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Primary Health Center (Puskesmas) in the era of JKN plays an important role asFirst level Health Facilities filters refferal. As a gatekeeper, Primary Health Centerhave a responsibility to resolve cases of non-specialist medical thoroughly. Thisstudy aims to analyze the effectiveness of the Primary Health Center arerepresented by the refference value when linked with the availability of resourcesand Primary Health Center managerial leadership. This research was crosssectional design with quantitative approach. Sampling was collected by purposivesampling method to 25 puskesmas in South Tangerang. The results showed thatthe resources of Primary Health Center do not meet the standards that have beenset except for the drug. The availability of tools/technology and medical supportmaterial ranges level from 60-79%. While aspects of leadership managerialshould be highlighted is supervision, jobs delegation and communication betweenleaders and staff. From 25 Primary Health Center, there are 7 Primary HealthCenters with good effectiveness category which the reference value < 15%.Key word : Effectiveness, health service, primary health center (Puskesmas).
Puskesmas sebagai fasilitas pelayanan kesehatan tingkat pertama memiliki peran penting dalam mendukung program kesehatan masyarakat. Pemenuhan sumber daya manusia kesehatan (SDMK) yang mencakup jenis dan jumlah tenaga kesehatan sesuai standar menjadi syarat utama untuk menjamin pelayanan yang berkualitas. Penelitian ini bertujuan untuk menganalisis kecukupan jenis dan jumlah SDMK pada Puskesmas BLUD di Kota Depok tahun 2024 serta faktor-faktor yang memengaruhinya. Penelitian menggunakan pendekatan kualitatif dengan metode studi kasus melalui wawancara mendalam dan telaah dokumen pada enam Puskesmas terpilih serta instansi terkait di Kota Depok. Hasil menunjukkan bahwa masih terdapat kesenjangan antara jumlah SDMK eksisting dengan kebutuhan berdasarkan analisis jabatan dan beban kerja yang tertuang dalam dokumen perencanaan dan kebutuhan SDMK Kota Depok. Kesenjangan ini menyebabkan multitasking dan task shifting, yang berdampak pada beban kerja dan mutu layanan. Faktor yang memengaruhi pemenuhan SDMK meliputi sistem manajemen kepegawaian, kepemimpinan, kemitraan/jejaring, ketersediaan anggaran, pendidikan/pelatihan, serta kebijakan yang berlaku. Temuan juga menunjukkan bahwa fleksibilitas pengelolaan keuangan melalui BLUD belum dimanfaatkan secara optimal untuk mendukung pemenuhan SDMK. Diperlukan komitmen pemerintah daerah dalam perencanaan dan pengadaan SDMK secara strategis berbasis data dan analisis beban kerja untuk memastikan tersedianya tenaga kesehatan yang sesuai baik secara jumlah maupun jenis.
Community health centers (Puskesmas) as primary health care facilities play an important role in supporting public health programs. The fulfillment of health human resources (SDMK), which includes the type and number of health workers in accordance with standards, is a key requirement for ensuring quality services. This study aims to analyze the adequacy of the type and number of SDMK at BLUD Puskesmas in Depok City in 2024 and the factors that influence it. The study employs a qualitative approach using a case study method through in-depth interviews and document reviews at six selected Puskesmas and related institutions in Depok City. The results indicate that there is still a gap between the existing number of HHR and the needs based on job analysis and workload as outlined in Depok City's planning documents and HHR requirements. This gap leads to multitasking and task shifting, which impacts workload and service quality. Factors influencing the fulfillment of SDMK include human resource management systems, leadership, partnerships/networks, budget availability, education/training, and applicable policies. The findings also indicate that the flexibility of financial management through BLUD has not been optimally utilized to support the fulfillment of SDMK. A commitment from the local government is needed in strategic planning and procurement of SDMK based on data and workload analysis to ensure the availability of healthcare personnel that are appropriate in both quantity and type.
Metode penelitian yang digunakan adalah metode penelitian kualitatif dengan data primer melalui wawancara mendalam, observasi dan telaah dokumen serta studi literatur mengenai kebijakan terkait, dan data sekunder melalui dokumen perizinan alkes di Kementerian Kesehatan, dengan variabel komunikasi, sumber daya, disposisi, dan struktur birokrasi.
Hasil penelitian mendapatkan bahwa komunikasi sudah dilakukan oleh pelaksana kebijakan; adanya kekurangan pada aspek SDM pada variabel sumber daya; disposisi dari pelaksana kebijakan sehingga tujuan dari kebijakan dapat tercapai; dan struktur birokrasi yang masih terkendala pada koordinasi antar lintas sektoral. Disposisi merupakan variabel yang paling berpengaruh, yaitu sikap dari pelaksana kebijakan dalam mengimplementasikan kebijakan ini ditunjukkan dengan tercapainya tujuan kebijakan dalam meningkatkan jumlah industri dan kapasitas produksi alkes substitusi impor.
Regulation of Minister of Health number 17 year 2017 was designated as a follow up to Presidential Instruction number 6 year 2016 in particular pointed to facilitate the development of medical devices industry . One of its objectives is to increase the number of industries and production capacity of import substitution medical devices. This study aimed to find out how the implementation of domestic medical devices industrial development policy especially in increasing the number of industries and production capacity of import substitution medical devices.
The research method used was qualitative research method with primary data through in depth interview, observation and document review and literature study regarding related policy, and secondary data through Ministry of Health medical devices approved database, with variables communication, resources, disposition and bureaucratic structures.
The result of the research showed that communication has been done by the policy implementers lack of human resource aspects in resource variables disposition of policy implementers so that the objectives of the policy can be achieved and bureaucratic structures that are still constrained on inter sectoral coordination. Disposition is the most influential variable, the attitude of the policy implementers in implementing this policy is indicated by the achievement of policy objectives in increasing the number of industries and production capacity of import substitution medical devices.
