. The study conclude that the stakeholders’ perception on chistosomiasis, what the cause of it, and how to control them are relatively good. The Governor supported the policy of local district government in eradication of schistosomiasis. However, lack of operational guidelines made these activities did not operate very well. The propose policies option among others is to established a regulation that all related infrastructures
should support the schistosomiasis eradication process by providing resources and funds including contributing ideas and measures to achieve the objectives. Communities should also involves and be responsible in the process including carry out sanctions to community members who do not comply with the regulation through community punishment. To those who do not comply with the rule to keep their environmental clean and sanitary should be given a sanctions such as to cut their cow/livestock. Supporting Team Integrated Control of Schistosomiasis is needed for a regulation as the regulation on the ground that the implementation of the full support of all SKPDs involved in providing assistance both contribute ideas, resources and funds. People should be given the customary penalties, such as fines cut a cow from
traditional leaders behave otherwise clean and healthy living in endemic areas and the need to support local government programs in the control of schistosomiasis.
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