Pada tahun 2008, atas pertimbangan pengendalian biaya kesehatan, peningkatan mutu, transparansi dan akuntabilitas dilakukan perubahan mekanisme pada program Asuransi Kesehatan Orang Miskin (Askeskin) dan diubah namanya menjadi Jaminan Kesehatan Masyarakat (Jamkesmas). Dinas Kesehatan Kabupaten Cirebon telah melaksanakan mekanisme monitoring dan evaluasi pada program Jamkesmas di Puskesmas, walaupun terbatas pada pembuatan laporan bulanan program. Kadang kala Dinas Kesehatan Kabupaten terlambat memberikan laporan karena harus menginput dan merekap seluruh laporan Puskesmas yang sering kali terlambat diberikan. Untuk mengukur kinerja program Jamkesmas di Puskesmas, Dinas Kesehatan Kabupaten Cirebon tidak menggunakan indikator keberhasilan yang telah ditetapkan oleh Departemen Kesehatan karena indikator tersebut lebih menekankan pada pelaksanaan program Jamkesmas di Rumah Sakit. Sebagai solusi permasalahan yang ada di Dinas Kesehatan Kabupaten Cirebon, dikembangkan sistem monitoring dan evaluasi kinerja program Jamkesmas berbasis web di Puskesmas Dinas Kesehatan Kabupaten Cirebon. Sistem ini dapat menghasilkan informasi kinerja program Jamkesmas di Puskesmas berdasarkan indikator kunjungan dan pemeriksaan KIA yang ada pada Standar Pelayanan Minimum (SPM). Untuk mengoptimalisasikan penggunaan sistem monitoring dan evaluasi kinerja program Jamkesmas berbasis web di Puskesmas, Dinas Kesehatan Kabupaten Cirebon diharapkan dapat melakukan sosialisasi manfaat dan tata cara penggunaan sistem kepada seluruh Puskesmas, serta melaksanakan pelatihan bagi petugas pencatatan dan pelaporan di Puskesmas dan Dinas Kesehatan mengenai teknik pengolahan data. Selain itu, diperlukan pula dukungan dana untuk pemeliharaan sistem tersebut.

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In 2008, upon consideration of health care cost control, quality improvement, transparency and accountability changes made in mechanism of Asuransi Kesehatan Orang Miskin (Askeskin), and changed its name to Jaminan Kesehatan Masyarakat (Jamkesmas). Cirebon District Health Department has carried out monitoring and evaluation mechanism in Jamkesmas program at Central Public Health, although it is limited in making monthly reports of the program. Sometimes, the Health Department late on providing the report because they have to input and merge all health centers reports that is often given too late.

To measure the performance of Jamkesmas program at Central Public Health, Cirebon District Health Department is not using the indicators that have been established by the Ministry of Health because the indicators are more emphasis on Jamkesmas program implementation at Hospital. As the solution to existing problems in Cirebon District Health Department, we developed a web-based monitoring and evaluation performance system of Jamkesmas program in Central Public Health at Cirebon District Health Department. This system can yield information of Jamkesmas program performance based on indicators of visits and examination of child and mothers on Standar Pelayanan Minimum (SPM).

To optimize the use of Web Based Monitoring and Evaluation Performance System of Jaminan Kesehatan Masyarakat (Jamkesmas) in Central Public Health, Cirebon District Health Department is expected to disseminate the benefits and using procedures of the system to all Central Public Health, as well as implementing training programs for recording and reporting officers in the Central Public Health and the Health Department about data processing techniques. Additionally, funding support is also necessary for the maintenance of the system.