The+Precede Proceed+Model

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0\nosupersub\cf2\f3\fs22 Promosi Kesehatan \par\pard\ql \li3050\sb127\sl-253\slm
ult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4\f5\fs22 2.1.1. Pengertian
Promosi Kesehatan \par\pard\qj \li3715\ri1954\sb6\sl-400\slmult0\fi535 \up0 \ex
pndtw-2\charscalex100 Istilah promosi kesehatan selama ini selalu dihubungkan de
ngan \line \up0 \expndtw-2\charscalex100 penjualan \up0 \expndtw0\charscalex101
(\ul0\nosupersub\cf5\f6\fs22 sales\ul0\nosupersub\cf4\f5\fs22 ), periklanan \up0
\expndtw0\charscalex103 (\ul0\nosupersub\cf5\f6\fs22 advertising\ul0\nosupersub
\cf4\f5\fs22 ), dan dipandang sebagai \par\pard\qj \li3715\ri1954\sb0\sl-390\slm
ult0 \up0 \expndtw0\charscalex100 pendekatan propaganda yang didominasi oleh
penggunaan media \up0 \expndtw-1\charscalex100 massa. Dalam konteks kesehatan
, promosi berarti upaya memperbaiki \up0 \expndtw0\charscalex102 kesehatan denga
n cara memajukan, mendukung, dan menempatkan \up0 \expndtw0\charscalex103 keseha
tan lebih tinggi dari agenda, baik secara perorangan maupun \up0 \expndtw0\chars
calex104 kelompok. Determinan pokok promosi kesehatan adalah aspek \up0 \e
xpndtw-2\charscalex100 ekonomi, sosial, dan lingkungan yang seringkali berada di
luar kontrol \up0 \expndtw-2\charscalex100 perorangan atau masyarakat secara ko
lektif. \par\pard\qj \li3715\ri1954\sb0\sl-390\slmult0\fi535 \up0 \expndtw-1\cha
rscalex100 Oleh karena itu aspek promosi kesehatan yang mendasar adalah \line \u
p0 \expndtw-2\charscalex100 melakukan pemberdayaan sehingga individu lebih mampu
mengontrol \line \up0 \expndtw-2\charscalex100 aspek-aspek kehidupan mereka yan
g mempengaruhi kesehatan (Ewles \line \up0 \expndtw0\charscalex102 dan Simnett,
1994). Menurut pengertian tersebut terdapat dua unsur \line \up0 \expndtw0\chars
calex102 tujuan dan proses kegiatan promosi kesehatan dan memiliki kontrol \line
\up0 \expndtw-1\charscalex100 yang lebih besar terhadapnya (aspek-aspek kehidup
an mempengaruhi \line \up0 \expndtw0\charscalex102 kesehatan). Definisi WHO,

berdasarkan piagam Ottawa \up0 \expndtw-3\charscalex100 (Otawa \par\pard\ql \l
i3715\sb103\sl-253\slmult0 \up0 \expndtw-3\charscalex100 Charter, 1986) mengenai
promosi kesehatan sebagai berikut: \par\pard\qj \li3715\ri1954\sb14\sl-390\slmu
lt0\fi535 \up0 \expndtw0\charscalex101 \u8220?\ul0\nosupersub\cf5\f6\fs22 health
promotion is the process of enabling people to control \up0 \expndtw0\charscale
x102 over and improve their health. To reach a state of comlete physical, \up0 \
expndtw-1\charscalex100 mental, and social well-being, an individual or group mu
st be able to \up0 \expndtw-1\charscalex100 identify and realize aspiration, to
satisfy needs, and to change or cope \up0 \expndtw-2\charscalex100 with the envi
ronment.\u8221? \par\pard\qj \li3715\ri1954\sb0\sl-390\slmult0\fi535 \up0 \expnd
tw-1\charscalex100 \ul0\nosupersub\cf4\f5\fs22 Berdasarkan definisi di atas WHO
menekankan bahwa promosi \up0 \expndtw0\charscalex104 kesehatan merupakan suatu
proses yang bertujuan memungkinkan \up0 \expndtw-1\charscalex100 individu mening
katkan kontrol terhadap kesehatan dan meningkatkan \up0 \expndtw-2\charscalex100
kesehatannya berbasis filosofi yang jelas mengenai pemberdayaan diri \up0 \expn
dtw-2\charscalex100 sendiri (\ul0\nosupersub\cf5\f6\fs22 self empowerment\ul0\no
supersub\cf4\f5\fs22 ). \par\pard\qj \li3715\ri1954\sb0\sl-400\slmult0\fi535 \up
0 \expndtw0\charscalex102 Batasan ini menekankan bahwa promosi kesehatan a
dalah \line \up0 \expndtw0\charscalex103 program masyarakat yang menyeluruh,
bukan hanya perubahan \par\pard\ql \li10007\sb0\sl-241\slmult0 \par\pard\ql\l
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\pard\sb0\sl-240{\bkmkstart Pg2}{\bkmkend Pg2}\par\pard\qj \li3715\sb0\sl-390\sl
mult0 \par\pard\qj\li3715\sb0\sl-390\slmult0 \par\pard\qj\li3715\sb0\sl-390\slmu
lt0 \par\pard\qj\li3715\sb0\sl-390\slmult0 \par\pard\qj\li3715\ri1954\sb197\sl-3
90\slmult0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf4\f5\fs22 perilaku, me
lainkan juga perubahan lingkungan. Perubahan perilaku \up0 \expndtw0\charscalex1
00 tanpa diikuti perubahan lingkungan tidak akan efektif dan juga dapat \up0 \ex
pndtw0\charscalex105 dipastikan tidak akan bertahan lama. Oleh sebab itu
promosi \up0 \expndtw-2\charscalex100 kesehatan bukan hanya mengubah perilaku,
tetapi juga mengharapkan \up0 \expndtw-3\charscalex100 perubahan lingkungan, sys
tem dan kebijakan kesehatan. \par\pard\ql \li3715\sb0\sl-241\slmult0 \par\pard\q
l\li3715\sb0\sl-241\slmult0 \par\pard\ql\li3715\sb0\sl-241\slmult0 \par\pard\ql\
li3715\sb0\sl-241\slmult0 \par\pard\ql\li3715\sb0\sl-241\slmult0 \par\pard\ql\li
3715\sb0\sl-241\slmult0 \par\pard\ql\li3715\sb0\sl-241\slmult0 \par\pard\ql\li37
\sb0\sl-241\slmult0 \par\pard\ql\li3715\sb0\sl-241\slmult0 \par\pard\ql\li3715\s
b0\sl-241\slmult0 \par\pard\ql\li3715\sb0\sl-241\slmult0 \par\pard\ql\li3715\sb0
\sl-241\slmult0 \par\pard\ql\li3715\sb20\sl-241\slmult0 \up0 \expndtw-3\charscal
ex100 \ul0\nosupersub\cf6\f7\fs20 Gambar 1. Proses promosi kesehatan (Sumber: De

pkes RI, 2007) \par\pard\ql \li3053\sb0\sl-253\slmult0 \par\pard\ql\li3053\sb0\s
l-253\slmult0 \par\pard\ql\li3053\sb4\sl-253\slmult0 \up0 \expndtw-3\charscalex1
00 \ul0\nosupersub\cf4\f5\fs22 2.1.2. Sasaran Promosi Kesehatan \par\pard\qj \li
3715\ri1954\sb34\sl-390\slmult0\fi535 \up0 \expndtw0\charscalex103 Sasaran Prom
osi Kesehatan diarahkan pada individu atau \up0 \expndtw0\charscalex100 kel
uarga, masyarakat atau lintas sektoral atau politis atau swasta, dan \up0 \expnd
tw-3\charscalex100 petugas atau pelaksana program. \par\pard\ql \li3718\sb104\sl
-253\slmult0 \up0 \expndtw-3\charscalex100 1. Individu / keluarga \par\pard\ql \
li3984\ri1954\sb6\sl-400\slmult0\tx4250 \up0 \expndtw-1\charscalex100 a)\ul0\nos
upersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Memperoleh informasi kesehatan
melalui berbagai saluran (baik \line\tab \up0 \expndtw-3\charscalex100 langsung
maupun melalui media massa). \par\pard\ql \li3984\ri1954\sb0\sl-400\slmult0\tx42
50 \up0 \expndtw0\charscalex102 b)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\c
f4\f5\fs22 Mempunyai pengetahuan dan kemauan untuk memelihara, \line\tab \u
p0 \expndtw-3\charscalex100 meningkatkan, dan melindungi kesehatannya. \par\pard
\ql \li3984\sb82\sl-253\slmult0 \up0 \expndtw-2\charscalex100 c)\ul0\nosupersub\
cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Mempraktikkan perilaku hidup bersih dan
sehat (PHBS). \par\pard\ql \li3984\ri1954\sb43\sl-380\slmult0\tx4250 \up0 \expn
dtw-1\charscalex100 d)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 B
erperan serta dalam kegiatan sosial, khususnya yang berkaitan \line\tab \up0 \ex
pndtw-3\charscalex100 dengan lembaga swadaya masyarakat (LSM) kesehatan. \par\pa
rd\ql \li3715\sb125\sl-253\slmult0 \up0 \expndtw-3\charscalex100 2. Masyarakat \
par\pard\ql \li3984\ri1954\sb6\sl-400\slmult0\tx4250 \up0 \expndtw-1\charscalex1
00 a)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Menggalang potensi
untuk mengembangkan gerakan atau upaya \line\tab \up0 \expndtw-3\charscalex100
kesehatan. \par\pard\ql \li3984\sb102\sl-253\slmult0 \up0 \expndtw-2\charscalex1
00 b)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Bergotong royong m
ewujudkan lingkungan sehat. \par\pard\ql \li10007\sb0\sl-241\slmult0 \par\pard\q
l\li10007\sb216\sl-241\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf1
\f2\fs20 2 \par\pard\sect\sectd\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bk
mkstart Pg3}{\bkmkend Pg3}\par\pard\ql \li3715\sb0\sl-253\slmult0 \par\pard\ql\l
i3715\sb0\sl-253\slmult0 \par\pard\ql\li3715\sb0\sl-253\slmult0 \par\pard\ql\li3
5\sb0\sl-253\slmult0 \par\pard\ql\li3715\sb0\sl-253\slmult0 \par\pard\ql\li3715\
sb99\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4\f5\fs22 3.
Pemerintah / lintas sektoral / politisi / swasta \par\pard\ql \li3984\ri1954\sb
43\sl-380\slmult0\tx4250 \up0 \expndtw0\charscalex101 a)\ul0\nosupersub\cf7\f8\f
s22 \ul0\nosupersub\cf4\f5\fs22 Peduli dan mendukung upaya kesehatan, m
inimal dalam \line\tab \up0 \expndtw-3\charscalex100 mengembangkan perilaku da
n lingkungan sehat. \par\pard\ql \li3984\ri1954\sb20\sl-380\slmult0\tx4250 \up0
\expndtw0\charscalex101 b)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs
22 Membuat kebijakan sosial yang memperhatikan dampak di \line\tab \up0 \e
xpndtw-3\charscalex100 bidang kesehatan. \par\pard\ql \li3715\sb105\sl-253\slmul
t0 \up0 \expndtw-3\charscalex100 4. Petugas / pelaksana program \par\pard\ql \li
3984\ri1953\sb43\sl-380\slmult0\tx4250 \up0 \expndtw0\charscalex100 a)\ul0\nosup
ersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Memasukkan komponen promosi
kesehatan dalam setiap \line\tab \up0 \expndtw-3\charscalex100 program prom
osi kesehatan. \par\pard\ql \li3984\ri1953\sb20\sl-380\slmult0\tx4250 \up0 \expn
dtw0\charscalex102 b)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Me
ningkatkan mutu pelayanan kesehatan yang member \line\tab \up0 \expndt
w-3\charscalex100 kepuasan kepada masyarakat. \par\pard\ql \li3053\sb0\sl-253\sl
mult0 \par\pard\ql\li3053\sb252\sl-253\slmult0 \up0 \expndtw-3\charscalex100 2.1
.3. Strategi Promosi Kesehatan \par\pard\qj \li3715\ri1953\sb34\sl-390\slmult0\f
i525 \up0 \expndtw0\charscalex106 Penerapan promosi kesehatan dalam prog
ram-program \up0 \expndtw-2\charscalex100 kesehatan pada dasarnya merupakan bent
uk penerapan strategi global, \up0 \expndtw0\charscalex104 yang dijabarkan dala
berbagai kegiatan. Strategi global dari WHO \up0 \expndtw-2\charscalex100 (1984)
dikenal dengan strategi ABG (A, Advokasi Kesehatan; B, Bina \up0 \expndtw-2\cha
rscalex100 Suasana; G, Gerakan Masyarakat). \par\pard\ql \li3715\sb104\sl-253\sl
mult0 \up0 \expndtw-1\charscalex100 a)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupers

ub\cf4\f5\fs22 Advokasi kesehatan \par\pard\qj \li3984\ri1954\sb43\sl-380\slmult
0\fi532 \up0 \expndtw0\charscalex106 Upaya pendekatan kepada para pimpinan atau
pengambil \up0 \expndtw0\charscalex102 keputusan supaya dapat memberikan dukunga
n, kemudahan, dan \up0 \expndtw-3\charscalex100 semacamnya pada upaya pembanguna
n kesehatan. \par\pard\ql \li3715\sb125\sl-253\slmult0 \up0 \expndtw-2\charscale
x100 b)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Bina suasana (\u
l0\nosupersub\cf5\f6\fs22 social support\ul0\nosupersub\cf4\f5\fs22 ) \par\pard\
qj \li3984\ri1953\sb14\sl-390\slmult0\fi532 \up0 \expndtw0\charscalex100 Upaya
membuat suasana yang kondusif atau menunjang \up0 \expndtw0\charscalex100 p
embangunan kesehatan sehingga masyarakat terdorong untuk \up0 \expndtw-3\ch
arscalex100 melakukan perilaku hidup bersih dan sehat (PHBS). \par\pard\ql \li37
\sb0\sl-253\slmult0 \par\pard\ql\li3715\sb145\sl-253\slmult0 \up0 \expndtw-2\cha
rscalex100 c)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Gerakan ma
syarakat (\ul0\nosupersub\cf5\f6\fs22 empowerment\ul0\nosupersub\cf4\f5\fs22 ) \
par\pard\qj \li3984\ri1954\sb23\sl-380\slmult0\fi532 \up0 \expndtw0\charscalex10
4 Upaya memandirikan individu, kelompok dan masyarakat \line \up0 \expndtw0\char
scalex100 agar berkembang kesadaran, kemauan, dan kemampuan di bidang \par\pard\
ql \li10007\sb0\sl-241\slmult0 \par\pard\ql\li10007\sb0\sl-241\slmult0 \par\pard
\ql\li10007\sb0\sl-241\slmult0 \par\pard\ql\li10007\sb0\sl-241\slmult0 \par\pard
\ql\li10007\sb11\sl-241\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf
1\f2\fs20 3 \par\pard\sect\sectd\fs24\paperw12240\paperh15840{\shp
{\*\shpinst\shpleft2880\shptop4340\shpright11280\shpbottom10680\shpwr3\shpfblwtx
t0\shpbxpage\shpbypage\shpz53\shplid3
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00\slmult0\fi0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf4\f5\fs22 kesehata
n atau agar secara proaktif, masyarakat mempraktikkan \up0 \expndtw-3\charscalex
100 perilaku hidup bersih dan sehat (PHBS). \par\pard\qj \li3984\ri1954\sb0\sl-4
00\slmult0\fi419 \up0 \expndtw0\charscalex106 Ketiga strategi di atas merupakan
satu kesatuan meskipun \line \up0 \expndtw-3\charscalex100 ruang masing-masing m
emiliki fokus yang berbeda. (Tabel 1.1) \par\pard\ql \li2928\sb0\sl-241\slmult0
\par\pard\ql\li2928\sb191\sl-241\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosu
persub\cf6\f7\fs20 Tabel 1. Sasaran Promosi Kesehatan Berdasarkan Tatanan \par\p
ard\li3050\sb134\sl-218\slmult0\fi172\tx4855\tx6425\tx8241\tx9777 \up0 \expndtw2\charscalex100 \ul0\nosupersub\cf8\f9\fs18 Tatanan PHBS\tab \up0 \expndtw-2\cha
rscalex100 Sasaran primer\tab \up0 \expndtw-2\charscalex100 Sasaran sekunder\tab
\up0 \expndtw-2\charscalex100 Sasaran tersier\tab \up0 \expndtw-2\charscalex100
Program prioritas\par\pard\li3050\sb115\sl-218\slmult0\fi0\tx4721\tx6326\tx8042
\tx9743 \up0 \expndtw-2\charscalex100 Rumah tangga\tab \up0 \expndtw-2\charscale
x100 Anggota rumah\tab \up0 \expndtw-2\charscalex100 KK, Orang\tab \up0 \expndtw
-2\charscalex100 Ketua RT/RW,\tab \up0 \expndtw-2\charscalex100 KIA, gizi,\par\p
ard\li3050\sb109\sl-218\slmult0\fi1670\tx6326\tx8042\tx9743 \up0 \expndtw-2\char
scalex100 tangga yang\tab \up0 \expndtw-2\charscalex100 tua/mertua, kader,\tab \
up0 \expndtw-2\charscalex100 kepala desa\tab \up0 \expndtw-2\charscalex100 keseh
atan,\par\pard\li3050\sb106\sl-218\slmult0\fi1670\tx6326\tx9743 \up0 \expndtw-2\
charscalex100 memiliki masalah\tab \up0 \expndtw-2\charscalex100 toma/toga, LSM,

\tab \up0 \expndtw-2\charscalex100 lingkungan, gaya\par\pard\li3050\sb106\sl-218
\slmult0\fi1670\tx6326\tx9743 \up0 \expndtw-2\charscalex100 kesehatan,\tab \up0
\expndtw-2\charscalex100 petugas kesehatan\tab \up0 \expndtw-2\charscalex100 hid
up, JPKM,\par\pard\li3050\sb106\sl-218\slmult0\fi1670 \up0 \expndtw-2\charscalex
100 terutama ibu, bayi\par\pard\li3050\sb106\sl-218\slmult0\fi1670 \up0 \expndtw
-2\charscalex100 dan balita\par\pard\li3050\sb115\sl-218\slmult0\fi0\tx4721\tx63
26\tx8042\tx9743 \up0 \expndtw-2\charscalex100 Institusi\tab \up0 \expndtw-2\cha
rscalex100 Siswa dan\tab \up0 \expndtw-2\charscalex100 Guru, karyawan,\tab \up0
\expndtw-2\charscalex100 Kepala sekolah,\tab \up0 \expndtw-2\charscalex100 Kesli
ng, gaya\par\pard\li3050\sb109\sl-218\slmult0\fi0\tx4721\tx6326\tx8042\tx9743 \u
p0 \expndtw-2\charscalex100 pendidikan\tab \up0 \expndtw-2\charscalex100 mahasis
wa\tab \up0 \expndtw-2\charscalex100 BP, Organisasi\tab \up0 \expndtw-2\charscal
ex100 pemilik\tab \up0 \expndtw-2\charscalex100 hidup, gizi, JPKM\par\pard\li305
0\sb103\sl-218\slmult0\fi3275 \up0 \expndtw-2\charscalex100 siswa/mahasiswa\par\
pard\li3050\sb116\sl-218\slmult0\fi0\tx4721\tx6326\tx8042\tx9743 \up0 \expndtw-2
\charscalex100 Tempat kerja\tab \up0 \expndtw-2\charscalex100 Karyawan,\tab \up0
\expndtw-2\charscalex100 Karyawan,\tab \up0 \expndtw-2\charscalex100 Direktur,\
tab \up0 \expndtw-2\charscalex100 Kesling, gaya\par\pard\li3050\sb108\sl-218\slm
ult0\fi1670\tx6326\tx8042\tx9743 \up0 \expndtw-2\charscalex100 manajer, serikat\
tab \up0 \expndtw-2\charscalex100 manajer/pengelola,\tab \up0 \expndtw-2\charsca
lex100 pemilik/pimpinan\tab \up0 \expndtw-2\charscalex100 hidup\par\pard\li3050\
sb106\sl-218\slmult0\fi1670\tx8042 \up0 \expndtw-2\charscalex100 kerja\tab \up0
\expndtw-2\charscalex100 perusahaan\par\pard\li3050\sb116\sl-218\slmult0\fi0\tx4
721\tx6326\tx8042\tx9743 \up0 \expndtw-2\charscalex100 Tempat-tempat\tab \up0 \e
xpndtw-2\charscalex100 Pengunjung,\tab \up0 \expndtw-2\charscalex100 Petugas kes
ehatan\tab \up0 \expndtw-2\charscalex100 Kepala daerah,\tab \up0 \expndtw-2\char
scalex100 Kesling, gaya\par\pard\li3050\sb106\sl-218\slmult0\fi0\tx4721\tx8042\t
x9743 \up0 \expndtw-2\charscalex100 umum\tab \up0 \expndtw-2\charscalex100 pengg
una jasa,\tab \up0 \expndtw-2\charscalex100 direksi\tab \up0 \expndtw-2\charscal
ex100 hidup\par\pard\li3050\sb106\sl-218\slmult0\fi1670 \up0 \expndtw-2\charscal
ex100 masyarakat\par\pard\li3050\sb115\sl-218\slmult0\fi0\tx4721\tx8042\tx9743 \
up0 \expndtw-2\charscalex100 Sasaran/institusi\tab \up0 \expndtw-2\charscalex100
Pasien, pengantar,\tab \up0 \expndtw-2\charscalex100 Pimpinan/direktur\tab \up0
\expndtw-2\charscalex100 Kesling, gaya\par\pard\li3050\sb106\sl-218\slmult0\fi0
\tx4721\tx8042\tx9743 \up0 \expndtw-2\charscalex100 kesehatan\tab \up0 \expndtw2\charscalex100 keluarga pasien\tab \up0 \expndtw-2\charscalex100 RS, Ka Daerah,
\tab \up0 \expndtw-2\charscalex100 hidup\par\pard\ql \li8042\sb106\sl-218\slmult
0 \up0 \expndtw-2\charscalex100 Bappeda, DPRD \par\pard\ql \li3185\sb120\sl-172\
slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf9\f10\fs15 (Sumber: Depk
es RI, 2000) \par\pard\ql \li3053\sb0\sl-253\slmult0 \par\pard\ql\li3053\sb0\sl253\slmult0 \par\pard\ql\li3053\sb0\sl-253\slmult0 \par\pard\ql\li3053\sb43\sl-2
53\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4\f5\fs22 2.1.4. Ruan
g Lingkup Promosi Kesehatan \par\pard\qj \li3715\ri1954\sb6\sl-400\slmult0\fi535
\up0 \expndtw0\charscalex103 Berdasarkan Konferensi Internasional Promosi Kese
hatan di \line \up0 \expndtw0\charscalex105 Ottawa, Kanada tahun \up0 \expndtw0\
charscalex104 1986 yang menghasilkan Piagam Ottawa, \par\pard\ql \li3715\sb102\
sl-253\slmult0 \up0 \expndtw-3\charscalex100 promosi kesehatan dikelompokkan men
jadi lima area berikut: \par\pard\ql \li3718\ri1953\sb43\sl-380\slmult0\tx3984 \
up0 \expndtw0\charscalex103 a)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f
5\fs22 Kebijakan pembangunan berwawasan kesehatan (\ul0\nosupersub\cf5\f6\fs22 h
ealthy public \line\tab \up0 \expndtw-2\charscalex100 policy\ul0\nosupersub\cf4\
f5\fs22 ) \par\pard\ql \li10007\sb0\sl-241\slmult0 \par\pard\ql\li10007\sb0\sl-2
41\slmult0 \par\pard\ql\li10007\sb0\sl-241\slmult0 \par\pard\ql\li10007\sb112\sl
-241\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf1\f2\fs20 4 \par\pa
rd\sect\sectd\fs24\paperw12240\paperh15840{\shp
{\*\shpinst\shpleft2980\shptop7880\shpright10800\shpbottom11980\shpwr3\shpfblwtx
t0\shpbxpage\shpbypage\shpz95\shplid4

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93\slmult0\fi288 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf4\f5\fs22 Kegiat
an ditujukan bagi para pembuat keputusan atau penentu \line \up0 \expndtw0\chars
calex105 kebijakan. Hal ini berarti setiap kebijakan pembangunan dalam \line \up
0 \expndtw0\charscalex101 bidang apapun harus mempertimbangkan dampak kesehatan
bagi \line \up0 \expndtw-3\charscalex100 masyarakat. \par\pard\ql \li3715\ri1954
\sb0\sl-380\slmult0\tx3984 \up0 \expndtw0\charscalex102 b)\ul0\nosupersub\cf7\f8
\fs22 \ul0\nosupersub\cf4\f5\fs22 Mengembangkan jaringan kemitraan dan
lingkungan yang \line\tab \up0 \expndtw-3\charscalex100 mendukung (\ul0\nosupe
rsub\cf5\f6\fs22 create partnership and supportive environment\ul0\nosupersub\cf
4\f5\fs22 ) \par\pard\qj \li3984\ri1954\sb10\sl-390\slmult0\fi532 \up0 \expndtw0
\charscalex101 Kegiatan ini bertujuan mengembangkan jaringan kemitraan \line \up
0 \expndtw0\charscalex105 dan suasana yang mendukung terhadap kesehatan. Kegiata
n ini \line \up0 \expndtw0\charscalex100 ditujukan kepada pemimpin organisasi ma
syarakat serta pengelola \line \up0 \expndtw0\charscalex100 tempat-tempat umum d
an diharapkan memperhatikan dampaknya \line \up0 \expndtw0\charscalex104 terhada
p lingkungan, baik lingkungan fisik maupun lingkungan \line \up0 \expndtw0\chars
calex104 nonfisik yang mendukung atau kondusif terhadap kesehatan \line \u
p0 \expndtw-3\charscalex100 masyarakat. \par\pard\ql \li3034\sb0\sl-241\slmult0
\par\pard\ql\li3034\sb0\sl-241\slmult0 \par\pard\ql\li3034\sb12\sl-241\slmult0 \
up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf6\f7\fs20 Tabel 2. Fokus Strateg
i Promosi Kesehatan\par\pard\sect\sectd\sbknone\cols2\colno1\colw6591\colsr160\c
olno2\colw5349\colsr160\ql \li4618\sb129\sl-218\slmult0 \up0 \expndtw-2\charscal
ex100 \ul0\nosupersub\cf8\f9\fs18 Fokus\par\pard\ql \li3274\sb115\sl-218\slmult0
\up0 \expndtw-1\charscalex100 1.\ul0\nosupersub\cf10\f11\fs18 \ul0\nosupersub\
cf8\f9\fs18 Advokasi kesehatan\par\pard\qj \li3540\ri0\sb24\sl-321\slmult0 \up0
\expndtw0\charscalex105 Sasaran tersier dengan output adanya \up0 \expndtw-2\ch
arscalex100 kebijakan\par\pard\ql \li3274\sb92\sl-218\slmult0 \up0 \expndtw0\cha
rscalex100 2.\ul0\nosupersub\cf10\f11\fs18 \ul0\nosupersub\cf8\f9\fs18 Bina su
asana\par\pard\qj \li3540\ri0\sb20\sl-323\slmult0\tx4626\tx5242\tx6176 \up0 \exp
ndtw0\charscalex101 Sasaran sekunder dengan iuran adanya \line \up0 \expndtw-2\c
harscalex100 kemitraan \tab \up0 \expndtw-2\charscalex100 dan \tab \up0 \expndtw
-2\charscalex100 suasana \tab \up0 \expndtw-3\charscalex100 yang \line \up0 \exp
ndtw-2\charscalex100 mendukung\par\pard\ql \li3274\ri0\sb0\sl-325\slmult0\tx3540
\tx3540 \up0 \expndtw-1\charscalex100 3.\ul0\nosupersub\cf10\f11\fs18 \ul0\nosu
persub\cf8\f9\fs18 Pemberdayaan masyarakat \line\tab \up0 \expndtw0\charscalex1
00 Sasaran primer dengan iuran adanya \line \tab \up0 \expndtw-2\charscalex1

00 kegiatan masyarakat\par\pard\column \ql \li1676\sb129\sl-218\slmult0 \up0 \ex
pndtw-2\charscalex100 Strategi\par\pard\ql \li20\ri1394\sb16\sl-338\slmult0 \up0
\expndtw-2\charscalex100 Strategi promosi tersebut diarahkan untuk \line \up0 \
expndtw0\charscalex101 \u8226?\ul0\nosupersub\cf10\f11\fs18 \ul0\nosupersub\cf8
\f9\fs18 Mengembangkan kebijakan guna mewujudkan\par\pard\ql \li318\sb86\sl-21
8\slmult0 \up0 \expndtw-2\charscalex100 masyarakat yang sehat\par\pard\qj \li51\
ri1395\sb34\sl-323\slmult0\tx328 \up0 \expndtw0\charscalex101 \u8226?\ul0\nosupe
rsub\cf10\f11\fs18 \ul0\nosupersub\cf8\f9\fs18 Membina suasana, iklim, dan li
ngkungan yang \line\tab \up0 \expndtw-2\charscalex100 mendukung\par\pard\qj \li5
1\ri1395\sb15\sl-323\slmult0\tx328 \up0 \expndtw0\charscalex102 \u8226?\ul0\nosu
persub\cf10\f11\fs18 \ul0\nosupersub\cf8\f9\fs18 Memperkuat, mendukung, d
an mendorong \line\tab \up0 \expndtw-2\charscalex100 kegiatan masyarakat\par\p
ard\qj \li51\ri1394\sb16\sl-323\slmult0\tx327 \up0 \expndtw0\charscalex101 \u822
6?\ul0\nosupersub\cf10\f11\fs18 \ul0\nosupersub\cf8\f9\fs18 Meningkatkan kem
ampuan dan keterampilan \line\tab \up0 \expndtw-2\charscalex100 perorangan\par
\pard\qj \li51\ri1394\sb17\sl-321\slmult0\tx328 \up0 \expndtw0\charscalex103 \u8
226?\ul0\nosupersub\cf10\f11\fs18 \ul0\nosupersub\cf8\f9\fs18 Mengupayakan pe
mbangunan kesehatan yang \line\tab \up0 \expndtw-2\charscalex100 lebih memberday
akan masyarakat \par\pard\sect\sectd\sbknone \ql \li3715\sb0\sl-253\slmult0 \par
\pard\ql\li3715\sb229\sl-253\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupers
ub\cf4\f5\fs22 c)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Reorie
ntasi pelayanan kesehatan (\ul0\nosupersub\cf5\f6\fs22 reorient health service\u
l0\nosupersub\cf4\f5\fs22 ) \par\pard\qj \li4005\ri1954\sb38\sl-386\slmult0\fi53
2 \up0 \expndtw0\charscalex100 Penyelenggaraan pelayanan kesehatan merupakan tan
ggung \line \up0 \expndtw0\charscalex100 jawab bersama antara pemberi dan peneri
ma pelayanan. Orientasi \line \up0 \expndtw0\charscalex102 pelayanan diarahkan
dengan menempatkan masyarakat sebagai \line \up0 \expndtw0\charscalex101 subjek
(melibatkan masyarakat dalam pelayanan kesehatan) yang \par\pard\ql \li10007\sb
0\sl-241\slmult0 \par\pard\ql\li10007\sb0\sl-241\slmult0 \par\pard\ql\li10007\sb
32\sl-241\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf1\f2\fs20 5 \p
ar\pard\sect\sectd\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bkmkstart Pg6}{
\bkmkend Pg6}\par\pard\qj \li4005\sb0\sl-390\slmult0 \par\pard\qj\li4005\sb0\sl390\slmult0 \par\pard\qj\li4005\sb0\sl-390\slmult0 \par\pard\qj\li4005\sb0\sl-39
0\slmult0 \par\pard\qj\li4005\ri1954\sb197\sl-390\slmult0\fi0 \up0 \expndtw-2\ch
arscalex100 \ul0\nosupersub\cf4\f5\fs22 dapat memelihara dan meningkatkan kualit
as kesehatannya sendiri. \up0 \expndtw0\charscalex106 Hal tersebut berarti pelay
anan kesehatan lebih diarahkan pada \up0 \expndtw0\charscalex104 pemberdayaan
masyarakat.
Bentuk-bentuk
pemberdayaan \up0 \expndtw0\charscalex100 masya
rakat dalam pemeliharaan dan peningkatan kesehatan \up0 \expndtw0\char
scalex104 bervariasi, mulai dari terbentuknya LSM yang pedul kesehatan, \up0 \ex
pndtw0\charscalex106 baik dalam bentuk pelayanan maupun bantuan teknis, sampai
\up0 \expndtw-3\charscalex100 upaya-upaya swadaya masyarakat. \par\pard\ql \li37
18\sb104\sl-253\slmult0 \up0 \expndtw-2\charscalex100 d)\ul0\nosupersub\cf7\f8\f
s22 \ul0\nosupersub\cf4\f5\fs22 Meningkatkan keterampilan individu (\ul0\nosupe
rsub\cf5\f6\fs22 increase individual skills\ul0\nosupersub\cf4\f5\fs22 ) \par\pa
rd\qj \li3984\ri1954\sb34\sl-390\slmult0\fi532 \up0 \expndtw-1\charscalex100 Kes
ehatan masyarakat adalah kesehatan agregat, yang terdiri \line \up0 \expndtw0\ch
arscalex102 atas, kelompok keluarga dan individu. Kesehatan masyarakat \li
ne \up0 \expndtw-2\charscalex100 terwujud bila kesehatan kelompok, keluarga dan
individu terwujud. \line \up0 \expndtw-1\charscalex100 Oleh sebab itu, peningkat
an keterampilan anggota masyarakat atau \line \up0 \expndtw0\charscalex100 indiv
idu sangat penting untuk meningkatkan kesadaran, kemauan, \line \up0 \expndtw0\c
harscalex100 dan kemampuan masyarakat memelihara dan meningkatkan \lin
e \up0 \expndtw-3\charscalex100 kualitas kesehatannya. \par\pard\ql \li3715\sb10
4\sl-253\slmult0 \up0 \expndtw-2\charscalex100 e)\ul0\nosupersub\cf7\f8\fs22 \u
l0\nosupersub\cf4\f5\fs22 Memperkuat kegiatan masyarakat (\ul0\nosupersub\cf5\f6
\fs22 strengthen community action) \par\pard\qj \li4005\ri1954\sb36\sl-388\slmul
t0\fi532 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf4\f5\fs22 Derajat keseha
tan masyarakat akan terwujud secara efektif \line \up0 \expndtw0\charscalex105 j
ika unsur-unsur yang terdapat di masyarakat tersebut bergerak \line \up0 \expndt
w0\charscalex106 bersama-sama. Memperkuat keguatan masyarakat berarti \l
ine \up0 \expndtw0\charscalex105 memberikan bantuan terhadap kegiatan yang sudah
berjalan di \line \up0 \expndtw0\charscalex107 masyarakat sehingga lebih dapat
berkembang. Di samping itu \line \up0 \expndtw0\charscalex106 tindakan ini m
emberikan kesempatan masyarakat untuk \line \up0 \expndtw-1\charscalex100
berimprovisasi, yaitu melakukan kegiatan dan berperan serta aktif \line \up0 \e
xpndtw-3\charscalex100 dalam pembangunan kesehatan. \par\pard\qj \li4005\ri1953\
sb0\sl-390\slmult0\fi511 \up0 \expndtw0\charscalex109 Berbagai hasil penelit
ian memberikan bukti yang \line \up0 \expndtw0\charscalex100 meyakinkan me
ngenai hasil kerja promosi kesehatan. Pendekatan \line \up0 \expndtw0\charscalex
103 yang menyeluruh dalam pembangunan kesehatan, dengan \line \up0 \ex
pndtw0\charscalex102 menggunakan lima ruang lingkup tersebut jauh lebih e
fektif \line \up0 \expndtw0\charscalex102 dibandingkan
dengan
menggunakan
pendekatan
tunggal. \line \up0 \expndtw0\charscalex104 Pendekatan
melal
ui
tatanan
memudahkan
implementasi \line \up0 \expndtw-2\charscalex100
penyelenggaraan promosi kesehatan. Peran serta masyarakat sangat \par\pard\ql \l
i10007\sb0\sl-241\slmult0 \par\pard\ql\li10007\sb0\sl-241\slmult0 \par\pard\ql\l
i10007\sb83\sl-241\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf1\f2\
fs20 6 \par\pard\sect\sectd\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bkmkst
art Pg7}{\bkmkend Pg7}\par\pard\qj \li4005\sb0\sl-393\slmult0 \par\pard\qj\li400
5\sb0\sl-393\slmult0 \par\pard\qj\li4005\sb0\sl-393\slmult0 \par\pard\qj\li4005\
sb0\sl-393\slmult0 \par\pard\qj\li4005\ri1954\sb183\sl-393\slmult0 \up0 \expndtw
0\charscalex104 \ul0\nosupersub\cf4\f5\fs22 penting untuk melestarikan bnerbagai
upaya. Masyarakat harus \up0 \expndtw-1\charscalex100 menjadi subjek dalam
promosi kesehatan dan pengambilan \up0 \expndtw0\charscalex101 keputusan
. Akses pendidikan dan informasi sangat penting untuk \up0 \expndtw-3\charscalex
100 mendapatkan partisipasi dan pemberdayaan masyarakat. \par\pard\ql \li3053\sb
0\sl-253\slmult0 \par\pard\ql\li3053\sb230\sl-253\slmult0 \up0 \expndtw-3\charsc
alex100 2.1.5. Kode Etik Praktik Promosi Kesehatan \par\pard\qj \li3715\ri1954\s
b36\sl-388\slmult0\fi535 \up0 \expndtw-2\charscalex100 Promosi Kesehatan di Indo
nesia telah mempunyai visi, misi dan \up0 \expndtw0\charscalex102 strategi yang
jelas, sebagaimana tertuang dalam SK Menkes RI No. \up0 \expndtw-2\charscalex100
1193/2004 tentang Kebijakan Nasional Promosi Kesehatan. Visi, misi \up0 \expndt
w0\charscalex101 dan strategi tersebut sejalan dan bersama program kesehatan lai
nnya \up0 \expndtw0\charscalex103 mengisi pembangunan kesehatan dalam kerangka P
aradigma Sehat \up0 \expndtw-3\charscalex100 menuju Visi Indonesia Sehat. \par\p
ard\qj \li3715\ri1954\sb19\sl-380\slmult0\fi535 \up0 \expndtw-3\charscalex100 Vi
si Promosi Kesehatan sesuai Keputusan Menteri Kesehatan RI \line \up0 \expndtw-3
\charscalex100 No. \up0 \expndtw-2\charscalex100 1193/Menkes/SK/X/2004 adalah \
up0 \expndtw0\charscalex101 \ul0\nosupersub\cf11\f12\fs22 \u8220?Perilaku Hidup
Bersih & \par\pard\qj \li3715\ri1954\sb16\sl-386\slmult0 \up0 \expndtw0\chars
calex105 Sehat 2010\u8221? \ul0\nosupersub\cf4\f5\fs22 atau \ul0\nosupersub\cf11
\f12\fs22 \u8220?PHBS 2010\u8221?\ul0\nosupersub\cf4\f5\fs22 . Yang dimaksud den
gan \u8220?PHBS \up0 \expndtw0\charscalex100 2010\u8221? adalah keadaan dimana i
ndividu-individu dalam rumah tangga \up0 \expndtw0\charscalex101 (keluarga) masy
arakat Indonesia telah melaksanakan perilaku hidup \up0 \expndtw-3\charscalex100
bersih dan sehat dalam rangka : \par\pard\ql \li3715\ri1954\sb19\sl-380\slmult0
\tx3984 \up0 \expndtw0\charscalex101 a.\ul0\nosupersub\cf7\f8\fs22 \ul0\nosuper
sub\cf4\f5\fs22 Mencegah timbulnya penyakit dan masalah-masalah kesehatan \
line\tab \up0 \expndtw-3\charscalex100 lainnya \par\pard\ql \li3715\ri1954\sb0\s
l-400\slmult0\tx3984 \up0 \expndtw0\charscalex101 b.\ul0\nosupersub\cf7\f8\fs22
\ul0\nosupersub\cf4\f5\fs22 Menanggulangi penyakit dan masalah-masalah kese
hatan lain, \line\tab \up0 \expndtw-3\charscalex100 dalam rangka meningkatkan d
erajat kesehatan \par\pard\ql \li3715\sb86\sl-253\slmult0 \up0 \expndtw-1\charsc
alex100 c.\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Memanfaatkan
pelayanan kesehatan \par\pard\ql \li3715\ri1953\sb43\sl-380\slmult0\tx3984 \up0
\expndtw0\charscalex105 d.\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs
22 Mengembangkan dan menyelenggarakan upaya kesehatan \line\tab \up0 \ex
pndtw-3\charscalex100 bersumber daya masyarakat \par\pard\qj \li3984\ri1954\sb20
\sl-380\slmult0 \up0 \expndtw-2\charscalex100 Misi Promosi kesehatan guna pencap

aian visi yang telah ditetapkan \up0 \expndtw-2\charscalex100 antara lain: \par\
pard\ql \li3982\ri1953\sb16\sl-386\slmult0\tx4250\tx4250\tx4250 \up0 \expndtw0\c
harscalex102 a. Memberdayakan individu, keluarga, dan kelompok-kelompok \line\t
ab \up0 \expndtw0\charscalex104 dalam masyarakat, baik melalui pendekatan i
ndividu dan \line\tab \up0 \expndtw0\charscalex102 keluarga, maupun melalui pen
gorganisasian dan penggerakan \line\tab \up0 \expndtw-3\charscalex100 masyarakat
\par\pard\ql \li10007\sb0\sl-241\slmult0 \par\pard\ql\li10007\sb0\sl-241\slmult
0 \par\pard\ql\li10007\sb92\sl-241\slmult0 \up0 \expndtw-4\charscalex100 \ul0\no
supersub\cf1\f2\fs20 7 \par\pard\sect\sectd\fs24\paperw12240\paperh15840\pard\sb
0\sl-240{\bkmkstart Pg8}{\bkmkend Pg8}\par\pard\ql \li3981\sb0\sl-400\slmult0 \p
ar\pard\ql\li3981\sb0\sl-400\slmult0 \par\pard\ql\li3981\sb0\sl-400\slmult0 \par
\pard\ql\li3981\sb0\sl-400\slmult0 \par\pard\ql\li3981\ri1954\sb149\sl-400\slmul
t0\tx4250 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf4\f5\fs22 b. Membina
suasana atau lingkungan yang kondusif bagi \line\tab \up0 \expndtw-3\c
harscalex100 terciptanya perilaku hidup bersih dan sehat masyarakat \par\pard\ql
\li3982\ri1953\sb0\sl-390\slmult0\tx4250\tx4250 \up0 \expndtw-2\charscalex100 c
. Mengadvokasi para pengambil keputusan dan penentu kebijakan \line\tab \up0 \e
xpndtw-2\charscalex100 serta pihak-pihak lain yang berkepentingan (stakeholders)
dalam \line\tab \up0 \expndtw-2\charscalex100 rangka : \par\pard\ql \li4250\ri1
954\sb0\sl-400\slmult0\tx4517 \up0 \expndtw0\charscalex103 -\ul0\nosupersub\cf7\
f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Mendorong diberlakukannya kebijakan
dan peraturan \line\tab \up0 \expndtw-3\charscalex100 perundang-undangan yang
berwawasan kesehatan \par\pard\li4250\sb82\sl-264\slmult0\fi0\tx6590\tx7773\tx9
161 \up0 \expndtw-2\charscalex100 -\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\
cf4\f5\fs22 Mengintegrasikan\tab \up0 \expndtw-2\charscalex100 promosi\tab \up
0 \expndtw-2\charscalex100 kesehatan,\tab \up0 \expndtw-2\charscalex100 khususny
a\par\pard\qj \li4517\ri1953\sb23\sl-380\slmult0 \up0 \expndtw0\charscalex104 pe
mberdayaan
masyarakat,
dalam
program-program \up0 \expndtw-2\charscalex
100 kesehatan \par\pard\ql \li4250\ri1954\sb12\sl-390\slmult0\tx4517\tx4517 \up0
\expndtw0\charscalex104 -\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs
22 Meningkatkan kemitraan sinergis antara pemerintah pusat \line\tab \up0 \exp
ndtw0\charscalex102 dan pemerintah daerah, serta antara pemerintah dengan
\line\tab \up0 \expndtw-3\charscalex100 masyarakat (termasuk LSM) dan dunia usah
a. \par\pard\ql \li4250\ri1954\sb0\sl-400\slmult0\tx4517 \up0 \expndtw0\charscal
ex100 -\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Meningkatkan
investasi dalam bidang promosi kesehatan \line\tab \up0 \expndtw-3\charscale
x100 pada khususnya dan bidang kesehatan pada umumnya \par\pard\ql \li3053\sb0\s
l-253\slmult0 \par\pard\ql\li3053\sb231\sl-253\slmult0 \up0 \expndtw-3\charscale
x100 2.1.6. Hambatan-Hambatan dalam Penyelenggaraan Promosi Kesehatan \par\pard\
qj \li3715\ri1954\sb14\sl-390\slmult0\fi535 \up0 \expndtw0\charscalex103 Penelit
ian tentang tujuan kesehatan selama tahun 1990-an (di \up0 \expndtw0\charscalex1
03 Amerika) memperlihatkan semakin pentingnya promosi kesehatan. \up0 \expndtw-1
\charscalex100 Kurangnya program promosi kesehatan tampaknya merupakan alasan \u
p0 \expndtw-1\charscalex100 masih banyaknya hambatan yang muncul. Menurut Taylor
, hambatan \up0 \expndtw-3\charscalex100 dalam penyelenggaraan tersebut diuraika
n berikut ini: \par\pard\ql \li3715\sb104\sl-253\slmult0 \up0 \expndtw-1\charsca
lex100 a)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Struktur dan s
ikap \par\pard\qj \li3984\ri1953\sb38\sl-386\slmult0 \up0 \expndtw0\charscalex10
1 \ul0\nosupersub\cf5\f6\fs22 Medical establishment \ul0\nosupersub\cf4\f5\fs22
berarti lebih mendorong penyembuhan \up0 \expndtw-2\charscalex100 daripada
pencegahan, akibatnya upaya pendidikan, pencegahan dan \up0 \expndtw0\charscalex
105 promosi kesehatan diabaikan. Lebih lanjut kadang menemukan \up0 \expndtw0\ch
arscalex101 orang yang berisiko memerlukan waktu serta biaya dan bagi \u
p0 \expndtw0\charscalex105 seorang dokter lebih mudah memberikan pengobatan bagi
para \up0 \expndtw0\charscalex105 pasien untuk menurunkan tekanan darah daripad
a meyakinkan \up0 \expndtw-3\charscalex100 pasien untuk berhenti merokok. \par\
pard\ql \li3715\sb124\sl-253\slmult0 \up0 \expndtw-2\charscalex100 b)\ul0\nosupe
rsub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Hambatan individual \par\pard\ql \
li10007\sb0\sl-241\slmult0 \par\pard\ql\li10007\sb0\sl-241\slmult0 \par\pard\ql\
li10007\sb115\sl-241\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf1\f

2\fs20 8 \par\pard\sect\sectd\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bkmk
start Pg9}{\bkmkend Pg9}\par\pard\qj \li3984\sb0\sl-390\slmult0 \par\pard\qj\li3
984\sb0\sl-390\slmult0 \par\pard\qj\li3984\sb0\sl-390\slmult0 \par\pard\qj\li398
4\sb0\sl-390\slmult0 \par\pard\qj\li3984\ri1954\sb197\sl-390\slmult0 \up0 \expnd
tw0\charscalex103 \ul0\nosupersub\cf4\f5\fs22 Hal ini berkaitan dengan kebia
saan dan persepsi. Kebiasaan \up0 \expndtw0\charscalex102 kesehatan yang di
pelajari sejak kecil terkadang sulit diubah, \up0 \expndtw-3\charscalex100
demikian halnya juga dengan persepsi. \par\pard\ql \li3708\sb124\sl-253\slmult0
\up0 \expndtw-2\charscalex100 c)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4
\f5\fs22 Jaring koperasi dan perencanaan yang rumit \par\pard\qj \li3984\ri1953\
sb14\sl-390\slmult0\fi0 \up0 \expndtw0\charscalex103 Hal ini mencakup pelaku ris
et dan praktisi dari berbagai disiplin \up0 \expndtw0\charscalex102 ilmu yang be
rbeda, serta \ul0\nosupersub\cf5\f6\fs22 policy maker \ul0\nosupersub\cf4\f5\fs2
2 (pembuat kebijakan) pada \up0 \expndtw-3\charscalex100 masing-masing tingkat.
\par\pard\ql \li2645\sb0\sl-253\slmult0 \par\pard\ql\li2645\sb251\sl-253\slmult0
\up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf2\f3\fs22 2.2.\ul0\nosupersub\c
f3\f4\fs22 \ul0\nosupersub\cf2\f3\fs22 Model Perencanaan Promosi Kesehatan \par
\pard\qj \li3053\ri1953\sb13\sl-392\slmult0\fi532 \up0 \expndtw0\charscalex102 \
ul0\nosupersub\cf4\f5\fs22 Banyak model yang dikembangkan untuk mencoba me
nerangkan \line \up0 \expndtw0\charscalex104 bagaimana faktor-faktor dapat mempe
ngaruhi kesehatan serta bagaimana \line \up0 \expndtw0\charscalex103 pengetahuan
membantu memperbaiki intervensi pencegahan dan promosi \line \up0 \expndtw0\cha
rscalex100 kesehatan. Terdapat tiga jenis model yang termasuk dalam pengertian m
odel \line \up0 \expndtw0\charscalex100 kesehatan antara lain model kesehatan, m
odel perilaku kesehatan, dan model \line \up0 \expndtw-3\charscalex100 pendidika
n dan promosi kesehatan (Schmidt dkk., 1990; Simnett, 1994). \par\pard\qj \li305
3\ri1953\sb0\sl-390\slmult0\fi532 \up0 \expndtw-1\charscalex100 Dalam memahami k
ontribusi perilaku manusia untuk mengembangkan \up0 \expndtw0\charscalex100 dan
memelihara kesehatan dan kesakitan, terjadi perubahan dari pendekatan \up0 \expn
dtw0\charscalex100 faktor tunggal, menjadi pendekatan yang lebih interaktif sert
a komprehensif. \up0 \expndtw0\charscalex100 Para ahli kesehatan setuju bahwa ki
ta perlu mengadopsi sebuah model yang \up0 \expndtw0\charscalex100 mampu mengena
l hubungan timbal balik dan interaksi dinamis antara faktor \up0 \expndtw0\chars
calex100 fisiologis, kognitif, perilaku, dan lingkungan yang dapat mempen
garuhi \up0 \expndtw-3\charscalex100 kesehatan. Hal ini dikenal dengan istilah b
iopsikososial. \par\pard\ql \li10007\sb0\sl-241\slmult0 \par\pard\ql\li10007\sb0
\sl-241\slmult0 \par\pard\ql\li10007\sb0\sl-241\slmult0 \par\pard\ql\li10007\sb0
\sl-241\slmult0 \par\pard\ql\li10007\sb208\sl-241\slmult0 \up0 \expndtw-4\charsc
alex100 \ul0\nosupersub\cf1\f2\fs20 9 \par\pard\sect\sectd\fs24\paperw12240\pape
rh15840{\shp
{\*\shpinst\shpleft0\shptop0\shpright10880\shpbottom14080\shpwr3\shpfblwtxt0\shp
bxpage\shpbypage\shpz136\shplid9
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\pard\sb0\sl-240{\bkmkstart Pg10}{\bkmkend Pg10}\par\pard\qj \li3329\sb0\sl-360\
slmult0 \par\pard\qj\li3329\sb0\sl-360\slmult0 \par\pard\qj\li3329\sb0\sl-360\sl
lt0 \par\pard\qj\li3329\sb0\sl-360\slmult0 \par\pard\qj\li3329\sb0\sl-360\slmult
0 \par\pard\qj\li3329\sb0\sl-360\slmult0 \par\pard\qj\li3329\sb0\sl-360\slmult0
\par\pard\qj\li3329\sb0\sl-360\slmult0 \par\pard\qj\li3329\sb0\sl-360\slmult0 \p
ar\pard\qj\li3329\sb0\sl-360\slmult0 \par\pard\qj\li3329\sb0\sl-360\slmult0 \par
\pard\qj\li3329\sb0\sl-360\slmult0 \par\pard\qj\li3329\sb0\sl-360\slmult0 \par\p
ard\qj\li3329\sb0\sl-360\slmult0 \par\pard\qj\li3329\sb0\sl-360\slmult0 \par\par
d\qj\li3329\ri3062\sb42\sl-360\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupe
rsub\cf6\f7\fs20 Gambar 2. Perubahan model linier ke \ul0\nosupersub\cf12\f13\f
s20 multifactorial-systemic model \up0 \expndtw-3\charscalex100 \ul0\nosupersub\
cf6\f7\fs20 (Sumber: adaptasi dari Van Oost, 1991 dalam Smet 1994) \par\pard\qj
\li3185\ri1953\sb317\sl-388\slmult0\fi530 \up0 \expndtw0\charscalex100 \ul0\nosu
persub\cf4\f5\fs22 Satu masalah yang berkaitan dengan aplikasi promosi ke
sehatan \line \up0 \expndtw0\charscalex104 adalah mengoperasionalisasikan tujuan
dan metode ke dalam kampanye \line \up0 \expndtw0\charscalex101 yang sesuai dan
efektif. Terdapat banyak upaya untuk mengubah promosi \line \up0 \expndtw0\char
scalex104 kesehatan menjadi konsep yang lebih operasional. Secara umum model \l
ine \up0 \expndtw0\charscalex103 untuk operasionalisasi promosi kesehatan (Schmi
dt dkk., 1990; Simnett, \line \up0 \expndtw-3\charscalex100 1994) adalah model k
esehatan terapan dan model PRECEDE-PROCEED. \par\pard\qj \li3185\ri1953\sb11\sl390\slmult0\fi530 \up0 \expndtw0\charscalex102 Perencanaan merupakan bagian dari
siklus administrasi yang terdiri \up0 \expndtw0\charscalex105 dari tiga fase ya
itu: a) perencanaan, b) implementasi, dan c) evaluasi, di \up0 \expndtw-3\charsc
alex100 mana ketiga fase tersebut akan mempengaruhi hasil. \par\pard\ql \li3185\
ri1953\sb0\sl-380\slmult0\tx3586 \up0 \expndtw0\charscalex104 a)\ul0\nosupersub\
cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Perencanaan promosi kesehatan Suat
u fase di mana secara rinci \line\tab \up0 \expndtw-3\charscalex100 direnca
nakan jawaban atas pertanyaan-pertanyaan yang muncul \par\pard\ql \li3185\sb124\
sl-253\slmult0 \up0 \expndtw-1\charscalex100 b)\ul0\nosupersub\cf7\f8\fs22 \ul0
\nosupersub\cf4\f5\fs22 Implementasi \par\pard\qj \li3585\ri1954\sb14\sl-390\s
lmult0\fi0 \up0 \expndtw0\charscalex104 Suatu waktu di mana perencanaan dilaksak
an. Kesalahan-kesalahan \line \up0 \expndtw0\charscalex106 sewaktu membuat p
erencanaan akan terlihat semasa proses \line \up0 \expndtw0\charscalex10
1 implementasi, demikian pula halnya dengan kekuatan dan kelemahan \line \up0 \e
xpndtw0\charscalex105 yang muncul selama periode implementasi merupakan refleksi
dari \line \up0 \expndtw-3\charscalex100 proses perencanaan. \par\pard\ql \li99
\sb112\sl-241\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs20
10 \par\pard\sect\sectd\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bkmkstart
Pg11}{\bkmkend Pg11}\par\pard\ql \li3185\sb0\sl-253\slmult0 \par\pard\ql\li3185\
sb0\sl-253\slmult0 \par\pard\ql\li3185\sb0\sl-253\slmult0 \par\pard\ql\li3185\sb
0\sl-253\slmult0 \par\pard\ql\li3185\sb0\sl-253\slmult0 \par\pard\ql\li3185\sb0\
sl-253\slmult0 \par\pard\ql\li3185\sb0\sl-253\slmult0 \par\pard\ql\li3185\sb99\s
l-253\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf4\f5\fs22 c)\ul0\no
supersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Fase evaluasi \par\pard\ql \
li3586\sb147\sl-253\slmult0\tx8683 \up0 \expndtw0\charscalex102 Suatu masa di
mana dilakukan pengukuran hasil \tab \up0 \expndtw0\charscalex100 (outcome)
dari \par\pard\qj \li3585\ri1954\sb18\sl-386\slmult0 \up0 \expndtw0\charscalex1
01 promosi kesehatan. Pada fase ini juga dilihat apakah perencanaan dan \line \u
p0 \expndtw0\charscalex105 implementasi yang telah dilaksanakan dapat dilanjutka
n. Selain itu \line \up0 \expndtw-1\charscalex100 evaluasi diperlukan untuk pema
ntauan efisiensi dari promosi kesehatan \line \up0 \expndtw-3\charscalex100 dan
sebagai alat bantu untuk membuat perencanaan selanjutnya. \par\pard\ql \li2652\s
8\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs22 2.3.

Model Precede-Proceed \par\pard\qj \li3053\ri1953\sb16\sl-388\slmult0\fi532 \up0
\expndtw0\charscalex100 \ul0\nosupersub\cf4\f5\fs22 Model yang dikembangkan ole
h Green dan Kreuter (1991) pada tahun \line \up0 \expndtw0\charscalex103 1980, m
erupakan model yang paling cocok diterapkan dalam perencanaan \line \up0 \expndt
w0\charscalex105 dan evaluasi promosi kesehatan, yang dikenal dengan model PRECE
DE \line \up0 \expndtw0\charscalex102 (\ul0\nosupersub\cf5\f6\fs22 Predisposing,
Reinforcing and Enabling Causes in Educational Diagnosis \line \up0 \expndtw0\c
harscalex101 and Evaluation\ul0\nosupersub\cf4\f5\fs22 ). PRECEDE merupaka
n kerangka untuk membantu \line \up0 \expndtw0\charscalex103 perencanaan m
engenal masalah, mulai dari kebutuhan pendidikan sampai \line \up0 \expndtw-2\ch
arscalex100 pengembangan program. Pada tahun 1991, model ini disempurnakan menja
di \line \up0 \expndtw-2\charscalex100 model PRECEDE-PROCEEDE. PROCEEDE merup
akan singkatan dari \par\pard\qj \li3053\ri1953\sb19\sl-380\slmult0 \up0 \expn
dtw0\charscalex103 \ul0\nosupersub\cf5\f6\fs22 Policy, Regulatory, and Organi
zational Contructs in Educational and \line \up0 \expndtw0\charscalex100 env
ironmental Development.\ul0\nosupersub\cf4\f5\fs22
Gambar \up0 \expndtw0\ch
arscalex101 1 meringkas gambaran model \par\pard\ql \li3053\sb125\sl-253\s
lmult0 \up0 \expndtw-3\charscalex100 PRECEDE-PROCEED. \par\pard\qj \li3053\ri195
3\sb16\sl-388\slmult0\fi532 \up0 \expndtw0\charscalex102 Green menganalisis peri
laku manusia dimulai dari tingkat kesehatan, \line \up0 \expndtw-1\charscalex100
bahwa kesehatan seseorang atau masyarakat dipengaruhi oleh 2 faktor pokok, \lin
e \up0 \expndtw-1\charscalex100 yaitu faktor perilaku (\ul0\nosupersub\cf5\f6\fs
22 behavior causes\ul0\nosupersub\cf4\f5\fs22 ) dan faktor luar perilaku (\ul0\n
osupersub\cf5\f6\fs22 non\ul0\nosupersub\cf4\f5\fs22 \ul0\nosupersub\cf5\f6\fs2
2 behavior \line \up0 \expndtw0\charscalex104 causes\ul0\nosupersub\cf4\f5\fs22
). Meskipun model ini mendasarkan diri pada Model Kepercayaan \line \up0 \expndt
w0\charscalex106 Kesehatan atau \ul0\nosupersub\cf5\f6\fs22 Health Belief Model
\ul0\nosupersub\cf4\f5\fs22 dan sistem-sistem konseptual lain, \line \up0 \exp
ndtw-1\charscalex100 namun model Precede merupakan model sejati, yang lebih meng
arah kepada \line \up0 \expndtw-1\charscalex100 upaya-upaya pragmatik mengubah p
erilaku kesehatan daripada sekedar upaya \line \up0 \expndtw0\charscalex104 peng
embangan teori. Green dan rekan-rekannya menganalisis kebutuhan \line \up0 \exp
ndtw0\charscalex100 kesehatan komunitas dengan cara menetapkan lima diagnosis be
rbeda, yaitu \line \up0 \expndtw0\charscalex103 diagnosis sosial, diagnosis e
pidemiologi, diagnosis perilaku, diagnosis \line \up0 \expndtw-3\charscalex10
0 pendidikan, dan diagnosis administrasi/ kebijakan. \par\pard\ql \li9902\sb0\sl
-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-2
41\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb10\sl-24
1\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs20 11 \par\pard
\sect\sectd\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bkmkstart Pg12}{\bkmke
nd Pg12}\par\pard\qj \li3053\sb0\sl-389\slmult0 \par\pard\qj\li3053\sb0\sl-389\s
lmult0 \par\pard\qj\li3053\sb0\sl-389\slmult0 \par\pard\qj\li3053\sb0\sl-389\slm
ult0 \par\pard\qj\li3053\ri1950\sb202\sl-389\slmult0\fi532 \up0 \expndtw-1\chars
calex100 \ul0\nosupersub\cf4\f5\fs22 Dalam aplikasinya, PRECEDE-PROCEED dilak
ukan bersama-sama \line \up0 \expndtw-1\charscalex100 dalam proses perencanaan,
pelaksanaan, dan evaluasi. PRECEDE digunakan \line \up0 \expndtw0\charscalex103
pada fase diagnosis masalah, penetapan prioritas dan tujuan program, \l
ine \up0 \expndtw0\charscalex105 sedangkan PROCEED digunakan untuk menetapkan sa
saran dan kriteria \line \up0 \expndtw-1\charscalex100 kebijakan, pelaksanaan, d
an evaluasi. Menurut Schmidt dkk, model ini paling \line \up0 \expndtw0\charscal
ex102 banyak diterima dan telah berhasil diterapkan dalam perencanaan program-\l
ine \up0 \expndtw0\charscalex101 program komprehensif dalam banayak susunan yang
berlainan, serta model \line \up0 \expndtw0\charscalex100 ini dianggap lebih
berorientasi praktis. Berdasarkan pemikiran tersebut, \line \up0 \expndtw0\
charscalex102 Lawrence Green mengusulkan perencanaan promosi kesehatan mel
alui \line \up0 \expndtw0\charscalex103 PRECEDE \ul0\nosupersub\cf5\f6\fs22 fram
ework \ul0\nosupersub\cf4\f5\fs22 dan PROCEED \ul0\nosupersub\cf5\f6\fs22 framew
ork \ul0\nosupersub\cf4\f5\fs22 sebagai terapi terhadap \line \up0 \expndtw0\cha
rscalex105 perilaku lama. Jika PRECEDE merupakan diagnosis, PROCEED adalah \line
\up0 \expndtw-3\charscalex100 terapi dalam promosi kesehatan. \par\pard\ql \li3

053\sb0\sl-253\slmult0 \par\pard\ql\li3053\sb251\sl-253\slmult0 \up0 \expndtw-3\
charscalex100 2.3.1. Pengertian Model PRECEDE-PROCEED \par\pard\qj \li3715\ri195
4\sb34\sl-390\slmult0\fi535 \up0 \expndtw0\charscalex103 Green (1980) telah meng
embangkan suatu model pendekatan \line \up0 \expndtw0\charscalex101 yang dapat
digunakan untuk membuat perencanaan dan evaluasi \line \up0 \expndtw0\chars
calex102 kesehatan yang dikenal PRECEDE. \ul0\nosupersub\cf5\f6\fs22 PRECEDE
\ul0\nosupersub\cf4\f5\fs22 adalah singkatan \par\pard\li3715\sb103\sl-264\sl
mult0\fi0\tx5076\tx7759 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf5\f6\fs22
Predisposing\tab \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf4\f5\fs22 (pred
isposisi), \ul0\nosupersub\cf5\f6\fs22 Reinforcing\tab \up0 \expndtw0\charscale
x100 \ul0\nosupersub\cf4\f5\fs22 (Memperkuat), \ul0\nosupersub\cf5\f6\fs22 Enab
ling\par\pard\li3715\sb128\sl-264\slmult0\fi0\tx6427 \up0 \expndtw0\charscalex10
0 \ul0\nosupersub\cf4\f5\fs22 (Mengaktifkan), \ul0\nosupersub\cf5\f6\fs22
Cau
ses\tab \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf4\f5\fs22 (Penyebab), \ul
0\nosupersub\cf5\f6\fs22
Educational\ul0\nosupersub\cf4\f5\fs22 \ul0\nosuper
sub\cf5\f6\fs22
Diagnosis\par\pard\li3715\sb122\sl-264\slmult0\fi0\tx7912 \up
0 \expndtw0\charscalex100 \ul0\nosupersub\cf4\f5\fs22 (Pendidikan Diagnosa)
dan \ul0\nosupersub\cf5\f6\fs22 Evaluation\tab \up0 \expndtw0\charscalex100 \u
l0\nosupersub\cf4\f5\fs22 (Evaluasi). PRECEDE\par\pard\qj \li3715\ri1954\sb4\s
l-393\slmult0\fi0 \up0 \expndtw-2\charscalex100 memberikan serial langkah yang m
enolong perencana untuk mengenal \line \up0 \expndtw0\charscalex100 masalah mul
ai dari kebutuhan pendidikan sampai pengembangan \line \up0 \expndtw-1\char
scalex100 program untuk memenuhi kebutuhan tersebut. Namun demikian pada \line \
up0 \expndtw-2\charscalex100 tahun \up0 \expndtw0\charscalex102 1991 Green men
yempurnakan kerangka tersebut menjadi \par\pard\li3715\sb109\sl-264\slmult0\f
i0\tx6355\tx7862\tx9055 \up0 \expndtw-3\charscalex100 PRECEDE-PROCEED.\tab \up0
\expndtw-3\charscalex100 PROCEED\tab \up0 \expndtw-3\charscalex100 (Policy,\tab
\up0 \expndtw-3\charscalex100 Regulatory,\par\pard\qj \li3715\ri1954\sb17\sl-390
\slmult0\fi0 \up0 \expndtw0\charscalex104 Organizational Construct in Educ
ational and Environmental \line \up0 \expndtw0\charscalex102 Development).
PRECEDE-PROCEED harus dilakukan secara \line \up0 \expndtw-3\charscalex10
0 bersama. \par\pard\ql \li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-24
1\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\
slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\sl
mult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb47\sl-241\slm
ult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs20 12 \par\pard\sect
\sectd\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bkmkstart Pg13}{\bkmkend Pg
13}\par\pard\ql \li3053\sb0\sl-253\slmult0 \par\pard\ql\li3053\sb0\sl-253\slmult
0 \par\pard\ql\li3053\sb0\sl-253\slmult0 \par\pard\ql\li3053\sb0\sl-253\slmult0
\par\pard\ql\li3053\sb0\sl-253\slmult0 \par\pard\ql\li3053\sb0\sl-253\slmult0 \p
ar\pard\ql\li3053\sb0\sl-253\slmult0 \par\pard\ql\li3053\sb99\sl-253\slmult0 \up
0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4\f5\fs22 2.3.2. Tujuan Model Mode
l PRECEDE-PROCEED \par\pard\qj \li3715\ri1954\sb36\sl-388\slmult0\fi535 \up0 \ex
pndtw-1\charscalex100 Bagian paling penting dari perencanaan program adalah anal
isis \line \up0 \expndtw0\charscalex102 komunitas atau yang biasa dikenal sebaga
i analisis kebutuhan (\ul0\nosupersub\cf5\f6\fs22 need \line \up0 \expndtw-2\cha
rscalex100 assessment). \ul0\nosupersub\cf4\f5\fs22 Keberhasilan program promosi
kesehatan tergantung dari \line \up0 \expndtw0\charscalex101 data yang didapat
tentang individu, kelompok atau sistem yang akan \line \up0 \expndtw0\charscalex
105 menjadi fokus dari program. Berdasarkan data tersebut perencana \line \up0 \
expndtw0\charscalex101 program dapat memahami masalah kesehatan yang perlu diata
si dan \line \up0 \expndtw-2\charscalex100 sumberdaya yang tersedia. Model \ul0\
nosupersub\cf5\f6\fs22 Procede \ul0\nosupersub\cf4\f5\fs22 dan \ul0\nosupersub\c
f5\f6\fs22 Proceed \ul0\nosupersub\cf4\f5\fs22 juga berperan \line \up0 \expndtw
-1\charscalex100 penting dalam perencanaan pendidikan dan promosi kesehatan kare
na \line \up0 \expndtw0\charscalex104 menyediakan bentuk untuk mengidentifika
si faktor-faktor yang \line \up0 \expndtw0\charscalex103 berkaitan dengan ma
salah kesehatan, perilaku dan pelaksanaan \line \up0 \expndtw-2\charscalex10
0 program. \par\pard\qj \li3715\ri1953\sb12\sl-389\slmult0\fi535 \up0 \expndtw-1
\charscalex100 Model PRECEDE adalah kerangka untuk proses perkembangan \line \up
0 \expndtw0\charscalex103 sistematis dan program-program edukasi kesehatan, dike
mbangkan \line \up0 \expndtw0\charscalex106 antara tahun 1968 - 1974. Tujuan PRE
CEDE pada fase diagnosis \line \up0 \expndtw0\charscalex103 masalah, menetapkan
prioritas masalah dan diagnosis program. \line \up0 \expndtw0\charscalex10
2 PRECED untuk diagnosa dan perencanaan memimpin edukator \line \up0 \expn
dtw0\charscalex107 kesehatan untuk berpikir secara deduktif, untuk memulai denga
n \line \up0 \expndtw0\charscalex101 konsekuensi final dan bekerja kembali ke pe
nyebab asli. PROCEED \line \up0 \expndtw0\charscalex104 ditambahkan pada model i
ni pada akhir 1980-an berdasarkan pada \line \up0 \expndtw0\charscalex105 percob
aan Lawrence W. Green bersama dengan Marshall Krueter \line \up0 \expndtw-1\char
scalex100 pada berbagai macam posisi dengan pemerintahan federal dan \ul0\nosupe
rsub\cf5\f6\fs22 Kaiser \line \up0 \expndtw-1\charscalex100 Family Foundation\ul
0\nosupersub\cf4\f5\fs22 . Tujuan PROCEED digunakan untuk menetapkan \line \up0
\expndtw0\charscalex100 untuk menetapkan sasaran dan criteria kebijakan, serta i
mplementasi \line \up0 \expndtw0\charscalex103 dan evaluasi. Kerangka PRECEDE di
dirikan pada persyaratan dari \line \up0 \expndtw-2\charscalex100 empat disiplin
: \par\pard\ql \li3780\sb104\sl-253\slmult0 \up0 \expndtw-3\charscalex100 a)\ul0
\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Epidemiologi \par\pard\ql \
li3780\sb147\sl-253\slmult0 \up0 \expndtw-3\charscalex100 b)\ul0\nosupersub\cf7\
f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Ilmu pengetahuan sosial dan tindakan (behav
iour), \par\pard\ql \li3780\sb127\sl-253\slmult0 \up0 \expndtw-3\charscalex100 c
)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Administrasi \par\pard
\ql \li3780\sb127\sl-253\slmult0 \up0 \expndtw-5\charscalex100 d)\ul0\nosupersub
\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Edukasi \par\pard\ql \li9902\sb0\sl-24
slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb33\sl-241\s
lmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs20 13 \par\pard\se
ct\sectd\fs24\paperw12240\paperh15840{\shp{\*\shpinst\shpleft3185\shptop7578\shp
right10425\shpbottom12787\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz67\shplid14
ffd8ffe000104a46494600010100000100010000ffdb004300010101010101010101010101010101
01010101010101010101010101010101010101010101010101010101010101010101010101010101
010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101
0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0
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mult0 \par\pard\qj\li3715\sb0\sl-390\slmult0 \par\pard\qj\li3715\ri1953\sb197\sl

-390\slmult0\fi535 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf4\f5\fs22 Dala
m penerapan PRECEDE, dua proporsi dasar ditekan: \up0 \expndtw0\charscalex
102 Pertama, kesehatan dan tindakan kesehatan disebabkan oleh faktor\up0 \expndt
w0\charscalex104 faktor ganda, dan kedua, karena kesehatan dan tindakan kesehata
n \up0 \expndtw0\charscalex101 ditentukan oleh faktor-faktor ganda, upaya-upaya
edukasi kesehatan \up0 \expndtw-3\charscalex100 untuk mempengaruhi tindakan haru
s multidimensional. \par\pard\ql \li3053\sb0\sl-253\slmult0 \par\pard\ql\li3053\
sb251\sl-253\slmult0 \up0 \expndtw-3\charscalex100 2.3.3. Langkah-Langkah Model
PRECEDE-PROCEED \par\pard\ql \li3715\sb147\sl-253\slmult0 \up0 \expndtw-3\chars
calex100 \ul0\nosupersub\cf2\f3\fs22 Menentukan Kebutuhan Promosi Kesehatan \par
\pard\qj \li3715\ri1953\sb16\sl-388\slmult0\fi535 \up0 \expndtw0\charscalex105 \
ul0\nosupersub\cf4\f5\fs22 Dilakukan dengan menggunakan kerangka PRECEDE
\up0 \expndtw0\charscalex103 PROCEED sesuai gambar 4.1 dan 4.2. PRECEDE digunaka
n pada \up0 \expndtw0\charscalex103 fase diagnosis masalah, penetapan priori
tas masalah, penetapan \up0 \expndtw-1\charscalex100 prioritas masalah, da
n tujuan program, sedangkan PROCEED \up0 \expndtw0\charscalex105 digunak
an untuk menetapkan sasaran dan kriteria kebijakan, serta \up0 \expndtw-3\charsc
alex100 implementasi dan evaluasi. \par\pard\ql \li3329\sb0\sl-241\slmult0 \par\
pard\ql\li3329\sb0\sl-241\slmult0 \par\pard\ql\li3329\sb0\sl-241\slmult0 \par\pa
rd\ql\li3329\sb0\sl-241\slmult0 \par\pard\ql\li3329\sb0\sl-241\slmult0 \par\pard
\ql\li3329\sb0\sl-241\slmult0 \par\pard\ql\li3329\sb0\sl-241\slmult0 \par\pard\q
\sb0\sl-241\slmult0 \par\pard\ql\li3329\sb0\sl-241\slmult0 \par\pard\ql\li3329\s
\sl-241\slmult0 \par\pard\ql\li3329\sb0\sl-241\slmult0 \par\pard\ql\li3329\sb0\s
l-241\slmult0 \par\pard\ql\li3329\sb152\sl-241\slmult0 \up0 \expndtw-3\charscale
x100 \ul0\nosupersub\cf6\f7\fs20 Gambar 3. Kerangka PRECEDE-PROCEED \par\pard\ql
\li3377\sb119\sl-241\slmult0 \up0 \expndtw-3\charscalex100 (Sumber: Green, Lawr
ence, dan Marshall, 1991) \par\pard\ql \li9902\sb0\sl-241\slmult0 \par\pard\ql\l
i9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9
902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb175\sl-241\slmult0 \up0 \expndtw-3\
charscalex100 \ul0\nosupersub\cf1\f2\fs20 14 \par\pard\sect\sectd\fs24\paperw122
40\paperh15840{\shp{\*\shpinst\shpleft3185\shptop2131\shpright10245\shpbottom679
6\shpbxpage\shpbypage\shpwr3\shpfblwtxt1\shpz18\shplid16
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0 \par\pard\qj\li3185\sb0\sl-320\slmult0 \par\pard\qj\li3185\sb0\sl-320\slmult0
\par\pard\qj\li3185\sb0\sl-320\slmult0 \par\pard\qj\li3185\sb0\sl-320\slmult0 \p
ar\pard\qj\li3185\sb0\sl-320\slmult0 \par\pard\qj\li3185\sb0\sl-320\slmult0 \par
ard\qj\li3185\sb0\sl-320\slmult0 \par\pard\qj\li3185\sb0\sl-320\slmult0 \par\par
d\qj\li3185\sb0\sl-320\slmult0 \par\pard\qj\li3185\sb0\sl-320\slmult0 \par\pard\
qj\li3185\sb0\sl-320\slmult0 \par\pard\qj\li3185\ri2199\sb55\sl-320\slmult0\fi45
\up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf8\f9\fs18 Gambar 4. Indikator,
dimensi, hubungan di antara faktor-faktor yang diidentifikasi pada \up0 \expndt
w-2\charscalex100 fase 1,2,3 pada kerangka PRECEDE-PROCEED \par\pard\ql \li3185\
sb0\sl-253\slmult0 \par\pard\ql\li3185\sb223\sl-253\slmult0\tx3586 \up0 \expndtw
-3\charscalex100 \ul0\nosupersub\cf4\f5\fs22 a) \tab \up0 \expndtw-3\charscalex1
00 Fase 1 (Diagnosis sosial) \par\pard\qj \li3586\ri1953\sb38\sl-386\slmult0\fi5
32 \up0 \expndtw0\charscalex103 Diagnosis sosial adalah proses menetukan perseps
i masyarakat \up0 \expndtw0\charscalex102 terhadap kebutuhannya dan aspirasi mas
yarakat untuk meningkatkan \up0 \expndtw-1\charscalex100 kualitas hidupnya,melal
ui partisipasi dan penerapan berbagai informasi \up0 \expndtw-3\charscalex100 ya
ng didesain sebelumnya. \par\pard\qj \li3586\ri1953\sb13\sl-388\slmult0\fi532 \u
p0 \expndtw0\charscalex105 Penilaian dapat dilakukan atas dasar data sensus atau
pun \ul0\nosupersub\cf5\f6\fs22 vital \line \up0 \expndtw-2\charscalex100 statis
tic\ul0\nosupersub\cf4\f5\fs22 yang ada, maupun dengan melakukan pengumpulan da
ta secara \line \up0 \expndtw0\charscalex103 langsung dari masyarakat. Bila
data langsung dikumpulkan dari \line \up0 \expndtw0\charscalex100 masyarakat,
maka pengumpulan datanya dapat dilakukan dengan cara: \line \up0 \expndtw0\char
scalex105 wawancara dengan informan kunci, forum yang ada di masyarakat, \line \
up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf5\f6\fs22 focus group discussion\
ul0\nosupersub\cf4\f5\fs22 (FGD), \ul0\nosupersub\cf5\f6\fs22 nominal group pro
cess\ul0\nosupersub\cf4\f5\fs22 , dan survei. \par\pard\qj \li3586\ri1953\sb0\sl
-400\slmult0\fi532 \up0 \expndtw0\charscalex104 Pada fase ini, praktisi dapa
t menggunakan kumpulan data \line \up0 \expndtw0\charscalex102 multipel dari
aktivitas-aktivitas \up0 \expndtw0\charscalex104 (hasil wawancara dengan informa
n, \par\pard\qj \li3586\ri1953\sb0\sl-390\slmult0 \up0 \expndtw0\charscalex104 d
iskusi kelompok, observasi terhadap partisipan, dan survei), untuk \line \up0 \e
xpndtw0\charscalex102 memahami kebutuhan masyarakat. Fase ini secara subjektif b
erupaya \line \up0 \expndtw0\charscalex103 mendefinisikan kualitas hidup dalam m
asyarakat. Fokus pada fase ini \par\pard\ql \li9902\sb0\sl-241\slmult0 \par\pard
\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb204\sl-241\slmult0 \up0 \exp
ndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs20 15 \par\pard\sect\sectd\fs24\pa
perw12240\paperh15840\pard\sb0\sl-240{\bkmkstart Pg16}{\bkmkend Pg16}\par\pard\q
j \li3586\sb0\sl-390\slmult0 \par\pard\qj\li3586\sb0\sl-390\slmult0 \par\pard\qj
\li3586\sb0\sl-390\slmult0 \par\pard\qj\li3586\sb0\sl-390\slmult0 \par\pard\qj\l
i3586\ri1953\sb197\sl-390\slmult0\fi0 \up0 \expndtw0\charscalex102 \ul0\nosupers
ub\cf4\f5\fs22 adalah untuk mengenali dan mengevaluasi permasalahan sosial yang
\line \up0 \expndtw-1\charscalex100 mempengaruhi kualitas hidup target populasi.
Tahap ini membutuhkan \line \up0 \expndtw0\charscalex101 perencana program untu
k mendapatkan pengertian dari permasalahan \line \up0 \expndtw0\charscalex103 so
sial yang mempengaruhi kehidupan pasien, konsumen, siswa, atau \line \up0 \expnd
tw0\charscalex102 komunitas, sebagaimana mereka memandang permasalahan tersebut.
\line \up0 \expndtw0\charscalex102 Hal ini diikuti oleh pembentukan penghu
bung antara permasalah \line \up0 \expndtw-2\charscalex100 tersebut dan permas
alahan kesehatan spesifik yang dapat menjadi fokus \line \up0 \expndtw0\charscal
ex104 dari edukasi kesehatan. Penghubung ini sangat penting dalam hidup \line \u
p0 \expndtw0\charscalex104 dan, sebagai timbal balik, bagaimana kualitas hidup m
empengaruhi \line \up0 \expndtw0\charscalex103 permasalahan sosial. Metode yang
digunakan untuk diagnosis sosial \line \up0 \expndtw0\charscalex106 dapat mengg
unakan satu atau beberapa cara pada \up0 \expndtw-3\charscalex100 \ul0\nosu
persub\cf5\f6\fs22 \u8220?Community \par\pard\ql \li3585\sb104\sl-253\slmult0 \u
p0 \expndtw-3\charscalex100 Assessment\u8221?. \par\pard\ql \li3185\sb0\sl-253\s
lmult0 \par\pard\ql\li3185\sb0\sl-253\slmult0 \par\pard\ql\li3185\sb21\sl-253\sl
mult0\tx3586 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4\f5\fs22 b) \tab \
up0 \expndtw-3\charscalex100 Fase 2 (Diagnosis epidemiologi) \par\pard\qj \li358
6\ri1953\sb36\sl-388\slmult0\fi532 \up0 \expndtw0\charscalex100 Pada tahap ini,
masalah-masalah kesehatan yang didapatkan dari \line \up0 \expndtw-2\charscalex1
00 tahap pertama tadi digambarkan secara rinci berdasarkan data yang ada, \line
\up0 \expndtw0\charscalex103 baik yang berasal dari data lokal, regional, maupun
nasional. Dalam \line \up0 \expndtw-1\charscalex100 tahap ini dilihat bagaimana
pengaruh atau akibat dari masalah-masalah \line \up0 \expndtw0\charscalex100 ke
sehatan tersebut dengan mengacu pada mortalitas, morbiditas, tanda \line \up0 \e
xpndtw0\charscalex101 dan gejala yang ditimbulkan. Dari tahap inilah perencana m
enetapkan \line \up0 \expndtw0\charscalex102 suatu prioritas masalah yang nantin
ya akan dibuat suatu perencanaan \line \up0 \expndtw-3\charscalex100 yang sistem
atis. \par\pard\qj \li3586\ri1953\sb0\sl-390\slmult0\fi532 \up0 \expndtw0\charsc
alex103 Pada fase ini, siapa atau kelompok mana yang terkena masalah \line \up0
\expndtw0\charscalex105 kesehatan (umur, jenis kelamin, lokasi, dan suku) diiden
tifikasi. Di \line \up0 \expndtw0\charscalex101 samping itu, dicari pula bagaima
na pengaruh atau akibat dari masalah \line \up0 \expndtw0\charscalex100 kesehata
n tersebut (mortalitas, morbiditas, disabilitas, tanda dan gejala \line \up0 \ex
pndtw0\charscalex106 yang timbul) dan cara menanggulangi masalah tersebut \up0 \
expndtw-3\charscalex100 (imunisasi, \par\pard\qj \li3585\ri1954\sb5\sl-386\slmul
t0 \up0 \expndtw0\charscalex101 perawatan atau pengobatan, modifikasi lingku
ngan atau perilaku). \line \up0 \expndtw-1\charscalex100 Informasi ini sangat
penting untuk menetapkan prioritas masalah, yang \line \up0 \expndtw0\charscalex
104 didasarkan pertimbangan besarnya masalah dan akibat yang \line \
up0 \expndtw-2\charscalex100 ditimbulkan, serta kemungkingan untuk diubah. Prior
itas masalah harus \par\pard\ql \li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\s

b0\sl-241\slmult0 \par\pard\ql\li9902\sb92\sl-241\slmult0 \up0 \expndtw-3\charsc
alex100 \ul0\nosupersub\cf1\f2\fs20 16 \par\pard\sect\sectd\fs24\paperw12240\pap
erh15840\pard\sb0\sl-240{\bkmkstart Pg17}{\bkmkend Pg17}\par\pard\qj \li3586\sb0
\sl-400\slmult0 \par\pard\qj\li3586\sb0\sl-400\slmult0 \par\pard\qj\li3586\sb0\s
l-400\slmult0 \par\pard\qj\li3586\sb0\sl-400\slmult0 \par\pard\qj\li3586\ri1953\
sb149\sl-400\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf4\f5\fs22 t
ergambar pada tujuan program dengan ciri \u8220?\ul0\nosupersub\cf5\f6\fs22 who
eill benefit how much \up0 \expndtw-3\charscalex100 of what outcome by when\ul0\
nosupersub\cf4\f5\fs22 \u8221?. \par\pard\qj \li3586\ri1953\sb0\sl-389\slmult0\f
i532 \up0 \expndtw0\charscalex104 Diagnosis epidemiologi mencakup analisis data
sekunder atau \line \up0 \expndtw0\charscalex101 kumpulan data asli untuk mempri
oritaskan kebutuhan akan kesehatan \line \up0 \expndtw0\charscalex106 masyarakat
serta mempertahankan tujuan dan target dari program. \line \up0 \expndtw0\chars
calex102 Praktisi mengamankan dan menggunakan data statistik yang spesifik \line
\up0 \expndtw0\charscalex101 dari populasi target dalam rangka mengidentifikasi
dan mengurutkan \line \up0 \expndtw0\charscalex101 masalah dan tujuan keseh
atan yang dapat memberikan kontribusi \line \up0 \expndtw0\charscalex103 ter
hadap kebutuhan masyarakat yang teridentifikasi. Diagnosis \line \up0
\expndtw0\charscalex103 epidemiologi membantu identifikasi faktor-faktor
perilaku dan \line \up0 \expndtw0\charscalex100 lingkungan yang berhubungan d
engan kualitas kehidupan. Fokus pada \line \up0 \expndtw0\charscalex103 fase ini
adalah untuk mengidentifikasi permasalahan kesehatan yang \line \up0 \expndtw0\
charscalex101 spesifik dan faktor non-medis yang berhubungan dengan kuali
tas \line \up0 \expndtw0\charscalex101 kehidupan yang buruk. Menjelaskan permasa
lahan kesehatan tersebut \line \up0 \expndtw-2\charscalex100 dapat: 1. membentuk
hubungan antara permasalahan kesehatan, kondisi \line \up0 \expndtw0\charscalex
106 kesehatan lain, dan kualitas kehidupan; \up0 \expndtw0\charscalex103 2. Mend
orong penyusunan \par\pard\qj \li3586\ri1953\sb4\sl-386\slmult0 \up0 \expndtw0\c
harscalex104 prioritas masalah yang akan memandu fokus dari program dan
\line \up0 \expndtw0\charscalex101 pemanfaatan sumber daya secara efektif; dan 3
. Menyusun kewajiban \line \up0 \expndtw0\charscalex100 yang jelas pada masing-m
asing pihak. Prioritas-prioritas ini dijelaskan \line \up0 \expndtw0\charscalex1
00 sebagai sebagai sebuah program objektif yang menjelaskan target \line
\up0 \expndtw-2\charscalex100 populasi \up0 \expndtw0\charscalex106 (\ul0\nosupe
rsub\cf5\f6\fs22 WHO\ul0\nosupersub\cf4\f5\fs22 ), \ul0\nosupersub\cf5\f6\fs22 o
utcome \ul0\nosupersub\cf4\f5\fs22 yang diinginkan (\ul0\nosupersub\cf5\f6\fs22
WHAT\ul0\nosupersub\cf4\f5\fs22 ), dan seberapa \line \up0 \expndtw-2\charscalex
100 banyak \up0 \expndtw0\charscalex101 (\ul0\nosupersub\cf5\f6\fs22 HOW MUCH\u
l0\nosupersub\cf4\f5\fs22 ) keuntungan yang harus didapatkan target \line \
up0 \expndtw-3\charscalex100 populasi, dan kapan (\ul0\nosupersub\cf5\f6\fs22 WH
EN\ul0\nosupersub\cf4\f5\fs22 ) keuntungan tersebut terjadi. \par\pard\ql \li358
6\sb124\sl-253\slmult0 \up0 \expndtw-3\charscalex100 Contoh data-data epidemiolo
gi: \par\pard\ql \li3586\sb147\sl-253\slmult0 \up0 \expndtw0\charscalex107 \u822
6?\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Statistik vital \pa
r\pard\ql \li3586\sb147\sl-253\slmult0 \up0 \expndtw0\charscalex103 \u8226?\ul0\
nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Usia rentan meninggal \par
\pard\ql \li3586\sb167\sl-253\slmult0 \up0 \expndtw0\charscalex109 \u8226?\ul0\n
osupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Kecacatan \par\pard\ql \li3
586\sb147\sl-253\slmult0 \up0 \expndtw0\charscalex106 \u8226?\ul0\nosupersub\cf7
\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Angka kejadian \par\pard\ql \li3586\sb14
7\sl-253\slmult0 \up0 \expndtw0\charscalex109 \u8226?\ul0\nosupersub\cf7\f8\fs22
\ul0\nosupersub\cf4\f5\fs22 Morbiditas \par\pard\ql \li3586\sb147\sl-253\slm
ult0 \up0 \expndtw0\charscalex109 \u8226?\ul0\nosupersub\cf7\f8\fs22 \ul0\nosup
ersub\cf4\f5\fs22 Mortalitas \par\pard\ql \li9902\sb0\sl-241\slmult0 \par\pard
l\li9902\sb174\sl-241\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\
f2\fs20 17 \par\pard\sect\sectd\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bk
mkstart Pg18}{\bkmkend Pg18}\par\pard\qj \li3586\sb0\sl-388\slmult0 \par\pard\qj
\li3586\sb0\sl-388\slmult0 \par\pard\qj\li3586\sb0\sl-388\slmult0 \par\pard\qj\l
i3586\sb0\sl-388\slmult0 \par\pard\qj\li3586\ri1950\sb207\sl-388\slmult0\fi398\t
x5002 \up0 \expndtw0\charscalex106 \ul0\nosupersub\cf4\f5\fs22 Dari fase \tab \u
p0 \expndtw0\charscalex108 1 dan 2 objektif program disusun, objektif program \l
ine \up0 \expndtw-1\charscalex100 adalah tujuan-tujuan yang ingin dicapai sebaga
i hasil dari implementasi \line \up0 \expndtw0\charscalex103 intervensi-interven
si. Contoh diagnosis epidemiologi dalam promosi \line \up0 \expndtw0\charscalex1
00 kesehatan diare adalah banyaknya penduduk terutama balita dan anak-\line \up0
\expndtw0\charscalex100 anak yang menderita mencret-mencret/diare dan angka kem
atian anak \line \up0 \expndtw-3\charscalex100 akibat diare cukup tinggi. \par\p
ard\ql \li3185\sb0\sl-253\slmult0 \par\pard\ql\li3185\sb251\sl-253\slmult0\tx358
6 \up0 \expndtw-3\charscalex100 c) \tab \up0 \expndtw-3\charscalex100 Fase 3 (Di
agnosis perilaku dan lingkungan) \par\pard\qj \li3586\ri1953\sb34\sl-390\slmult0
\fi532 \up0 \expndtw0\charscalex106 Diagnosis perilaku adalah analisis hubungan
perilaku dengan \up0 \expndtw0\charscalex101 tujuan atau masalah yang diidentifi
kasi dalam diagnosis epidemiologi \up0 \expndtw-1\charscalex100 atau sosial. Sed
angkan diagnosis lingkungan adalah analisis paralel dari \up0 \expndtw-1\charsca
lex100 faktor lingkungan sosial dan fisik daripada tindakan khusus yang dapat \u
p0 \expndtw-3\charscalex100 dikaitkan dengan perilaku. \par\pard\qj \li3585\ri19
51\sb0\sl-390\slmult0\fi532 \up0 \expndtw0\charscalex103 Fase ini mengidentifi
kasi faktor-faktor, baik faktor internal \line \up0 \expndtw0\charscalex101
maupun eksternal dari individu yang dapat berpengaruh terhadap \line \up0
\expndtw-1\charscalex100 masalah kesehatan. Fokus fase ini ditujukan pada ident
ifikasi sistematis \line \up0 \expndtw0\charscalex105 praktek kesehatan dan fakt
or-faktor lain yang berhubungan dengan \line \up0 \expndtw0\charscalex105 permas
alahan kesehatan yang telah dijelaskan pada fase \up0 \expndtw0\charscalex104 2.
Faktor-\par\pard\ql \li3586\sb114\sl-253\slmult0\tx8146 \up0 \expndtw0\charscal
ex100 faktor ini mencakup penyebab non-perilaku \tab \up0 \expndtw0\charscal
ex100 (faktor individu dan \par\pard\qj \li3585\ri1951\sb16\sl-388\slmult0\fi0
\up0 \expndtw0\charscalex103 lingkungan) yang dapat berkontribusi pada permasal
ahan kesehatan, \line \up0 \expndtw0\charscalex102 tetapi tidak dikontrol
oleh perilaku. Hal ini dapat mencakup \line \up0 \expndtw0\charscalex1
00 predisposisi genetik, umur, jenis kelamin, penyait yang diderita, iklim, \lin
e \up0 \expndtw0\charscalex102 tempat kerja, ketersediaan fasilitas kesehatan ya
ng adekuat, dan lain-\line \up0 \expndtw-1\charscalex100 lain. Perilaku yang men
yebabkan permasalahan kesehatan juga dinilai. \line \up0 \expndtw0\charscalex106
Bagian penting lain pada fase ini adalah kecenderungan terjadinya \line \up0 \e
xpndtw0\charscalex101 perubahan pada tiap permasalahan kesehatan pada fase 2. Me
ngulang \line \up0 \expndtw0\charscalex100 kembali untuk membaca literatur-li
teratur yang telah ada maupun \line \up0 \expndtw-1\charscalex100 menerapkan
teori-teori yang ada, merupakan elemen penting pada fase \line \up0 \expndtw-2\
charscalex100 ini. \par\pard\qj \li3586\ri1953\sb0\sl-400\slmult0\fi532 \up0 \ex
pndtw-2\charscalex100 Matrix Perilaku, untuk membantu mengenali target-target di
mana \line \up0 \expndtw-2\charscalex100 intervensi yang paling efektif dapat di
terapkan. Matriks ini membantu \par\pard\ql \li9902\sb0\sl-241\slmult0 \par\pard
\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb73\sl-241\slmult0 \up0 \expn
dtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs20 18 \par\pard\sect\sectd\fs24\pap
erw12240\paperh15840\pard\sb0\sl-240{\bkmkstart Pg19}{\bkmkend Pg19}\par\pard\qj
\li3586\sb0\sl-390\slmult0 \par\pard\qj\li3586\sb0\sl-390\slmult0 \par\pard\qj\
li3586\sb0\sl-390\slmult0 \par\pard\qj\li3586\sb0\sl-390\slmult0 \par\pard\qj\li
3586\ri1953\sb197\sl-390\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\c
f4\f5\fs22 dalam mengidentifikasi sasaran dimana tindakan intervensi yang paling
\up0 \expndtw0\charscalex102 efektif dapat diterapkan. Langkah yang har
us dilakukan dalam \up0 \expndtw-3\charscalex100 diagnosis perilaku dan lingk
ungan antara lain: \par\pard\ql \li3586\ri1953\sb19\sl-380\slmult0\tx3984 \up0 \
expndtw0\charscalex100 a.\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs2
2 Memisahkan faktor perilaku dan non-perilaku penyebab timbulnya \line\tab \up
0 \expndtw-3\charscalex100 masalah kesehatan. \par\pard\ql \li3586\ri1953\sb0\sl
-390\slmult0\tx3984\tx3984\tx3984\tx3984 \up0 \expndtw-2\charscalex100 b.\ul0\no
supersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Mengidentifikasi perilaku ya
ng dapat mencegah timbulnya masalah \line\tab \up0 \expndtw-1\charscalex100 kese
hatan dan perilaku yang berhubungan dengan tindakan \line\tab \up0 \

expndtw-1\charscalex100 perawatan/pengobatan, sedangkan untuk faktor lingkungan
dengan \line\tab \up0 \expndtw0\charscalex102 mengeliminasi faktor-faktor lingku
ngan yang tidak dapat diubah \line\tab \up0 \expndtw-3\charscalex100 seperti fak
tor genetis dan demografis. \par\pard\ql \li3586\ri1953\sb11\sl-380\slmult0\tx39
84 \up0 \expndtw0\charscalex101 c.\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\c
f4\f5\fs22 Urutkan faktor perilaku dan lingkungan berdasarkan besarnya \
line\tab \up0 \expndtw-3\charscalex100 pengaruh terhadap masalah kesehatan. \par
\pard\ql \li3586\ri1953\sb20\sl-380\slmult0\tx3984 \up0 \expndtw0\charscalex100
d.\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Urutkan faktor peri
laku dan lingkungan berdasarkan kemungkinan \line\tab \up0 \expndtw-3\charscalex
100 untuk diubah. \par\pard\ql \li3586\ri1953\sb12\sl-390\slmult0\fi0\tx4118 \up
0 \expndtw-2\charscalex100 e.\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5
\fs22 Tetapkan perilaku dan lingkungan yang menjadi sasaran program. \line\tab
\up0 \expndtw0\charscalex103 Setelah itu tetapkan tujuan perubahan perilaku dan
lingkungan \up0 \expndtw0\charscalex102 yang ingin dicapai program. Ind
ikator masalah perilaku yang \up0 \expndtw-3\charscalex100 memengaruhi sta
tus kesehatan seseorang adalah pemanfaatan pelayanan \up0 \expndtw-2\charscalex1
00 kesehatan \up0 \expndtw0\charscalex102 (\ul0\nosupersub\cf5\f6\fs22 utilizati
on\ul0\nosupersub\cf4\f5\fs22 ), upaya pencegahan \up0 \expndtw0\charscalex104 (
\ul0\nosupersub\cf5\f6\fs22 prevention action\ul0\nosupersub\cf4\f5\fs22 ), pola
\par\pard\qj \li3586\ri1953\sb0\sl-390\slmult0 \up0 \expndtw0\charscalex100 kon
sumsi akanan (\ul0\nosupersub\cf5\f6\fs22 consumption pattern\ul0\nosupersub\cf4
\f5\fs22 ), kepatuhan (\ul0\nosupersub\cf5\f6\fs22 compliance\ul0\nosupersub\cf4
\f5\fs22 ), dan \line \up0 \expndtw0\charscalex105 upaya pemeliharaan kesehatan
sendiri (\ul0\nosupersub\cf5\f6\fs22 self care\ul0\nosupersub\cf4\f5\fs22 ). Dim
ensi perilaku \line \up0 \expndtw0\charscalex101 yang digunakan adalah \ul0\nosu
persub\cf5\f6\fs22 earliness, quality, persistence, frequency,\ul0\nosupersub\cf
4\f5\fs22 dan \par\pard\ql \li3185\ri1953\sb0\sl-393\slmult0\fi400\tx3586\tx358
6 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf5\f6\fs22 range\ul0\nosupersub\
cf4\f5\fs22 . Indikator lingkungan yang digunakan adalah keadaan sosial, \line\t
ab \up0 \expndtw0\charscalex100 ekonomi, fisik dan pelayanan kesehatan, sed
angkan dimensi yang \line\tab \up0 \expndtw-3\charscalex100 digunakan terdiri
atas keterjangkauan, kemampuan, dan pemerataan. \up0 \expndtw-3\charscalex100 d
) \up0 \expndtw-3\charscalex100 Fase 4 (Diagnosis pendidikan dan organisasi) \pa
r\pard\qj \li3585\ri1951\sb0\sl-386\slmult0\fi532 \up0 \expndtw0\charscalex104 S
esuai dengan perspektif perilaku, tahap diagnosis pendidikan \line \up0 \expndtw
0\charscalex104 dan organisasional model Precede memberi penekanan pada faktor-\
line \up0 \expndtw0\charscalex101 faktor predisposisi, pendukung, dan pengua
t. Dua faktor pertama \line \up0 \expndtw0\charscalex102 berkaitan dengan ant
eseden dari suatu perilaku tersebut, sedangkan \par\pard\ql \li9902\sb0\sl-241\s
lmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\slm
ult0 \par\pard\ql\li9902\sb222\sl-241\slmult0 \up0 \expndtw-3\charscalex100 \ul0
\nosupersub\cf1\f2\fs20 19 \par\pard\sect\sectd\fs24\paperw12240\paperh15840\par
d\sb0\sl-240{\bkmkstart Pg20}{\bkmkend Pg20}\par\pard\qj \li3586\sb0\sl-400\slmu
0 \par\pard\qj\li3586\sb0\sl-400\slmult0 \par\pard\qj\li3586\ri1953\sb149\sl-400
\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf4\f5\fs22 faktor pengua
t merupakan sinonim dari istilah konsekuen yang dipakai \up0 \expndtw-3\charscal
ex100 dalam analisis perilaku. \par\pard\ql \li3586\sb122\sl-253\slmult0\tx3852
\up0 \expndtw-3\charscalex100 \u8226? \tab \up0 \expndtw-3\charscalex100 Faktor
predisposisi (\ul0\nosupersub\cf5\f6\fs22 predisposing factors\ul0\nosupersub\cf
4\f5\fs22 ) \par\pard\qj \li3852\ri1954\sb14\sl-390\slmult0\fi520 \up0 \expndtw0
\charscalex103 Faktor yang mempermudah atau mendasari untuk terjadinya \up0 \exp
ndtw0\charscalex102 perilaku tertentu. Merupakan anteseden dari perila
ku yang \up0 \expndtw0\charscalex101 menggambarkan rasional atau motivasi mela
kukan suatu tindakan, \up0 \expndtw0\charscalex101 nilai dan kebutuhan yang dira
sakan, berhubungan dengan motivasi \up0 \expndtw-3\charscalex100 individu atau k
elompok untuk bertindak. \par\pard\ql \li3574\sb124\sl-253\slmult0\tx3852 \up0 \
expndtw-3\charscalex100 \u8226? \tab \up0 \expndtw-3\charscalex100 Faktor pemung
kin (\ul0\nosupersub\cf5\f6\fs22 enabling factors\ul0\nosupersub\cf4\f5\fs22 ) \

par\pard\qj \li3852\ri1954\sb34\sl-390\slmult0\fi520 \up0 \expndtw-1\charscalex1
00 Faktor yang memungkinkan untuk terjadinya perilaku tertentu \line \up0 \expnd
tw0\charscalex102 atau memungkinkan suatu motivasi direalisasikan. Yang termasuk
\line \up0 \expndtw0\charscalex102 dalam kelompok faktor pemungkin adalah keter
sediaan pelayanan \line \up0 \expndtw0\charscalex102 kesehatan, aksesibilitas
dan kemudahan pencapaian pelayanan \line \up0 \expndtw0\charscalex104 keseha
tan baik dari segi jarak maupun segi biaya dan sosial serta \line \up0 \expndtw0
\charscalex100 adanya peraturan-peraturan dan komitmen masyarakat dala
m \line \up0 \expndtw-3\charscalex100 menunjang perilaku tersebut. \par\pard\ql
\li3574\sb124\sl-253\slmult0\tx3852 \up0 \expndtw-3\charscalex100 \u8226? \tab \
up0 \expndtw-3\charscalex100 Faktor penguat (\ul0\nosupersub\cf5\f6\fs22 reinfor
cing factors\ul0\nosupersub\cf4\f5\fs22 ) \par\pard\qj \li3852\ri1953\sb13\sl-39
1\slmult0\fi532 \up0 \expndtw0\charscalex105 Faktor yang memperkuat (atau kadang
-kadang justru dapat \line \up0 \expndtw-1\charscalex100 memperlunak) untuk terj
adinya perilaku tersebut. Merupakan factor \line \up0 \expndtw0\charscalex101 ya
ng memperkuat suatu perilaku dengan memberikan penghargaan \line \up0 \expndtw0\
charscalex105 secara terus menerus pada perilaku dan berperan pada terjadinya \l
ine \up0 \expndtw-2\charscalex100 pengulangan. Merupakan faktor yang berperan se
telah suatu perilaku \line \up0 \expndtw0\charscalex106 telah dimulai. Faktor in
i mendukung pengulangan atau tetapnya \line \up0 \expndtw-1\charscalex100 suatu
perilaku dengan memberikan suatu penghargaan (reward) atau \line \up0 \expndtw0\
charscalex103 insentif secara berkelanjutan serta hukuman \up0 \expndtw0\charsca
lex100 (punishmen) sebagai \par\pard\qj \li3852\ri1953\sb0\sl-390\slmult0\fi0 \u
p0 \expndtw0\charscalex101 konsekuensi dari suatu perilaku. Hal tersebut d
igunakan untuk \up0 \expndtw0\charscalex104 memotivasi dan menguatkan per
ilaku sehat dan \ul0\nosupersub\cf5\f6\fs22 outcome\ul0\nosupersub\cf4\f5\
fs22 . \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf5\f6\fs22 Reinforcement\ul
0\nosupersub\cf4\f5\fs22 bisa datang dari individu atau kelompok, seseorang \up
0 \expndtw0\charscalex104 atau institusi dalam lingkungan fisik atau sosial sepe
rti keluarga, \up0 \expndtw-3\charscalex100 guru, akademis, dan lain-lain. \par\
pard\ql \li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\p
ard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb181\sl-241\slmult0 \up0 \
expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs20 20 \par\pard\sect\sectd\fs24
\paperw12240\paperh15840\pard\sb0\sl-240{\bkmkstart Pg21}{\bkmkend Pg21}\par\par
d\qj \li3852\sb0\sl-390\slmult0 \par\pard\qj\li3852\sb0\sl-390\slmult0 \par\pard
\qj\li3852\sb0\sl-390\slmult0 \par\pard\qj\li3852\sb0\sl-390\slmult0 \par\pard\q
j\li3852\ri1953\sb197\sl-390\slmult0\fi520 \up0 \expndtw-2\charscalex100 \ul0\no
supersub\cf4\f5\fs22 Hal penting untuk memahami \ul0\nosupersub\cf5\f6\fs22 rei
nforcing factor\ul0\nosupersub\cf4\f5\fs22 adalah sejauh \line \up0 \expndtw0\c
harscalex102 mana ketidakadannya akan berarti kehilangan dukungan untuk \l
ine \up0 \expndtw0\charscalex100 tindakan dari individu atau kelompok. Elemen pe
nting pada fase ini \line \up0 \expndtw0\charscalex100 adalah pemilihan faktor y
ang dapat dimodifikasi, yang paling dapat \line \up0 \expndtw0\charscalex103 men
ghasilkan perubahan perilaku Proses pemilihan mencakup \line \up0 \expndtw0
\charscalex101 mengidentifikasi, memilah faktor-faktor ini ke dalam katego
ri-\line \up0 \expndtw-3\charscalex100 kategori \up0 \expndtw0\charscalex101 (po
sitif dan negatif), menempatkan prioritas pada tiap \line \up0 \expndtw0\c
harscalex102 kategori, dan memprioritaskan salah satu kategori. Prioritas faktor
\line \up0 \expndtw0\charscalex105 bergantung kepada tingkat kepentingan
\up0 \expndtw0\charscalex103 (\ul0\nosupersub\cf5\f6\fs22 importance\ul0\nosuper
sub\cf4\f5\fs22 ) dan \par\pard\qj \li3852\ri1954\sb0\sl-400\slmult0 \up0 \exp
ndtw0\charscalex100 kemampuan untuk diubah (\ul0\nosupersub\cf5\f6\fs22 changeab
ility\ul0\nosupersub\cf4\f5\fs22 ). \ul0\nosupersub\cf5\f6\fs22 Learning objecti
ves \ul0\nosupersub\cf4\f5\fs22 dari \up0 \expndtw-3\charscalex100 faktor-faktor
terpilih ini kemudian dikembangkan. \par\pard\qj \li3852\ri1953\sb0\sl-390\slmu
lt0\fi520 \up0 \expndtw-1\charscalex100 Pemilihan faktor-faktor mana yang
harus diubah untuk \up0 \expndtw-2\charscalex100 memulai dan menjaga (\ul0
\nosupersub\cf5\f6\fs22 maintain\ul0\nosupersub\cf4\f5\fs22 )\ul0\nosupersub\cf5
\f6\fs22 \ul0\nosupersub\cf4\f5\fs22 perubahan perilaku dilakukan pada \up0 \ex
pndtw-2\charscalex100 fase ini karena intervensi spesifik juga disusun pada fase
ini. \par\pard\qj \li3852\ri1954\sb0\sl-390\slmult0\fi532 \up0 \expndtw-2\chars
calex100 Diagnosis edukasi dan organisasi ini lah yang digunakan untuk \up0 \exp
ndtw0\charscalex100 melihat hal-hal spesifik yang dapat meningkatkan atau menuru
nkan \up0 \expndtw-3\charscalex100 perilaku-perilaku yang berhubungan dengan kes
ehatan. \par\pard\ql \li3852\sb0\sl-253\slmult0 \par\pard\ql\li3852\sb232\sl-253
\slmult0 \up0 \expndtw-3\charscalex100 Contoh diagnosis pendidikan dan organinas
ional: \par\pard\ql \li3852\sb127\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \
ul0\nosupersub\cf5\f6\fs22 Predisposing factors \par\pard\ql \li3852\sb127\sl-25
3\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf4\f5\fs22 -\ul0\nosupe
rsub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Kurangnya pengetahuan tentang cara
hidup bersih dan sehat \par\pard\ql \li3852\sb147\sl-253\slmult0 \up0 \expndtw2\charscalex100 -\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Kebias
aan MCK di sungai \par\pard\ql \li3852\sb127\sl-253\slmult0 \up0 \expndtw-2\char
scalex100 -\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Penggunaan a
ir sungai sebagai sumber air minum dan masak \par\pard\ql \li3852\sb147\sl-253\s
lmult0 \up0 \expndtw-2\charscalex100 -\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupers
ub\cf4\f5\fs22 Kebiasaan tidak mencuci tangan sebelum makan dan setelah BAB \par
\pard\ql \li3852\sb127\sl-253\slmult0 \up0 \expndtw-2\charscalex100 -\ul0\nosupe
rsub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Kurangnya pengetahuan tentang diar
e \par\pard\ql \li3852\sb147\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\n
osupersub\cf5\f6\fs22 Enabling factors \par\pard\ql \li3852\sb127\sl-253\slmult0
\up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf4\f5\fs22 -\ul0\nosupersub\cf7\
f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Terbatasnya sumber/fasilitas air bersih \pa
r\pard\ql \li3852\sb147\sl-253\slmult0 \up0 \expndtw-2\charscalex100 -\ul0\nosup
ersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Terbatasnya fasilitas jamban \par
\pard\ql \li3852\sb127\sl-253\slmult0 \up0 \expndtw-2\charscalex100 -\ul0\nosupe
rsub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Terbatasnya daya jangkau ke pusat
kesehatan \par\pard\ql \li3852\ri1952\sb6\sl-400\slmult0\tx4118 \up0 \expndtw0\c
harscalex103 -\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Kegiatan
PKK dan karang taruna yang tidak terlaksana dengan \line\tab \up0 \expndtw-3\c
harscalex100 baik \par\pard\ql \li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb
0\sl-241\slmult0 \par\pard\ql\li9902\sb90\sl-241\slmult0 \up0 \expndtw-3\charsca
lex100 \ul0\nosupersub\cf1\f2\fs20 21 \par\pard\sect\sectd\fs24\paperw12240\pape
rh15840\pard\sb0\sl-240{\bkmkstart Pg22}{\bkmkend Pg22}\par\pard\ql \li3852\sb0\
sl-253\slmult0 \par\pard\ql\li3852\sb0\sl-253\slmult0 \par\pard\ql\li3852\sb0\sl
\slmult0 \par\pard\ql\li3852\sb99\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \
ul0\nosupersub\cf5\f6\fs22 Reinforcing factors \par\pard\ql \li3852\ri1954\sb43\
sl-380\slmult0\tx4118 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf4\f5\fs22 \ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Perilaku tokoh masyarak
at yang juga tidak memberikan contoh \line\tab \up0 \expndtw-3\charscalex100 yan
g baik \par\pard\qj \li3852\ri1953\sb16\sl-385\slmult0\fi532 \up0 \expndtw0\char
scalex100 Langkah selanjutnya adalah menetapkan tujuan pembelajaran \up0 \expndt
w0\charscalex103 yang akan dicapai berdasarkan faktor predisposisi yang t
elah \up0 \expndtw0\charscalex103 diidentifikasi, dan menetapkan tujuan organisa
sional berdasarkan \up0 \expndtw0\charscalex100 faktor penguat dan faktor pendor
ong yang telah diidentifikasi elalui \up0 \expndtw-3\charscalex100 upaya pengemb
angan organisasi dan sumber daya. \par\pard\ql \li3185\sb0\sl-253\slmult0 \par\p
ard\ql\li3185\sb252\sl-253\slmult0\tx3586 \up0 \expndtw-3\charscalex100 e) \tab
\up0 \expndtw-3\charscalex100 Fase 5 (Diagnosis administrasi dan kebijakan) \par
\pard\qj \li3585\ri1954\sb36\sl-388\slmult0\fi532 \up0 \expndtw0\charscalex106 P
ada fase ini, dilakukan analisis kebijakan, sumber daya, dan \line \up0 \expndtw
0\charscalex105 peraturan yang berlaku yang dapat memfasilitasi atau menghambat
\line \up0 \expndtw0\charscalex104 pengembangan program promosi kesehatan.
Untuk diagnosis \line \up0 \expndtw0\charscalex104 administratif, dilakuka
n tiga penilaian, yaitu sumber daya yang \line \up0 \expndtw-2\charscalex1
00 dibutuhkan untuk melaksanakan program, sumber daya yang terdapat di \line \up
0 \expndtw-2\charscalex100 organisasi dan masyarakat, serta hambatan pelaksanaan
program. Untuk \line \up0 \expndtw0\charscalex104 diagnosis kebijakan, dilakuka

n identifikasi dukungan dan hambatan \line \up0 \expndtw0\charscalex100 politis,
peraturan dan organisasional yang memfasilitasi program serta \line \up0 \expnd
tw-2\charscalex100 pengembangan lingkungan yang dapat mendukung kegiatan masyara
kat \line \up0 \expndtw-2\charscalex100 yang kondusif bagi kesehatan. \par\pard\
qj \li3586\ri1953\sb0\sl-390\slmult0\fi532 \up0 \expndtw-2\charscalex100 Pada fa
se ini kita melangkah dari perencanaan dengan PRECEDE \line \up0 \expndtw0\chars
calex102 ke implementasi dan evaluasi dengan PROCEED. PRECEDE \line
\up0 \expndtw0\charscalex100 digunakan untuk meyakinkan bahwa program akan
sesuai dengan \line \up0 \expndtw0\charscalex100 kebutuhan dan keadaan individ
u atau masyarakat sasaran. Sebaliknya, \line \up0 \expndtw0\charscalex105 PROCEE
D untuk meyakinkan bahwa program akan tersedia, dapat \line \up0 \expndtw0\chars
calex103 dijangkau, dapat diterima dan dapat dipertanggungjawabkan kepada \line
\up0 \expndtw-2\charscalex100 penentu kebijakan, administrator, konsumen atau kl
ien, dan \ul0\nosupersub\cf5\f6\fs22 stakeholder \line \up0 \expndtw0\charscalex
104 \ul0\nosupersub\cf4\f5\fs22 terkait. Hal ini dilakukan untuk menilai kesesua
ian program dengan \line \up0 \expndtw-3\charscalex100 standar yang telah diteta
pkan. \par\pard\qj \li3586\ri1953\sb0\sl-400\slmult0\fi532 \up0 \expndtw0\charsc
alex103 Diagnosis administratif dilakukan dengan tiga penilaian, yaitu: \line \u
p0 \expndtw0\charscalex104 sumber daya yang dibutuhkan untuk melaksanakn program
, sumber \par\pard\ql \li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\
slmult0 \par\pard\ql\li9902\sb63\sl-241\slmult0 \up0 \expndtw-3\charscalex100 \u
l0\nosupersub\cf1\f2\fs20 22 \par\pard\sect\sectd\fs24\paperw12240\paperh15840\p
ard\sb0\sl-240{\bkmkstart Pg23}{\bkmkend Pg23}\par\pard\qj \li3585\sb0\sl-390\sl
90\slmult0\fi0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf4\f5\fs22 daya yan
g ada di organisasi dan masyarakat, serta hambatan pelaksana \line \up0 \expndtw
0\charscalex102 program. Sedangkan pada diagnosis kebijakan dilakukan identifika
si \line \up0 \expndtw0\charscalex105 dukungan dan hambatan politis, peraturan d
an organisasional yang \line \up0 \expndtw0\charscalex101 memfasilitasi program
dan pengembangan lingkungan yang dapat \line \up0 \expndtw-3\charscalex100
mendukung kegiatan masyarakat yang kondusif bagi kesehatan. \par\pard\qj \li358
6\ri1953\sb0\sl-390\slmult0\fi532 \up0 \expndtw0\charscalex104 Misalnya, adanya
kebijakan pemerintah dalam pemberantasan \line \up0 \expndtw-2\charscalex100 pen
yakit diare antara lain bertujuan untuk menurunkan angka kesakitan, \line \up0 \
expndtw-2\charscalex100 angka kematian, dan penanggulangan kejadian luar biasa (
KLB). \par\pard\ql \li3667\sb0\sl-253\slmult0 \par\pard\ql\li3667\sb0\sl-253\slm
ult0 \par\pard\ql\li3667\sb8\sl-253\slmult0 \up0 \expndtw0\charscalex102 \u8226?
\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Sumber Data \par\pard
\ql \li3984\ri1954\sb34\sl-390\slmult0 \up0 \expndtw-1\charscalex100 Data masyar
akat yang dibutuhkan oleh seorang perencana promosi \up0 \expndtw-3\charscalex10
0 kesehatan dapat berasal dari berbagai sumber seperti : \line \up0 \expndtw-3\c
harscalex100 \u8722?\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22
Dokumen yang ada \par\pard\ql \li4046\ri1954\sb39\sl-380\slmult0\tx4385\tx4385 \
up0 \expndtw0\charscalex105 \u8722?\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\
cf4\f5\fs22
Langsung dari masyarakat, di mana kita bisa mendapatkan \line\tab
\up0 \expndtw-2\charscalex100 data mengenai status kesehatan masyarakat, perila
ku kesehatan \line\tab \up0 \expndtw-2\charscalex100 dan determinan dari perilak
u tersebut, \par\pard\qj \li4046\ri4798\sb24\sl-400\slmult0 \up0 \expndtw0\chars
calex101 \u8722?\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22
Petu
gas kesehatan di lapangan \up0 \expndtw0\charscalex102 \u8722?\ul0\nosupersub\cf
7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22
Tokoh masyarakat \par\pard\ql \li3646\
16\sl-253\slmult0 \up0 \expndtw-1\charscalex100 \u8226?\ul0\nosupersub\cf7\f8\fs
22 \ul0\nosupersub\cf4\f5\fs22 Cara pengumpulan data yang dapat dilakukan ada
lah: \par\pard\ql \li4046\sb127\sl-253\slmult0 \up0 \expndtw-1\charscalex100 \ul
0\nosupersub\cf5\f6\fs22 a.\ul0\nosupersub\cf13\f14\fs22 \ul0\nosupersub\cf5\f6
\fs22 Key informant approach \par\pard\qj \li3984\ri1953\sb36\sl-388\slmult0\fi
400 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf4\f5\fs22 Informasi yang
diperoleh dari informan kunci melalui \line \up0 \expndtw0\charscalex100

wawancara mendalam atau Focus Group Discussion(FGD) sangat \line \up0 \expndtw0
\charscalex106 menolong untuk memahami masalah yang ada. Cara ini cukup \line \u
p0 \expndtw-2\charscalex100 sederhana dan relatif murah, karena informasi yang d
iperoleh dapat \line \up0 \expndtw0\charscalex104 mewakili berbagai perspektif d
an informan kunci sendiri selain \line \up0 \expndtw0\charscalex103 memberikan
data yang dapat digunakan dalam membuat \line \up0 \expndtw0\charscal
ex102 perencanaan, juga akan membantu dalam mengimplementasikan \line \up0 \expn
dtw-3\charscalex100 promosi kesehatan. \par\pard\ql \li9902\sb0\sl-241\slmult0 \
par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \pa
r\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\
pard\ql\li9902\sb49\sl-241\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub
\cf1\f2\fs20 23 \par\pard\sect\sectd\fs24\paperw12240\paperh15840\pard\sb0\sl-24
0{\bkmkstart Pg24}{\bkmkend Pg24}\par\pard\ql \li4046\sb0\sl-253\slmult0 \par\pa
rd\ql\li4046\sb0\sl-253\slmult0 \par\pard\ql\li4046\sb0\sl-253\slmult0 \par\pard
li4046\sb99\sl-253\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf5\f6\
fs22 b.\ul0\nosupersub\cf13\f14\fs22 \ul0\nosupersub\cf5\f6\fs22 Community for
um approach \par\pard\qj \li3984\ri1951\sb38\sl-386\slmult0\fi400 \up0 \expndtw0
\charscalex105 \ul0\nosupersub\cf4\f5\fs22 Cara lain yang dapat digunakan untuk
mengumpulkan data \line \up0 \expndtw0\charscalex104 adalah melalui forum diskus
i. Di sini health promotor bersama-\line \up0 \expndtw-2\charscalex100 sama masy
arakat mendiskusikan masyarakat yang ada.melalui cara \line \up0 \expndtw-2\char
scalex100 ini dapat dicari jalan keluar dari masalah yang ada. Bila dilihat dari
\line \up0 \expndtw0\charscalex100 sudut program, cara ini sangat ekonomis, di
samping itu promotor \line \up0 \expndtw0\charscalex103 kesehatan juga dapat
memahami masalah dari berbagai sudt \line \up0 \expndtw-3\charscalex100 pand
ang masyarakat. \par\pard\ql \li4046\sb0\sl-253\slmult0 \par\pard\ql\li4046\sb25
1\sl-253\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf5\f6\fs22 c.\ul0
\nosupersub\cf13\f14\fs22 \ul0\nosupersub\cf5\f6\fs22 Sample survey appproach
\par\pard\qj \li3984\ri1954\sb34\sl-390\slmult0\fi400 \up0 \expndtw0\charscalex1
01 \ul0\nosupersub\cf4\f5\fs22 Merupakan cara pengumpulan data kebutuhan ma
syarakat \line \up0 \expndtw0\charscalex101 yang paling valid dan akurat, k
arena estimasi kesalahan bisa \line \up0 \expndtw0\charscalex103 diseleksi. N
amun demikian cara ini merupakan cara yang paling \line \up0 \expndtw0\charscale
x101 mahal. Metode yang dapat digunakan adalah wawancara dan \line \up0 \
expndtw-3\charscalex100 observasi (terutama bila ingin melihat keterampilan atau
\ul0\nosupersub\cf5\f6\fs22 skill). \par\pard\ql \li3185\sb0\sl-253\slmult0 \pa
r\pard\ql\li3185\sb251\sl-253\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupers
ub\cf4\f5\fs22 f)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Fase
6 (Implementasi) \par\pard\qj \li3586\ri1953\sb16\sl-388\slmult0\fi532 \up0 \ex
pndtw-1\charscalex100 Pada tahap ini, merencanakan suatu intervensi (secara besa
r pada \up0 \expndtw-1\charscalex100 fase-fase sebelumnya), berdasarkan analisis
. Sekarang, yang harus kita \up0 \expndtw-1\charscalex100 lakukan adalah menjala
nkannya. Fase ini hanya berupa pengaturan dan \up0 \expndtw0\charscalex102 pengi
mplementasian intervensi yang telah direncanakan sebelumnya. \up0 \expndtw-1\cha
rscalex100 Pada fase ini, intervensi yang telah disusun pada fase kelima diterap
kan \up0 \expndtw-2\charscalex100 secara langsung pada masyarakat. \par\pard\ql
\li3185\sb0\sl-253\slmult0 \par\pard\ql\li3185\sb251\sl-253\slmult0 \up0 \expndt
w-1\charscalex100 g)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 F
ase 7 (Evaluasi proses) \par\pard\qj \li3586\ri1953\sb36\sl-388\slmult0\fi532 \u
p0 \expndtw0\charscalex107 Fase ini bukanlah mengenai hasil, tetapi mengenai pro
sedur. \line \up0 \expndtw0\charscalex103 Evaluasi disini berarti apakah kita se
dang melakukan apa yang telah \line \up0 \expndtw0\charscalex103 kita rencanakan
sebelumnya. Jika, sebagai contoh, kita menawarkan \line \up0 \expndtw0\charscal
ex104 melakukan pelayanan kesehatan diare tiga hari dalam sepekan pada \line \up
0 \expndtw0\charscalex100 daerah pedesaan, apakah dalam kenyataannya k
ita benar-benar \line \up0 \expndtw0\charscalex100 melakukan pelayanan kesehat
an tersebut. Kita juga menetapkan untuk \par\pard\ql \li9902\sb0\sl-241\slmult0
\par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb92\sl-241\slmult0 \
up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs20 24 \par\pard\sect\sectd
\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bkmkstart Pg25}{\bkmkend Pg25}\pa
r\pard\qj \li3586\sb0\sl-393\slmult0 \par\pard\qj\li3586\sb0\sl-393\slmult0 \par
ard\qj\li3586\ri1953\sb183\sl-393\slmult0\fi0 \up0 \expndtw-2\charscalex100 \ul0
\nosupersub\cf4\f5\fs22 memberikan penyuluhan setiap hari senin dan khamis untuk
melakukan \line \up0 \expndtw-2\charscalex100 penyuluhan tentang diare dan pena
nganannya di puskesmas berdekatan, \line \up0 \expndtw0\charscalex101 setiap se
lasa dan rabu melakukan penyuluhan ke sekolah-sekolah \line \up0 \expndtw3\charscalex100 apakah kita benar- benar melaksanakan sesuai yang direncanakan.
\par\pard\ql \li3185\sb0\sl-253\slmult0 \par\pard\ql\li3185\sb230\sl-253\slmult0
\up0 \expndtw-1\charscalex100 h)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf
4\f5\fs22 Fase 8 (Evaluasi dampak) \par\pard\qj \li3586\ri1953\sb34\sl-390\slm
ult0\fi532 \up0 \expndtw-2\charscalex100 Pada fase ini, kita mulai melakukan eva
luasi terhadap sukses awal \line \up0 \expndtw-2\charscalex100 dari upaya kita.
Apakah intervensi tersebut menghasilkan efek yang kita \line \up0 \expndtw0\char
scalex106 inginkan pada faktor perilaku atau lingkungan yang kita harapkan \lin
e \up0 \expndtw0\charscalex102 untuk berubah. Mengukur efektifitas program
dari sudut dampak \line \up0 \expndtw0\charscalex102 menengah dan perubaha
n-perubahan pada faktor \ul0\nosupersub\cf5\f6\fs22 predisposing, \line \u
p0 \expndtw0\charscalex101 enabling, \ul0\nosupersub\cf4\f5\fs22 dan \ul0\nosupe
rsub\cf5\f6\fs22 reinforcing.\ul0\nosupersub\cf4\f5\fs22 Mengevaluasi dampak da
ri intervensi pada \line \up0 \expndtw-3\charscalex100 faktor-faktor pendukung p
erilaku dan pada perilaku itu sendiri. \par\pard\ql \li3590\sb0\sl-253\slmult0 \
par\pard\ql\li3590\sb251\sl-253\slmult0\tx3852 \up0 \expndtw-3\charscalex100 \u8
226? \tab \up0 \expndtw-3\charscalex100 Faktor-faktor predisposisi (\ul0\nosuper
sub\cf5\f6\fs22 Predisposing factor\ul0\nosupersub\cf4\f5\fs22 ) \par\pard\qj \l
i3852\ri1953\sb36\sl-388\slmult0\fi532 \up0 \expndtw0\charscalex107 Faktor-fakto
r ini mencakup, pengetahuan dan sikap \line \up0 \expndtw-1\charscalex
100 masyarakat terhadap kesehatan, tradisi dan kepercayaan masyarakat \line \up0
\expndtw-1\charscalex100 terhadap hal-hal yang berkaitan dengan kesehatan, sist
em nilai yang \line \up0 \expndtw0\charscalex101 dianut masyarakat, tingkat pend
idikan, tingkat sosial ekonomi, dan \line \up0 \expndtw0\charscalex101 sebagainy
a. Ikhwal ini dapat dijelaskan sebagai berikut. Untuk \line \up0 \expndtw
0\charscalex103 berperilaku kesehatan, misalnya: pemeriksaan kesehatan bagi ibu
\line \up0 \expndtw0\charscalex103 hamil diperlukan pengetahuan dan kesadaran ib
u tersebut tentang \line \up0 \expndtw0\charscalex105 manfaat pemeriksaan hamil,
baik bagi kesehatan ibu sendiri dan \line \up0 \expndtw0\charscalex103 janinnya
. Disamping itu, kadang-kadang kepercayaan, tradisi dan \line \up0 \expndtw-2\ch
arscalex100 sistem nilai masyarakat juga dapat mendorong atau menghambat ibu \li
ne \up0 \expndtw0\charscalex105 untuk periksa hamil. Misalnya, orang hamil tidak
boleh disuntik \line \up0 \expndtw0\charscalex101 (pemeriksa hamil termasuk
memperoleh suntikan anti tetanus), \line \up0 \expndtw0\charscalex106 karena
suntikan bisa menyebabkan anak cacat. Faktor-faktor ini \line \up0 \expndtw-2\ch
arscalex100 terutama yang positif akan mempermudah terwujudnya perilaku baru \li
ne \up0 \expndtw-2\charscalex100 maka sering disebut faktor yang memudahkan. \pa
r\pard\ql \li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par
\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb231\sl-241\slmult0 \up0
\expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs20 25 \par\pard\sect\sectd\fs
24\paperw12240\paperh15840\pard\sb0\sl-240{\bkmkstart Pg26}{\bkmkend Pg26}\par\p
ard\li3590\sb0\sl-264\slmult0\par\pard\li3590\sb0\sl-264\slmult0\par\pard\li3590
\sb0\sl-264\slmult0\par\pard\li3590\sb0\sl-264\slmult0\par\pard\li3590\sb0\sl-26
4\slmult0\par\pard\li3590\sb0\sl-264\slmult0\par\pard\li3590\sb0\sl-264\slmult0\
par\pard\li3590\sb44\sl-264\slmult0\fi0\tx3852 \up0 \expndtw-3\charscalex100 \ul
0\nosupersub\cf4\f5\fs22 \u8226?\tab \up0 \expndtw-3\charscalex100 Faktor-faktor
pemungkin (\ul0\nosupersub\cf5\f6\fs22 Enabling factors\ul0\nosupersub\cf4\f5\f
s22 )\par\pard\qj \li3852\ri1953\sb23\sl-388\slmult0\fi532 \up0 \expndtw0\charsc
alex101 Faktor-faktor ini mencakup ketersedian sarana dan prasarana \line \up0 \
expndtw-2\charscalex100 atau fasilitas kesehatan bagi masyarakat, misalnya: air
bersih, tempat \line \up0 \expndtw0\charscalex102 pembuangan sampah, tempat

pembuangan tinja, tersedianya \line \up0 \expndtw0\charscalex107 makanan y
ang bergizi, dan sebagainya. Termasuk juga fasilitas \line \up0 \expndtw0\charsc
alex103 pelayanan kesehatan seperti puskesmas, rumah sakit, poliklinik, \line
\up0 \expndtw0\charscalex100 posyandu, polindes, pos obat desa, dokter atau bid
an praktek suasta \line \up0 \expndtw-1\charscalex100 (BPS), dan sebagainya.
Untuk berperilaku sehat, masyarakat \line \up0 \expndtw0\charscalex103
memerlukan sarana dan prasarana pendukung, misalnya: perilaku \line \up0 \expndt
w0\charscalex104 pemeriksaan kehamilan. Ibu hamil yang mau periksa hamil tidak \
line \up0 \expndtw0\charscalex105 hanya karena ia tahu dan sadar manfaat
periksa hamil saja, \line \up0 \expndtw0\charscalex107 melainkan ibu tersebut
dengan mudah harus dapat memperoleh \line \up0 \expndtw0\charscalex101 fasilitas
atau tempat periksa hamil, misalnya: puskesmas, polindes, \line \up0 \expndtw0\
charscalex105 bidan praktik, ataupun rumah sakit. Fasilitas ini pada hakikatnya
\line \up0 \expndtw0\charscalex100 mendukung untuk atau memungkinkan ter
wujudnya perilaku \line \up0 \expndtw0\charscalex105 kesehatan, maka faktor-fa
ktor ini disebut faktor pendukung atau \line \up0 \expndtw-3\charscalex100 fakto
r pemungkin. \par\pard\ql \li3458\sb144\sl-253\slmult0\tx3852 \up0 \expndtw-3\ch
arscalex100 \u8226? \tab \up0 \expndtw-3\charscalex100 Faktor-faktor penguat (\u
l0\nosupersub\cf5\f6\fs22 Reinforcing factors\ul0\nosupersub\cf4\f5\fs22 ) \par\
pard\qj \li3852\ri1951\sb14\sl-390\slmult0\fi532 \up0 \expndtw0\charscalex108 Fa
ktor-faktor ini meliputi faktor sikap dan perilaku tokoh \line \up0 \expndtw-1\c
harscalex100 masyarakat, tokoh agama, sikap dan perilaku para petugas termasuk \
line \up0 \expndtw-2\charscalex100 petugas kesehatan. Termasuk juga di sini unda
ng-undang, peraturan-\line \up0 \expndtw0\charscalex100 peraturan baik dari pusa
t maupun pemerintahan daerah yang terkait \line \up0 \expndtw0\charscalex105 den
gan kesehatan. Untuk berperilaku sehat, masyarakat kadang-\line \up0 \expndtw0\c
harscalex102 kadang bukan hanya perlu pengetahuan dan sikap positif serta
\line \up0 \expndtw0\charscalex103 dukungan fasilitas saja, melainkan diper
lukan perilaku contoh \line \up0 \expndtw0\charscalex106 (acuan) dari para tok
oh masyarakat, tokoh agama, para petugas, \line \up0 \expndtw0\charscalex102 leb
ih-lebih para petugas kesehatan. Disamping itu undang-undang \line \up0 \expndtw
0\charscalex104 juga diperlukan untuk memperkuat perilaku masyarakat tersebut. \
line \up0 \expndtw0\charscalex106 Oleh sebab itu intervensi pendidikan
hendaknya dimulai \line \up0 \expndtw0\charscalex104 mendiagnosis 3 faktor pe
nyebab (determinan) tersebut kemudian \line \up0 \expndtw-3\charscalex100 interv
ensinya juga diarahkan terhadap tiga faktor tersebut. \par\pard\ql \li9902\sb0\s
l-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb52\sl
-241\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs20 26 \par\p
ard\sect\sectd\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bkmkstart Pg27}{\bk
mkend Pg27}\par\pard\ql \li3185\sb0\sl-253\slmult0 \par\pard\ql\li3185\sb0\sl-25
mult0 \par\pard\ql\li3185\sb0\sl-253\slmult0 \par\pard\ql\li3185\sb99\sl-253\slm
ult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf4\f5\fs22 i) Fase 9 (Eval
uasi hasil) \par\pard\qj \li3586\ri1953\sb36\sl-388\slmult0\fi532 \up0 \expndtw0
\charscalex104 \u8220?Apakah intervensi kita sungguh bekerja dalam menghasilkan
\line \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf5\f6\fs22 outcome\ul0\nosu
persub\cf4\f5\fs22 yang teridentifikasi pada komunitas pada fase 1 sebelumnya?\
u8221?. \line \up0 \expndtw-1\charscalex100 Intervensi ini mungkin dapat secara
sukses dilakukan, prosesnya sesuai \line \up0 \expndtw0\charscalex102 dengan ya
ng direncanakan, dan terjadi perubahan yang memang \line \up0 \expndtw0\ch
arscalex104 diharapkan. Namun, hasilnya secara keseluruhan tidak memiliki
\line \up0 \expndtw0\charscalex111 dampak pada masalah yang lebih luas. Dalam ha
l ini, kita harus \line \up0 \expndtw0\charscalex100 memulai kembali prosesnya s
ekali lagi, untuk melihat mengapa faktor \line \up0 \expndtw0\charscalex105 yang
kita fokuskan bukanlah faktor yang tepat, dan untuk \line \up0
\expndtw0\charscalex100 mengidentifikasi faktor lain yang mungkin berh
asil. Mengukur \line \up0 \expndtw0\charscalex100 perubahan dari keseluruhan o
bjek dan perubahan dalam kesehatan dan \line \up0 \expndtw-1\charscalex100 keunt
ungan sosial atau kualitas kehidupan (\ul0\nosupersub\cf5\f6\fs22 outcome\ul0\no

supersub\cf4\f5\fs22 ) yang menentukan \line \up0 \expndtw-1\charscalex100 efek
terbesar pada intervensi terhadap kesehatan dan kualitas kehidupan \line \up0 \e
xpndtw0\charscalex103 suatu populasi. Dibutuhkan waktu yang panjang untuk mendap
atkan \line \up0 \expndtw0\charscalex100 hasil, dan mungkin beberapa tah
un untuk benar-benar melihat \line \up0 \expndtw-3\charscalex100 perubahan
kualitas hidup pada populasi atau masyarakat. \par\pard\qj \li3586\ri1953\sb15\
sl-385\slmult0\fi532 \up0 \expndtw0\charscalex101 Beberapa \ul0\nosupersub\cf5\f
6\fs22 outcome\ul0\nosupersub\cf4\f5\fs22 mungkin tidak terlihat nyata dalam be
berapa \up0 \expndtw-2\charscalex100 tahun atau dekade. Bila \ul0\nosupersub\cf5
\f6\fs22 outcome\ul0\nosupersub\cf4\f5\fs22 tidak terlihat dalam jangka waktu y
ang \up0 \expndtw0\charscalex101 lama, maka kita harus bersabar dan tetap
mengawasi proses dan \up0 \expndtw-1\charscalex100 dampak dari intervensi kit
a, dengan keyakinan bahwa \ul0\nosupersub\cf5\f6\fs22 outcome\ul0\nosupersub\cf4
\f5\fs22 tersebut \up0 \expndtw-3\charscalex100 akan terlihat dengan nyata nant
inya. \par\pard\qj \li3586\ri1953\sb20\sl-380\slmult0\fi532 \up0 \expndtw0\chars
calex100 Langkah-langkah untuk menetapkan prioritas masalah kesehatan \up0 \expn
dtw-3\charscalex100 meliputi hal-hal berikut. \par\pard\ql \li3583\sb125\sl-253\
slmult0 \up0 \expndtw-1\charscalex100 a)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupe
rsub\cf4\f5\fs22 Menentukan status kesehatan masyarakat. \par\pard\ql \li3583\
sb127\sl-253\slmult0 \up0 \expndtw-2\charscalex100 b)\ul0\nosupersub\cf7\f8\fs22
\ul0\nosupersub\cf4\f5\fs22 Menentukan pola pelayanan kesehatan msyarakat ya
ng ada. \par\pard\ql \li3583\ri1954\sb43\sl-380\slmult0\tx3984 \up0 \expndtw0\ch
arscalex102 c)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Menentu
kan hubungan antara status kesehatan dan pelayanan \line\tab \up0 \expndtw
-3\charscalex100 kesehatan di masyarakat \par\pard\ql \li3583\ri1954\sb20\sl-380
\slmult0\tx3984\tx3984 \up0 \expndtw0\charscalex101 d)\ul0\nosupersub\cf7\f8\fs2
2 \ul0\nosupersub\cf4\f5\fs22 Menentukan determinan masalah kesehatan masyara
kat (meliputi \line\tab \up0 \expndtw0\charscalex101 tingkat pendidikan, umur,
jenis kelamin, ras, letak geografis, \line\tab \up0 \expndtw-3\charscalex1
00 kebiasaan atau perilaku dan kepercayaan yang dianut). \par\pard\ql \li9902\sb
sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb11\s
l-241\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs20 27 \par\
pard\sect\sectd\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bkmkstart Pg28}{\b
kmkend Pg28}\par\pard\qj \li3585\sb0\sl-393\slmult0 \par\pard\qj\li3585\sb0\sl-3
93\slmult0 \par\pard\qj\li3585\sb0\sl-393\slmult0 \par\pard\qj\li3585\sb0\sl-393
\slmult0 \par\pard\qj\li3585\ri1954\sb183\sl-393\slmult0\fi532 \up0 \expndtw0\ch
arscalex100 \ul0\nosupersub\cf4\f5\fs22 Beberapa faktor yang harus dipertimbangk
an dalam menentukan \line \up0 \expndtw0\charscalex104 prioritas masalah antar
a lain beratnya masalah dan akibat yang \line \up0 \expndtw0\charscalex101
ditimbulkan, pertimbangan politis, dan sumber daya yang ada di \line \u
p0 \expndtw-3\charscalex100 masyarakat. \par\pard\ql \li3187\sb0\sl-253\slmult0
\par\pard\ql\li3187\sb250\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosu
persub\cf2\f3\fs22 Mengembangkan Komponen Promosi Kesehatan \par\pard\ql \li3185
\sb127\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4\f5\fs22
A.\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Menentukan tujuan pro
mosi kesehatan \par\pard\qj \li3453\ri1954\sb14\sl-390\slmult0\fi530 \up0 \expnd
tw-1\charscalex100 Pada dasarnya, tujuan utama promosi kesehatan mencakup tiga h
al \line \up0 \expndtw0\charscalex101 yaitu peningkatan pengetahuandan atau sika
p masyarakat, peningkatan \line \up0 \expndtw-3\charscalex100 perilaku masyaraka
t, dan peningkatan status kesehatan masyarakat. \par\pard\ql \li3451\sb0\sl-253\
slmult0 \par\pard\ql\li3451\sb251\sl-253\slmult0 \up0 \expndtw-1\charscalex100 a
)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Tujuan Umum \par\pard\
qj \li3715\ri1954\sb38\sl-386\slmult0\fi0 \up0 \expndtw0\charscalex103 Acuan b
agi lintas program dan lintas sektor dalam rangka \line \up0 \expn
dtw0\charscalex101 pengembangan program PHBS percontohan untuk meningkatkan
\line \up0 \expndtw0\charscalex107 cakupan rumah tangga berperilaku hidup bersi
h dan sehat secara \line \up0 \expndtw-3\charscalex100 bertahap dan berkesinambu
ngan menuju Kabupaten/Kota Sehat. \par\pard\ql \li3317\sb0\sl-253\slmult0 \par\p
ard\ql\li3317\sb251\sl-253\slmult0 \up0 \expndtw-1\charscalex100 b)\ul0\nosupers

ub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Tujuan Khusus \par\pard\ql \li3646
\ri1953\sb34\sl-390\slmult0\tx3984\tx3984 \up0 \expndtw-1\charscalex100 \u8226?\
ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Tersedianya pedoman pe
laksanaan program PHBS Kabupaten/Kota \line\tab \up0 \expndtw0\charscalex105 per
contohan untuk meningkatkan cakupan rumah tangga \line\tab \up0 \expnd
tw-3\charscalex100 berperilaku hidup bersih dan sehat. \par\pard\ql \li3646\ri19
53\sb2\sl-400\slmult0\tx3984 \up0 \expndtw0\charscalex104 \u8226?\ul0\nosupersub
\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Terlaksananya pengembangan Kabup
aten/Kota percontohan \line\tab \up0 \expndtw-3\charscalex100 program PHBS. \p
ar\pard\ql \li3646\ri1953\sb0\sl-400\slmult0\tx3984 \up0 \expndtw0\charscalex100
\u8226?\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Meningkatnya
cakupan rumah tangga berperilaku hidup bersih dan \line\tab \up0 \expndtw-3\char
scalex100 sehat \par\pard\ql \li3646\sb122\sl-253\slmult0 \up0 \expndtw-1\charsc
alex100 \u8226?\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Mening
katnya Desa/Kelurahan dan Kabupaten/Kota Sehat \par\pard\qj \li3715\ri1954\sb12\
sl-393\slmult0\fi535 \up0 \expndtw0\charscalex107 Agar tujuan dapat dicapai dan
dijalankan sesuai keinginan, \up0 \expndtw0\charscalex102 penetapan tujuan har
us memenuhi syarat: \ul0\nosupersub\cf5\f6\fs22 Specific, Measurable, \up0 \
expndtw0\charscalex100 Appropriate, Reasonable, Time bound, \ul0\nosupersub\cf4\
f5\fs22 dan dinyatakan dalam bentuk \up0 \expndtw-3\charscalex100 \ul0\nosupersu
b\cf5\f6\fs22 performance\ul0\nosupersub\cf4\f5\fs22 bukan \ul0\nosupersub\cf5\
f6\fs22 effort. \par\pard\ql \li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\
sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb170\
sl-241\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs20 28 \par
\pard\sect\sectd\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bkmkstart Pg29}{\
bkmkend Pg29}\par\pard\qj \li3715\sb0\sl-400\slmult0 \par\pard\qj\li3715\sb0\sl400\slmult0 \par\pard\qj\li3715\sb0\sl-400\slmult0 \par\pard\qj\li3715\sb0\sl-40
0\slmult0 \par\pard\qj\li3715\ri1954\sb149\sl-400\slmult0\fi535 \up0 \expndtw0\c
harscalex100 \ul0\nosupersub\cf4\f5\fs22 Berdasarkan luang lingkupnya tujuan pro
mosi kesehatan terdiri \up0 \expndtw-3\charscalex100 atas tiga tingkatan (Green,
1991), yaitu: \par\pard\ql \li3715\sb102\sl-253\slmult0 \up0 \expndtw-1\charsca
lex100 a)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Tujuan program
\par\pard\qj \li3984\ri1953\sb36\sl-388\slmult0\fi0 \up0 \expndtw0\charscalex10
2 Tujuan program merupakan refleksi dari fase sosial dan \line \up
0 \expndtw0\charscalex104 epidemiologi, berupa pernyataan tentang apa yang akan
dicapai \line \up0 \expndtw0\charscalex104 dalam periode tertentu yang b
erhubungan dengan status \line \up0 \expndtw0\charscalex105 kesehatan.tujuan
ini harus mencakup \u8220?\ul0\nosupersub\cf5\f6\fs22 who will in how much of \
line \up0 \expndtw-1\charscalex100 what by when\u8221?\ul0\nosupersub\cf4\f5\fs2
2 . Tujuan program juga sering disebut sebagai tujuan \line \up0 \expndtw-2\char
scalex100 jangka panjang. (contohnya mortalitas akibat kecelakaan kerja pada \li
ne \up0 \expndtw0\charscalex105 pekerja menurun 50% setelah promosi kesehatan be
rjalan lima \line \up0 \expndtw-3\charscalex100 tahun). \par\pard\ql \li3715\sb1
04\sl-253\slmult0 \up0 \expndtw-2\charscalex100 b)\ul0\nosupersub\cf7\f8\fs22 \
ul0\nosupersub\cf4\f5\fs22 Tujuan pendidikan \par\pard\qj \li3984\ri1954\sb38\sl
-386\slmult0 \up0 \expndtw0\charscalex100 Merupakan pendidikan atau pembelajaran
yang harus dicapai agar \line \up0 \expndtw0\charscalex100 tercapai perilaku ya
ng diinginkan. Tujuan pendidikan disebut juga \line \up0 \expndtw-1\charscalex10
0 tujuan jangka menengah. (contohnya cakupan angka kunjungan ke \line \up0 \expn
dtw0\charscalex101 klinik perusahaan meningkat \up0 \expndtw0\charscalex102 75
% setelah promosi kesehatan \par\pard\ql \li3984\sb124\sl-253\slmult0 \up0 \e
xpndtw-2\charscalex100 berjalan tiga tahun). \par\pard\ql \li3715\sb127\sl-253\s
lmult0 \up0 \expndtw-1\charscalex100 c)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosuper
sub\cf4\f5\fs22 Tujuan perilaku \par\pard\qj \li3984\ri1954\sb36\sl-388\slmult0\
fi0 \up0 \expndtw0\charscalex101 Merupakan tujuan jangka pendek, yang merup
akan gambaran \line \up0 \expndtw0\charscalex103 perilaku yang akan dicapai dal
am mengatasi masalah kesehatan. \line \up0 \expndtw0\charscalex104 Tujuan perila
ku berhubungan pengetahuan, sikap, dan tindakan \line \up0 \expndtw0\charscalex1
05 (contohnya pengetahuan pekerja tentang tanda-tanda bahaya di \line \up0 \expn
dtw0\charscalex103 tempat kerja meningkat 60% setelah promosi kesehatan berjalan

\line \up0 \expndtw-3\charscalex100 enam bulan). \par\pard\ql \li3185\sb0\sl-25
3\slmult0 \par\pard\ql\li3185\sb251\sl-253\slmult0 \up0 \expndtw-3\charscalex100
B.\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Menentukan sasaran p
romosi kesehatan \par\pard\qj \li3454\ri1953\sb14\sl-390\slmult0\fi530 \up0 \exp
ndtw0\charscalex102 Pada tahap ini, ditentukan sasaran langsung (primer) dan sas
aran \up0 \expndtw0\charscalex101 tidak langsung (sekuder dan tersier). Sasaran
promosi kesehatan adalah \up0 \expndtw-3\charscalex100 individu dan kelompok, at
au keduanya. \par\pard\ql \li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl241\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-24
1\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs20 29 \par\pard
\sect\sectd\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bkmkstart Pg30}{\bkmke
nd Pg30}\par\pard\ql \li3185\sb0\sl-253\slmult0 \par\pard\ql\li3185\sb0\sl-253\s
ult0 \par\pard\ql\li3185\sb0\sl-253\slmult0 \par\pard\ql\li3185\sb0\sl-253\slmul
t0 \par\pard\ql\li3185\sb0\sl-253\slmult0 \par\pard\ql\li3185\sb99\sl-253\slmult
0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4\f5\fs22 C.\ul0\nosupersub\cf
7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Menentukan isi promosi kesehatan \par\par
d\qj \li3454\ri1953\sb36\sl-388\slmult0\fi530 \up0 \expndtw0\charscalex100 Kompo
nen isi promosi kesehatan berisi bahan yang akan \up0 \expndtw0\ch
arscalex104 disampaikan kepada sasaran untuk meningkatkan pencapaian tujuan. \up
0 \expndtw0\charscalex104 Adapun persyaratan isi promosi kesehatan meliputi bero
rientasi pada \up0 \expndtw-3\charscalex100 tujuan \up0 \expndtw-2\charscalex100
(khususnya tujuan jangka pendek), dan harus disusun berdasarkan \up0 \expndtw0\
charscalex105 masing-masing tujuan jangka pendek paling sedikit jumlahnya sama \
up0 \expndtw-3\charscalex100 dengan tujuan jangka pendek yang dirumuskan. \par\p
ard\qj \li3454\ri1953\sb0\sl-393\slmult0\fi530 \up0 \expndtw0\charscalex103 Isi
pesan dapat dibuat dengan menggunakan gambar dan bahasa \line \up0 \expndtw0\cha
rscalex102 setempat sesederhana mungkin agar mudah dipahami oleh sasaran
\line \up0 \expndtw0\charscalex105 sehingga mereka merasa pesan tersebut benar-b
enar ditujukan untuk \line \up0 \expndtw-3\charscalex100 mereka dan diharapkan s
asaran maumelaksanakan isi pesan tersebut. \par\pard\ql \li3185\sb0\sl-253\slmul
t0 \par\pard\ql\li3185\sb238\sl-253\slmult0 \up0 \expndtw-3\charscalex100 D.\ul0
\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Menentukan metode yang akan
digunakan \par\pard\qj \li3454\ri1953\sb6\sl-400\slmult0\fi530 \up0 \expndtw0\c
harscalex101 Beberapa hal yang harus dipertimbangkan dalam menentukan \up0
\expndtw-3\charscalex100 metode promosi kesehatan adalah sebagai berikut: \par\
pard\ql \li3454\sb102\sl-253\slmult0 \up0 \expndtw-2\charscalex100 a)\ul0\nosupe
rsub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Aspek yang akan dinilai \par\pard\
ql \li3780\ri1954\sb34\sl-390\slmult0 \up0 \expndtw0\charscalex104 \u8226?\ul0\n
osupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Aspek pengetahuan, metode
yang dapat digunakan misalnya \line \up0 \expndtw-2\charscalex100 penyuluhan
langsung, pemasangan poster, spanduk dan penyebaran \line \up0 \expndtw-2\charsc
alex100 pamplet. \par\pard\ql \li3780\ri1954\sb10\sl-390\slmult0 \up0 \expndtw0\
charscalex100 \u8226?\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 As
pek sikap, metode yang dapat digunakan berupa contoh konkret \up0 \expndtw0\char
scalex104 yang dapat menggugah emosi, perasaan, dan sikap sasaran, \up0 \
expndtw-3\charscalex100 misalnya memperlihatkan foto, slide, film, atau video. \
par\pard\ql \li3780\ri1954\sb30\sl-390\slmult0 \up0 \expndtw0\charscalex101 \u82
26?\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Aspek keterampilan
, metode yang dapat digunakan berupa \line \up0 \expndtw-1\charscalex1
00 memberi kesempatan kepada sasaran untuk mencoba keterampilan \line \up0 \expn
dtw-2\charscalex100 tersebut. \par\pard\ql \li3454\sb104\sl-253\slmult0 \up0 \ex
pndtw-2\charscalex100 b)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22
Sumber daya yang dimiliki masyarakat \par\pard\ql \li3454\sb147\sl-253\slmult0
\up0 \expndtw-2\charscalex100 c)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4
\f5\fs22 Jenis atau jumlah sasaran \par\pard\ql \li3185\sb0\sl-253\slmult0 \par\
pard\ql\li3185\sb0\sl-253\slmult0 \par\pard\ql\li3185\sb1\sl-253\slmult0 \up0 \e
xpndtw-2\charscalex100 E.\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs2
2 Menentukan media yang akan digunakan \par\pard\qj \li3454\ri1953\sb43\sl-380\s

lmult0\fi530 \up0 \expndtw0\charscalex103 Media dibuat untuk memudahkan pemahama
n materi yang akan \line \up0 \expndtw0\charscalex104 disampaikan. Media yang di
pilih harus bergantung pada jenis sasaran, \par\pard\ql \li9902\sb0\sl-241\slmul
t0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb53\sl-241\slmult
0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs20 30 \par\pard\sect\se
ctd\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bkmkstart Pg31}{\bkmkend Pg31}
\par\pard\qj \li3454\sb0\sl-390\slmult0 \par\pard\qj\li3454\sb0\sl-390\slmult0 \
par\pard\qj\li3454\sb0\sl-390\slmult0 \par\pard\qj\li3454\sb0\sl-390\slmult0 \pa
r\pard\qj\li3454\ri1953\sb197\sl-390\slmult0\fi0 \up0 \expndtw0\charscalex107 \u
l0\nosupersub\cf4\f5\fs22 tingkat pendidikan sasaran, aspek yang ingin dicapai,
metode yang \up0 \expndtw0\charscalex101 digunakan, dan sumber daya yang a
da. Media dapat digunakan di \up0 \expndtw-3\charscalex100 berbagai tempat a
ntara lainsebagai berikut: \par\pard\ql \li3454\ri1953\sb19\sl-380\slmult0\tx371
5 \up0 \expndtw0\charscalex103 a)\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf
4\f5\fs22 Rumah tangga (leaflet, model buku bergambar, benda nyata seperti \line
\tab \up0 \expndtw-3\charscalex100 buah-buahan, dan sayuran). \par\pard\ql \li34
54\ri1953\sb0\sl-400\slmult0\tx3715 \up0 \expndtw0\charscalex100 b)\ul0\nosupers
ub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Tempat kerja dan sekolah (papan tuli
s, flipchart, poster, leaflet, buku \line\tab \up0 \expndtw-3\charscalex100 ceri
ta bergambar, kotak gambar gulung, dan boneka). \par\pard\li3454\sb95\sl-264\slm
ult0\fi0\tx5712 \up0 \expndtw0\charscalex103 c)\ul0\nosupersub\cf7\f8\fs22 \ul0
\nosupersub\cf4\f5\fs22 Masyarakat umum\tab \up0 \expndtw0\charscalex103 (post
er, spanduk, leaflet, flannel graf, dan\par\pard\li3454\sb125\sl-264\slmult
0\fi261 \up0 \expndtw0\charscalex103 wayang).\par\pard\ql \li3115\sb0\sl-253\slm
ult0 \par\pard\ql\li3115\sb0\sl-253\slmult0 \par\pard\ql\li3115\sb13\sl-253\slmu
lt0 \up0 \expndtw-4\charscalex100 F.\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub
\cf4\f5\fs22 Menyusun rencana evaluasi \par\pard\qj \li3454\ri1953\sb14\sl-390\s
lmult0\fi530 \up0 \expndtw0\charscalex102 Pada tahap ini dijabarkan kapan e
valuasi akan dilaksanakan, \up0 \expndtw0\charscalex100 dimana dilaksanankan
, kelompok sasaran yang mana yang akan \up0 \expndtw-3\charscalex100
dievaluasi, dan siapa yang akan melaksanakan evaluasi). \par\pard\ql \li3185\sb
0\sl-253\slmult0 \par\pard\ql\li3185\sb251\sl-253\slmult0 \up0 \expndtw-3\charsc
alex100 G.\ul0\nosupersub\cf7\f8\fs22 \ul0\nosupersub\cf4\f5\fs22 Menyusun jadw
al pelaksanaan \par\pard\qj \li3329\ri1953\sb43\sl-380\slmult0\fi655 \up0 \expnd
tw0\charscalex101 Merupakan penjabaran dari waktu, tempat dan pelaksanaan, yang
\up0 \expndtw-3\charscalex100 biasnya disajikan dalam bentuk \ul0\nosupersub\cf5
\f6\fs22 Gantt chart. \par\pard\ql \li9902\sb0\sl-241\slmult0 \par\pard\ql\li990
2\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\
\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\s
ult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmul
t0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0
\par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb92\sl-241\slmult0
\up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs20 31 \par\pard\sect\sect
d\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bkmkstart Pg32}{\bkmkend Pg32}\p
ar\pard\ql \li5616\sb0\sl-253\slmult0 \par\pard\ql\li5616\sb0\sl-253\slmult0 \pa
rd\ql\li5616\sb0\sl-253\slmult0 \par\pard\ql\li5616\sb119\sl-253\slmult0 \up0 \e
xpndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs22 KESIMPULAN \par\pard\ql \li26
\sb1\sl-253\slmult0\tx3053 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4\f5\
fs22 1. \tab \up0 \expndtw0\charscalex100 Promosi kesehatan adalah kombina
si berbagai dukungan menyangkut \par\pard\qj \li3053\ri1953\sb43\sl-380\sl
mult0 \up0 \expndtw0\charscalex100 pendidikan, organisasi, kebijakan, dan peratu

ran perundang-undangan untuk \up0 \expndtw-2\charscalex100 perubahan lingkungan
dan perilaku yang menguntungkan kesehatan (Green& \up0 \expndtw-2\charscalex100
Ottoaon 1995) \par\pard\ql \li2714\sb125\sl-253\slmult0\tx3053 \up0 \expndtw-3\c
harscalex100 2. \tab \up0 \expndtw0\charscalex100 Sasaran Promosi Kesehatan
diarahkan pada individu atau keluarga, \par\pard\qj \li3053\ri1953\sb6
\sl-400\slmult0\fi0 \up0 \expndtw0\charscalex106 masyarakat atau lintas sektoral
atau politis atau swasta, dan petugas atau \up0 \expndtw-3\charscalex100 pelaks
ana program. \par\pard\li2652\sb109\sl-264\slmult0\fi0\tx3053 \up0 \expndtw0\cha
rscalex100 3.\tab \up0 \expndtw0\charscalex100 Strategi promosi kesehatan melipu
ti advokasi kesehatan, bina suasana, dan\par\pard\li2652\sb125\sl-264\slmult0\fi
400 \up0 \expndtw0\charscalex100 gerakan masyarakat (WHO, 1984)\par\pard\ql \li2
652\sb121\sl-253\slmult0\tx3053 \up0 \expndtw-3\charscalex100 4. \tab \up0 \expn
dtw0\charscalex105 Perencanaan promosi kesehatan adalah suatu proses diagnosis p
enyebab \par\pard\qj \li3053\ri1954\sb43\sl-380\slmult0 \up0 \expndtw0\charscale
x108 masalah, penetapan prioritas, dan alokasi sumber daya yang ada untuk \up0 \
expndtw-3\charscalex100 mencapai tujuan. \par\pard\ql \li2652\sb125\sl-253\slmul
t0\tx3053 \up0 \expndtw-3\charscalex100 5. \tab \up0 \expndtw0\charscalex100 Mod
el PRECEDE-PROCEED adalah model pendekatan promosi kesehatan \par\pard\qj \li305
3\ri1954\sb6\sl-400\slmult0 \up0 \expndtw0\charscalex105 yang dikembangkan oleh
Green (1980) dan yang dapat digunakan untuk \up0 \expndtw-3\charscalex100 membua
t perencanaan dan evaluasi kesehatan \par\pard\li2652\sb101\sl-264\slmult0\fi0\t
x3053\tx7552 \up0 \expndtw0\charscalex101 6.\tab \up0 \expndtw0\charscalex101 \u
l0\nosupersub\cf5\f6\fs22 PRECEDE\ul0\nosupersub\cf4\f5\fs22
adalah singkat
an \ul0\nosupersub\cf5\f6\fs22 Predisposing\tab \up0 \expndtw0\charscalex101 \
ul0\nosupersub\cf4\f5\fs22 (predisposisi), \ul0\nosupersub\cf5\f6\fs22 Reinfor
cing\par\pard\li2652\sb128\sl-264\slmult0\fi400 \up0 \expndtw0\charscalex101 \ul
0\nosupersub\cf4\f5\fs22 (Memperkuat), \ul0\nosupersub\cf5\f6\fs22 Enabling\ul0\
nosupersub\cf4\f5\fs22 (Mengaktifkan), \ul0\nosupersub\cf5\f6\fs22 Causes\ul0\n
osupersub\cf4\f5\fs22 (Penyebab), \ul0\nosupersub\cf5\f6\fs22 Educational\par\p
ard\li2652\sb122\sl-264\slmult0\fi400\tx4102\tx7968 \up0 \expndtw-3\charscalex10
0 Diagnosis\tab \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf4\f5\fs22 (Pendid
ikan Diagnosa) dan \ul0\nosupersub\cf5\f6\fs22 Evaluation\tab \up0 \expndtw0\cha
rscalex101 \ul0\nosupersub\cf4\f5\fs22 (Evaluasi). PROCEED\par\pard\li2652\sb127
\sl-264\slmult0\fi400 \up0 \expndtw0\charscalex102 (Policy, Regulatory, Orga
nizational Construct in Educational and\par\pard\li2652\sb125\sl-264\slm
ult0\fi400 \up0 \expndtw0\charscalex101 Environmental Development).\par\pard\ql
\li2652\sb120\sl-253\slmult0\tx3053 \up0 \expndtw-3\charscalex100 7. \tab \up0 \
expndtw0\charscalex103 Model PROCEDE-PRECEED memiliki 9 langkah yaitu: diagnosis
sosial; \par\pard\qj \li3053\ri1953\sb34\sl-390\slmult0\fi0 \up0 \expndtw0\char
scalex100 diagnosis epidemiologi; diagnosis perilaku dan lingkungan;
diagnosis \up0 \expndtw0\charscalex105 pendidikan dan organisasional; diagno
sis kebijakan dan administrasi; \up0 \expndtw-3\charscalex100 implementasi; e
valuasi proses; evaluasi dampak; evaluasi hasil \par\pard\ql \li9902\sb0\sl-241\
mult0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmu
lt0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult
0 \par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb0\sl-241\slmult0
\par\pard\ql\li9902\sb0\sl-241\slmult0 \par\pard\ql\li9902\sb104\sl-241\slmult0
\up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs20 32 \par\pard\sect\sect
d\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bkmkstart Pg33}{\bkmkend Pg33}\p
ar\pard\ql \li5342\sb0\sl-253\slmult0 \par\pard\ql\li5342\sb0\sl-253\slmult0 \pa
rd\ql\li5342\sb0\sl-253\slmult0 \par\pard\ql\li5342\sb119\sl-253\slmult0 \up0 \e
xpndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs22 DAFTAR PUSTAKA \par\pard\ql \
2990\sb1\sl-253\slmult0\tx3329 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4
\f5\fs22 1. \tab \up0 \expndtw0\charscalex100 Dignan, Mark. B & Carr Patricia, A
: \ul0\nosupersub\cf5\f6\fs22 Introduction to Program Planning : \par\pard\qj \l
i3329\ri1953\sb43\sl-380\slmult0 \up0 \expndtw0\charscalex103 A Basic Text fo

r Community Health Education, \ul0\nosupersub\cf4\f5\fs22 Lea & Febringer,
\up0 \expndtw-3\charscalex100 Philadelphia, 1981 \par\pard\ql \li2990\sb105\sl253\slmult0\tx3329 \up0 \expndtw-3\charscalex100 2. \tab \up0 \expndtw-2\charsca
lex100 Green, Lawrence & Kreuter, Marshall, W: \ul0\nosupersub\cf5\f6\fs22 Healt
h Promotion Planning, An \par\pard\qj \li3329\ri1953\sb43\sl-380\slmult0 \up0 \e
xpndtw0\charscalex100 Educational and Environmental Approach, \ul0\nosupersub
\cf4\f5\fs22 Second Edition, Mayfield \up0 \expndtw-3\charscalex100 Publishin
g Company, 1991 \par\pard\ql \li2990\sb125\sl-253\slmult0\tx3329 \up0 \expndtw-3
\charscalex100 3. \tab \up0 \expndtw0\charscalex102 Greene, Walter & Simon-Mo
rton:\ul0\nosupersub\cf5\f6\fs22 Introduction to Health Education, \par\pard\
ql \li3329\sb127\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf
4\f5\fs22 Waveland Press Inc, Prospect Height, Illness, 1990 \par\pard\ql \li299
0\sb147\sl-253\slmult0\tx3329 \up0 \expndtw-3\charscalex100 4. \tab \up0 \expndt
w0\charscalex101 Hartono B. Promosi Kesehatan di Puskesmas dan Rumah Sakit. Ceta
kan \par\pard\ql \li3329\sb127\sl-253\slmult0 \up0 \expndtw-3\charscalex100 Pert
ama, Desember. Jakarta : Rineka Cipta, 2010. \par\pard\li2990\sb143\sl-264\slmul
t0\fi0\tx3329 \up0 \expndtw0\charscalex100 5.\tab \up0 \expndtw0\charscalex100 M
aulana H. Promosi Kesehatan. Cetakan ke-3. Jakarta : EGC; 2010.\par\pard\li2990\
sb122\sl-264\slmult0\fi0\tx3329 \up0 \expndtw0\charscalex100 6.\tab \up0 \expndt
w0\charscalex100 Notoatmodjo S. Promosi Kesehatan Teori dan Aplikasi. Edisi Revi
si,\par\pard\li2990\sb127\sl-264\slmult0\fi338 \up0 \expndtw0\charscalex100 Sept
ember. Jakarta : Rineka Cipta; 2010.\par\pard\li2990\sb125\sl-264\slmult0\fi0\tx
3329 \up0 \expndtw0\charscalex100 7.\tab \up0 \expndtw0\charscalex100 Notoatmodj
o S. Prinsip-prinsip Dasar Ilmu Kesehatan Masyarakat.\par\pard\li2990\sb12
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tw0\charscalex100 8.\tab \up0 \expndtw0\charscalex100 Notoatmodjo, S. Promosi Ke
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0 Notoatmodjo, S. Ilmu Perilaku Kesehatan. Cetakan Pertama, Maret.\par\pa
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