Perkesmas adalah upaya kesehatan yang terintegrasi dengan semua upaya kesehatanPuskesmas, ditujukan kepada individu, keluarga, kelompok dan masyarakat untukmencapai kemandirian dalam upaya kesehatannya. Tujuan dari penelitian inimenganalisis secara mendalam mutu pelaksanaan program perkesmas di KabupatenOgan Ilir. Metode penelitian menggunakan pendekatan kualitatif. Informan penelitianadalah Kepala seksi pelayanan kesehatan primer dan pelayanan kesehatan tradisional,Pemegang program Dinas Kesehatan Kabupaten Ogan Ilir, Kepala UPTD PuskesmasTanjung Raja, Kepala UPTD Puskesmas Rantau Alai, Pemegang Program Promkes,Kesling, Kesehatan Ibu Anak dan Keluarga Berencana, Pemegang Program Pencegahandan Pengendalian Penyakit, Pemegang Program Gizi dan Keluarga Binaan Perkesmas.Metode pengumpulan data menggunakan wawancara, diskusi kelompok terarah,observasi dan telaah dokumen. Hasil penelitian terdiri dari komponen input, proses danoutput. Komponen input, meliputi sumber daya manusia masih belum mencukupi,pelatihan perkesmas belum pernah dilakukan, sarana dan prasarana masih belumlengkap, pendanaan dinilai cukup, kebijakan secara keseluruhan tidak bermasalah.Komponen proses, meliputi perencanaan belum berjalan cukup baik, pengorganisasiansudah optimal, pelaksanaan perkesmas masih banyak kendala, pengawasan belumoptimal. Komponen output perkesmas adalah pencapaian keluarga rawan yang dibinamasih dibawah target. Maka dapat disimpulkan bahwa penyelenggaraan perkesmas diKabupaten Ogan Ilir belum baik.Kata kunci: Perkesmas, Puskesmas, Pendekatan sistem.

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Public Health Nursing is an effort of health that integrates with all health communitycenter, aimed for individuals, families, groups and communitiesto achieve independence in their health endeavors. The purpose of this study toanalyze in depth implementation quality of public health nursing programin Ogan Ilir District. The research method used qualitative approach. The researchinformants were Head of Primary Health Service and Traditional Health ServiceSection, Program Holder of Ogan Ilir District Health Office, Head of Tanjung RajaPublic Health Center, Head of Rantau Alai Public Health Center, Holder HealthPromotion Program, Holder Environmental Health Program, Holder Maternal Childand Family Health Program, Holder of Disease Prevention and Control program,Nutrition program and Family built community health care. Methods of data collectionwere interviews, focus group discussions, observations and document reviews. Theresults consisted of input, process and output components. Input components, includinginsufficient human resources, no public health nursing training, facilities andinfrastructure were incomplete, funding was adequate, overall policy was notproblematic. Components of the process, including the planning had not run wellenough, the organization was good, the implementation of perkesmas were still manyobstacles, and monitoring was not optimal. The component of the output of the publichealth office was the achievement of vulnerable families that developed on below target.So it can be concluded that the implementation of public health nursing in Ogan IlirDistrict has not been good.Keywords: Public health nursing, Public health center, a system approach.