DIFFUSION OF PASAR JIWA INNOVATION IN EARLY PREVENTION OF MENTAL DISORDERS AT BUBAKAN HEALTH CENTRE PACITAN REGENCY

Abstract

The management of public mental health service in Pacitan Regency is not going well, this is due to the existence of a treatment gap between people with mental disorders and Puskesmas (community health centre) as a basic health service unit. Puskesmas tends to prioritize curative/rehabilitative service functions rather than promotive/preventive functions. The next problem is the social stigma for sufferers. People with mental disorders often get exclusion and discrimination, thus complicate the recovery process. This study aims to determine the diffusion of innovation in the early prevention of mental disorders in the area of Bubakan Health Centre through the innovation “Puskesmas Sadar Jiwa” (Pasar Jiwa). This study analyze the role of Pasar Jiwa team in carrying out the Rogers’ innovation diffusion stages. The research uses descriptive qualitative method, with qualitative data analysis techniques using the Miles and Huberman model. The data validity used is the data triangulation technique through interviews, observation and documentation. The findings of the study uses the six stages of Rogers' theory of innovation diffusion, showing that: 1) Recognizing a problem or need: Pasar Jiwa team has a work plan based on identifying problems, challenges, and goals. 2) Basic and applied research: Pasar Jiwa team knows the formulation of innovation according to needs and characteristics to answer problems. 3) Development: Pasar Jiwa team has succeeded in developing quality innovations that have been formulated, flexible according to needs and developments over time. 4) Commercialization: Pasar Jiwa team carries out socialization and approaches to ensure that the innovation has benefits. 5) Diffusion and adaptation: Pasar Jiwa innovation has been carried out in society. Based on the evaluation, the innovator decides to continue the innovation. 6) Consequences: after the innovation is accepted by the community, this stage shows that the innovation has succeeded in making changes and answering the problems of the adopter.