Evaluation of Desa Siaga Sehat Jiwa (DSSJ) program at Puskesmas Galur II Kulon Progo regency Yogyakarta

Background: Community-based mental health services is a solution to bridging the limited access of the society to the healthcare facilities. Calculation of utilization of mental health healthcare at primary health care, secondary healthcare, and tertiary healthcare levels revealed a disparity of 90%. It means that only 10% of the mental health patients had been cared for by the healthcare facilities. Accordingly, primary healthcare facilities have become the spearhead in the implementation of mental healthcare since they can easily be accessed by the community due to geographical proximity, avoid the risk of stigma, and reduced the required cost. DSSJ program was an implementation of primary healthcare with the concept of community mental health nursing. Objective: The objective of the research is to describe implementation of DSSJ program in the working area of Puskesmas Galur II, Kulon Progo Regency. Method: This was a qualitative research using case study design. Informants were those individuals related to the DSSJ program from the planning to the implementation phase. The data were collected through in-depth interviews and observation. The research was conducted from November 2012 to January 2013. Results: Planning of the program was limited to the technical implementation phase and there is no plan for any annual monitoring and evaluation program. In general, no program had been implemented to improve human resource capacity at the level of both Health Center and Mental Hospital. The program was faced with some obstacles, including limited human resource, limitation on communication, fund, regionalism, and policy. The study found that the program could run consistently and continuously at the time when there are some university students had community internship at the Health Centers. Conclusion: The planning phase did not identify local human resource potentials and thus implementation was not optimum. Participation of educational institutions should be planned more thoroughly in line with DSSJ program for sustainability of the program