Electronic Theses and Dissertation

Kota Banda Aceh menjadi kota dengan jumlah kasus HIV/AIDS tertinggi di Provinsi Aceh. Dengan melihat jumlah kasus terbanyak di Banda Aceh pada kelompok usia 20-29 yang terindikasi terinfeksi pertama kali pada saat remaja. Oleh karena itu perlu adanya upaya yang lebih serius dengan menargetkan remaja sebagai target sasaran pencegahan dini. Dalam upaya menekan angka kasus, telah dijalankan berbagai program seperti kegiatan sosialisasi, layanan deteksi dini atau screening melalui Voluntary Counseling and Testing (VCT), layanan PDP, serta program mobile screening yang menyasar kelompok berisiko termasuk remaja. Penelitian ini bertujuan untuk mengetahui implementasi program pencegahan dan pengendalian kasus HIV/AIDS dan faktor yang menjadi penghambat implementasi program. Penelitian ini mengguanakan jenis penelitian kualitatif dengan pendekatan deskriptif. Penelitian ini menggunakan landasan teori implementasi kebijakan oleh George C Edward III dengan 4 indikator yaitu komunikasi, sumber daya, disposisi, dan struktur birokrasi. Hasil penelitian menunjukkan bahwa, komunikasi belum cukup baik dilihat dari penyampaian edukasi melalui sosialiasi kepada remaja belum menjangkau seluruh sekolah dan banyak remaja belum mendapat informasi yang memadai. Meskipun sumber daya manusia sudah memadai namun kinerja pegawai terhambat pada kurangnya regenerasi tenaga kerja, beban tugas ganda dan kekurangan tenaga ahli dalam bidang teknologi. Sedangkan sumber pendanaan berasal dari beberapa sumber dana dan dianggap belum mencukupi. Disposisi dalam pelaksaan program dinilai sudah sangat baik. Struktur birokrasi dalam program dinilai belum optimal, dilihat dari ketiadaan struktur organisasi khusus, selain itu SOP hanya mengacu pada pedoman Kementerian Kesehatan dan belum sepenuhnya mencakup panduan operasional yang menyeluruh dan menyesuaikan setiap kegiatan tertentu bergantung pada Kerangka Acuan Kerja (KAK). Dan faktor penghambat dalam program ini yakni stigma dan diskriminasi, pemahan dan kesadaran remaja, dan kemudahan akses berbagai platform digital. Disarankan Dinas Kesehatan Kota Banda Aceh untuk dapat lebih berinovasi dan memaksimalkan sosialisasi dan edukasi yang lebih menarik kepada remaja melalui media sosial positif.
Kata kunci: Implementasi Program, Remaja, HIV/AIDS, Pencegahan dan Pengendalian

Banda Aceh is the city with the highest number of HIV/AIDS cases in Aceh Province. By looking at the highest number of cases in Banda Aceh in the age group of 20-29 who were indicated to be infected for the first time during adolescence. Therefore, more serious efforts are needed by targeting adolescents as the target of early prevention. In an effort to reduce the number of cases, various programs have been carried out such as socialization activities, early detection services or screening through Voluntary Counseling and Testing (VCT), PDP service and mobile screening programs that target at-risk groups, including adolescents groups including adolescents. This study aims to determine the implementation of the HIV/AIDS prevention and control program and the factors that hinder the implementation of the program. This research uses qualitative research with a descriptive approach. This research uses the theoretical basis of policy implementation by George C Edward III with 4 indicators, namely communication, resources, disposition, and bureaucratic structure. The results showed that communication is not good enough as seen from the delivery of education through socialization to adolescents has not reached all schools and many adolescents have not received adequate information. Although human resources are adequate, employee performance is hampered by the lack of labor regeneration, double workload and lack of experts in the field of technology. Meanwhile, funding sources come from several sources of funds and are considered insufficient. The disposition in implementing the program is considered very good. The bureaucratic structure in the program is considered not optimal, seen from the absence of a special organizational structure, besides that the SOP only refers to the Ministry of Health guidelines and does not fully cover comprehensive operational guidelines and adjusts each specific activity depending on the Terms of Reference (KAK). And the inhibiting factors in this program are stigma and discrimination, youth understanding and awareness, and easy access to various digital platforms. It is recommended that the Banda Aceh City Health Office be able to innovate more and maximize socialization and education that is more attractive to adolescents through positive social media. Keywords: Program Implementation, Adolescents, HIV/AIDS, Prevention and Control