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All Journal Vitamedica: Jurnal Rumpun Kesehatan Umum
Indriyanti Noviyan
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Health Professions Public Health

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Analisis Capaian Standar Pelayanan Minimal Program Kesehatan Jiwa Berdasarkan Pendekatan Teori Sistem di Puskesmas Tanjungwangi Kabupaten Subang Indriyanti Noviyan; Samino; Muhammad Arifki Zainaro
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 4 (2026): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i4.1042

Abstract

The achievement of Minimum Service Standards (SPM) for Severe Mental Disorders (ODGJ) services at Tanjungwangi Public Health Center significantly dropped from 67.5% in 2024 to 9.7% in 2025. Objective: To analyze the underachievement of the mental health program's SPM target based on the 5M input and POACE process framework. Methods: A qualitative research with a descriptive-evaluative approach was conducted from June to July 2026. Informants were selected using purposive sampling, including the Head of the Community Health Center, Head of Administration, Mental Health Program Coordinator, Pharmacist, cadres, and ODGJ caregivers. Data gathered via in-depth interviews, observations, and document reviews were analyzed using the Miles and Huberman model. Results: The input analysis revealed the absence of the Community Mental Health Executive Team (TPKJM), lack of clinically trained mental health personnel, and poor drug logistics management. In terms of the process, key barriers included passive case finding, lack of medication adherence tracking cards, and low digital competency regarding the SIMKESWA application. The low administrative SPM figure reflects severe underreporting rather than a lack of actual clinical service delivery. Conclusion: The low achievement of the Mental Health Program's SPM is driven by structural management deficits and suboptimal digital reporting systems.
Co-Authors M. Arifki Zainaro Samino