relation: http://www.badankebijakan.kemkes.go.id/repositori/id/eprint/4330/
title: Phase 1. Situation Analysisi of The Current Minimal Service Standards Status in Puskesmas
creator: Tarigan, Ingan Ukur
creator: Suryati, Tati
creator: Indriasih, Endang
creator: Yulianti, Anni
creator: Sulistiowati, Eva
creator: Siahaan, Selma
creator: Risniati, Yenni
creator: Delima, Delima
subject: WX Hospitals and Other Health Facilities
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, the outputs of their activities are the priority indicators for health sector at the national level, namely  Minimum Service Standards (MSS) and program Indonesia Sehat denga Pendekatan keluarga (Healthy Indonesia program Through Family Approach/ PIS-PK), as well at the indicators related to Sustainable Development Goals at the global level.  However, since decentralization and during the JKN era, 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, such s the maternal  mortality rate, infant mortality rate, cases of communicable diseases, non-communicable diseases, and contraceptives use, 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,  such as immunization, services for pregnant/childbirth/ postpartum mothers, family planning services, infectious diseases, and non-communicable services.  The challenges faced by Puskesmas in achieving its intended outcomes are multifaceted, from access, geography, available resources, and quality of services. The barriers related to resources include amongst others the availability of competence health workers, drugs and medical devices. Infrastructure constraint such as limited internet network can also  become a challenge. Additionally, 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, a strategy to strengthen basic health services in Puskesmas for this reason, a strategy to strengthen basic health services in Puskesmas is needed, such as strengthening the institutions, strengthening human resources, managing drug and medical equitment logistics, ensuring financing effectiveness, improving management and quality of Puskesmas services, improving accountability as well as implementing affimative polices to provide more support for Puskesmas in remote areas
publisher: Badan Penelitian dan Pengembangan Kesehatan
date: 2021
type: Monograph
type: NonPeerReviewed
format: text
language: en
identifier: http://www.badankebijakan.kemkes.go.id/repositori/id/eprint/4330/1/Phase%201.%20Situstion%20Analysis%20of%20the%20Current%20Minimal%20Service%20Standards%20Status%20in%20Puskesmas.pdf
identifier:   Tarigan, Ingan Ukur and Suryati, Tati and Indriasih, Endang and Yulianti, Anni and Sulistiowati, Eva and Siahaan, Selma and Risniati, Yenni and Delima, Delima  (2021) Phase 1. Situation Analysisi of The Current Minimal Service Standards Status in Puskesmas.  Project Report. Badan Penelitian dan Pengembangan Kesehatan, Jakarta.    (Unpublished)