“Implementation of the Family Planning Program at Selected Community Health Centers in Gorontalo Regency”
Keywords:
Family Planning Program, Human Resources, Communication, Disposition, Bureaucratic StructureAbstract
ABSTRACT
Family Planning (FP) is a key preventive health service for women. Enhancing and expanding family planning services is a strategy to reduce high rates of pregnancy-related maternal morbidity and mortality, as well as to lower birth rates. This study aimed to assess the implementation of the Family Planning program at the Limboto, Biluhu, and Pulubala Community Health Centers (Puskesmas) in Gorontalo Regency. A qualitative descriptive case study design was employed. The three primary informants were the heads of the respective Community Health Centers. Six additional informants—comprising coordinating midwives and village midwives from the three centers—also participated. The collected data were processed using triangulation and subsequently organized into a research matrix. Human resources, equipment, and supplies were found to be adequate. However, a significant obstacle was the lack of specific funding allocations to support the FP program from either the regional budget (APBD) or the National Health Insurance (JKN) scheme. Effective communication, cross-sector collaboration, and quality public education are key to the program's successful implementation and active community participation. The implementation process involves various stakeholders and complementary stages. A bureaucratic structural approach—characterized by inter-agency cooperation and coordination—has yielded significant positive results. To date, the implementation of the Family Planning program in Gorontalo Regency has been successful. The leadership provided by the heads of the Community Health Centers, supported by coordinating and village midwives as frontline service providers, forms a solid foundation for the program's execution.
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