Standar Pelayanan Minimal (SPM) dapat dijadikan indikator yang digunakan untuk memastikan seluruh warga negara mendapatkan haknya dalam pemenuhan pelayanan dasar kesehatan yang kinerjanya dapat dikontrol langsung. Salah satu pelayanan dasar pada SPM kesehatan adalah pelayanan Ibu hamil yang sesuai dengan standar kualitas dan standar kuantitas yang nantinya diharapkan dapat menurunkan AKI. Puskesmas Rawamerta tahun 2019 melaporkan angka capaian K1 77,9% dan K4 hanya 68,95% yang mana masih jauh dari kesesuaiaan target 100%. Penelitian ini bertujuan untuk menganalisis kualitas pelaksanan SPM pada layanan Antenatal di Puskesmas Rawamerta. Jenis penelitian Kualitatif, informan penelitian ditentukan dengan purposive sampling dan snowballing sampling. Teknik pengambilan data dengan waancara mendalam, observasi, dan telaah dokumen. Analisis data dilakukan secara deskriptif dan disajikan dalam bentuk narasi. Penelitian ini menggunakan teori evaluasi mutu Donabedian, pada struktur dianalisis SDM (jumlah SDM, jenis profesi, kompetensi, dan pelatihan), sarana prasarana (ketersediaan obat, vaksin, BHP, dan alat penunjang, fasilitas ruangan pelayanan, dan alur permintaan), dan pedoman (ketersediaan). Pada proses yang dianalisis adalah perencanaan (perencanaan kegiatan, pendataan sasaran, pembuatan pedoman, dan identifikasi masalah), pengorganisasiaan (penjadwalan pelatihan, penjadwalan KIA, dan sosialisasi pedoman), pelaksanaan (tatalaksana dan sistem rujukan), dan pengawasan (kepatuhan, evaluasi, pencatatan dan pelaporan). Sedangkan pada outcome dianalisis kesesuaiannya dengan SPM (standar kualitas dan kuantitas). Dengan kesimpulan bahwa Puskesmas rawamerta belum memenuhi standar kualitas dan standar kuantitas pada SPM

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Minimum Standard Services (MSS) can be used as an indicator to cover citizen’s rights of essential health service. Furthermore, MSS in women’s labour is expected to be in a certain quality and quantity standards to reduce MMR. Rawamerta Public Health centre reported in 2019, 77.9% and 68.95% achievement in K1 and K4, respectively. These figures are well below the acceptance target of 100%. This study aims to analyze the quality of SPM implementation in Antenatal services at Rawamerta Public Health Center with qualitative methods in concordance with Donabedian’s quality evaluation theory. Research informants were determined by purposive and snowballing sampling. Data collection performed with in-depth interviews, observations, and document reviews. Data analysis was performed descriptively and converted to a narrative. Rawamerta’s structure, process, and outcome to achieve MSS were evaluated. It is found that Rawamerta Public Health Center quality is still below the MSS standards.

Hypertension is a prevalent non-communicable disease in Indonesia that poses a serious risk of complications if not properly managed. In Belitung Regency, hypertension service coverage has not yet reached the 100% target set by the Minimum Service Standards (SPM). This study aims to analyze the implementation of hypertension health services based on the 2024 SPM using a qualitative case study approach and the Donabedian model (structure, process, outcome). Informants included program managers, health workers, health center heads, and village government representatives from four selected health centers. Data were collected through in-depth interviews, direct observations, and document review from February to May 2025. The findings reveal that limitations in human resources, lack of integrated technical regulations, and varying levels of village support affect service effectiveness. Service processes such as early detection, therapy, education, and documentation through the ASIK application are not yet fully systematic. In 2024, service coverage ranged from 44.76% to 92.66%, with a district average of 76.10%. Patient medication adherence remains low, and quality measurement is inconsistent. It is concluded that the implementation of hypertension services in Belitung Regency has not met the national target. Strengthening operational regulations, equitable distribution of human resources, capacity building for service providers, and cross-sector collaboration with support from village governments and community health workers are needed to achieve equitable and quality hypertension care.

uskesmas Tanjungsari merupakan satu-satunya puskesmas di Kabupaten Bogor yang sudah mengintegrasikan pelayanan kesehatan gigi dan mulut pada ibu hamil dengan pemeriksaan antenatal ibu hamil (ANC) sesuai dengan standar yang ditetapkan Permenkes 89 tahun 2015. Hal ini menyebabkan cakupan pelayanan kesehatan gigi dan mulut pada ibu hamilnya tertinggi se-Kabupaten Bogor. Jenis penelitian ini merupakan penelitian kualitatif menggunakan desain studi kasus.Penelitian dilaksanakan pada bulan Mei-Juni 2020 di Puskesmas Tanjungsari dan Dinas Kesehatan Kabupaten Bogor dengan 5 orang informan yaitu penanggung jawab yankesgilut di dinas kesehatan, kepala puskesmas, penanggungjawab poli gigi, penanggung jawab KIA, dan bidan KIA. Hasil penelitian menunjukkan bahwa dari sisi input puskesmas Tanjungsari memiliki tenaga kesehatan dan alat kesehatan yang cukup, tidak ada pemberian tugas tambahan kepada penanggungjawab poli gigi selain tupoksinya sebagai dokter gigi, namun ada kekurangan di bahan medis habis pakai dan belum memiliki SOP yang terintegrasi. Dari sisi proses terdapat dukungan kepala puskesmas, sudah melakukan sosialisasi dengan lintas program dan kepada masyarakat. Pelaksanaan program di dalam gedung sudah terintegrasi dengan pelayanan antenatal dan pelaksanaan program di luar gedung melalui posyandu dan kelas ibu, namun terdapat kelemahan dari sisi pengawasan dan pengendalian program. Puskesmas Tanjungsari tidak mengetahui target dari program pelayanan kesehatan gigi dan mulut pada ibu hamil. Output cakupan pelaksanaan program semester awal 2020 puskesmas Tanjungsari sebesar 17,4 % dan jumlah bayi BBLR adalah 15 orang. Hasil penelitian menyarankan agar program ini diintegrasikan dengan ANC dengan menggunakan SOP yang terintegrasi, perlu peningkatan pengawasan dan pengendalian, serta penetapan dan sosialisasi target, dan menemukan metode yang tepat untuk dapat melakukan sosialisasi dan edukasi kepada masyarakat tanpa melakukan tatap muka secara langsung.

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Puskesmas Tanjungsari is the only puskesmas in Bogor Regency that has integrated oral and dental health services for pregnant women with antenatal examination for pregnant women (ANC) in accordance with the standards set by Permenkes 89 of 2015. This causes coverage of dental and oral health services for pregnant woman was the highest in Bogor Regency. This type of research is a qualitative study using a case study design. The study was conducted in May-June 2020 at the Tanjungsari Community Health Center and Bogor District Health Office with 5 informants, namely the person in charge of oral and dental services, the head of the puskesmas, the person in charge of dental clinic, the person in charge of MCH, and the MCH midwife.The results showed that from the input side of the Tanjungsari puskesmas had sufficient health workers and medical devices, there was no additional assignment to the person in charge of dental clinic besides their duty as a dentist, but there was a shortage in consumable medical materials and did not yet have an integrated SOP. From the aspect of the process there is support from the head of the puskesmas, has carried out socialization by cross-program and the community. Program implementation inside the building has been integrated with antenatal services and program implementation outside the building through posyandu and mother classes, but there are weaknesses in terms of program supervision and control. Puskesmas Tanjungsari does not know the targets of the dental and oral health service program for pregnant women. The output of the implementation of the program in the early semester of 2020 at the Tanjungsari Community Health Center was 17.4% and the number of LBW infants was 15 people. The results of the study suggest that this program is integrated with the ANC by using an integrated SOP, it is necessary to increase supervision and control, as well as setting and socializing targets, and finding the right methods to be able to disseminate and educate the public without direct face-to-face meetings

Latar Belakang: Kepuasan ibu hamil merupakan indikator penting dalam menilai mutu pelayanan antenatal care (ANC) di fasilitas kesehatan. Penelitian ini bertujuan untuk menganalisis determinan kepuasan ibu hamil terhadap kualitas pelayanan ANC di Kabupaten Tuban. Metode: Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross sectional pada ibu hamil yang mendapatkan pelayanan ANC di puskesmas wilayah Kabupaten Tuban. Variabel yang dianalisis meliputi tingkat kepuasan ibu hamil, tingkat pendidikan, pemberian pelayanan ANC, pengalaman ibu, akses terhadap pelayanan ANC, serta manajemen dan organisasi. Data dianalisis menggunakan uji korelasi dan regresi linier berganda. Hasil: Tingkat kepuasan ibu hamil terhadap pelayanan ANC adalah 81,6%. Sementara itu, tingkat pelaksanaan untuk variabel pemberian pelayanan ANC sebesar 85,3%, pengalaman ibu sebesar 88,35%, akses terhadap pelayanan ANC sebesar 75%, serta manajemen dan organisasi sebesar 77,2%. Uji korelasi yang dilakukan menunjukkan adanya hubungan antara pemberian pelayanan ANC, pengalaman ibu, akses pelayanan, dan manajemen organisasi dengan tingkat kepuasan ibu hamil (p-value <0,001). Faktor manajemen dan organisasi merupakan determinan yang paling berpengaruh terhadap tingkat kepuasan ibu hamil (p < 0,001; B = 0,151; 95% CI = 0,085–0,217) setelah dikontrol dengan variabel tingkat pendidikan. Kesimpulan: Kepuasan ibu hamil terhadap pelayanan ANC di Kabupaten Tuban tergolong tinggi. Faktor manajemen dan organisasi pelayanan menjadi aspek yang paling berpengaruh. Hasil ini menekankan pentingnya tata kelola pelayanan yang baik untuk meningkatkan pengalaman positif ibu selama kehamilan.

Background: Maternal satisfaction is an important indicator for assessing the quality of antenatal care (ANC) services in healthcare facilities. This study aimed to analyze the determinants of maternal satisfaction with the quality of ANC services in Tuban Regency, Indonesia. Methods: A quantitative study with a cross-sectional design was conducted among pregnant women who received ANC services at community health centers (puskesmas) in Tuban Regency. The analyzed variables included maternal satisfaction level, education level, ANC service delivery, maternal experience, access to ANC services, and service management and organization. Data were analyzed using correlation and multiple linear regression tests. Results: The overall satisfaction level of pregnant women with ANC services was 81.6%. The implementation levels of ANC service delivery, maternal experience, access to ANC services, and management and organization were 85.3%, 88.35%, 75%, and 77.2%, respectively. Correlation analysis revealed significant relationships between ANC service delivery, maternal experience, service access, and management and organization with maternal satisfaction (p < 0.001). Among these factors, service management and organization showed the strongest influence on maternal satisfaction (p < 0.001; B = 0.151; 95% CI = 0.085–0.217) after it was controlled by education level. Conclusion: Maternal satisfaction with ANC services in Tuban Regency was relatively high. Service management and organizational factors were the most influential determinants, highlighting the importance of effective governance in improving positive maternal experiences during pregnancy