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ABSTRAK
Tuberkulosis (TB) menjadi salah satu masalah kesehatan yang paling serius,masalah kesehatan di dunia dan penyebab utama kematian di negara berkembang.Indonesia merupakan negara dengan pasien TB terbanyak ke-3 di dunia setelah Indiadan Cina. Hasil Survei Kesehatan Rumah Tangga (SKRT) menunjukkan bahwapenyakit TB penyebab kematian nomor 5 setelah penyakit kardiovaskular danpenyakit saluran napas pada semua kelompok usia dan nomor 1 dari golonganpenyakit infeksi. Tuberkulosis disebabkan oleh Mycobacterium tuberculosis danmenyerang organ pernapasan walaupun dapat mengenai organ lain. Sejak meluaspenyakit human immunodeficiency virus (HIV) dan pertambahan kasus TB kebal obat(MDR-TB), masalah TB yang sebelumnya telah teratasi kembali mencuat, sehinggapengawasan dan pemberantasan penyakit ini menjadi bertambah rumit.Angka kesalahan (error rate) pemeriksaan laboratorium pada Mycobacteriumtuberculosis sangat mempengaruhi penemuan penderita dan pengobatan penyakittuberkulosis. Error rate pemeriksaan laboratorium yang tinggi berarti kemampuanmendeteksi kurang, pemeriksaan belum dapat dipercaya hasil pelaporannya, akanberdampak masalah penyakit tuberkulosis di masyarakat tidak terdeteksi dengan baikdan benar, obat anti tuberkulosis tidak berhasil guna penyembuhan. Sehinggapenularan penyakit TBC tidak dapat ditanggulangi dengan baik di masyarakat.Berdasarkan hasil laporan cross check pemeriksaan BTA triwulan I sampai IVdi Kota Tangerang tahun 2012 terjadi error rate 5,26% sampai 36,36%. Nilai errorrate yang ditoleransi dari Kementerian Kesehatan maksimal 5%.Tujuan dari penelitian ini adalah mengetahui kinerja petugas pemeriksa BTA dandeterminannya. Penelitian ini merupakan penelitian observasional dengan desaincross sectional. Sampel pada penelitian ini 26 petugas laboratorium puskesmas yangmelakukan pemeriksaan BTA. Dari 26 petugas pemeriksa BTA terdapat 15 petugasdengan error rate rendah dan 11 petugas dengan error rate tinggi. Pengumpulan datadilakukan menggunakan kuisioner dan wawancara. Dari hasil penelitian diketahuifaktor yang berhubungan dengan error rate BTA adalah sistem dan beban kerja.Hasil analisis multivariat menunjukkan variabel sistem (nilai p=0,030, OR=16,0)berhubungan bermakna dan faktor dominan berhubungan dengan kinerja petugaspemeriksa BTA. Disarankan kepada petugas pemeriksa BTA sistem yang ada (pmi,menerapkan SOP) dan Dinas Kesehatan memberi pelatihan dan bimbingan intensif,serta melengkapi kebutuhan laboratorium terutama untuk pemeriksaan BTA.
ABSTRACT
Tuberculosis (TB) has become one of the most seriuos health problem, healthproblem in the world, and the leading cause of death in developing countries.Indonesia is the country with the highest number of TB patients to the 3rd in theworld after India and China. Household Health Survei showed the TB diseases 5causes of death after cardiovascular disease and respiratory disease in all age groupand the number 1 of infectious disease group. Tuberculosis is caused byMycobacterium tuberculosis and can attack the respiratory organs, although otherorgans. Since the widespread disease of human immunodeficiency virus (HIV) andan increase of drug resistance case of TB (MDR-TB), TB issues that previously havrbeen resolved back sticking out, of control and eradication of this disease becomemore complicated.Error rate of laboratory test on Mycobacterium tuberculosis greatly affect thedetection and treatment of tuberculosis. Laboratory error rate is high means the abilityto detect less, yet reliable inspection result reporting, will impact the problem oftuberculosis in the community are not detected properly, anti tuberculosis failed tocure. So that transmission of TB disease cannot be addressed properly in society.Based on the results of smear examination report cross check until the fourthquarter in the city of Tangerang in 2012 there is an error rate of 5.26% to 36.36%.Value of the tolerable error rate of 5% maximum Health Ministry.The purpose of this study was to determine the error rate of smear examination and itsdeterminant. This study is an observational study with cross-sectional design. Thesamples of the study 26 laboratory workers who perform both smear clinic. Of 26inspectors smear contained 15 inspectors smear with a low error rate and 11 with ahigh error rate. The data was collected using interviews and questionnaires. Thesurvey results revealed that factors related to the error rate and the BTA is a systemtool and workload. Multivariate analysis showed system variabel (p value = 0.003,OR = 16) correlated significantly and significantly associated dominant factor relatedto the performance of the examiners BTA. Suggested to the examiners BTA existingsystem (pmi, implement the SOP) and the Department of Health provide intensivetraining ang guidance, as well as complete laboratory requitments, especially forsmearexamination.
Puskesmas pada hakekatnya mempunyai tugas pokok menyelenggarakan pelayanan kesehatan dasar yang bermutu, terjangkau oleh masyarakat dan sebagai motor pembangunan kesehatan di daerah kerjanya, sedangkan pelayanan yang dilakukan secara garis besar terdiri dari pelayanan medik dan pelayanan kefarmasian. Pelayanan kefarmasian merupakan pelayanan penunjang untuk membantu mencapai penyediaan obat yang bermutu, tersedia dalam jumlah yang cukup, mudah didapat dengan harga yang terjangkau. Obat merupakan komponen esensial dari suatu pelayanan kesehatan, sehingga persepsi masyarakat tentang hasil dari pelayanan kesehatan adalah diterimanya obat setelah berkunjung ke sarana pelayanan kesehatan. Ada tiga faktor utama yang mempengaruhi perilaku yaitu faktor individu, psikologis dan organisasi antara lain meliputi pengetahuan, sikap, nilai dan persepsi , umur, jenis kelamin, ketrampilan, ketersediaan sumber daya. pedoman sarana dan prasarana, serta pengalaman kerja.. Oleh karena itu dalam penelitian ini ingin melihat gambaran kinerja petugas pengelola obat puskesmas di Kota Bekasi Tahun 2004 dan hubungan antara variabel bebas (independent) meliputi jenis kelamin, umur, masa kerja, pendidikan, pengetahuan, pelatihan, motivasi, supervisi, imbalan, fasilitas dan beban kerja dengan variabel terikat (dependen) yaitu kinerja petugas pengelola obat puskesmas. Penelitian ini menggunakan pendekatan kuantitatif dan didukung pendekatan kualitatif dengan rancangan cross sectional. Populasi dalam penelitian ini adalah semua petugas pengelola obat puskesmas di Kota Bekasi. Sampel dalam penelitian ini adalah seluruh petugas pengelola obat puskesmas di Kota Bekasi yang merupakan total sample sebesar 31 orang. Pengumpulan data kuantitatif dilakukan dengan cara memperoleh data primer yaitu pengamatan menggunakan kuesioner. Data kualitatif dilakukan menggunakan wawancara. Pengolahan data dengan menggunakan perangkat lunak pengolah data dan rekapitulasi hasil wawancara. Semua responden mempunyai kinerja yang berada pada kelompok sedang dan baik. Lebih dari dua pertiga responden mempunyai skor yang berada pada kelompok sedang, dengan nilai mean 28,52 dan median 29,00 dari skala 0 sampai dengan 38, maka dapat disimpulkan bahwa pengelola obat puskesmas di Kota Bekasi mempunyai kinerja yang cuk-up baik. Terdapat hubungan yang bermakna antara faktor internal (pendidikan) dengan kinerja pengelola obat puskesmas di Kota Bekasi. Tidak terdapat hubungan yang bermakna antara faktor eksternal (supervisi, imbalan, fasilitas dan beban kerja) dengan kinerja pengelola obat puskesmas di Kota Bekasi. Untuk meningkatkan kinerja petugas pengelola obat puskesmas disarankan agar pemerintah kota Bekasi mengalokasikan tenaga farmasis sebagai tenaga pengelola obat nimal 1(satu) orang asisten apoteker untuk satu puskesmas.
Truthfully, the health center has main task to provide a quality primary health care and to be a health development motor in its working area. The main service of health center consists of medical and pharmacy services. Pharmacy service is a supporting service to attempt a quality and adequate quantity of drugs supply, as well as affordable. Drugs are the essential component in health care. So, the perception of community about the output of health care is drugs received soon after visiting the health care facilities. There are three major factors affected the behavior: individual, psychological, and organizational factors that consist of knowledge, attitude, value, perception, age, sex, skill, resources availability, guidelines, facilities, and working experience. For that reason, the study was conducted to assess the working performance of pharmacy officers at health centers in the City of Bekasi in 2004. It was also conducted to assess the relation between independent variables consisted of age, sex, period of working span, education, skill, training, motivation, supervision, compensation, facilities, and working load, and dependent variable that consisted of the working performance of pharmacy officers. This study used quantitative and qualitative approach with cross sectional design. The population of this study was all pharmacy officers at health centers in the City of Bekasi. The sample of this study was total sampling that comprised of all pharmacy officers at health centers in the City of Bekasi as many as 31 respondents. Quantitative collecting was conducted by obtaining primary data that is interviewing respondents using questionnaire. While qualitative data was obtained by conducting in-depth interview. In this study, data processing used a software and recapitulation of interview result. All respondents had the working performance that lain between a fair group and a good group. More than two third of respondents had score in a fair group with mean 28.52 and median 29 out of scale between 0 and 38. The result above showed that pharmacy officers at health centers in the City of Bekasi had good working performance. Statistically, the result of this study showed that there was significant relation between internal factor (education) and working performance of pharmacy officers at health centers in the City of Bekasi. Meanwhile, there was no relation between external factors (supervision, compensation, facilities, and working load) and the working performance of pharmacy officers at health centers in the City of Bekasi. In order to increase the working performance of pharmacy officers at health centers, it was recommended that the local government should allocate the pharmacist as pharmacy officer at least one pharmacy assistant in each health center.
Strategi penanggulangan TB melalui strategi DOTS (Directly Observed Trearmem Shorlcourse) memprioritaskan penemuan pasien melalui pemeriksaan mikroskopis, oleh karena itu mutu pemeriksaan mikroskopis perlu dipantau tems. Hasil pemeriksaan mikroskopis sputum BTA ,oleh 54 pemugas laboratorium puskesmas (Puskesmas Ruiukan Mikroskopis dan Puskesmas Pelaksana Mandiri) di Provinsi Jambi pada tahun 2004 ada 29 puskesmas yang hasil error rate 25%, sedangkan pada tahun 2005 mcnjndi 32 puskcsmas yang hasil error rare-nya 25%. Untuk itu pcrlu dilakukan penilaian terhadap faktor-faktor yang berhubungan dengan mutu pemeiiksaan mikroskopis sputum BTA. Penelitian ini bertuiuan untuk mengetahui gambaran dan faktor-faktor yang berhubungan dengan mutu pemeriksaan mikroskopis sputum BTA pada laboratorium puskesmas (PRM dan PPM) di Provinsi Jambi tahun 2006, dengan menggunakan metodologi kuantitatif yang bersifat deskriptif dengam desaiu” penelitian berupa pcndckatan cross sectional, terhadap 56 petugas laboratorium puskesmas di PRM dan PPM (total populasi). Hasil pemeriksaan mikroskopis sputum BTA yang bermutu baik masih rendah, hanya 35,7%. Adapun faktor yang berhubungan signiiikan dengan mutu pemeriksaan mikroskopis sputum BTA adalah pelatihan (tanpa dikontrol), dan faktor pengalaman kelfia, supervisi, kepuasan kerja, dan penerapan SOP (dengan dikontrol). Faktor yang paling dominan bcrhubungan dengan rnutu pemeriksaan mikroskopis sputum BTA aclalah pencmpan SOP. Disarankan kepada puskcsmas agar petugas laboratorium selalu menerapkan SOP, meqiaga keamanan bckclja di laboratorium, dan merawat mikroskop dcngan bai[c. Kepada Dinas Kesehatan K.abupatenfKota agar pembinaan petugas laboratodum dilakukan torus-mcncms melalui peiaksanaan supenkisi yang baik. Kepada Dinas Kesehatan Provinsi agar dapat rpelatih semua petugas laboratoriurn puskesmas, melaksanakan pertemuan untuk pembinaan dan pcrnbekalan pengetahuan terhadap petugas TB kabupatenfkota dan petugas laboratorium puskesmas, dan juga perlu bckcrjasama dengan Balai Laboratorium Kesehatan untuk melakukan pembinaan di puskesmas (PRM dan PPND.
TB prevention strategy with DOTS (Directly Observed Treatment Short course) give priority to patient’s invention by microscopic examination, therefore we must always control the microscopic examination. The result of BTA sputum microscopic examination by 54 government clinic laboratory assistant (Microscopic Reconciliation Government Clinic/PRM and Autonomy Execution Government Clinic/PPM) in Province of Jamb in year 2004, there was 29 local govemment clinic with error rate 25%, whereas in 2005 became 32 local government clinic with error rate 25%. Because of that, we need to evaluate about factors which related with quality of BTA sputum microscopic examination. The purpose of the research is to get the description and factors that related with quality of BTA sputum microscopic control, at PRM and PPM laboratories in Province of Jambi, in year 2006, by using quantitative methodology, which have descriptive characteristic with cross sectional approaching research design, toward 56 laboratory assistant at PRM and PPM (total population). The result of BTA sputum microscopic examination with good quality is still low, that is only 35.7% The factors that have a significant relation with quality of BTA sputum microscopic examination are training (without controlling), and work experience factor, supervision, work satisfaction, and SOP implementation (without controlling). The most dominant factor which related with quality of BTA sputum microscopic examination is SOP examination. We suggest to government clinic is laboratory assistant must implement SOP, maintain the security of laboratory, take good care of microscope. For public service in Regency, they must train laboratory assistant continually with good supervision. For public service in Province, they must train all laboratory assistant of local government clinic by meeting for founded and provided knowledge towards TB Regency officer and laboratory assistant of public government clinic, and also good cooperate with Health Laboratory Center to make founding at local government clinic (PRM and PPM).
Pengelolaan obat di puskesmas akan berjalan balk jika petugas pengelola obat dapat melaksanakan tugasnya sesuai dengan ketentuan atau pedoman pengelolaan obat publik dan perbekalan kesehatan. Petugas pengelola obat harus mempunyai kemampuan dalam perencanaan, permintaan, penetima.an, penyimpanan, pendistribusian, pengendalian penggunaan, pelayanan serta pencatatan dan pelaporan. Berdasarkan studi pendahuluan diketahui masih kurangnya tenaga kefarmasian yang bekerja sebagai pengelola obat puskesmas di Kabupaten Aceh Singkil. Disamping belum optimalnya kinerja petugas petugas pengelola obat puskesmas. Penetitian ini dilakukan untuk memperoleh informasi bagaimana gambaran kinerja petugas pengelola obat puskesmas di Kabupaten Aceh Singkil. Disamping itu dilihat faktor-faktor yang melatarbelakangi kinerja petugas berdasarkan variabel masa kerja, pendidikan, pengetahuan, motivasi, sarana, beban kerja, pelatihan, supervisi, dan imbalan di Kabupaten Aceh Singkil. Penelitian ini menggunakan pendekatan kualitatif yang dilakukan dengan wawancara mendalam, observasi dan telaah dokumen yang mengacu pada Daftar Tilik Jaminan Mutu Pelayanan Kefarmasian terhadap petugas pengelola obat puskesmas di Kabupaten Aceh Singkil. Pengolahan data dibuat dalam bentuk matriks yang diperoleh dari transkrip wawancam mendalam, sedangkan analisis data dilakukan terhadap isi dengan metakukan eksplorasi sesuai dengan teori. Hasil penelitian menunjukkan bahwa gambaran kinerja petugas pengelola obat puskesmas di kabupaten Aceh Singkil masih rendah. Secara umum petugas pengelola obat puskesmas kurang memahami tentang kegiatan pengelolaan obat di puskesmas yang terdiri dari permintaan, penerimaan, penyimpanan, pendistribusian, pencatatan dan pelaporan obat. Petugas bekerja belum didasarkan kepada standar pengelolaan obat. Saran yang diajukan adalah agar Dinas Kesehatan Kabupaten Aceh Singkil membuat Standard Operation Procedure (SOP) tentang pengelolaan obat di puskesmas dan mensosialisasikannya kepada petugas pengelola obat di puskesmas. Melaksanakan pelatihan tentang pengelolaan obat dan pelatihan tentang obat lainnya. Pelatih.an yang dilaksanakan harus dirancang dengan baik sehingga dapat memberikan manfaat bagi petugas. Selain itu melakukan supervisi secara terencana dengan menggunakan panduan pedoman supervisi pengelolaan obat, minimal tip bulan sekali untuk memantau lkinerja petugas pengelola obat di puskesmas.
Medicine ,management at Community Health Center will be running good if medicine management officer can implement their duties based on provision or management guidance of public medicine and health support. Medicine management officer must have an ability on planning, request, acceptance, depository, distribution, usage operation, service and also recording and reporting. From the first study was known that there was still lack of pharmacy officer which worked on medicine management at Community Health Center in Aceh Singkil district. Besides, officer performance did not optimal yet. This study has been done to get information how describe of officer performance of medicine management at Community Health Center in Aceh district. Besides, knowing factors related to officer performance based on work period, education, knowledge, motivation, facilities, work load, training, supervision, and reward in Aceh Singkil district. This study used a qualitative method which has been done with in-depth interview, observation and document study which referred to a guarantee point list of pharmacy service quality to officer performance of medicine management at Community Health Center in Aceh Singkil district. Data were processed by using in the form of matrix which was obtained from in-depth interview transcript, while data analysis was done to content by doing exploration based on theory. Study result indicate describing officer performance of medicine management at Community Health Center Community Health Center in Aceh Singldl district was still low. In general, officer of medicine management at Community Health Center is less comprehend about medicine management activity at Community Health Center including of request, acceptance, depository, distribution, reporting and recording of medicine. Officer works has not been based medicine management standard yet. Health District Office in Aceh Singkil district should make a Standard Operating Procedure (SOP) concerning medicine management at Community Health Center and socializing it to medicine management officer at Community Health Center. Training of medicine management and training of other medicine. Training which is done must be planned well so it can give benefit for officer. Besides doing supervision by planning using a supervision guidance on medicine management, minimally once of three months for looking officer performance of medicine management at Community Health Center.
Puskesmas is the leading of primary health services in Indonesia and required to implement patient safety in the services provided. The initial step in implementing patient safety at the puskesmas is to measure the patient's safety culture. This study aims to determine the description of patient safety in officers whose working at accredited Puskesmas in Bekasi. This study used a quantitative method to measure the patient safety culture using the MOSPSC (Medical Office Survey on Patient Safety Culture) instruments from AHRQ (Agency of Health Research and Quality), then followed by qualitative methods to determine the supporting factors and inhibiting factors of patient safety implementation in puskesmas. The results of the study showed a patient safety culture in puskesmas officers in the medium culture category. There is no difference in patient safety culture in the group of workers based on the profession, all of which are in the moderate category. Team work was a component of safety culture with the highest score and including good categories (84,2%). The lowest score of patient safety culture at the puskesmas was in the component of work pressure and pace (36,3%). The central and regional governments need to reconsider the compatibility between the programs charged to the puskesmas and the number of staff available at the puskesmas. This is needed so that the puskesmas can carry out its duties and functions optimally including the application of a patient safety culture at the Puskesmas
Tingginya tingkat kesalahan petugas laboratorium dalam memeriksa mikroskopis tb positif akan memberi dampak tingginya kesalahan diagnosis penyakit tuberculosa di kota Pontianak dan sekitarnya. Kompetensi tehnis dan keterampilan dalam pelayanan laboratorium khususnya mikroskopis tb harus dikuasai, disamping faktor - faktor yang mempengaruhinya. Sampel penelitian ini berjumlah enam puluh satu orang dengan lokasi dan latar belakang yang berbeda. Kemudian dilakukan analisa dengan univariat, bivariat dengan menggunakan tabel silang dan dilanjutkan dengan multivariat Hasil dari penelitian ini variabel yang berhubungan dan bermakna serta predominan ierhadap keterampilan petugas adalah lingkungan kerja. Kesimpulan dari penelitian ini adalah 54.1 % tingginya tingkat kesalahan petugas dalam pemeriksaan mikroskopis tbc, Diharapkan saran untuk meningkatkan keterampilan petugas laboratorium dalam pemeriksaan mikroskopis the berupa peningkatan lingkungan kerja petugas laboratorium agar program penanggulangan tb berhasil. Daftar pustaka: 53 ( 1974 --1999)
Factors in Relation to The Skill of The Laboratory Officers of The Public Health Centre in Investigating Positive Microscopic TB in Pontianak Municipality and Surrounding.The heigh of the level of fault of the laboratory in investigating positive microscopic tb should be out come diagnosis tuberculosis high fault in the city of Pontianak and surrounding. For this purpose technical competency and skill in laboratory service especially in investigating positive microscopic the should be well powered beside the factor related to the skill in question. The number of officers joining this research are of sixty one persons with, different location and backround. Afterwards an analysis is carried out with univariat, bivariat by using crosstable and continued with multivariat. The result of this shows variable relating and meaningful and predominant againts the officers skills re work environment. The conclusion of this research is that the error degree is still high in the microscopic positive tb investigation, it is 54.1 %. Suggestion is expected to increase the skill of the laboratory offcers in investigating microscopic the in the form of through laboratory officers increasing work environment, so that the overcoming program sucesed. Reference : 53 ( 1974 -- 1999 )
Seiring dengan adanya tuntutan masyarakat akan penerapan good governance dan tuntutan akan pelayanan pubiik yang berkualitas, demokratisasi dan pengakuan hak hak azasi manusia, serta giobalisasi dan berlakunya era perdagangan bebas akan melahirkan tuntutan terhadap peiayanan yang berkualitas agar supaya tetap eksis dan mampu bersaing, Begitu juga di bidang kesehatan yang merupakan suatu kebutuhan tampak tuntutan masyarakat akan pelayanan kesehatan telah bergeser kearah yang lebih berkualitas. Pelayanan kesehatan yang berkualitas merupakan salah satu kebutuhan dasar yang diperlukan setiap orang maka puskesrnas sebagai penyelenggara pelayanan publik hendaknya dapat memberikan kualitas pelayanan yang dapat memenuhi keburuhan masyarakat. Selain itu, saat ini masyarakat semakin menyadari hak-haknya sebagai konsumen kesehatan. Sehingga seringkali mereka secara kritis nempertanyakan tentang penyakit, pemeriksaan, pengobatan, serta tindakan yang akan diambil berkenaan dengan penyakitnya. Puskesmas yang merupakan ujung tombak terdepan dalam pembangunan kesehatan, mempunyai peran cukup besar dalarn upaya mencapai tujuan pembanguna kesehatan, untuk itu diperlukan suatu penilaian kinerja puskesmas yaitu suatu upaya untuk melakukan penilaian hasil kerja/prestasi puskesmas. Pengukuran kualitas pelayanan puskesmas belum pemah dilakukan di Kota Tangerang, sehingga puskesmas belum dapat mengukur sejauh mana pelayanan yang diberikan dapat memenuhi kebutuhan atau harapan masyarakat. Selama ini penilaian puskesmas baru terpusat pada keberhasilan pencapaian program dart penampilan fisik akan tetapi dari aspek pasien sebagai pengguna jasa pelayanan belum pemah diukur. Tujuan penelitian ini adalah didapatkannya gambaran hubungan antara pemenuhan hak pasien dengan kualitas pelayanan kesehatan puskesrnas di Kota Tartgerang tahun 2007. Penelitian dilaksanakan di Kota Tangerang dari bulan Mei sampai Juni 2007. Sampel penelitian adalah 270 pasien di 10 puskesmas di Kota Tangerang. Metode penelitian yang digunakan adalah deskriptif kuantitatif dengan rancangan penelitian cross sectional. Hasil penelitian menunjukan penilaian baik terhadap kualitas pelayanann di puskesmas (79,6%). Dari hasil analisis peranan hak pasien terhadap kualitas pelayanan di puskesmas terdapat hubungan yang positif, dimana pasien yang tepenuhi halmya memberi penilaian baik terhadap kualitas pelayanan puskesmas. Saran kepada Dinas Kesehatan, agar dalarn penilaian kinerja puskesmas hendaknya memasukkan unsur penilaian pa.sien. Saran unrtuk puskesmas, hasil survey dapat dijadikan evaluasi terhadap kualitas pelayanan.
As the public begun to claim the practice of good governance and good quality of public services, democratization, and recognition of human's rights, and also globalization, and validity of free trade era will bear the claim of good quality of service in order to keep exist and able to compete. Also in health aspect, a need of health service is one of basic needs, that is why puskesmas as the public service operator must be able to give service quality which can satisfy the needs of public. Puskesrnas which is the pioneer of health development have a big role in the effort to reach the purpose of health development, so that, a work evaluation of puskesmas is needed to give the evaluation of puskesmas achievement. The evaluation of puskesmas service quality has never been done before, that is why puskesmas never be able to evaluate how good the service they give to satisfy the public's needs. Until today, puskesmas' evaluations focus on the success of program accession and physical appearance never from the patients as the consumer of service. The purpose of this research is to get a picture of association between patien's right fulfillment and quality of health care at community health center in Tangerang City,2007. The sample of this research were 270 patients in 10 puskesmas in Kota Tangerang. Descriptive quantitative with cross sectional research design is used as a method in this research. The result showed good evaluation of the service quality in Puskesrnas. From the result of patient's rights role to the service quality in puskesmas showed a good correlation where patients that got their rights gave good grades to quality of puskesmas service. Suggestion to health Department is to put the patients evaluation in the puskesmas evaluation as the consumer of the service. Suggestion to puskesmas is to use the result of survey as the evaluation to the quality of service.