IMPLEMENTASI KEBIJAKAN KESEHATAN REPRODUKSI DI INDONESIA: SEBELUM DAN SESUDAH REFORMASI
ABSTRACT: Policy on
reproductive health is one of the essential determinant to address the goals of
population and health development in Indonesia. Maternal Mortality Ratio (MMR),
teenage marriage, and Total Fertility Rate (TFR) are among the indicators that
show the important role of reproductive health policy. This article discusses
the progress of reproductive health policy implementation in Indonesia and its
implication to early marriage, TFR, and MMR. Data used in this paper are mainly
derived through desk studies from previous research conducted by the Research
Center for Population – Indonesian Institute of Sciences. The studies consist
of reproductive health policy and regional autonomy (2000-2005), BKKBN’s
decentralization (2005), HIV/AIDS in border areas (2006-2009), and the
implementation of integrated reproductive health services in primary health
care (2007). Desk reviews are also used to analyze current studies from LIPI
that are related to these issues.
LIPI’s [AD1] studies showed that there is a gap between the
implementation of reproductive health policy at the global and national level
with the district level. The implementation of reproductive health services are
not yet integrated as it is less popular than adolescent reproductive health
policy. Policy priorities for relevant stakeholders have not been implemented
synergically. The implementation of decentralization policy in early 2000’s
created various commitments from the local government in prioritizing
reproductive health programs. BKKBN’s decentralization, for example, has
affected not only the structure of its institution at district level, but also
the function of the family planning facilitator at village level. Meanwhile,
pilot project implementation on the integrated essential reproductive health
services in primary health cares that has significant contribution also faced
uncertainty in terms of its continuation. Hence, this article suggests the importance
of synergizing reproductive health policy at the global, national, and district
level to meet the appropriate situation and needs at the local context.
Otherwise, teenage marriage, TFR, and MMR as well as other population issues
will be further overlooked.
Penulis: Zainal Fatoni, Yuly
Astuti, Augustina Situmorang, Widayatun NFN, Sri Sunarti Purwaningsih
Kode Jurnal: jpsosiologidd150633
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