Abstrak: Kesadaran masyarakat akan pentingnya kesehatan terus berkembang seiring denganmeningkatnya tingkat pendidikan dan status kehidupan sosial. Untuk meningkatkanpelayanan kesehatan yang bermutu, nyaman, dan berorientasi pada kepuasan konsumen,pemerintah sebagai penyedia layanan kesehatan dituntut untuk membenahi sistempelayanan yang bersifat layanan publik. Untuk mendukung program pembangunankesehatan dengan meningkatkan pelayanan kepada masyarakat, maka dibentuk BadanLayanan Umum (BLU) di setiap Puskesmas. Di kabupaten Bogor pada tahun 2017sudah ditetapkan 19 puskesmas untuk dilakukan penilaian adminsitratif sebagai syaratpenetapan menjadi Badan Layanan Umum Daerah (BLUD). Penelitian ini bertujuanuntuk melihat kesiapan Puskesmas dari segi masukan yaitu sumber daya yang dimiliki,yaitu sumber daya manusia, anggaran, sarana, serta peraturan untuk ditetapkan menjadiBLUD. Selain itu, dilakukan juga analisis untuk mengetahui bagaimana manajemenpuskesmas berupa proses pengaturan organisasi dan penetapan tujuan dalam persiapanpenetapan BLUD. Faktor luar puskesmas juga mempunyai pengaruh dalam kesiapanpuskesmas dalam penerapan BLUD. Dari hasil penelitian ini akan diketahui informasimendalam tentang kesiapan administratif penerapan BLUD Puskesmas, serta faktor apasaja yang menjadi penghambat dalam proses persiapan dalam penerapan BLUDPuskesmas di Kabupaten Bogor.

---

Public awareness of the importance of health continues to grow along with increasinglevels of education and social life status. To improve the quality of health services,comfortable, and consumer-oriented, the government as a healthcare provider isrequired to fix the service system that is public service. To support health developmentprograms by improving services to the community, a Local Public Service (BLU) isestablished in every Public Health (Puskesmas). In Bogor regency in 2017, there are 19public health centers have been set up for administrative assessment as a condition ofdetermination to become the Local Public Service Agency (BLUD). This study aims tosee the preparedness of Puskesmas in terms of input that is resources, namely human,budget, facilites, and regulations to be established into BLUD. In addition, analysis isalso conducted to find out how the management of puskesmas in the form oforganizational arrangement process and goal setting in preparation of the determinationof BLUD. The outside factors of the puskesmas also have an influence in the puskesmasreadiness in applying BLUD. From the results of this study will be known in-depthinformation about the administrative readiness of the application BLUD Puskesmas, aswell as any factors that hamper the preparation process in the application of BLUDPuskesmas in Bogor Regency.

Abstrak: Akreditasi Puskesmas merupakan upaya peningkatan mutu dan kinerja pelayananpuskesmas sebagaimana tercantum dalam Permenkes Nomor 46 Tahun 2015. Dari 38puskesmas di Kabupaten Brebes baru 10 puskesmas yang terakreditasi. Dasar pengajuanroadmap akreditasi puskesmas di Kabupaten Brebes hanya berdasarkan penunjukkanlangsung, tanpa mengukur kesiapan puskesmas baik dari segi kelengkapan dokumen,penilaian assessment, serta ketersediaan sumber daya meliputi SDM, dana dan fasilitassarana prasarana sesuai standar instrumen akreditasi puskesmas. Tujuan penelitian iniadalah mengetahui kesiapan akreditasi puskesmas di Kabupaten Brebes ditinjau dari sisiinput, proses dan output berdasarkan variabel sumber daya dan tahapan kesiapan pra-survei akreditasi. Penelitian kualitatif ini proses pengumpulan datanya dilakukan denganwawancara mendalam dan telaah dokumen. Hasil penelitian menunjukkan bahwaketersediaan dana, sarana dan prasarana dinilai cukup siap untuk mendukung penilaianakreditasi puskesmas, namun hasil skoring assessment pada keterpemenuhankompetensi SDM dan kelengkapan dokumen masih rendah. Rekomendasi yang diajukanadalah memenuhi syarat pengembangan kompetensi SDM, dan melengkapi dokumenserta melakukan self assessment secara rutin dan terjadwal.

---

Accreditation of public health centers is an effort and performance enhancement publichealth centers services as listed in the Permenkes 46/2015. From 38 public healthcenters in Brebes District, just 10 public health centers are accredited. The basis of thefiling of a roadmap of accreditation of public health centers in Brebes District only uponappointment directly, without measuring the readiness of public health centers both interms of completeness, valuation assessment documents, as well as the availability ofresources includes human resources, funds and facilities infrastructure standardinstrument of accreditation of public health centers. The purpose of this research is toknow accreditation readiness of public health centers in Brebes District reviewed theinput, process and output based on variable phase and readiness resources pre-accreditation survey. Qualitative research is the process of collecting data using in-depthinterviews conducted with the review document. The results showed that the availabilityof funds and infrastructure are rated quite ready to support, but the public health centersaccreditation assessment skoring assessment results on the fulfillment of humanresource competency and the completeness of the documents is still low. A proposedrecommendation is a qualified human resource competencies, and complete paperworkand do a self assessment regularly and scheduled.

Abstrak:

---

Abstrak: Di Indonesia masih banyak terdapat usaha informal yang belum memilliki aksesmendapatkan pelayanan kesehatan kerja. Permasalahan program kesehatan kerjaseringkali terjadi dikarenakan pergantian dokter puskesmas, kurangnyapengetahuan dari petugas dan kader kesehatan kerja. Di Kabupaten PesawaranPropinsi Lampung terdapat empat puskesmas yang menjadi percontohan programupaya kesehatan kerja dimana sudah diberikan pelatihan kepada dokter danpemegang program tentang kesehatan kerja serta sudah pernah dilakukanbimbingan teknis serta monitoring. Akan tetapi, program upaya kesehatan kerja dipuskesmas belum berjalan. Penelitian ini bertujuan mengetahui kendala apa sajayang ada dalam implementasi program upaya kesehatan kerja pada tahapperencanaan, pelaksanaan dan juga evaluasi.Penelitian ini bersifat kualitatif dengan menggunakan fungsi manajemenmenggunakan metode wawancara mendalam dan telaah dokumen. Informandalam penelitian ini adalah Kepala Dinas Kesehatan Kabupaten Pesawaran,Kepala Seksi Kesehatan Khusus dan Matra, Kepala Puskesmas, Pemegangprogram dan perwakilan dari sasaran. Hasil dari penelitian ini yaitu programupaya kesehatan kerja belum menjadi prioritas dikarenakan bukan merupakanprogram pokok di puskesmas namun ada juga yang mengemukakan bahwa tidakada perbedaan antara program prioritas dan program pengembangan. Masihkurangnya pengetahuan, jumlah sumber daya manusia yang terlibat dalamprogram upaya kesehatan kerja. Dari segi anggaran, program upaya kesehatnankerja memiliki alokasi anggaran baik sehingga program upaya kesehatan kerjamasih terintegrasi dengan program kesehatan lain.Selain itu, program upaya kesehatan kerja juga tidak didukung oleh peralatanyang memadai serta tidak ada rencana kerja. Dan juga keterlibatan sasaran yangkurang aktif serta kondisi lingkungan yang tidak mendukung dari sisi keamanan.Penelitian ini menyimpulkan bahwa program upaya kesehatan kerja di KabupatenPesawaran belum menjadi prioritas dikarenakan masuk kedalam programpengembangan dan belum diukung adanya sumber daya manusia yang memadai,tidak ada alokasi anggaran, tidak ada peralatan serta rencana kerja, keterlibatanmasyarakat masih kurang aktif serta lingkungan yang kurang mendukung.Oleh karena itu, program upaya kesehatan kerja perlu dimasukkan dalam rencanakerja baik itu di dinas kesehatan dan puskesmas. serta adanya alokasi anggaranuntuk program serta peningkatan kualitas sumber daya manusia dan juga peralatanyang menunjang program serta di butuhkan kerjasama lintas sektor untuk lebihmemaksimalkan implementasi program upaya kesehatan kerja di puskesmas.Kata kunci: upaya kesehatan kerja, kesehatan kerja di puskesmas, kebijakan,manajemen program, puskesmas

---

In indonesia there are still many informal businesses who have not have accessoccupational health services. Occupational health problems program oftenoccurred due to the doctor puskesmas, the lack of knowledge of officers and kaderoccupational health. In Pesawaran District, there are the four be pilot programshealth effort work where already provided training to medical doctors and holderprogramme about occupational health and is has been done technical training andmonitoring.But, program health effort work at puskesmas not run. This study aimsto identify the constraints all that is for the implementation of program healtheffort work in the planning stages, the implementation and also evaluating.This research qualitative by using function management uses the method in-depthinterviews and review of documentation .Informants in this research was head ofdistrict health pesawaran , head of specific health and matra , the head ofpuskesmas , holders the program and representatives of the target .The result ofthis research namely the program health effort work had not been priority becausenot is a program basic puskesmas but some are suggested that there is nodifference between priority programs and development program .There is a lackof knowledge , the number of human resources involved in the program healtheffort work .On the budgeting side , program efforts kesehatnan work are budgetallocation good and the health effort work still integrated with other healthprogram .In addition , health effort program work also are not supported by properequipment and had no work plan .And also the involvement of a target that is lessactive as well as environmental conditions that not in favor of security side .Thisresearch concluded that the program working health effort in kabupatenpesawaran had not been a priority because entered into a program to develop andhas not diukung the presence of human resources sufficient , there was no budgetallocation , there is no equipment and the work plan , the involvement of thecommunity is still less active as well as the environment less supportive .In addition , health effort program work also are not supported by properequipment and had no work plan .And also the involvement of a target that is lessactive as well as environmental conditions that not in favor of security side .Thisresearch concluded that the program working health effort in kabupatenpesawaran had not been a priority because entered into a program to develop andhas not diukung the presence of human resources sufficient , there was no budgetallocation , there is no equipment and the work plan , the involvement of thecommunity is still less active as well as the environment less supportive .Hence ,health effort program work will need to be included in the work plan whether it isin health department and public health center . And the existence of the budgetallocation for the program as well as improving the quality of human resourcesand also that support equipment of the program and need cooperation cross-sectors to be more maximize the implementation of health effort program work inpublic health .Key words: Occupational Health Service, Occupational Health in Public HealthCenter, Policy, Management Programmes, Public Health Centers.