Analysis for policy implementation : stakeholder analysis of maternal, neonatal and child health program policy in Kepahiang regency

Background: Maternal, neonatal and child health (MNCH) program is a national priority programs in health development. In 2006 the Ministry of Health to provides the largest budget allocation to the KIA programs. This policy was taken in order to accelerate the decline in maternal mortality and infant through the implementation of the making pregnancy safer strategy (MPS) with focus on some activities that are considered to be cost effective. MNCH sustainability of the program depends on political commitment and support from stakeholders in the region. Therefore, stakeholder analysis is important for the implementation of policy to support the MNCH program. Objectives:Assessing the political commitment of the local government to MNCH program in Kepahiang Regency. Methods: This research is a descriptive, qualitative design with a case study. Unit of analysis is a research MNCH program stakeholder. How do the data with the brainstorming, depth interviews, reports and documents, and direct observation. Results: Political commitment of the local government to maternal, neonatal and child health program is still low, this is evidenced by the lack of budget allocation maternal, neonatal and child health program. Essentially all stakeholders agree and support the program. The involvement of local stakeholders in the process of planning and budgeting programs is still lacking. Coordination among health agencies with key stakeholders in the planning and budgeting also are not running well, so often there are differencesin understanding the program. Besides the quality planning activities are still considered low, and there is still weak advocacy capacity of health district office. Conclusion: The small budget allocation for the program shows the commitment to maternal, neonatal and child health program of the local government is still low. This problem was more due to the quality of the program planning (design) that is not well-developed. Also the role and involvement of stakeholders in the planning process is still lacking