Harapan Stakeholder terhadap perencanaan program kesehatan Community Development (Comdev) :: Studi kasus PT Total E and P Indonesie di Kab. Kutai Kartanegara

Sebagai bagian dari tanggung jawab perusahaan, PT Total Indonesie bersama-sama dengan Dinas Kesehatan, Puskesmas dan wakil dari masyarakat mengembangkan program kesehatan melalui program community development. Hal ini bertujuan untuk menghindari konflik dan perselisihan dalam masyarakat. Dalam proses perencanaan program kesehatan, pendapat dan usulan dominan berasal dari puskesmas. Sedangkan masyarakat belum berpartisipasi secara aktif sebagaimana program community development yang lain, dimana perencanaan didapatkan melalui musrenbang desa/kelurahan. Melihat kenyataan ini, apakah program kesehatan melalui community development yang proses perencanaan programnya bekerja sama dengan Puskesmas dan Dinas Kesehatan, sudah meningkatkan kemampuan masyarakat yang mandiri untuk hidup sehat. Tujuan penelitian ini adalah: 1) Ingin mengetahui bagaimana harapan dari stakeholder terhadap perencanaan program kesehatan Comdev Total E&P Indonesie. 2) Ingin memperbaiki proses perencanaan program kesehatan Comdev Total E&P Indonesie. Metode yang digunakan dalam penelitian ini adalah penelitian kualitatif deskriptif. Data dikumpulkan melalui wawancara mendalam, observasi dan pengumpulan data sekunder dengan unit analisis community development Total Indonesie yang beroperasi di wilayah Kabupaten Kutai Kartanegara. Hasil penelitian menunjukan bahwa perencanaan program kesehatan community development ini dilaksanakan dalam kerangka visi dan misi yang ada. Namun dalam proses perencanaan program kesehatan ini, community development bekerja sama dengan Puskesmas dan Dinas Kesehatan saja belum melibatkan masyarakat. Dapat disimpulkan bahwa dari perspektif masyarakat program-program community development bersama dengan Puskesmas dan Dinas Kesehatan belum memberdayakan masyarakat. Kegiatan seperti pengobatan gratis, sunatan massal, operasi katarak dan operasi bibir sumbing memang sudah dirasakan manfaatnya, namun untuk jangka panjang dikhawatirkan menimbulkan ketergantungan. Upaya -upaya pemberdayaan keluarga, peningkatan pengetahuan kesehatan, kemandirian untuk menolong dirinya sendiri, kemandirian dalam gizi, promosi kesehatan dan pencegahan penyakit belum diprioritaskan. Introduction. As part of corporate responsibilities, PT Total Indonesie develops health programs together with health office, community health centre and community‘s representatives. This program meant prevent disputes and conflicts with the public. At the planning level, most of the opinions for the health program come from the community health centre. The public have not yet actively participate, as other community development programs which are bansed on village’s discussion, planning and development. In this situation, it could be said that this program has agreed with public’s expectation and desire. The purposes of this research are: 1. knowing the stakeholder’s expectation about the Community Development Program from Total E&P Indonesie, 2. improving health program planning process of Community Development of Total E&P Indonesie. Methods. Method used in this research is descriptive qualitative research. Data were collected through deep interviews and observations, while the secondary data were obtained through development community analysis unit of Total Indonesie which operated in Kutai Kartanegara District. Result. The research’s result shows that the health program planning of Community Development has agreed with the vision and mission. But in this health program planning process, Community Development only works with community health centre and health office. They have not yet optimally involved the public. Conclusion. Conclusion could be taken from the community’s perspectives about Community Development Program which work together with community health centre and health office, that the programs have not really empowered the public. The advantage of such activities as free medical treatment, massive circumcision, cataract surgery, and cleft-palate surgery have been taken, but for the long term it is worried that this program could made dependency of the community. Some efforts, like family empowerment, enhance the health knowledge, autonomy to help them selved, autonomy in nutrition, health promotion and disease prevention have not yet become priorities.