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The result of BPJS customer satisfaction survey in primary clinic in 2014was 80%, which means it achieved Road Map to Jaminan Kesehatan Nasionaltarget. However, there are still many complaints from the BPJS customer asshown in YLKI report and in Kemenpan official website regarding unfulfillmentof their expectation. Therefore, we needs to know the determinants and their levelof expectation.This study aim to determine information about the determinant of memberof BPJS Kesehatan expectation to the service of primary clinic in Depok Cityperiod May 2016. This study is combined qualitative and quantitative study.Design of this study is sequential exploratory, which is started by qualitative studyto explore the phenomena and then followed by quantitave study. Number ofinforman in qualitative study is 12 and number of respondent in quantitative studyis 203.The result of this study is there is no correlation between gender, age, andoccupation with the level of respondent expectation. There is correlation betweenlevel of education, personal needs, word-of-mouth, and past experience with thelevel of respondent expectation. The most dominant factor that influences thelevel of respondent expectation is personal needs, which means the higherrespondent frequency to visit primary clinic to get treatment when sick, the higherlevel of respondent expectation.Keyword: member of BPJS Kesehatan expectation, personal needs, pastexperience, words-of-mouth
DKI Jakarta Province has several health challenges, one of which is Triple Burden Disease, in which Communicable Diseases (CD) remind high, then Non Communicable Diseases (NCD) are increasing, besides Emerging Infectious Diseases (EID)/ ReEmerging and/ or New Emerging. According to the Republic of the Indonesia Ministry of Health, PIE got special attention due to its serious impact on health and socioeconomics, particularly in the current digital era and globalization. Along the development of the situation and conditions of the pandemic, the Emergency Response Status for the COVID-19 Outbreak of the DKI Jakarta Province in 2020 requires innovation in improving the quality of public services and health care. DKI Jakarta Province has received many awards, one of which is the most innovative province. However, innovations in the health sector that are include in the top of 99 public service innovations are only 2%. Therefore, an in-depth analysis is needed regarding innovations in the health sector on the quality of services during the COVID-19 Pandemic. This type of research is mix method by using a combination type Sequential Explenatory. The independent variables include leadership, innovation culture, resource training, communication channels, networks and partnerships, rewards, complexity and relative advantage, perceived usefulness, and perceive ease of use, as well as the dependent variable consisting of aspects of quality with a structure, process, and output approach. The research was conducted at Community Health Center and DKI Jakarta Health Office in Mei-June 2021. The research locations in The Community Health Center in 5 Regencies at DKI Jakarta Province. Data analysis used univariate, bivariate (Chi Square) and multivariate with logistic regression. The result showed that the quality of health services during the pandemic was quite good about 71,8%. The results of the analysis found that there was a relationship between the factors of implementating innovation and the utilization of information technology in the health sector on the quality of services during the COVID-19 pandemic at the DKI Jakarta Provincial Health Center for the 2020-2021 Period are leadership, innovation culture, network and partnership, and reward. The most dominant variable is leadership which is interact with reward with OR value 7,64.
Penelitian ini mengevaluasi implementasi Standar Pelayanan Minimal (SPM) HIV/AIDS di Puskesmas Kota Depok tahun 2025 dengan pendekatan Six Building Blocks WHO. Penelitian kualitatif deskriptif ini mengumpulkan data melalui wawancara mendalam, FGD, observasi, dan telaah dokumen di empat Puskesmas terpilih. Temuan menunjukkan capaian layanan belum merata, dipengaruhi oleh keterbatasan sumber daya, pelaporan yang belum optimal, dan lemahnya koordinasi lintas sektor. Strategi percepatan yang disusun menekankan penguatan tata kelola, kapasitas tenaga kesehatan, sistem informasi, akses obat esensial, serta peningkatan kolaborasi multisektor.
Hasil penelitian mengungkap bahwa pelaksanaan SPM HIV/AIDS masih menghadapi kesenjangan antar sasaran dan wilayah. Kelompok populasi kunci memiliki capaian tinggi karena dukungan LSM, sedangkan ibu hamil menjadi kelompok dengan capaian terendah akibat keterlambatan pelaporan dari bidan mandiri dan rumah sakit. Sistem informasi HIV/AIDS (SIHA) belum terintegrasi penuh dan masih bergantung pada kemampuan individu petugas. Ketersediaan obat antiretroviral (ARV) terbatas pada satu Puskesmas dengan sistem distribusi yang belum merata. Pembiayaan program masih bertumpu pada dana BOK dan donor, sementara regulasi seperti Perwal HIV/AIDS dan SOP PrEP belum disahkan.
Penelitian ini menegaskan perlunya penguatan kebijakan teknis sesuai Permenkes No. 6 Tahun 2024, penataan SDM dan insentif yang berkelanjutan, serta integrasi pelaporan lintas fasilitas. Peningkatan kapasitas kader, inovasi komunitas seperti CLM, dan pemanfaatan teknologi pelaporan menjadi kunci percepatan pencapaian target SPM HIV/AIDS di Kota Depok.
This study evaluates the implementation of the Minimum Service Standards (SPM) for HIV/AIDS at Community Health Centers (Puskesmas) in Depok City in 2025 using the WHO Six Building Blocks approach. This descriptive qualitative study collected data through in-depth interviews, focus group discussions (FGD), observations, and document reviews at four selected Puskesmas. Findings indicate that service delivery is uneven, influenced by resource constraints, suboptimal reporting, and weak inter-sectoral coordination. The acceleration strategies developed emphasize strengthening governance, health worker capacity, information systems, access to essential medications, and enhancing multisectoral collaboration. The results show that the implementation of the HIV/AIDS SPM still faces disparities among target groups and service areas. Key populations achieved higher coverage mainly due to NGO support, while pregnant women had the lowest coverage due to delayed or incomplete reporting from private midwives and hospitals. The HIV/AIDS Information System (SIHA) has not been fully integrated and still depends on individual staff capacity. The availability of antiretroviral (ARV) drugs is limited to one health center with uneven distribution across facilities. Program financing still relies heavily on BOK and donor funds, while technical regulations such as the Mayor’s Decree on HIV/AIDS and the PrEP SOP have not yet been enacted. This study highlights the need to strengthen technical policies in accordance with Minister of Health Regulation No. 6 of 2024, ensure sustainable human resource and incentive management, and enhance cross-facility reporting integration. Strengthening community-based innovations such as CLM, capacity building for cadres, and the use of digital reporting systems are key strategies to accelerate the achievement of HIV/AIDS SPM targets in Depok City.
Quantitative research with a cross-sectional design (Cross Sectional) will examine the achievements of health service programs for people at risk of getting HIV using the Malcolm Baldrige approach at the Depok City Health Center. The purpose of this study was to determine the performance of the health service program for people at risk of getting HIV using the Malcolm Baldrige approach. The population of this study were all Community Health Centers in Depok City, totaling 38 Health Centers. The research instrument used questionnaires and interviews which were made based on standard references from Malcolm Baldrige's criteria which had been translated into Indonesian by previous researchers and adapted to the research objectives. There are 6 independent variables, namely leadership, strategic planning, focus on customers, measurement analysis and knowledge management, focus on workforce and process management, while the dependent variable is achievement of minimum service standards in health services for people at risk of getting HIV. Data analysis used univariate data analysis to look at the frequency distribution of performance results, bivariate data analysis looked at the relationship between 6 (six) Malcolm Baldrige criteria and the achievement results of the minimum service standard for the Health Service Program for people at risk of getting HIV at the Depok City Health Center and multivariate analysis to find the most common factor Dominantly affect the achievement of minimum HIV service standards. The majority of Univariate research results fall into the category of lacking leadership (53.07%), strategic planning (46.21%) focus on customers (43.84%), measurement, analysis and knowledge management (44.21%), workforce (47.85%) and process management (47.49%) while the results of the minimum service standards for people at risk of getting HIV (69.86%) are in the sufficient category. In the bivariate analysis all independent variables have a strong and positive relationship to the dependent variable. In the multivariate analysis there is a strong correlation between HIV MSS achievement and leadership and customer focus variables (R=0,749) and R square =0,561 where the most dominant variable is Customer Focus (48.5%).
Adanya intervensi Global Fund di klinik IMS berupa pelatihan - pelatihan untuk menambah kualifikasi SDM, dana insentif petugas, dana untuk setting ruangan dan alat - alat kesehatan yang diharapkan dapat meningkatkan mutu pelayanan di klinik IMS. Pada kenyataannya ada klinik IMS Puskesmas yang mutu layanannya belum optimal. Tujuan penelitian ini untuk menganalisis inten/ensi Global Fund terhadap mutu layanan di klinik IMS Puskesmas Kecamatan Pasar Rebo dan Puskesmas Kecamatan Tamansari. Penelitian ini mengglmakan rancangan yang secara garis besar mempergunakan pendekatan kualitatif. Penekanan pada pendekatan kualitatif adalah pada upaya penggalian lebih dalam lagi apa yang dipikirkan dan dirasakan seseorang , terutarna penguna/cusoumer serta petugas kesehatan yang ada di klinik Infeksi Menular Seksual. Selain intervensi dari Global jimd (input), peran dukungan Kcpala Puskesmas, monitoring dan evaluasi, juga pada proses yaitu kepatuhan dan konsistensi petugas terhadap SOP sangat berperan untuk menghasilkan output dan dampak/impact yang dapat dilihat di outcome atau kepuasan pasien/customer. Penelitian ini berlangsung pada bulan Maret 2008, dan penelitian inj melibatkan 10 orang informan untuk Wawancara Mendalam/Indepth Interview clan 5 keiompok Focus Group Discussion/DKT (1 kelompok terdiri dari 6 orang) dari 2 (dua) Puskesmas. Informan Wawancara Mendalarn terdiri dari Kepala Puskesmas Kecamatan yang akan memberikan viinformasi strategis tentang kebijakan yang sudah dilaksanakan. Kriteria informan dokter, bidan, petugas laboratorium dan petugas administrasi adalah yang telah dilatih oleh Global Fund atau bertugas di klinik IMS. Sedangkan DKT dilaksanakan di 2 (dua) kelompok PSK yang pemah berobat di klinik IMS, 1 (satu) kelompok pelanggan PSK di wilayah Puskesmas Kecamatan Pasar Robo, serta 2 (dua) kelompok Waria di wilayah Puskesmas Kecamatan Tamansari dari kegiatan Penapisan (outreach). Hasil penelitian menunjukkan bahwa ouput klinik IMS Puskesmas Kecamatan Tamansari yaiiu, jumlah orang berkunjung, jumlah pasien/penderita IMS yang diobati, jumlah pasien/penderita yang diberi kondom dan jumlah pasien/penderita yang diberikan penyuluhan/KIE tahun 2007 prosentasenya menunm dibandingkan pada tahun 2006. Sedangkan Puskesmas Kecamatan Pasar Rebo prosentasenya mengalami kenaikkan yang signiiikan. Kepuasan pasien yang dilihat pada outcome di kedua Puskesmas baik, walaupun ada sedikit masukan untuk perbaikan pelayanan di klinik IMS dan di kegiatan penjangkauan/outreach. Pada outeome yang dioilai adalah akses(|angkauan pelayanan, kenyamanan, keamanan pelayanan, efisiensi, KIE, serta hubungan antar manusia./interpersonal. Klinik IMS am menjadi laaik jika dikelola Semi dengan pelayanan prima (Service Excellent) oleh petugas yang telah mendapatkan pelatihan. Salah satu tugas penting untuk tim kesehatan yang turun pada kegiatan penapisan yaitu mengintervensi kelompok pelanggan PSK dengan memberikan penyuluhan tentang kesehatan, penyakit IMS dan penggunaan kondom yang benar. Tim kesehatan yang melayani klinik IMS sebaiknya tersendiri, tidak mempunyai tugas pokok dan fungsi (Tupoksi) ditempat Iain. Sementara itu ada kegiatan yang harus tluun ke tempat/dacrah rawan HIV/AIDS. Sedangkan target omput dad Global Fund untuk klinik IMS Puskesmas tidak ada. Untuk mengetahui keberhasilan suatu kegiatan seharusnya sudah disusun Standard Pelayanan Minimal (SPM) dan target yang harus dicapai.
Global Fund's interventions in STI Clinic, which are aplicated through trainings for improving human resources qualiiication, funding in the form of officer incentive, funding for setting room and aid appliance, are expected to increase the clinical service quality at STI Clinic. Practically there is STI clinic in Primary Health Care which has not gain the noted service quality optimally. The purpose of this research is to analyze the intervention of Global Fund to the service quauiy of sri clinic in Primary Health care in PM Reba Subdistrict and Tamansari Subdistrict. Marginally, this research is utilized by qualitative approach. The qualitative approaches are given emphasizely. Those things are applicatcd by the deep interventioning to costumers mind and feeling, especially the care user and also the health officer at Sexual Transmitted Infection Clinic. The costumer satisfaction which is consider as the outcome of the research, is not merely detennined by the Global Fund Intervention but also by the role of Primary Health Care Head Officer, evalution and ixmonitoring activity, the consintency and compliance of the officers in doing the standar operational procedure during the process. This research is conducted in March 2008, included 10 persons as the object of lndepth interview and 5 Focus Group Discussion (1 groups is consist of 6 persons) from 2 Primary Health Care. The strategic information due to the conducted policy was derived from indepth interview with Chief of Primary Health Care Subdistrict. The criteria for the informan such as doctor , midwife, administration officer and laboratory officer are they who had been trained by Global Fund or work in clinic IMS . Focus Group Discussion (FGD) is conducted in 2 ( two) group of CSW which have ever medicinizocd in STI clinic , 1 ( one) group of CSW client who lived in the same region with Primary Health Care of Pasar Rebo Subdistrict, and also 2 (two) group of Trans sexual who lived in region Primary Health Car of Tamansari Subdistrict with the Censorship activity (outreach). The result from this research indicated that output of STI clinic Primary Health Care of Tarnansari Subdistrict that is, the amount of people visited the clinic, the amount of S'l`I patient have their medical attention, the amount of patient who had given for condom and the amount of patient who had given for education (CIE) of the year 2007 have decline on percentages compared to the year of 2006. While at Primary Health Care of Pasar Rebo Subdistrict the percentages has increase significantly. 1 The Patient Satisfaction that can be seen &om the outcome in both Primary Health Cares is good, despite of a few inputs for repair of services in STI clinics and in the outreach activity. For the outcome , the assesment are in the scope of the services, how comfort thc services, security of the services, efficiency, CIE, and also the relation between people (interpersonal).