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All Journal Hearty : Jurnal Kesehatan Masyarakat COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat
Fransiskus G. Mado
Universitas Nusa Cendana
Humanities Economics, Econometrics & Finance Education Industrial & Manufacturing Engineering Social Sciences Other

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Gambaran Pelaksanaan Standar Pelayanan Minimal (SPM) pada Pelayanan Orang Terduga Tuberculosis (TBC) di Puskesmas Manutapen Kota Kupang Paulinus Beda Huar; Serlie K.A. Littik; Masrida Sinaga; Fransiskus G. Mado
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 6 No. 3 (2026): COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v6i3.3587

Abstract

Tuberkulosis (TBC) merupakan salah satu masalah kesehatan masyarakat yang masih menjadi penyebab utama kesakitan dan kematian di Indonesia. Dalam upaya meningkatkan mutu pelayanan kesehatan, pemerintah menetapkan Standar Pelayanan Minimal (SPM) bidang kesehatan yang salah satunya mencakup pelayanan kesehatan bagi orang terduga Tuberkulosis. Namun, capaian SPM pelayanan TBC di Puskesmas Manutapen Kota Kupang masih berada di bawah target nasional. Penelitian ini bertujuan untuk mengetahui gambaran pelaksanaan Standar Pelayanan Minimal (SPM) pada pelayanan orang terduga Tuberkulosis di Puskesmas Manutapen Kota Kupang. Penelitian ini menggunakan metode kualitatif dengan rancangan deskriptif dan pendekatan sistem. Informan penelitian dipilih secara purposive yang terdiri dari Kepala Puskesmas, PJ Klaster, Koordinator Program TB, dan orang terduga Tuberkulosis. Pengumpulan data dilakukan melalui wawancara mendalam, studi dokumentasi, dan triangulasi. Analisis data dilakukan melalui tahapan reduksi data, penyajian data, serta penarikan kesimpulan. Hasil penelitian menunjukkan bahwa pelaksanaan SPM pelayanan orang terduga Tuberkulosis di Puskesmas Manutapen pada tahun 2023 sebesar 34,5% sehingga belum mencapai target nasional sebesar 100%. Namun, pada tahun 2024 dan 2025 capaian pelayanan telah mencapai 100%, yang menunjukkan adanya peningkatan kinerja program dan keberhasilan upaya perbaikan dalam pelaksanaan pelayanan Tuberkulosis di Puskesmas Manutapen Kota Kupang. Namun, masih ditemukan hambatan berupa rendahnya kesadaran masyarakat untuk melakukan pemeriksaan secara rutin, keterbatasan sumber daya tertentu, serta belum optimalnya pelaksanaan pelatihan dan sosialisasi. Kesimpulan penelitian ini adalah pelaksanaan SPM pelayanan orang terduga Tuberkulosis di Puskesmas Manutapen Kota Kupang telah berjalan sesuai ketentuan yang berlaku, namun masih memerlukan peningkatan pada aspek sumber daya, edukasi masyarakat, dan penguatan pelaksanaan program untuk mencapai target pelayanan sesuai standar.
FACTORS ASSOCIATED WITH ELDERLY PARTICIPATION IN THE UTILIZATION OF THE ELDERLY POSYANDU INTEGRATED HEALTH SERVICE POST FOR THE ELDERLY IN THE WORKING AREA OF TENGGABA PUBLIC HEALTH CENTER, SOUTHWEST SUMBA Maria Cascia Bulu; Serlie K. A. Littik; Petrus Romeo; Fransiskus G. Mado
HEARTY Vol 14 No 5 (2026): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i5.25016

Abstract

The elderly are a group vulnerable to experiencing various health problems, so one effort to improve and maintain the health of the elderly is through the utilization of health services, namely the Elderly Posyandu. However, elderly participation in the utilization of the Elderly Posyandu is still not optimal. This study aims to analyze the factors associated with elderly participation in the utilization of the Elderly Posyandu in the working area of Tenggaba Public Health Center, Southwest Sumba Regency, based on the Health Belief Model approach. The study used a quantitative design with a cross-sectional approach involving 96 elderly respondents selected through purposive sampling and proportional random sampling techniques, and data were collected through interviews using a questionnaire, then analyzed using the Chi-Square test. The results of the bivariate analysis showed that there was no significant relationship between perceived susceptibility (p=0.835), perceived severity (p=0.466), perceived benefits (p=0.559) and elderly participation in the utilization of Posyandu Lansia, while perceived barriers (p=0.000) and cues to action (p=0.019) showed a significant relationship with elderly participation in the utilization of Posyandu Lansia. The conclusion of this study shows that elderly participation in the utilization of Posyandu Lansia is related to perceived barriers such as long distances, forgetting the schedule, work, having other activities on the same day as posyandu activities, no transportation, and cues to action such as support from family, health workers, and cadres. Therefore, efforts to increase participation need to be focused on reducing the barriers perceived by the elderly group.
Co-Authors Maria Cascia Bulu Masrida Sinaga Paulinus Beda Huar Romeo, Petrus Serlie K.A. Littik