Penelitian ini membahas capaian Standar Pelayanan Minimal (SPM) layanan usia produktif sebelum dan sesudah penerapan kebijakan Integrasi Layanan Primer (ILP) di Kota Depok. Tujuan penelitian adalah menganalisis kontribusi komponen pendekatan Primary Health Care (pelayanan terintegrasi, pemberdayaan masyarakat, kolaborasi lintas sektor) serta komponen penggerak (kerangka kebijakan, sumber daya manusia, pendanaan, tata kelola, dan pemantauan–evaluasi) terhadap capaian SPM. Penelitian menggunakan pendekatan kualitatif dengan desain studi kasus pada enam Puskesmas, didukung analisis deskriptif capaian SPM tahun 2023–2025. Hasil penelitian menunjukkan bahwa implementasi ILP mendorong perubahan struktur layanan, peran kader yang lebih aktif, serta perluasan jejaring lintas sektor. Namun, capaian SPM menunjukkan variasi antar Puskesmas: beberapa wilayah mengalami peningkatan stabil, sementara lainnya menghadapi fluktuasi atau stagnasi. Faktor internal berupa kesiapan tata kelola, SDM, dan adaptasi digital, serta faktor eksternal berupa dukungan lintas sektor dan regulasi, terbukti sangat menentukan keberhasilan ILP. Dengan demikian, keberhasilan transformasi ILP memerlukan penguatan kebijakan operasional, pemerataan kapasitas SDM, serta kolaborasi multipihak agar peningkatan mutu layanan usia produktif dapat berkelanjutan.

This study examines the achievement of Minimum Service Standards (MSS) for productive-age health services before and after the implementation of the Integrated Primary Care (ILP) policy in Depok City. The research aims to analyze the contribution of selected Primary Health Care components—integrated services, community empowerment, and cross-sector collaboration—as well as enabling factors including policy frameworks, human resources, financing, governance, and monitoring–evaluation. A qualitative approach with an intrinsic case study design was employed across six Puskesmas, supported by descriptive analysis of MSS data from 2023–2025. The findings indicate that ILP implementation encouraged service restructuring, more active roles of health cadres, and the expansion of cross-sectoral partnerships. Nevertheless, MSS achievements varied: some areas recorded stable improvements, while others faced fluctuations or stagnation. Internal factors such as governance readiness, human resource capacity, and digital adaptation, along with external factors such as cross-sectoral support and regulatory alignment, were critical to ILP success. Therefore, the sustainability of ILP transformation requires strengthened operational policies, equitable human resource capacity building, and multi-stakeholder collaboration to ensure continuous improvement of productive-age health services.