Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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Identifying Health System Barriers Using Simplified WHO Building Blocks A Case Study of Bandung City, West Java, Indonesia
Insi Farisa Desy Arya, Elsa Puji Setiawati, Febrina Maharani, Rozar Prawiranegara, Nanan Sekarwana

Last modified: 2018-08-14


Background.HIV/AIDS epidemic in Indonesia is still growing. A situational analysis is needed in order to improve the effectiveness of program planning development. The aim of this study is to introduce the discussion method used in analyzing the health system barriers based on the WHO Health System Building Blocks (HSBB).


Method.Five FGD sessions were conducted, attended by NGOs, community organizations, health services, and government institution involved in HIV/AIDS control. The participants’ response was categorized based on HSBB. The collected data were analyzes using thematic coding for every barriers, Recurrent barriers under similar blocks across the programs were identified and synthesized.


Result. From the HSBB we found Blocks, statement mostly the barrier talk about: (1) coordination among stakeholder, comprehension and confidentiality of the program. (2) Quality and quantity of the human resources, (3) availability and quality of the guidelines programs, (4) the basic information of the data, information system it self and standardize format, (5) specify allocation fund for HIV/AIDS programs and (6) lack of comprehension about the policy.


Discussion. To overcome all the barrier we need collaboration of all stakeholder and we should have the priority program to make program effective and fit with the task among stakeholders.


Keywords: Barrier, Health System Building Blocks, HIV/AIDS Program, Stakeholders.