?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.relation=http%3A%2F%2Fwww.badankebijakan.kemkes.go.id%2Frepositori%2Fid%2Feprint%2F4330%2F&rft.title=Phase+1.+Situation+Analysisi+of+The+Current+Minimal+Service+Standards+Status+in+Puskesmas&rft.creator=Tarigan%2C+Ingan+Ukur&rft.creator=Suryati%2C+Tati&rft.creator=Indriasih%2C+Endang&rft.creator=Yulianti%2C+Anni&rft.creator=Sulistiowati%2C+Eva&rft.creator=Siahaan%2C+Selma&rft.creator=Risniati%2C+Yenni&rft.creator=Delima%2C+Delima&rft.subject=WX+Hospitals+and+Other+Health+Facilities&rft.description=Puskesmas+are+the+most+strategic+health+service+units+because+they+play+an+important+role+in+ensuring+equitable+services+sevices+to+the+population.+Their+roles+are+also+crucial+in+reducing+disparity+between+areas+and+in+reducing+the+escalation+of+health+cists.+Futhermore%2C+the+outputs+of+their+activities+are+the+priority+indicators+for+health+sector+at+the+national+level%2C+namely++Minimum+Service+Standards+(MSS)+and+program+Indonesia+Sehat+denga+Pendekatan+keluarga+(Healthy+Indonesia+program+Through+Family+Approach%2F+PIS-PK)%2C+as+well+at+the+indicators+related+to+Sustainable+Development+Goals+at+the+global+level.%0D%0AHowever%2C+since+decentralization+and+during+the+JKN+era%2C+the+perfomance+results+of+Puskesmas+have+tended+to+prioriteze+curative+efforts+rather+than+promotive+and+preventive+efforts.+We+can+see+this+from+the+output+or+performance+impact+of+the+Puskesmas%2C+such+s+the+maternal++mortality+rate%2C+infant+mortality+rate%2C+cases+of+communicable+diseases%2C+non-communicable+diseases%2C+and+contraceptives+use%2C+which+are+worse+than+expected.+1+This+condition+is+compoundedn+by+the+corona+virus-19+pandemic+affectig+all+aspects+of+life.+Health+service+programs+both+in+health+facilities++and+in+the+community+are+hampered%2C++such+as+immunization%2C+services+for+pregnant%2Fchildbirth%2F+postpartum+mothers%2C+family+planning+services%2C+infectious+diseases%2C+and+non-communicable+services.%0D%0AThe+challenges+faced+by+Puskesmas+in+achieving+its+intended+outcomes+are+multifaceted%2C+from+access%2C+geography%2C+available+resources%2C+and+quality+of+services.+The+barriers+related+to+resources+include+amongst+others+the+availability+of+competence+health+workers%2C+drugs+and+medical+devices.+Infrastructure+constraint+such+as+limited+internet+network+can+also++become+a+challenge.+Additionally%2C+limited+capacity+of+Puskesmas+staffs+as+well+as+district+health+official+such+as+in+preparing++drug+needs+plans+and+applying+e-catalogs+can+hamper+the+performance+of+Puskesmas+for+this+reason%2C+a+strategy+to+strengthen+basic+health+services+in+Puskesmas+for+this+reason%2C+a+strategy+to+strengthen+basic+health+services+in+Puskesmas+is+needed%2C+such+as+strengthening+the+institutions%2C+strengthening+human+resources%2C+managing+drug+and+medical+equitment+logistics%2C+ensuring+financing+effectiveness%2C+improving+management+and+quality+of+Puskesmas+services%2C+improving+accountability+as+well+as+implementing+affimative+polices+to+provide+more+support+for+Puskesmas+in+remote+areas&rft.publisher=Badan+Penelitian+dan+Pengembangan+Kesehatan&rft.date=2021&rft.type=Monograph&rft.type=NonPeerReviewed&rft.format=text&rft.language=en&rft.identifier=http%3A%2F%2Fwww.badankebijakan.kemkes.go.id%2Frepositori%2Fid%2Feprint%2F4330%2F1%2FPhase%25201.%2520Situstion%2520Analysis%2520of%2520the%2520Current%2520Minimal%2520Service%2520Standards%2520Status%2520in%2520Puskesmas.pdf&rft.identifier=++Tarigan%2C+Ingan+Ukur+and+Suryati%2C+Tati+and+Indriasih%2C+Endang+and+Yulianti%2C+Anni+and+Sulistiowati%2C+Eva+and+Siahaan%2C+Selma+and+Risniati%2C+Yenni+and+Delima%2C+Delima++(2021)+Phase+1.+Situation+Analysisi+of+The+Current+Minimal+Service+Standards+Status+in+Puskesmas.++Project+Report.+Badan+Penelitian+dan+Pengembangan+Kesehatan%2C+Jakarta.++++(Unpublished)++