Kepatuhan petugas terhadap standard operating procedure pelayanan dapat membantu mengurangi risiko kesalahan dan meningkatkan keselamatan pasien. Sejak akreditasi tahun 2017 di Puskesmas Kalijaga Permai belum pernah dilakukan evaluasi kepatuhan petugas terhadap standard operating procedure pelayanan rawat jalan. Penelitian ini bertujuan untuk menganalisis kepatuhan petugas terhadap standard operating procedure pelayanan rawat jalan di Puskesmas Kalijaga Permai dan faktor-faktor yang mempengaruhinya. Penelitian ini merupakan penelitian kualitatif dengan desain studi kasus dengan kerangka teori kepatuhan diadaptasi dari theory of planned behavior, theory of knowledge, attitude dan practice serta theory of compliance. Hasil penelitian ini menunjukkan bahwa kepatuhan petugas terhadap Standar Operating Procedure pelayanan rawat jalan di Puskesmas Kalijaga Permai walaupun secara umum sudah baik namun masih terdapat beberapa ketidakpatuhan oleh petugas di bagian kesehatan ibu dan anak, pendaftaran dan balai pengobatan umum. Faktor-faktor yang mempengaruhi kepatuhan petugas terhadap standard operating procedure rawat jalan yaitu pengetahuan, sikap, dan sarana. Upaya perbaikan kepatuhan petugas terhadap standard operating procedure pelayanan rawat jalan diperlukan dengan cara peningkatan kepatuhan petugas antara lain pengawasan oleh pimpinan puskesmas, audit internal terkait kepatuhan, serta penguatan komitmen pada jam buka dan tutup pelayanan. 

Compliance of personnel with standard operating procedures (SOP) in healthcare services can help reduce the risk of errors and improve patient safety. Since the accreditation in 2017 at Kalijaga Permai Community Health Center (Puskesmas), there has been no evaluation of the compliance of personnel with the SOP for outpatient care. This research aims to analyze the compliance of personnel with the SOP for outpatient care at Kalijaga Permai Puskesmas and the influencing factors. The research adopts a qualitative approach with a case study design, using a theoretical framework of compliance adapted from the theory of planned behavior, theory of knowledge, attitude, and practice, as well as the theory of compliance. The results of this research indicate that although the overall compliance of personnel with the SOP for outpatient care at Kalijaga Permai Puskesmas is good, there are still some non-compliance issues among personnel in the Maternal and Child Health, registration, and General Health Clinic departments. The factors influencing the compliance of personnel with the SOP for outpatient care include knowledge, attitude, and facilities. Efforts to improve the compliance of personnel with the SOP for outpatient care are needed, including increased supervision by the Puskesmas management, internal audits related to compliance, and strengthening commitment to the opening and closing hours of service. Key words: compliance, standard operating procedures, outpatient care

 

 

 

 

 

 

 

 

 

 

 

 

 

Anemia masih menjadi masalah kesehatan utama pada remaja putri. Prevalensi anemia remaja putri di Kecamatan Muaragembong, Kabupaten Bekasi pada tahun 2022 mencapai 68,7% sehingga Puskesmas Muaragembong melakukan intervensi program inovasi dalam pemberian TTD remaja putri. Penelitian ini bertujuan untuk mengevaluasi efektivitas program penurunan anemia melalui pemberian TTD remaja putri di Puskesmas Muaragembong Kabupaten Bekasi tahun 2023. Penelitian menggunakan desain mixed method explanatory sequential. Penelitian kuantitatif dengan jenis studi cross sectional. Sampel yang digunakan sebanyak 150 remaja putri. Kadar hemoglobin (Hb) diukur menggunakan alat hemocue, status gizi dihitung menggunakan indeks massa tubuh (IMT), pola menstruasi, riwayat penyakit infeksi, perilaku CTPS, pola konsumsi pangan, konsumsi tablet tambah darah, tingkat pengetahuan remaja putri, tingkat pendidikan ibu dan tingkat pendapatan orang tua diperoleh melalui wawancara menggunakan kuesioner. Analisis data bivariat menggunakan uji chi square dan regresi logistik sederhana, multivariat menggunakan uji regresi logistik berganda. Penelitian kualitatif dilakukan melalui Rapid Assessment Procedure (RAP) untuk mengevaluasi efektivitas program menggunakan teori logic models dimana program akan dinilai dari sisi input, activity output serta outcome. Setelah dilakukan intervensi program terjadi penurunan prevalensi anemia remaja putri sebesar 62,15% menjadi 26%. Faktor-faktor yang berhubungan dengan anemia pada remaja putri diantaranya adalah status gizi, pola menstruasi, pola konsumsi pangan, perilaku CTPS dan konsumsi TTD dimana faktor yang paling dominan adalah pola menstruasi. Terdapat ketidaksesuaian dalam program pemberian TTD pada variable SDM, sarana, advokasi, sosialisasi, jejaring dan komunikasi, pemberian, pendatatan dan pelaporan.

Anemia is still a major health problem among adolescent girls. The prevalence of anemia among adolescent girls in Muaragembong District, Bekasi Regency in 2022 reached 68.7% so that the Muaragembong Health Center conducted an innovation program intervention in TTD supplementation for adolescent girls. This study aims to evaluate the effectiveness of the anemia reduction program through TTD supplementation for adolescent girls at the Muaragembong Health Center, Bekasi Regency in 2023. The study used mixed method explanatory sequential design. Quantitative research with a cross-sectional study type. The sample used was 150 adolescent girls. Hemoglobin (Hb) levels were measured using a hemocue device, nutritional status was calculated using body mass index (BMI), menstrual patterns, history of infectious diseases, CTPS behavior, food consumption patterns, consumption of iron tablets, level of knowledge of adolescent girls, maternal education level and parental income level were obtained through interviews using questionnaires. Bivariate data analysis used the chi square test and simple logistic regression, multivariate using multiple logistic regression tests. Qualitative research is conducted through the Rapid Assessment Procedure (RAP) to evaluate the effectiveness of the program using the logic models theory where the program will be assessed from the input, activity output and outcome aspects After the program intervention, there was a decrease in the prevalence of anemia in adolescent girls by 62.15% to 26%. Factors related to anemia in adolescent girls include nutritional status, menstrual patterns, food consumption patterns, CTPS behavior and TTD consumption where the most dominant factor is the menstrual pattern. There are discrepancies in the TTD provision program in the variables of human resource, facilities, advocacy, socialization, networking and communication, provision, data collection and reporting.