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Rora Asyulia; Pembimbing: Sutanto Priyo Hastono; Penguji: Wahyu Sulistiadi, Robiana Modjo, Mutmainah Indriyati, Eti Rohati
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Penelitian kuantitatif dengan desain potong lintang (Cross Sectional) akan meneliti capaian program pelayanan kesehatan pada orang berisiko terkena HIV dengan pendekatan Malcolm Baldrige di Puskesmas Kota Depok. Tujuan dari penelitian ini adalah mengetahui capaian Program pelayanan kesehatan pada orang berisiko terkena HIV dengan pendekatan Malcolm Baldrige. Populasi penelitian ini adalah seluruh Puskesmas di Kota Depok yang berjumlah 38 Puskesmas. Instrumen penelitian menggunakan kuisioner dan wawancara yang dibuat berdasarkan rujukan baku dari kriteria Malcolm Baldrige yang sudah diterjemahkan ke dalam Bahasa Indonesia oleh peneliti terdahulu dan disesuaikan dengan tujuan penelitian. Variabel Independen ada 6 yaitu Kepemimpinan, perencanaan strategis, focus pada pelanggan, pengukuran analisis dan manajemen pengetahuan, focus pada sumber daya manusia dan manajemen proses sedangkan variabel dependen adalah capaian Standar pelayanan minimal pada pelayanan kesehatan orang berisiko terkena HIV. Analisis data menggunakan analisis data univariat melihat frekwensi distribusi hasil capaian, analisis data bivariat melihat hubungan antara 6 (enam) kriteria Malcolm Baldrige dengan hasil capaian Standar pelayanan minimal Program Pelayanan Kesehatan pada orang berisiko terkena HIV di Puskesmas Kota Depok dan analisis multivariat untuk mencari factor paling dominan mempengaruhi capaian standar pelayanan minimal HIV. Hasil penelitian Univariat mayoritas masuk kategori kurang kepemimpinan (53,07%), perencanaan strategis (46,21%) focus pada pelanggan (43,84%), pengukuran, analisis dan manajemen pengetahuan (44,21%), sumber daya manusia (47,85%) dan manajemen proses (47,49%) sedangkan hasil capaian Standar pelayanan minimal pada orang berisiko terkena HIV (69,86%) masuk kategori cukup. Pada analisis bivariat semua variabel independent memiliki hubungan yang kuat dan positif terhadap variabel dependen. Pada analisis multivariat ada korelasi yang kuat antara capaian SPM HIV (Y) dengan variabel kepemimpinan dan focus pada pelanggan (R=0,749) dan memiliki R Square 0,561 dimana variabel yang paling dominan adalah Focus pada Pelanggan (48,5%)
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%).
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%).
T-6599
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Siti Muhimatul Munawaroh; Pembimbing: Vetty Yulianty Permanasari; Penguji: Adang Bachtiar, Dumilah Ayuningtyas, H Imam Budi Hartono, Mutmainah Indriyati
Abstrak:
Pelayanan kesehatan orang terduga TB merupakan salah satu standar pelayanan minimal (SPM) bidang Kesehatan yang harus dipenuhi oleh pemerintah Kab/Kota. Puskesmas merupakan unit terdepan dalam pencapaian target kinerja SPM bidang Kesehatan. Capaian SPM TB di kota Depok tahun 2021 baru mencapai 36,17 % dan menjadi capaian terendah kedua dari 12 SPM bidang Kesehatan Kota Depok. Tujuan dari penelitian ini adalah untuk menganalisis secara mendalam aspek struktur, aspek proses peningkatan mutu dan kinerja dengan pendekatan PDSA (Plan-do-study-act) serta output dalam upaya peningkatan capaian pelayanan kesehatan orang terduga TB di Puskesmas Kota Depok Tahun 2022. Penelitian ini menggunakan pendekatan kualitatif dengan menggunakan desain studi kasus melalui wawancara mendalam kepada 31 informan, observasi lapangan dan telusur dokumen. Hasil penelitian, belum semua Puskesmas menetapkan Tim TB Dots, kurangnya tenaga yang terlatih,sarana-prasarana belum semua sesuai standar, bahan-obat belum memadai, penggunaan teknologi informasi belum optimal, komitmen pimpinan dan staf masih kurang. Pada faktor proses, kegiatan upaya peningkatan capaian SPM TB pada tahapan study belum semua Puskesmas melakukan monitoring dan evaluasi terhadap capaian SPM TB.Pada output; terjadi peningkatan capaian pelayanan orang terduga TB pada tahun 2022 dibandingkan tahun 2021, namun belum semua Puskesmas dapat mencapai target SPM TB yang ditetapkan. Kesimpulan: faktor struktur dan proses peningkatan mutu dan kinerja yang dilakukan berpengaruh terhadap keberhasilan dalam pencapaian SPM TB di Puskesmas
The health service for people suspected of having TB is one of the minimum service standards (MSS) in the health sector that must be met by the district/city government. The Public Health Center is the leading unit in achieving the MSS performance targets in the health sector. TB MSS achievement in Depok city in 2021 only reached 36.17% and became the second lowest achievement of the 12 MSS in Depok City Health. The aim of this study was to analyze in depth aspects of the structure, aspects of the quality and performance improvement process using the PDSA (Plan-do-study-act) approach as well as outputs in an effort to increase the achievement of health services for people suspected of having TB at the Depok City Health Center in 2022. This research used a qualitative approach using a case study design through in-depth interviews with 31 informants, field observations and document searches. The results of the study, not all Public Health Centers have established TB Dots Teams, lack of trained personnel, not all facilities are up to standard, medicinal materials are not adequate, use of information technology is not optimal, leadership and staff commitment is still lacking. In terms of process factors, not all Public Health Centers have conducted monitoring and evaluation of TB MSS achievements at the study stage. On output; there has been an increase in the achievement of services for people suspected of having TB in 2022 compared to 2021, but not all Public Health Centers have reached the set TB MSS target. Conclusion: structural factors and quality and performance improvement processes carried out influence success in achieving TB MSS at the Public Health Centers
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The health service for people suspected of having TB is one of the minimum service standards (MSS) in the health sector that must be met by the district/city government. The Public Health Center is the leading unit in achieving the MSS performance targets in the health sector. TB MSS achievement in Depok city in 2021 only reached 36.17% and became the second lowest achievement of the 12 MSS in Depok City Health. The aim of this study was to analyze in depth aspects of the structure, aspects of the quality and performance improvement process using the PDSA (Plan-do-study-act) approach as well as outputs in an effort to increase the achievement of health services for people suspected of having TB at the Depok City Health Center in 2022. This research used a qualitative approach using a case study design through in-depth interviews with 31 informants, field observations and document searches. The results of the study, not all Public Health Centers have established TB Dots Teams, lack of trained personnel, not all facilities are up to standard, medicinal materials are not adequate, use of information technology is not optimal, leadership and staff commitment is still lacking. In terms of process factors, not all Public Health Centers have conducted monitoring and evaluation of TB MSS achievements at the study stage. On output; there has been an increase in the achievement of services for people suspected of having TB in 2022 compared to 2021, but not all Public Health Centers have reached the set TB MSS target. Conclusion: structural factors and quality and performance improvement processes carried out influence success in achieving TB MSS at the Public Health Centers
T-6663
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Nandya Silvalinda; Pembimbing: Agustin Kusumayati; Penguji: Dumilah Ayuningtyas, Wachyu Sulistiadi, Eti Rohati, Salma Sabira
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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.
T-7452
Depok : FKM-UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Muhammad Amin; Pembimbing: Sabarinah; Penguji: Besral, Sutanto Priyo Hastono, Trimulyaningsih, Neni Nurjanah
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Standar Pelayanan Minimal (SPM) pelayanan usia produktif merupakan hak dasar yang harus dipenuhi oleh pemerintah daerah kab/kota terhadap penduduk usia 15-59 tahun agar mendapatkan pelayanan kesehatan sesuai standar berupa edukasi dan skrining kesehatan. Dengan status akreditasi puskesmas yang sudah diraih dan manajemen puskesmas yang sudah dilaksanakan, capaian SPM pelayanan kesehatan pada usia produktif puskesmas di Kota Cirebon masih jauh dari target yang diharapkan. 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 gabungan penelitian kuantitatif dan kualitatif dengan desain penelitian convergent mixed methods. Penelitian kuantitatif menggunakan desain penelitian crossectional sedangkan penelitian kualitatif menggunakan jenis penelitian studi kasus. Populasi penelitian adalah seluruh puskesmas di Kota Cirebon. Sampel penelitian adalah 22 puskesmas (total sampling) di Kota Cirebon. Informan utama penelitian adalah kepala puskesmas dan pelaksana program penyakit tidak menular (PTM) puskesmas. Analisis statistik menggunakan uji annova one way, uji korelasi dan uji regresi linier sederhana sedangkan analisis kualitatif menggunakan analisis isi (content analysis). Hasil penelitian menunjukkan status akreditasi puskesmas tidak berefek terhadap capaian SPM pelayanan kesehatan pada usia produktif, sedangkan semua variabel aspek manajemen puskesmas berkorelasi cukup kuat dan kuat kecuali variabel fokus pelanggan. Diperlukan penerapan manajemen puskesmas yang berkualitas dan dukungan dinas kesehatan agar SPM pelayanan kesehatan pada usia produktif dapat tercapai.
The minimum service standard (SPM) for productive age services is a basic right that must be fulfilled by the district/city government for residents aged 15-59 years in order to get health services according to standards in the form of education and health screening. 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 the SPM for health services at the productive age of the public health center in Cirebon City is still far from the expected target. The aim of the study was to determine the effect of the accreditation status and the management of the public health center on the achievement of the SPM for health services at the productive age of the puskesmas in Cirebon City. This type of research is a combination of quantitative and qualitative research with a convergent mixed methods research design. Quantitative research uses a cross-sectional research design, while qualitative research uses a case study. The research population was all public health centers in Cirebon City. The research sample was 22 public health centers (total sampling) in Cirebon City. The main informants of the study were the head of the public health center and the manager of the non-communicable disease (PTM) program at the puskesmas. Statistical analysis used annova one way test, correlation test and simple linear regression test, while qualitative analysis used content analysis. 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 the management of the puskesmas had a strong correlation except for the customer focus variable. 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.
T-6628
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Naila Falichatul Muannisa; Pembimbing: Wachyu Sulistiadi; Penguji: Dumilah Ayuningtyas, Evi Martha, Andri Mursita, Eti Rohati
Abstrak:
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.
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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.
T-7439
Depok : FKM-UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Farista Widyastuti; Pembimbing: Robiana Modjo; Penguji: Dian Ayubi, Muhammad Rais Haru, Rizky Ramdhani
Abstrak:
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Hipertensi merupakan penyakit tidak menular dengan prevalensi tinggi di Indonesia dan berisiko menimbulkan komplikasi serius jika tidak tertangani dengan baik. Di Kabupaten Belitung, capaian pelayanan hipertensi belum mencapai target 100% sesuai Standar Pelayanan Minimal (SPM). Penelitian ini bertujuan menganalisis implementasi pelayanan hipertensi berdasarkan SPM tahun 2024 menggunakan pendekatan kualitatif studi kasus dan model Donabedian (struktur, proses, hasil). Informan terdiri dari pengelola program, tenaga kesehatan, kepala Puskesmas, dan pemerintah desa di empat Puskesmas. Data dikumpulkan melalui wawancara, observasi, dan telaah dokumen pada Februari–Mei 2025.
Hasil penelitian menunjukkan keterbatasan SDM, ketidakterpaduan regulasi, serta bervariasinya dukungan desa memengaruhi efektivitas layanan. Proses pelayanan seperti deteksi dini, terapi, edukasi, dan pencatatan di aplikasi ASIK belum berjalan sistematis. Capaian pelayanan tahun 2024 berada di kisaran 44,76–92,66% dengan rata-rata 76,10%. Kepatuhan pasien dalam minum obat rendah dan pengukuran mutu belum konsisten. Kesimpulannya, pelayanan hipertensi belum memenuhi target nasional. Diperlukan penguatan regulasi teknis, distribusi SDM yang merata, peningkatan kapasitas pelaksana, serta kolaborasi lintas sektor dengan dukungan desa dan kader untuk mewujudkan layanan hipertensi yang merata dan bermutu.
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.
T-7343
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Intan Rachmita Sari; Pembimbing: Besral; Penguji: Adang Bachtiar, Puput Oktamianti, Winne Widiantini, Verry Adrian
Abstrak:
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Pencapaian SPM merupakan salah satu indikator penilaian kinerja daerah serta dan juga digunakan sebagai bahan untuk perumusan kebijakan pemerintah daerah atau pemerintah pusat. Hasil Pencapaiannya diperhitungkan dalam perhitungan Tunjangan Kinerja Daerah. Oleh karena itu, kualitas data SPM sangatlah penting untuk menjamin akuntabilitas penilaian kinerja pejabat publik. Berdasarkan uraian tersebut peneliti tertarik untuk melakukan penelitian untuk mengetahui bagaimana kualitas Data SPM Bidang Kesehatan Provinsi DKI Jakarta serta faktor-faktor apa saja yang berhubungan dengan kualitas data di Provinsi DKI Jakarta. Metode penelitian yang digunakan adalah penelitian mixed methods dengan menggunakan metode gabungan kuantitatif dan kualitatif secara bersamaan. Sampel penelitian kuantitatif adalah 484 petugas di 44 Puskesmas Kecamatan. Ada 12 indikator SPM yang dinilai kualitas datanya berdasarkan variabel kelengkapan data, ketepatan waktu, akurasi dan konsistensi data. Penelitian kuantitatif dengan desain cross sectional dengan menggunakan kuesioner Penilaian Mandiri Kualitas Data Rutin (PMKDR), sedangankan metode kualitatif menggunakan wawancara mendalam, diskusi terarah dan telaah dokumen. Hasil penelitian kualitas data SPM Bidang Kesehatan Tingkat Kota/Kabupaten Tahun 2019- 2021, yang terdiri dari ketepatan waktu pelaporan, kelengkapan data, akurasi serta konsistensi, didapatkan bahwa rata-rata capaian kinerja output (kualitas data SPM) sebesar 96% dengan variasi 6% di 44 Puskesmas Kecamatan di DKI Jakarta. Hasil studi kuantitatif setelah dikontrol dengan variabel independen yang ada, SDM Pengelola Data SPM, SOP Pengelolaan Data SPM, Dukungan/Regulasi Pimpinan, Pelatihan/Bimtek SDM, Pemanfaatan Data dan Monitoring Evaluasi Pengelolaan Data SPM mempengaruhi kinerja output (kualitas data SPM) dengan nilai koefisien determinasi (R Square) menunjukkan nilai 0,185 artinya model regresi yang diperoleh dapat menjelaskan 18,5% variasi variabel kinerja output. Variabel yang paling besar pengaruhnya terhadap penentuan kinerja output adalah Monitoring dan Evaluasi Pengelolaan Data SPM dengan nilai Coefisien B 0,321.
Achievement of Standardize Health Care Delivery (SPM) is one of the regional performance evaluation indicators and is also used as material for the formulation of local government or central government policies. The results of their achievements are taken into account in calculating Regional Performance Allowances. Therefore, the quality of SPM data is very important to ensure accountability in evaluating the performance of public officials. Based on this description, the researcher is interested in conducting research to find out how the quality of SPM data in the DKI Jakarta Province Health Sector and what factors are related to data quality in DKI Jakarta Province. The research method used is mixed methods research using a combination of quantitative and qualitative methods simultaneously. Quantitative research samples were 484 officers in 44 District Health Centers. There are 12 SPM indicators whose data quality is assessed based on the variables of data completeness, timeliness, accuracy and consistency of data. The quantitative study used a cross-sectional design using a Routine Data Quality Self-Assessment questionnaire (PMKDR), while the qualitative method used in-depth interviews, focused discussions and document review. The results of research on the quality of SPM data at the city/district level for 2019-2021, which consist of timeliness of reporting, data completeness, accuracy and consistency, found that the average output performance achievement (SPM data quality) is 96% with a variation of 6%. in 44 District Health Centers in DKI Jakarta. Quantitative study results after controlling for existing independent variables, SPM Data Management HR, Standard Operating Procedure (SOP), Leadership Support/Regulation, Training/Technical Guidance, Data Utilization and Evaluation Monitoring of SPM Data Management affect output performance (SPM data quality) with a coefficient value determination (R Square) shows a value of 0.185, meaning that the regression model obtained can explain 18.5% of the variation in the output performance variable. The variable that has the greatest influence on the determination of output performance is the Monitoring and Evaluation of MSS Data Management with a Coefficient B value of 0.321.
T-6504
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Chamelia Anggraeni Probo; Pembimbing: Dumilah Ayuningtyas; Penguji: Robiana Modjo, Adang Bachtiar, Martina Hutabarat, Tri Rini Puji Lestari
Abstrak:
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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
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.
T-5897
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Mutmainah Indriyati; Pembimbing: Syahrizal Syarif; Penguji: Dumilah Ayuningtyas, Dian Ayubi, Enny Ekasari, Yani Haryani Sachmar
Abstrak:
Latar Belakang: Puskesmas yang sudah terakreditasi berarti sudah menerapkan konsep Total Quality Management (TQM) dimana fokusnya adalah memberikan kepuasan kepada pelanggan internal dan eksternal. Manfaat terhadap pelanggan internal dilakukan melalui survey kepuasan kerja, sedangkan terhadap pelanggan eksternal dapat dilihat melalui hasil survey Indeks Kepuasan Masyarakat (IKM). Hasil IKM 2019 pada Puskesmas di kota Depok didapatkan unsur pelayanan yang berhubungan dengan responsiveness memperoleh penilaian yang kurang baik dari masyarakat, dan beberapa Puskesmas yang terakreditasi belum mencapai target sesuai rencana strategis Dinas Kesehatan kota Depok. Tujuan: Penelitian ini dilakukan untuk mendapatkan gambaran kepuasan kerja pegawai dan responsiveness pelayanan kesehatan serta hubungannya satu sama lain pada Puskesmas yang terakreditasi di kota Depok. Metode: Penelitian dilakukan terhadap 30 Puskesmas terakreditasi di kota Depok dengan desain deskriptif analitik dengan pengambilan data secara cross sectional. Analisis deskriptif dilakukan untuk mengetahui tingkat kepuasan kerja pegawai dan responsiveness pelayanan kesehatan Puskesmas. Sedangkan analisis statistik dilakukan untuk melihat ada tidaknya hubungan antara kepuasan kerja dan responsiveness. Hasil: Rata-rata tingkat kepuasan kerja Puskesmas adalah 2,71 (Puas) dari skala 4. Dimensi kepuasan dengan kategori tidak puas adalah upah, promosi, dan manfaat tambahan. Rata-rata tingkat responsiveness Puskesmas adalah 2,95 (baik) dari skala 4, namun terdapat responsiveness yang tidak baik pada aspek prompt attention dan keramahan petugas pada beberapa Puskesmas. Kepuasan kerja pegawai mempunyai hubungan yang kuat dan bermakna dengan responsiveness dengan koefisien korelasi r=0,760 dan p=0,0005 (p<0,05), sehingga semakin tinggi skor kepuasan kerja pegawai maka semakin tinggi skor responsiveness. Kesimpulan: Ketidakpuasan pegawai terdapat pada dimensi upah, promosi, dan manfaat tambahan. Terdapat responsiveness yang tidak baik di beberapa Puskesmas pada aspek prompt attention dan keramahan petugas. Terdapat hubungan antara kepuasan kerja pegawai dengan responsiveness.
This paper discusses the description of employee job satisfaction and responsiveness of health services at Puskesmas level at accredited Puskesmas in Depok City in 2020 and the relationship between the two. This research is a descriptive analytic study conducted by cross sectional method. The results of this study indicate that in general the level of job satisfaction of employees at accredited Puskesmas in Depok is included in the category of satisfaction with an average score of 2.71 from a scale of 4. However, on the dimensions of pay, promotions, and fringe benefits the results are included in unsatisfied category. Whereas in measuring the responsiveness of health services, it was found that the average score was 2.95 from a scale of 4 or included in good category. However, it was found that responsiveness was not good in the aspects of dignity and prompt attention in several health centers. In the bivariate analysis it is proven that there is a relationship between employee job satisfaction and responsiveness with correlation coefficient r = 0.760 (strong) and p = 0.0005 (significant), so that the higher the job satisfaction score, the higher the score of responsiveness.
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This paper discusses the description of employee job satisfaction and responsiveness of health services at Puskesmas level at accredited Puskesmas in Depok City in 2020 and the relationship between the two. This research is a descriptive analytic study conducted by cross sectional method. The results of this study indicate that in general the level of job satisfaction of employees at accredited Puskesmas in Depok is included in the category of satisfaction with an average score of 2.71 from a scale of 4. However, on the dimensions of pay, promotions, and fringe benefits the results are included in unsatisfied category. Whereas in measuring the responsiveness of health services, it was found that the average score was 2.95 from a scale of 4 or included in good category. However, it was found that responsiveness was not good in the aspects of dignity and prompt attention in several health centers. In the bivariate analysis it is proven that there is a relationship between employee job satisfaction and responsiveness with correlation coefficient r = 0.760 (strong) and p = 0.0005 (significant), so that the higher the job satisfaction score, the higher the score of responsiveness.
T-5871
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Melly Juwitasari; Pembimbing: Agustin Kusumayanti; Penguji: Mieke Savitri, Dian Ayubi, Ratna Kirana, Ratna Yunita
T-3429
Depok : FKM-UI, 2011
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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