IMPLEMENTATION OF THE DECREE OF KABANJAHE GENERAL HOSPITAL DIRECTOR CONCERNING NON-SMOKING AREA

Seriusman H. Sitanggang, Juanita Juanita, Raden Kintoko Rochadi

Abstract


Background: The case of smoking today becomes a big problem which can cause death in Indonesia. Law /No. 44/2009 on Hospital require hospital management impose a regulation that all areas of a hospital have to be KTR (No Smoking Area). Kabanjahe Regional General Hospital has implemented the policy of KTR according to the SK (Directive) of the Hospital which has not been implemented completely so far. The objective of this research was to analyze the implementation of SK Director RSU Kabanjahe No. 1255/RSU/2016 About KTR at RSU Kabanjahe in 2017.

Metode: This research used qualitative method with interview technique, participant observation, documentation and triangulation with sample consisting of 4 employees and 2 patients of Kabanjahe Hospital and using note book instrument, tape recorder, camera and researcher as instrument. The belief in the results of the research is done by testing the credibility, depenability, process and research results. The research was conducted in RSUD Kabanjahe.

Result: The result of the research showed that the implementation of KTR at RSU Kabanjahe did not run well although it had been implemented for eight years. It was caused by some inhibiting factors such as some of its managers and the personnel still smoked, there was no Regional Regulation which regulated it, there was the  lack of commitment of the Director in imposing sanction and in establishing a supervisory committee for KTR.

Conclusion: The implementation of KTR at Kabanjahe Hospital was not in accordance with the Directive of the Director of the hospital or failed. It is recommended that the hospital management increase disposition, and bureaucratic structure in supporting the policy on KTR.

Keywords: non smoking area, implementation, hospital

DOI: https://doi.org/10.26553/jikm.2018.9.1.64-73

 


References


Tobacco Control Support Centre (TCSC). Kawasan Tanpa Rokok dan Implementasinya – policy paper Seri 4. Jakarta: TCSC. 2012.

WHO Framework Convention on Tobacco Control. 2014 Sep 22

Undang-undang Republik Indonesia Nomor 44 Tahun 2009 Tentang Rumah Sakit.

Undang-undang Republik Indonesia Nomor 36 Tahun 2009 Tentang Kesehatan.

WHO-Tobacco Free Initiative. Perlindungan Terhadap Paparan Asap Rokok Orang Lain (Kawasan Tanpa Rokok) – Tobacco Intiative Bab 8. Jakarta: TFI. 2010.

Tobacco Control Support Centre (TCSC). Kawasan Tanpa Rokok dan Implementasinya – policy paper Seri 4. Jakarta: TCSC. 2012.

Marguerite, R.R. “Smoke-free mental health inpatient facility policies in Australia variation across states and territories”. Australian and New Zealand Journal of Public Health. 2017.

Adanna, Lisa, Bedour. “Smoking, attitudes to smoking and provision of smoking cessation advice in two teaching hospitals in Ireland: do smoke-free policies matter”. Journal Health Psychology and Behavioral Medicine, 2015. Vol. 3, No. 1, 142–153.

Kerrie. “Are Canadian hospitals leading by example to promote smoke-free hospital properties? Rationale, challenges and opportunities. Journal of Hospital Administration. 2016. Vol. 5, No. 4.

Joëlle, Sarah, Luisa. “Barriers to implement a smoke free hospital. What action should be taken”. Journal Malta Medical. 2014. Volume 26 Issue 03 2014.

Sugiyono. Metode Penelitian Kuantitatif dan kualitatif, Bandung : Alfabeta. 2012.

Surat Keputusan Direktur RSU Kabanjahe No. 1255/RSU/2016. Tentang Kawasan Tanpa Rokok (KTR).

William, Dunn. Pengantar Analisis Kebijakan Publik (terjemahan), Yogyakarta, Gajahmada University press. 2003.

Winarno, Budi. Teori dan Proses Kebijakan Publik. Yogyakarta: Media Pressindo. 2002.

Kemenkes RI. Peraturan Bersama Menteri Kesehatan dan Menteri dalam Negeri RI Nomor 188/ PB/I/ 2011 atau Permenkes Nomor 7 Tentang Pedoman Pelaksanaan Kawasan Tanpa Rokok, Jakarta. 2011.

Clare, Hannah, Baker. “Electronic Cigarettes on Hospital Campuses. International Journal of Environmental Research and Public Health. 2015. Diakses: 29 December 2015

http://tobaccocontrol.bmj.com/ smoke-free worksites, hospitals, United States. Diakses May 23, 2017.

Daniel, Sally, Jon. “Smoke-free Legislation and Hospitalizations for Childhood Asthma. The New England Journal of Medicine. 2010. Diakses 16 September 2010.

Agustino. Dasar-Dasar Kebijakan Publik, Bandung : Alfabeta. 2006.

Daniel, Mary, Robin. “Implementing smoking bans in American hospitals: results of a national survey. http://tobaccocontrol.bmj.com. 2017. Diakses 23 Mei 2017.

Indiahono. Kebijakan Publik Berbasis Dynamic Policy analisy.,Yokyakarta : Gaya Media. 2009.

Daniel Mackay, Sally Haw. “smoke free legislation and hospitalizations for childhood asthma”, The New Englang Journal of Medicine. 2017. Diakses 22 Mey 2017.

Prabandari. Kawasan Tanpa Rokok sebagai Alternative Pengendalian Tembakau Studi Efektivitas Penerapan Kebijakan Kampus Bebas Rokok terhadap Perilaku dan Status Merokok Mahasiswa di Fakultas Kedokteran UGM. Jurnal Manajemen Pelayanan Kesehatan. 2009. Vol. 12(04): 218-225.

Iswarno. Analisis Untuk Penerapan Kebijakan “ Analisis Stakeholder dalam Kebijakan Program Kesehatan Ibu dan Anak di Kabupaten Kapahiang”. Jurnal Kebijakan Kesehatan Indonesia. 2013.

Xisca Sureda, Montse Ballbe. ‘Impact of tobacco control policies in hospitals: Evaluation of a nationl smoke free”, Journal homepage: http://ees.elsevier.com/pmedr. Second-hand smoke Particulate matter Smoke-free campuses Hospitals Tobacco smoke pollution, 2014. Diakses 1 November 2014.


Full Text: PDF

Refbacks

  • There are currently no refbacks.


Organized by Department of Public Health, Faculty of Public Health, Universitas Sriwijaya. Website design © 2017

 

Creative Commons LicenseJurnal Ilmu Kesehatan Masyarakat (JIKM) published by Public Health Faculty Sriwijaya University is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.