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"Puskesmas dituntut untuk memberikan pelayanan kesehatan kepada masyarakat dan perorangan yang paripurna, adil, merata, dan berkualitas. Agar Puskesmas berkinerja optimal dan memuaskan masyarakat, diperlukan Manajemen Puskesmas untuk menjaga mutu melalui pengaturan sumber daya secara efektif, efisien, termasuk menjaga kualitas proses pengelolaannya. Belum semua puskesmas di Indonesia menerapkan manajemen puskesmas sesuai ketentuan Permenkes Nomor 44 tahun 2016. Di Kota Depok, baru 1 puskesmas yang memberikan pelayanan bermutu sesuai standar (terakreditasi paripurna) dan masih terdapat 12 Puskesmas dengan tata kelola cukup dan kurang. Tata Kelola puskesmas dan akreditasi sangat terkait dengan penerapan manajemen puskesmas. Disisi lain, cakupan pelatihan Manajemen Puskesmas sudah 100%. Penilaian akreditasi dan PKP di Puskesmas, tidak otomatis merefleksikan output dari puskesmas. Penelitian ini bertujuan untuk mengetahui bagaimana penerapan manajemen puskesmas pasca pelatihan Manajemen Puskesmas di Puskesmas X dan Y Kota Depok Tahun 2022, ditinjau dari sisi Input, Proses dan Output serta penerapan RTL pasca pelatihan di instansi masing-masing.

Metode kualitatif dengan pendekatan Rapid Assessment Procedure telah digunakan dalam penelitian ini. Peneliti menggunakan wawancara mendalam dan telaah dokumen untuk menjawab empat tujuan penelitian. Wawancara telah dilakukan informan kunci di Puskesmas terakreditasi madya, informan utama dan pendukung. Telaah dokumen dilakukan terhadap data sekunder Puskesmas serta Dinas Kesehatan. Hasil penelitian pada komponen input didapatkan bahwa faktor SDM, sumber pembiayaan, data dan SK tim belum terpenuhi secara optimal pada Puskesmas berkinerja cukup. Pada komponen proses, tahap P1 masih ada yang belum dilaksanakan sesuai pedoman, tahap P2 dilaksanakan belum sesuai agenda dan P3 pengawasan internal belum berjalan optimal serta belum memanfaatkan teknologi serta inovasi. Pada komponen Output, sebagian kecil Dokumen P1 dan P2 belum sesuai pedoman serta Rencana Tindak Lanjut Pelatihan belum seluruhnya diimplementasikan di Puskesmas karena beberapa kendala. Penerapan Manajemen Puskesmas Pasca Pelatihan Manajemen Puskesmas sangat dipengaruhi oleh komponen Input (SDM, sumber pembiayaan, tim efektif) serta Proses (P1, P2, Pengawasan dan Pengendalian). Pada akhirnya penelitian ini memberikan rekomendasi untuk melaksanakan upaya optimalisasi penerapan manajemen puskesmas di Puskesmas, mendorong terciptanya inovasi puskesmas, serta memformulasi ulang form rencana tindak lanjut pelatihan. 

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Health centers are required to provide health services for the community and individuals that are complete, fair, equitable, and of high quality. In order for Puskesmas to perform optimally and satisfy the community, Puskesmas Management needed to maintain quality through effective and efficient resource management, including maintaining the quality of the management process. Not all health centers in Indonesia have implemented health center management according to the provisions of Permenkes Nomor 44 of 2016. In Depok City, only 1 health center provides quality services according to standards (fully accredited) and there are still 12 health centers with sufficient and insufficient governance. PHC governance and accreditation are closely related to the implementation of PHC management. On the other hand, the coverage of Puskesmas Management training is 100%. Assessment of accreditation and PKP at Puskesmas, does not automatically reflect the output of the puskesmas. This study aims to determine how the implementation of puskesmas management after Puskesmas Management training at Puskesmas X and Y, Depok City in 2022, in terms of Input, Process and Output as well as the implementation of RTL after training in their respective agencies.

The qualitative method with the Rapid Assessment Procedure approach has been used in this study. Researchers used in-depth interviews and document reviews to answer the four research objectives. Interviews have been conducted with key informants at intermediate accredited health centers, leading and supporting informants. Document review was conducted on secondary data from the Puskesmas and the Health Office. The results of the research on the input component found that the factors of human resources, financial resources, data and team decree have not been fulfilled optimally in moderately performing health centers. In the process component, there are still P1 stages that have not been implemented according to guidelines, P2 stages have not been implemented according to the agenda and P3 internal supervision has not run optimally and has not utilized technology and innovation. In the Output component, a small part of the P1 and P2 documents have not been in accordance with the guidelines and the Training Follow-Up Plan has not been fully implemented at the Puskesmas due to several obstacles. Implementing Puskesmas Management after Puskesmas Management Training is strongly influenced by the Input component (HR, financial resources, effective team) and Process (P1, P2, Supervision and Control). Implementing Puskesmas Management after Puskesmas Management Training is strongly influenced by the Input component (HR, financial resources, effective team) and Process (P1, P2, Supervision, and Control).In the end, this study provides recommendations for carrying out efforts to optimize the implementation of puskesmas management at Puskesmas, encourage the creation of puskesmas innovations, and reformulate the training follow-up plan form."

"Public health center as the &ont line in health development must increase management execution so that in conduct health service can in an optimal fashion. Not yet activity program achievement pickings the maximal at public health center exist in Tasikmalaya regency, show that utilization public health center as according to the fimction by society not yet optimal, mean that performance public health center in this case concem management execution public health center at Tasikmalaya regency still necessary increased again, because function and good management execution very influential towards success a program or well~being efforts that done public health center. Central figure in management execution that is head public health center, there education background medical scholar, society health scholar, and general scholar/nurse.This research aims to detect description management process execution at public health center and factors that connected management process public health center that lead by head public health center that background education differ at Tasikmalaya regency in year 2006, with system approaching consist of input variable (human resource : official total, leadership, erudition, motivation, double function, work load, repaymenthncentive, limd, and infrastnicnue tools), process (planning, activation and execution, monitoring, controlling, constmction, and evaluation) and output variable (perfomiance public health center).This research is done with qualitative approach with analytic plan passes in-depth interview, observation, and document study in six public health center that canvassed, and research time in April and May 2007. From result research inferential that in carry out management function at public health center, each public health center both for led by education medical scholar, society health scholar, and general scholar/nurse, in apply strategy, integrate and coordinating, motivating, overcome conflict, ascertain activity execution, and evaluate activity result, very various, but in principle that all can done in the effort subsidize management iiinction execution at public health center.As to lixctors that management execution public health center, with deficit existence or energy limitedness or human resource either through also quality, directly also not direct influence management function execution at public health center, also operational fund public health center that felled less, for infrastructure tool, physical building Karangjaya public health center improper wear, construction under communication from regcncy health senrice. also not yet optimal. in management function execution, begin from planning/PZKT, activation and execution that is workshop monthly at public health center, supervision, control, constmction, and evaluation, each public health center carry out, but in the case of the execution not yet optimal, especially in planning/P2l"

"Standar Pelayanan Minimal (SPM) pelayanan kesehatan pada usia produktif merupakan hak dasar penduduk usia 15-59 tahun untuk mendapatkan pelayanan kesehatan sesuai standar yang harus dipenuhi oleh pemerintah daerah kab/kota. Dengan status akreditasi puskesmas yang sudah diraih dan manajemen puskesmas yang sudah diterapkan, capaian SPM pelayanan kesehatan pada usia produktif di Kota Cirebon masih rendah. Tujuan penelitian untuk mengetahui efek status akreditasi dan manajemen puskesmas terhadap capaian SPM pelayanan kesehatan pada usia produktif puskesmas di Kota Cirebon. Jenis penelitian adalah penelitian kuantitatif dengan desain penelitian crossectional. Populasi penelitian adalah seluruh puskesmas di Kota Cirebon. Sampel penelitian adalah 22 puskesmas (total sampling). Analisis statistik menggunakan uji annova one way, uji korelasi dan uji regresi linier sederhana. Hasil penelitian menunjukkan status akreditasi puskesmas tidak berefek terhadap capaian SPM pelayanan kesehatan pada usia produktif, sedangkan semua aspek manajemen puskesmas berkorelasi cukup kuat dan kuat kecuali fokus pelanggan yang berkorelasi lemah/tidak berkorelasi. Diperlukan penerapan manajemen puskesmas yang berkualitas dan dukungan dinas kesehatan agar SPM pelayanan kesehatan pada usia produktif dapat tercapai.  

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Minimum Service Standards (SPM) for health services at productive age are the basic rights of the population aged 15-59 years to obtain health services according to the standards that must be met by the district/city regional government. With the accreditation status of the public health center that has been achieved and the management of the public health center that has been implemented, the achievement of SPM for health services at productive age in Cirebon City is still low. The aim of the study was to determine the effect of the accreditation status and management of the public health center on the achievement of the MSS for health services at the productive age of the public health center in Cirebon City. This type of research is quantitative research with a cross-sectional research design. The research population was all health centers in Cirebon City. The research sample was 22 health centers (total sampling). Statistical analysis using one-way annova test, correlation test and simple linear regression test. The results showed that the accreditation status of the public health center had no effect on the achievement of SPM for health services at productive age, while all aspects of public health center management had a fairly strong and strong correlation except for customer focus which had a weak correlation/no correlation. It is necessary to implement quality health center management and the support of the health office so that the SPM for health services at productive age can be achieved."

"Puskesmas merupakan fasilitas layanan kesehatan yang bertanggung jawab untuk meningkatkan derajat kesehatan masyarakat di wilayah kerjanya. Untuk mencapai tujuan tersebut maka puskesmas menyelenggarakan Upaya Kesehatan Perorangan (UKP) dan Upaya Kesehatan Masyarakat (UKM). Pada era JKN, saat ini puskesmas juga berperan sebagai gatekeeper di masyarakat. Meningkatnya jumlah peserta JKN, diiringi dengan peningkatan akses ke layanan kesehatan salah satunya adalah puskesmas. Dengan sumber daya yang terbatas, puskesmas harus menjalankan kedua peran penting tersebut. Penelitian ini bertujuan untuk menganalisis pelaksanaan UKP dan UKM pada puskesmas di Kota Semarang. Metode yang digunakan adalah pendekatan kualitatif dengan sumber data primer dengan metode wawancara mendalam. Sebagai triangulasi untuk keabsahan data, maka dilakukan telaah dokumen berupa peraturan kementerian kesehatan, peraturan dinas kesehatan, serta dokumen penunjang dari puskesmas lokasi penelitian. Penelitian ini menggunakan pendekatan teori sistem dengan variabel masukan (SDM, biaya, metode, dan sarana pra sarana), proses (perencanaan, penggerakan dan pelaksanaan, serta pengawasan, pengendalian, dan penilaian), dan keluaran (kinerja puskesmas). Kesimpulan yang didapatkan adalah puskesmas telah melakukan manajemen puskesmas berpedoman pada Permenkes  no. 44 tahun 2016 tentang Pedoman Manajemen Puskesmas. Puskesmas sudah baik dalam pelaksanaan UKP dan UKM dengan sumber daya manusia, biaya, dan sarana pra sarana yang tersedia. Namun, masih terdapat beberapa hambatan yang ditemui. SDM yang tidak  sesuai standar dapat menjadi penghambat pelaksanaan UKP dan UKM. Berdasarkan hasil penelitian yang ada, maka rekomendasi bagi pelaksanaan UKP dan UKM di Puskesmas adalah perlu adanya evaluasi secara terpadu untuk kegiatan yang dilaksanakan UKP dan UKM. Pemenuhan SDM untuk memenuhi standar dapat dilakukan dengan pengangkatan SDM non ASN menggunakan dana BOK atau BLUD. Kebijakan dari dinas kesehatan terkait penambahan jam pelayanan di puskesmas perlu dikaji lebih lanjut untuk dapat menyesuaikan keadaan puskesmas sehingga pelaksanaan UKP dan UKM di puskesmas dapat berjalan maksimal.

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Puskesmas is a health service facility that has responsibility to improve the health status of the community in its working area. To achieve that goal so puskesmas organizes Individual Health Efforts (UKP) and Community Health Efforts (UKM). In this JKN era, puskesmas also acts as a gatekeeper in the community. The increasing number of JKN participants is accompanied by increased access to health services, one of which is puskesmas. With limited resources, puskesmas must carry out both important roles. This study aims to analyze the implementation of UKP and UKM at puskesmas in Semarang City. The method used is a qualitative approach with primary data sources with in-depth interviews. As a triangulation for the validity of the data, a document review was carried out in the form of regulations from the ministry of health, regulations from the health department, as well as supporting documents from the puskesmas where the research was located. This study uses sistems theory with input variabels (HR, costs, methods, and infrastructure), process (planning, mobilization and implementation, as well as supervision, control, and assessment), and output (health center performance). The conclusion is puskesmas has carried out management of the puskesmas based on Permenkes no. 44 of 2016 concerning Pedoman Manajemen Puskesmas. Puskesmas has been good in implementing UKP and UKM with human resources, costs, and available infrastructure. However, there are still some obstacles encountered. Human resources that are not up to standard can be an obstacle to the implementation of UKP and UKM. Based on the results of existing research, the recommendation for the implementation of UKP and UKM in Puskesmas is the need for an integrated evaluation for activities carried out by UKP and UKM. Fulfillment of HR to meet standards can be done by appointing non ASN HR using BOK or BLUD funds. The policy from the health department regarding the addition of service hours at the puskesmas needs to be studied further to be able to adjust the condition of the puskesmas so that the implementation of UKP and UKM in puskesmas can run optimally."

"Skripsi ini membahas mengenai SIP Elektronik di Puskesmas Cipayung Kota Depok dan Puskesmas Tebet Jakarta Selatan. Kehadiran SIP Elektronik belum sesuai harapan karena masih mengalami beberapa kendala, seperti: pengolahan dan pengumpulan data belum terpusat ke dalam SIP, adanya aplikasi kesehatan lain yang belum terintegrasi dengan SIP membuat petugas kesehatan harus bekerja dua kali. Selain itu, gangguan jaringan internet menjadi kendala dalam memberikan pelayanan kesehatan. Penelitian ini bertujuan untuk mempelajari gambaran dan faktor-faktor yang menjadi hambatan dalam pelaksanaan SIP Elektronik dilihat dari aspek manusia, organisasi, dan teknologi. Metode penelitian menggunakan pendekatan penelitian campuran yaitu penelitian kualitatif dan penelitian kuantitatif. Pengumpulan data dilakukan dengan cara observasi, wawancara mendalam, studi dokumen, dan kuesioner. Hasil penelitian menunjukkan beberapa kesamaan pada kedua wilayah puskesmas yaitu keduanya belum bisa offline dan masih membutuhkan jaringan internet, belum terintegrasi dengan aplikasi kesehatan lain di puskesmas, menggunakan bahasa pemrograman PHP dan platform berupa open source, dan memiliki konten dua versi yaitu berbasis web dan android. Pemahaman pengguna SIP elektronik lebih banyak pada implementasi aplikasi dibandingkan dengan komputer beserta perlengkapannya. Adanya tugas lain yang bukan menjadi tugas utama mengakibatkan penambahan beban kerja pada petugas. Fitur pada SIP elektronik juga belum memenuhi kebutuhan, masih ditemukan Bug dan belum seluruh penyajian data secara elektronik, seperti data Register Kohort dan Asuhan Keperawatan.

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This study discusses the Information System of Electronic-Based Public Health Center at the Cipayung Health Center in Depok City and Tebet Health Center in South Jakarta. The presence of Information System of Electronic-Based Public Health Center has not been as expected because it is still experiencing some obstacles, such as: data processing and collection has not been centralized into Information System of Public Health Center, other health applications that have not been integrated with Information System of Public Health Center have made health workers work twice. Moreover, internet network disruption is an obstacle in providing health services.

This study aims to learn the images and factors that become obstacles in the implementation of Information System of Electronic-Based Public Health Center in terms of human, organizational, and technological aspects. The research method uses a mixed research approach that is qualitative research and quantitative research. Data collection by observation, in-depth interviews, document studies, and questionnaires.

The results showed several similarities between Public Health Center, both of which cannot yet be offline and still need internet network, have not been integrated with other health applications in the Public Health Center, use the PHP programming language and open source platform, and have two versions of content, web-based and android. The comprehension of Information System of Electronic-Based Public Health Center on users is more in application implementation compared to computers and their equipment. Other tasks that are not the main task result in additional workload on the officer. The features of the Information System of Electronic-Based Public Health Center also do not meet the needs, still found bugs and not all the electronic data presentation, such as the Register of Cohort and Nursing Care."

"Kanker leher rahim berada pada kedua tertinggi yaitu 9.2 per 100.000 penduduk, angka kematian rata-rata 9.0 per 100.000 penduduk. Cilegon belum mencapai target pemeriksaan IVA yang ditentukan, tahun 2019 sampai 2022 mencapai 0.99%; 1.78%, 2.05%, dan 2.35%, sehingga belum mencapai target nasional sebesar 80% dan target SPM kesehatan 100% dengan sasaran 71.139 orang. Tujuan penelitian untuk menganalisis capaian deteksi dini kanker leher rahim di Puskesmas Kota Cilegon 2019-2022. Jenis penelitian merupakan penelitian kualitatif dengan desain studi kasus, dilaksanakan pada bulan April – Mei 2023. Hasil penelitian dari sisi komponen hasil (capaian program) deteksi kanker leher rahim di Kota Cilegon periode 2019-2022 belum mencapai target SPM. Dari sisi komponen struktur, SDM, SOP, pendanaan dan sarana prasarana sudah tersedia, tetapi masih ada sedikit kendala pada ketidakseimbangnya jumlah SDM dan target. Dari sisi komponen proses, setiap puskesmas sudah menjalankan proses perencanaan, pelaksanaan, pencatatan, pelaporan, serta monitoring evaluasi sesuai dengan prosedur. Berbagai upaya telah dilakukan untuk memudahkan akses, sosialisasi aktif dilakukan, pendekatan inovatif serta kerjasama lintas program sudah dilakukan dan kerja sama lintas sektor belum menambahkan capaian deteksi dini kanker leher rahim di Puskesmas se-Kota Cilegon secara signifikan, hal ini disebabkan karena ketidaksamaan persepi tentang penghitungan target, belum maksimalnya kegiatan promosi dan advokasi, pendekatan komunikasi yang belum tepat, penggunaan media yang belum efektif, pemanfaatan yang belum maksimal potensi-potensi yang ada di Kota Cilegon sebagai kota industri, serta masyarakat yang takut diperiksa atau tidak tahu tentang pemeriksaan IV A.

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Cervical cancer ranks second highest at 9.2 per 100,000 population, with an average death rate of 9.0 per 100,000 population. Cilegon has not reached the designated target for IVA screenings, with percentages from 2019 to 2022 reaching 0.99%, 1.78%, 2.05%, and 2.35%, thus not achieving the national target of 80% and the health SPM target of 100%, with a target population of 71,139 individuals. The research objective is to analyze the achievement of early detection of cervical cancer at the Cilegon City Health Center from 2019 to 2022. The research design is qualitative with a case study design, conducted in April - May 2023. The research findings indicate that the program's achievement in detecting cervical cancer in Cilegon City from 2019 to 2022 has not reached the SPM target. In terms of structural components, human resources, standard operating procedures, funding, and infrastructure are already available, but there is still a slight obstacle due to the imbalance between the number of human resources and the target. In terms of process components, each health center has implemented planning, implementation, recording, reporting, and monitoring and evaluation processes according to procedures. Efforts have been made to facilitate access, actively promote awareness, employ innovative approaches, and foster cross-program cooperation, but cross-sector collaboration has not significantly improved the early detection of cervical cancer at the Cilegon City Health Center. This is due to discrepancies in perceptions of target calculation, suboptimal promotion and advocacy activities, inappropriate communication approaches, ineffective media usage, underutilization of potential resources in Cilegon as an industrial city, and a population that is either afraid of or unaware of IVA screenings."