Marty Oktofia Kian
Universitas Nusa Cendana

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Analisis Komparatif Ketersediaan Tenaga Kesehatan Berdasarkan Standar Ketenagaan Minimal Peraturan Menteri Kesehatan Nomor 43 Tahun 2019 di UPT Puskesmas Kota Soe dan UPT Puskesmas Noebana Marty Oktofia Kian; Pius Weraman; Fransiskus Geroda Mado; Imelda F.E Manurung; Jacob M Ratu
Malahayati Nursing Journal Vol 8, No 10 (2026): Volume 8 Nomor 10 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i10.26330

Abstract

ABSTRACT The availability of healthcare workers is a crucial factor in supporting the effectiveness of healthcare services at public health centers. Unequal distribution of healthcare workers between urban and remote areas remains a challenge in primary healthcare services. To analyze and compare the availability of healthcare workers at the Soe City Public Health Center and the Noebana Public Health Center based on the minimum staffing standards stipulated in Minister of Health Regulation Number 43 of 2019 and to describe the effectiveness of healthcare services at both health centers. This study employed a quantitative method with a descriptive-comparative design and a cross-sectional approach. Data were collected through observation, documentation, and questionnaires administered to healthcare workers. Data analysis was conducted using univariate and bivariate analyses with the Mann-Whitney test. The findings showed that the availability of healthcare workers at the Soe City Public Health Center was more adequate than at the Noebana Public Health Center. The workload and task functions of healthcare workers at the Noebana Public Health Center were higher due to staff shortages and multiple job responsibilities. The effectiveness of healthcare services at the Soe City Public Health Center was categorized as effective with an average achievement of 105.94%, while the Noebana Public Health Center was categorized as ineffective with an average achievement of 68.45%. The Mann-Whitney test indicated a significant difference in workload and task functions between the two health centers (p-value = 0.035; p0.05). The availability of healthcare workers influences workload and the effectiveness of healthcare services at public health centers. Therefore, equitable distribution of healthcare workers and strengthening of health human resource management are necessary, particularly in remote areas. Keywords: Health Workers, Workload, Task Functions, Public Health Centers, Service Effectiveness.  ABSTRAK Ketersediaan tenaga kesehatan merupakan faktor penting dalam mendukung efektivitas pelayanan kesehatan di puskesmas. Ketimpangan distribusi tenaga kesehatan antara wilayah perkotaan dan wilayah terpencil masih menjadi permasalahan dalam pelayanan kesehatan primer. Menganalisis dan membandingkan ketersediaan tenaga kesehatan di UPT Puskesmas Kota SoE dan UPT Puskesmas Noebana berdasarkan standar ketenagaan minimal sesuai Peraturan Menteri Kesehatan Nomor 43 Tahun 2019 serta menggambarkan efektivitas pelayanan kesehatan pada kedua puskesmas tersebut. Penelitian ini menggunakan metode kuantitatif dengan desain deskriptif komparatif dan pendekatan cross sectional. Data dikumpulkan melalui observasi, dokumentasi, dan kuesioner kepada tenaga kesehatan. Analisis data dilakukan secara univariat dan bivariat menggunakan uji Mann-Whitney. Hasil penelitian menunjukkan bahwa ketersediaan tenaga kesehatan di UPT Puskesmas Kota SoE lebih memadai dibandingkan UPT Puskesmas Noebana. Beban kerja dan fungsi tugas tenaga kesehatan di UPT Puskesmas Noebana lebih tinggi akibat keterbatasan tenaga kesehatan dan adanya tugas rangkap. Efektivitas pelayanan kesehatan di UPT Puskesmas Kota SoE berada pada kategori efektif dengan capaian rata-rata 105,94%, sedangkan UPT Puskesmas Noebana berada pada kategori tidak efektif dengan capaian 68,45%. Hasil uji Mann-Whitney menunjukkan terdapat perbedaan signifikan beban kerja dan fungsi tugas tenaga kesehatan antara kedua puskesmas dengan nilai p-value 0,035 (p0,05). Ketersediaan tenaga kesehatan memengaruhi beban kerja dan efektivitas pelayanan kesehatan di puskesmas. Oleh karena itu, diperlukan pemerataan distribusi tenaga kesehatan dan penguatan manajemen sumber daya manusia kesehatan, khususnya di wilayah terpencil. Kata Kunci: Tenaga Kesehatan, Beban Kerja, Fungsi Tugas, Puskesmas, Efektivitas Pelayanan.