Multiple Perspective Analysis pada Penanganan Kejadian Luar Biasa Campak di Kabupaten Sumenep: Analisis Tata Kelola Kesehatan Daerah dan Alternatif Kebijakan
Abstract
The measles outbreak in Sumenep Regency was declared an extraordinary event (KLB) in August 2025, with 2,139 suspected cases and 17 child deaths. This situation highlights significant challenges in the capacity of regional health services, particularly in terms of emergency immunization coverage, which has only reached 91.3%, falling short of the herd immunity threshold of 95%. This study aims to analyze structural weaknesses in local health governance and formulate policy interventions to strengthen health workforce capacity, immunization outreach, and outbreak response in Sumenep’s archipelagic areas. The methods used include Multiple Perspective Analysis (technical, organizational, and personal), followed by forecasting techniques and comparison of policy alternatives. The analysis results indicate that the main problem is governance failure rooted in organizational capacity, as evidenced by the lack of public health personnel for promotive and preventive functions in 77% of Community Health Centers (Puskesmas) in Sumenep, which significantly hampers the distribution of services in the archipelago. Key recommendations include strengthening human resource management through redistribution of personnel, training, and performance-based incentives. This study confirms that structural reform in health human resource governance is a prerequisite for improving public service performance and preventing similar outbreaks in the future.
Keywords
herd immunity; extraordinary event; Multiple Perspective Analysis (MPA); measles outbreak; health governance
References
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Laili, N., Aini, E. N., & Rahmayanti, P. (2023). Hubungan model kepercayaan kesehatan (Health Belief Model) dengan kepatuhan minum obat pada pasien hipertensi. Jurnal Kesehatan Holistic, 7(2), 1–13. https://doi.org/10.33377/jkh.v7i2.157
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Prabawati, I., Rahaju, T., & Kurniawan, B. (2019). Analisis kebijakan publik (Vol. 71). UNESA University Press.
Prasetyo, D. A. (2025, Agustus). Wamenkes beberkan alasan ortu di Sumenep tak mau anaknya vaksin campak. Detikjatim. https://www.detik.com/jatim/berita/d-8078790/wamenkes-beberkan-alasan-ortu-di-sumenep-tak-mau-anaknya-vaksin-campak
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Riastini, N. M. R., & Sutagra, I. M. (2021). Gambaran epidemiologi kejadian campak di Kabupaten Badung Provinsi Bali tahun 2014-2019. Archive of Community Health, 8(1), 174–188. https://doi.org/10.24843/ACH.2021.v08.i01.p12
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Tempo. (2025). Campak Mewabah di Sumenep. Tempo. https://www.tempo.co/infografik/infografik/campak-mewabah-di-sumenep-2064802
Wang, H., Zhu, Z., Duan, X., Song, J., Mao, N., Cui, A., Wang, C., Du, H., Wang, Y., Li, F., Zhou, S., Feng, D., Li, C., Gao, H., He, J., Li, L., Lei, Y., Zheng, H., Gong, T., … Zhang, Y. (2023). Transmission pattern of measles virus circulating in China during 1993–2021: Genotyping evidence supports that China is approaching measles elimination. Clinical Infectious Diseases, 76(3), e1140–e1149. https://doi.org/10.1093/cid/ciac674
Widjaja, G. (2025). Optimalisasi program kesehatan ibu dan anak melalui penguatan fasilitas kesehatan dan kompetensi tenaga medis: Studi literatur. Journal of Community Dedication, 4(4), 197–211.
Wijayanti, P. (2025, Agustus). KLB campak di Sumenep dan krisis kepercayaan vaksin. Kompas.com. https://nasional.kompas.com/read/2025/08/28/07462831/klb-campak-di-sumenep-dan-krisis-kepercayaan-vaksin?page=all
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Wulandari, R., & Novita, A. (2019). Alternatif kebijakan dalam upaya peningkatan minat Wanita Usia Subur melakukan imunisasi campak dan rubela. Jurnal Ilmiah Kebidanan, 9(2), 47–57. https://doi.org/10.33221/jiki.v9i02.216
Yahmal, P. (2021). Faktor-faktor yang berhubungan dengan kejadian campak. Jurnal Medika Hutama, 3(1), 1612–1615.
Yang, J., Lo, N. C., Dankwa, E. A., Donnelly, C. A., Gupta, R., Montgomery, M. P., Weng, M. K., & Martin, N. K. (2024). Determining herd immunity thresholds for hepatitis a virus transmission to inform vaccination strategies among people who inject drugs in 16 US States. Clinical Infectious Diseases, 78(4), 976–982. https://doi.org/10.1093/cid/ciad552
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Asy-syifaa, Kurniasih, A., Lubis, S. A., & Damanik, R. Z. (2024). Karakteristik kejadian campak pada anak di RSUD Dr. Fauziah Kabupaten Bireuen Tahun 2022. Jurnal Kedokteran STM (Sains dan Teknologi Medik), 7(1), 24–32. https://doi.org/10.30743/stm.v7i1.493
Balu, B., & Mostow, E. N. (2019). Measles. JAMA Dermatol, 155(12), 1436. https://doi.org/10.1001/jamadermatol.2019.2663
Bardach, E. (2020). A practical guide for policy analysis: The eight fold path to more effective problem solving (Fourth Edition). SAGE Publication Ltd.
BBC News. (2025, Agustus). Wabah campak di Sumenep renggut nyawa 17 anak, cakupan imunisasi rendah karena hoaks “vaksin haram”? BBC News Indonesia. https://www.bbc.com/indonesia/articles/cvgn3y9m4nxo
Buchair, N. H., Kurniyanto, F. T., Sari, N. F., & Vidy, V. (2025). Analisis spasial temporal kejadian kasus campak di wilayah kerja Puskesmas Sangurara tahun 2023. Jurnal Promotif Preventif, 8(3), 358–368. https://doi.org/10.47650/jpp.v8i3.1919
Chhotray, V., & Stoker, G. (2009). Governance theory and practice: A cross-disciplinary approach. Palgrave Macmillan.
Dunn, W. N. (2017). Public policy analysis: An integrated approach (6th edition). Routledge.
Durrance, C. P. (2022). Teaching public policy analysis: Lessons from the field. The Journal of Economic Education, 53(2), 143–149. https://doi.org/10.1080/00220485.2022.2038327
Fine, P., Eames, K., & Heymann, D. L. (2011). “Herd immunity”: A rough guide. Clinical infectious diseases, 52(7), 911–916. https://doi.org/10.1093/cid/cir007
Fiqri, A. A. (2025, Agustus). 17 anak sumenep meninggal akibat campak, DPR desak audit nasional imunisasi. Okezone News. https://news.okezone.com/read/2025/08/29/337/3166186/17-anak-sumenep-meninggal-akibat-campak-dpr-desak-audit-nasional-imunisasi
Gahayu, S. A. (2024). Analisis implementasi materi pelatihan nusantara sehat berbasis tim pada Puskesmas Daerah Terpencil Perbatasan Kepulauan (DTPK). Jurnal Widyaiswara Indonesia, 5(2), 11–22. https://doi.org/10.56259/jwi.v5i02.262
Green, E. C., Murphy, E. M., & Gryboski, K. (2020). The Health Belief Model. The Wiley Encyclopedia of Health Psychology, 211–214. https://doi.org/10.1002/9781119057840.ch68
Hilmy, F. R., & Asyary, A. (2023). Analisis risiko kejadian campak pada anak di wilayah kerja Puskesmas Hajimena Kabupaten Lampung Selatan. Ruwa Jurai: Jurnal Kesehatan Lingkungan, 17(2), 105–109. https://doi.org/10.26630/rj.v17i2.3735
Jaya, H., Syokumawena, Kumalasari, I., & Rosnani. (2023). Penerapan teori Health Belief Model (HBM) dalam perilaku pencegahan kanker payudara dengan Pemeriksaan Payudara Sendiri (SADARI). Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya, 10(3), 325–334. https://doi.org/10.32539/jkk.v10i3.364
Kantohe, T. V. M., Rampengan, N. H., & Mantik, M. F. J. (2019). Faktor-faktor yang memengaruhi minat imunisasi Measles Rubella (Mr) di Kecamatan Malalayang, Manado. Jurnal Medik dan Rehabilitasi (JMR), 1(3), 1–6.
Kementerian Kesehatan Republik Indonesia. (2025, Agustus). Menkes: Campak jauh lebih menular daripada Covid-19. Kemenkes. https://www.kemkes.go.id/id/menkes-campak-jauh-lebih-menular-daripada-Covid-19
Kompas. (2025). Satu penderita campak, 80 anak lain bisa tertular, begini penjelasan ahli. https://www.kompas.com/jawa-timur/read/2025/08/26/203000488/satu-penderita-campak-80-anak-lain-bisa-tertular-begini-penjelasan?page=all
Laili, N., Aini, E. N., & Rahmayanti, P. (2023). Hubungan model kepercayaan kesehatan (Health Belief Model) dengan kepatuhan minum obat pada pasien hipertensi. Jurnal Kesehatan Holistic, 7(2), 1–13. https://doi.org/10.33377/jkh.v7i2.157
Li, J. (2016). The multiperspectival approach and the operational analytic model. In: Quest for world-class teacher education?. Education in the Asia-Pacific Region: Issues, Concerns and Prospects, vol 34. Springer, Singapore. https://doi.org/10.1007/978-981-10-0837-5_5
Linstone, H. A. (1989). Multiple perspectives: Concept, applications, and user guidelines. System Practice, 2, 307–331. https://doi.org/10.1007/BF01059977
Metcalf, C. J. E., Ferrari, M., Graham, A. L., & Grenfell B T. (2015). Understanding herd immunity. Trends in Immunology, 36(12), 753–755. https://doi.org/10.1016/j.it.2015.10.004
Muliawati, A. (2025, Agustus). Komisi IX DPR: KLB campak Sumenep peringatan keras, prioritaskan imunisasi. Detiknews. https://news.detik.com/berita/d-8083302/komisi-ix-dpr-klb-campak-sumenep-peringatan-keras-prioritaskan-imunisasi
Murni, I. K., McCarthy, D. T., Supriyati, E., Nuryastuti, T., Handley, A., Donato, C. M., Wiratama, B. S., Dinari, R., Laksono, I. S., Thobari, J. A., & Bines, J. E. (2024). Wastewater-based epidemiology surveillance as an early warning system for SARS-CoV-2 in Indonesia. PLOS ONE, 19(7). https://doi.org/10.1371/journal.pone.0307364
Prabawati, I., Rahaju, T., & Kurniawan, B. (2019). Analisis kebijakan publik (Vol. 71). UNESA University Press.
Prasetyo, D. A. (2025, Agustus). Wamenkes beberkan alasan ortu di Sumenep tak mau anaknya vaksin campak. Detikjatim. https://www.detik.com/jatim/berita/d-8078790/wamenkes-beberkan-alasan-ortu-di-sumenep-tak-mau-anaknya-vaksin-campak
Putri, A., Aslinar, & Desiana. (2020). Hubungan pengetahuan tentang vaksin MR (Measles Rubella) dan tingkat pendidikan orang tua terhadap keikutsertaan imunisasi MR di Desa Lam Bheu, Kecamatan Darul Imarah, Kabupaten Aceh Besar. Jurnal Ilmu Kedokteran Dan Kesehatan, 7(1), 334–341. https://doi.org/10.33024/jikk.v7i1.2365
Putri, L. T. D., Faturrahman, Y., & Maywati, S. (2022). Analisis perilaku ibu yang tidak memberikan imunisasi dasar pada bayi. Jurnal Kesehatan Komunitas Indonesia, 18(1), 355–367. https://doi.org/10.37058/jkki.v18i1.4724
Rampengan, N. H., & Rampengan, S. H. (2024). Penyuluhan kesehatan masyarakat mengenai campak serta pencegahannya di SD dan SMP Santa Theresia Malalayang Kota Manado. Jurnal Perempuan Dan Anak Indonesia, 5(2), 74–78. https://doi.org/10.35801/jpai.5.2.2024.52914
Riastini, N. M. R., & Sutagra, I. M. (2021). Gambaran epidemiologi kejadian campak di Kabupaten Badung Provinsi Bali tahun 2014-2019. Archive of Community Health, 8(1), 174–188. https://doi.org/10.24843/ACH.2021.v08.i01.p12
Sihotang, W. D., Simbolon, C. C., Hartiny, J., Tindaon, D., & Sinaga, L. P. (2019). Analisis kestabilan model SEIR penyebaran penyakit campak dengan pengaruh imunisasi dan vaksin MR. Jurnal Matematika, Statistika Dan Komputasi, 16(1), 107–113. https://doi.org/10.20956/jmsk.v16i1.6594
Singh, A., & Vellakkal, S. (2021). Impact of public health programs on maternal and child health services and health outcomes in India: A systematic review. Social Science & Medicine, 274. https://doi.org/10.1016/j.socscimed.2021.113795
Sorup, S., Jensen, A. K. G., Aaby, P., & Benn, C. S. (2019). Revaccination with measles-mumps-rubella vaccine and infectious disease morbidity: A danish register-based cohort study. Clinical Infectious Diseases, 68(2), 282–290. https://doi.org/10.1093/cid/ciy433
Tempo. (2025). Campak Mewabah di Sumenep. Tempo. https://www.tempo.co/infografik/infografik/campak-mewabah-di-sumenep-2064802
Wang, H., Zhu, Z., Duan, X., Song, J., Mao, N., Cui, A., Wang, C., Du, H., Wang, Y., Li, F., Zhou, S., Feng, D., Li, C., Gao, H., He, J., Li, L., Lei, Y., Zheng, H., Gong, T., … Zhang, Y. (2023). Transmission pattern of measles virus circulating in China during 1993–2021: Genotyping evidence supports that China is approaching measles elimination. Clinical Infectious Diseases, 76(3), e1140–e1149. https://doi.org/10.1093/cid/ciac674
Widjaja, G. (2025). Optimalisasi program kesehatan ibu dan anak melalui penguatan fasilitas kesehatan dan kompetensi tenaga medis: Studi literatur. Journal of Community Dedication, 4(4), 197–211.
Wijayanti, P. (2025, Agustus). KLB campak di Sumenep dan krisis kepercayaan vaksin. Kompas.com. https://nasional.kompas.com/read/2025/08/28/07462831/klb-campak-di-sumenep-dan-krisis-kepercayaan-vaksin?page=all
Wildavsky, A. (2017). The art and craft of policy analysis: Reissued with a new introduction by B. Guy Peters. Palgrave Macmillan, 1-508. https://doi.org/10.1007/978-3-319-58619-9
Wulandari, R., & Novita, A. (2019). Alternatif kebijakan dalam upaya peningkatan minat Wanita Usia Subur melakukan imunisasi campak dan rubela. Jurnal Ilmiah Kebidanan, 9(2), 47–57. https://doi.org/10.33221/jiki.v9i02.216
Yahmal, P. (2021). Faktor-faktor yang berhubungan dengan kejadian campak. Jurnal Medika Hutama, 3(1), 1612–1615.
Yang, J., Lo, N. C., Dankwa, E. A., Donnelly, C. A., Gupta, R., Montgomery, M. P., Weng, M. K., & Martin, N. K. (2024). Determining herd immunity thresholds for hepatitis a virus transmission to inform vaccination strategies among people who inject drugs in 16 US States. Clinical Infectious Diseases, 78(4), 976–982. https://doi.org/10.1093/cid/ciad552
Zuhdi, A. I. A., Sabella, R. I., Tjahjuadi, E., Waloyo, & Kurniawati, R. (2025). Peningkatan kesadaran tentang pentingnya imunisasi melalui kampanye kesehatan ibu dan anak. Jurnal Pengabdian Masyarakat Dan Riset Pendidikan, 4(1), 951–961. https://doi.org/10.31004/jerkin.v4i1.1507
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