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All Journal Jurnal Kebijakan Kesehatan Indonesia KOMUNITAS: INTERNATIONAL JOURNAL OF INDONESIAN SOCIETY AND CULTURE Narra J Journal of Information Systems for Public Health Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
Tiara Marthias
Departemen Kebijakan Dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan Universitas Gadjah Mada
Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Public Health Social Sciences

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The Power of Sugesti in Traditional Javanese Healing Treatment Triratnawati, Atik; Wulandari, Arsanti; Marthias, Tiara
Jurnal Komunitas: Research and Learning in Sociology and Anthropology Vol 6, No 2 (2014): Komunitas, September 2014
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/komunitas.v6i2.3307

Abstract

This paper aims to explore the beliefs in society toward traditional healing regardless of the more accessible, affordable and improved modern health services. This ethnographic study was conducted in Yogyakarta in 2013-2014. Phenomenological approach was used to analyze the data using the theory of health seeking behavior as the guiding principle of this research. The main factor influencing Javanese community’s belief in traditional healing was the power of placebo effect. Placebo can arise from both the patient and the healer. Additionally, other factors such as compatibility between the patients and the healer, patient’s aversion to doctor’s therapy, and the fact that traditional treatment is cheaper, easier, and more effective than modern medicine were the main considerations for patients in choosing traditional treatment. The benefit of psychotherapy provided through traditional medicine is in the form of life advices or counseling. In addition, healers’ attentiveness in listening to patients’ complaints was also the main appeal of the traditional health care service.Tulisan ini mengupas kepercayaan masyarakat pada penyembuhan medis tradisional meski pelayanan kesehatan modern semakin mudah diakses, murah/gratis pembiayaannya serta ditingkatkan pelayanannya. Studi etnografis ini dilakukan di DIY tahun 2013-2014. Pendekatan fenomenologi digunakan untuk menganalisis data disertai teori health seeking behavior. Kunci kepercayaan masyarakat Jawa berobat ke penyembuh tradisional adalah pengaruh sugesti. Sugesti muncul baik dari penderita maupun penyembuh. Selain itu faktor cocok, takut dengan terapi dokter serta murah, mudah dan manjur juga menjadi pertimbangan pasien ke pengobatan tradisional. Manfaat psikoterapi berupa nasihat, wejangan maupun saran serta kemampuan penyembuh tradisional mendengar curahan hati pasien menjadi daya tarik lain pasien merasa cocok ke pengobatan non medis.
The Power of Sugesti in Traditional Javanese Healing Treatment Triratnawati, Atik; Wulandari, Arsanti; Marthias, Tiara
KOMUNITAS: International Journal of Indonesian Society and Culture Vol 6, No 2 (2014): Komunitas, September 2014
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/komunitas.v6i2.3307

Abstract

This paper aims to explore the beliefs in society toward traditional healing regardless of the more accessible, affordable and improved modern health services. This ethnographic study was conducted in Yogyakarta in 2013-2014. Phenomenological approach was used to analyze the data using the theory of health seeking behavior as the guiding principle of this research. The main factor influencing Javanese community’s belief in traditional healing was the power of placebo effect. Placebo can arise from both the patient and the healer. Additionally, other factors such as compatibility between the patients and the healer, patient’s aversion to doctor’s therapy, and the fact that traditional treatment is cheaper, easier, and more effective than modern medicine were the main considerations for patients in choosing traditional treatment. The benefit of psychotherapy provided through traditional medicine is in the form of life advices or counseling. In addition, healers’ attentiveness in listening to patients’ complaints was also the main appeal of the traditional health care service.Tulisan ini mengupas kepercayaan masyarakat pada penyembuhan medis tradisional meski pelayanan kesehatan modern semakin mudah diakses, murah/gratis pembiayaannya serta ditingkatkan pelayanannya. Studi etnografis ini dilakukan di DIY tahun 2013-2014. Pendekatan fenomenologi digunakan untuk menganalisis data disertai teori health seeking behavior. Kunci kepercayaan masyarakat Jawa berobat ke penyembuh tradisional adalah pengaruh sugesti. Sugesti muncul baik dari penderita maupun penyembuh. Selain itu faktor cocok, takut dengan terapi dokter serta murah, mudah dan manjur juga menjadi pertimbangan pasien ke pengobatan tradisional. Manfaat psikoterapi berupa nasihat, wejangan maupun saran serta kemampuan penyembuh tradisional mendengar curahan hati pasien menjadi daya tarik lain pasien merasa cocok ke pengobatan non medis.
Dampak Keterlibatan BAPPEDA dalam Rangka Pengembangan Kapasitas SKPD Lintas Sektor bagi Perencanaan dan Penganggaran Program Kesehatan Ibu dan Anak di Provinsi Papua Deni Harbianto; Laksono Trisnantoro; Tiara Marthias; Muhammad Faozi Kurniawan; Likke Prawidya Putri; Deswanto Marbun
Jurnal Kebijakan Kesehatan Indonesia Vol 5, No 2 (2016)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (522.697 KB) | DOI: 10.22146/jkki.v5i2.30786

Abstract

ABSTRACTBackground: Maternal and child mortality rate in Indonesia is still high. Indonesia is also expected not to reach the target of MDG 4 and 5 in 2015. In an effort to improve the health status of mothers and children in the context of decentralization, planning and budgeting at the district health is an important element of the health system. Evidence-Based Budgeting Planning Approach (EBP/PPBB), is a planning approach models that use data and academic health evidence in the framework of program decision-making as a references. Objectives: Describe the impact results of the PPBB KIA implementation in order to analyze, the impact of BAPPEDA involvement in maternal and child health planning advocacy through coordination across sectors.Research Methods: This study is a descriptive-correlative study that analyze the impact of BAPPEDA involvement in cross- sectoral planning for MCH programs, that are carried out in accordance with bottleneck analysis of the existing health system, using 66 interventions based continuum of care.Results: Cross-sectoral involvement in the planning and budgeting for MNCH brings a positive impact on the district health work plan. Bappeda involvement is crucial to coordinate cross-sectoral program for MNCH.Conclusions: Capacity of district planning staff is limited and should be improved, lack of evidence in planning is due to lack of health data, and the cross sector advocacy for health budgeting is insufficient. PPBB approach can improve capacity on planning on evidence-based and integrated planning for MNCH across-sectoral. Key Word: Planning, Maternal and Child Health, Cross Sectoral ABSTRAKLatar Belakang: Angka kematian ibu dan anak di Indonesia masih tinggi. Indonesia juga diprediksi tidak dapat mencapai target MDG 4 dan 5 pada tahun 2015. Dalam upaya peningkatan status kesehatan ibu dan anak dalam konteks desentralisasi, perencanaan dan penganggaran kesehatan di kabupaten merupakan elemen sistem kesehatan yang penting. Pendekatan Perencanaan Penganggaran Berbasis Bukti (PPBB) KIA, merupakan bentuk model perencanaan yang menggunakan bukti data dan referensi akademis dalam rangka pengambilan keputusan program kesehatan.Tujuan: memaparkan hasil implementasi PPBB-KIA dalam rangka melihat hubungan keterlibatan Bappeda dalam advokasi perencanaan perencanaan kesehatan ibu dan anak melalui koordinasi lintas sektor.Metode Penelitian: Kajian ini secara deskriptif-korelatif keterlibatan Bappeda dalam perencanaan lintas sector untuk progam KIA yang dilakukan sesuai dengan sumbatan sistem kesehatan yang ada dan berdasarkan 66 intervensi berbasis continuum of care.Hasil: Keterlibatan lintas sektor dalam perencanaan dan penganggaran KIA membawa dampak positif terhadap rencana kerja. Peran Bappeda semakin kuat dan memberikan kontribusi positif dalam kegiatan ini. Keterlibatan Bappeda terlihat berpengaruh dalam koordinasi program KIA untuk lintas sektor. Kesimpulan: Peningkatan kapasitas staf perencanaan kabupaten yang masih terbatas, kurangnya data kesehatan, peran advokasi lintas sektor ke Pemda yang belum kuat untuk meningkatkan pembiayaan kesehatan. Pendekatan PPBB dapat meningkatkan kapasitas perencanaan KIA secara berbasis bukti nyata terpadu dan terintegrasi dan lintas sektor di daerah. Kata Kunci: Perencanaan, Kesehatan Ibu dan Anak, Lintas Sektor
Evaluation of National Health Insurance Program Implementation in Jakarta Province, Indonesia Evi Susanti Sinaga; Ika Rahma Ginting; Rina K Kusumaratna; Tiara Marthias
Jurnal Kebijakan Kesehatan Indonesia Vol 10, No 3 (2021): Special Issues
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.66063

Abstract

The implementation of National Health Insurance in several regions in Indonesia faces challenges, such as health service providers, health insurance management , and the community. The outcome that occurs may vary depending on the implementation of different aspects of governance, equity or social justice, and aspects of service quality. Therefore, research was conducted by evaluating the implementation of the national health insurance in DKI Jakarta Province. The evaluation is carried out based on the 2019 JKN road map target indicators, grouped into three aspects: including governance, achievement of equal distribution of health services (equity), and quality of service. This research used a mixed-methods design that combined the approach of quantitative and qualitative elements. Quantitative data were collected from secondary data from Health Social Security Agency (BPJS Kesehatan), the National Social Security Council Monitoring and Evaluation System (Sismonev DJSN). The qualitative data comes from in-depth interviews with selected informants using the purposive sampling technique. The result was that DKI Province had achieved the JKN membership target. There are still JKN participants who are inactive / in arrears from participants in the government and private wage-earning segments. Health facilities and human health resources have met the standards, but related to the package of benefits for heart diseases services, the availability of cardiac specialists and cath lab facilities has not been evenly distributed, especially in the Seribu Islands. Patient preferences in choosing the desired health service resulted in implementing a tiered referral system and back-referral still having problems in health facilities. 
An Exploration study into Good Governance and Equity Aspects of JKN Program in Cardiovascular Care Services in Central Java, Indonesia Suryani Yulianti; Edit Oktavia Manuama; Tri Aktariyani; Tiara Marthias; Laksono Trisnantoro
Jurnal Kebijakan Kesehatan Indonesia Vol 10, No 3 (2021): Special Issues
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.68350

Abstract

To achieve equitable access of its citizen to health care, since 2014, the Government of Indonesia has implemented the national health insurance scheme, namely JKN. However, equal access to specialistic health care is still challenging. Using a convergent parallel mixed-method approach, and the utilization of cardiovascular services as an example, this study aims to evaluate the good governance and equity aspects of the JKN program in Central Java, a province in Indonesia which records a high poverty rate above the national rate. Based on IHME, Central Java has the highest proportion of mortality associated with cardiovascular diseases among the provinces in Indonesia. This study found that most of the districts in this province are struggling to achieve the 2019 JKN roadmap target in terms of JKN participation coverage.  Unequal distribution of health facilities and human resources is recorded affecting access to and utilization of cardiovascular care services. More contribution from the district and provincial government as well participation from private sectors (the employers) to fund the JKN program is essential to ensure the availability of specialistic care services in rural areas to narrow the gaps in cardiovascular care services.  
The Power of Sugesti in Traditional Javanese Healing Treatment Triratnawati, Atik; Wulandari, Arsanti; Marthias, Tiara
Komunitas Vol 6, No 2 (2014): September 2014
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/komunitas.v6i2.3307

Abstract

This paper aims to explore the beliefs in society toward traditional healing regardless of the more accessible, affordable and improved modern health services. This ethnographic study was conducted in Yogyakarta in 2013-2014. Phenomenological approach was used to analyze the data using the theory of health seeking behavior as the guiding principle of this research. The main factor influencing Javanese community’s belief in traditional healing was the power of placebo effect. Placebo can arise from both the patient and the healer. Additionally, other factors such as compatibility between the patients and the healer, patient’s aversion to doctor’s therapy, and the fact that traditional treatment is cheaper, easier, and more effective than modern medicine were the main considerations for patients in choosing traditional treatment. The benefit of psychotherapy provided through traditional medicine is in the form of life advices or counseling. In addition, healers’ attentiveness in listening to patients’ complaints was also the main appeal of the traditional health care service.Tulisan ini mengupas kepercayaan masyarakat pada penyembuhan medis tradisional meski pelayanan kesehatan modern semakin mudah diakses, murah/gratis pembiayaannya serta ditingkatkan pelayanannya. Studi etnografis ini dilakukan di DIY tahun 2013-2014. Pendekatan fenomenologi digunakan untuk menganalisis data disertai teori health seeking behavior. Kunci kepercayaan masyarakat Jawa berobat ke penyembuh tradisional adalah pengaruh sugesti. Sugesti muncul baik dari penderita maupun penyembuh. Selain itu faktor cocok, takut dengan terapi dokter serta murah, mudah dan manjur juga menjadi pertimbangan pasien ke pengobatan tradisional. Manfaat psikoterapi berupa nasihat, wejangan maupun saran serta kemampuan penyembuh tradisional mendengar curahan hati pasien menjadi daya tarik lain pasien merasa cocok ke pengobatan non medis.
HAMBATAN PEMANGKU KEBIJAKAN DALAM MENGGUNAKAN DATA RUTIN KESEHATAN IBU DAN ANAK UNTUK PERENCANAAN DAN PENGANGGARAN Brian Sahar Afifah; Lutfan Lazuardi; Tiara Marthias
Journal of Health Service Management Vol 24 No 04 (2021)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (624.636 KB) | DOI: 10.22146/jmpk.v24i04.4165

Abstract

Background: In Indonesia, policy stakeholders’ use of routine health data is still limited because the data are incomplete, not of good quality, and timeliness is still constrained. In MCH (Maternal and Child Health), the use of routine data contributes to the quality of services, MMR (Maternal Mortality Rate) and IMR (Infant Mortality Rate), including in the Special Region of Yogyakarta (DIY). The current pandemic situation has a negative impact on the availability of routine data and the achievements of the MCH program. Thus, it is essential to understand the factors that influence the use of routine data to improve the MCH program during the pandemic. Objective: This study aimed to explore the use of MCH data in the planning and budgeting process for MCH programs and the fac tors that need to be improved in the utilization of MCH data in DIY Province during the COVID-19 pandemic. Methods: This research is descriptive qualitative research that explores barriers to policy stakeholders’ used data in the planning and budgeting process of the MCH program. Research is located in two regencies, Sleman and Gunung Kidul Regencies, DIY Province. Determination of subjects by purposive sampling method, with criteria for stakeholders involved in the planning and budgeting process for the MCH program at the primary health care and health offices. Data analysis using content analysis techniques. Results: The study results found obstacles to using routine MCH data by policymakers, such as low quality of MCH data, Human Resources (HR) quality, an unintegrated MCH information system, internet network, and political interests. In addition, researchers also found lower quality of MCH data during the pandemic. Conclusion: The government needs to increase the use of data in planning and budgeting by using an integrated and simple electronic-based information system to meet MCH information needs. Furthermore, the government needs to make regulations on the integration of MCH information and special SOPs for MCH, improve the quality of human resources for users of information systems, increase HR motivation in respecting MCH information, and need to review PMK policy No. 7 regarding the preparation of MCH planning and budget regarding the timeline for submitting plans. and program budgets.
Implementasi Kebijakan Tatalaksana HIV di Puskesmas Kabupaten Sleman Seruni Angreni Susila; Yanri Wijayanti Subronto; Tiara Marthias
Journal of Health Service Management Vol 25 No 03 (2022)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (361.665 KB) | DOI: 10.22146/jmpk.v25i03.5121

Abstract

Background: HIV AIDS is still a global and national challenge. The government is trying to control it by expanding access to HIV treatment at the Puskesmas, including 4 Puskesmas in Sleman Regency. However, efforts to expand access to treatment have not yet reached the target of 95% of people living with HIV who are receiving ART and 95% of people living with HIV who are viral loadsuppressed. WHO in 2017 recommended the immediate initiation of diagnosed HIV-positive people regardless of CD4 cell count and followed by changes in the national HIV management policy through a fast-track strategy in 2018 to provideimmediate initiation of ARVs, provision of Tuberculosis Preventive Therapy, and viral load monitoring. The rapid change in HIV management strategies raises the question of whether the Puskesmas in Sleman Regency can carry out HIVmanagement according to the latest policy recommendations in achieving the target of 90% of people living with HIV who are suppressed by viral load. Objectives: Measuring the suitability of the implementation of HIV management at the Puskesmas based on regulations and finding the supporting factors and obstacles in the implementation of HIV management at the Puskesmas.Methods: This is mixed-method research with a sequential explanatory approach. The location of research was carried out in four health centres in Sleman Regency, which had organized the HIV Treatment Support Care Service Program. Data was collected in May-June 2022. Quantitative data was secondary data on cases of people with HIV who accessed PDP services registered at the Puskesmas from 2019 until July 2021. Qualitative data were taken from 9 informants, selected by the purposive sampling method, through in-depth interviews. The quantitative sampling method uses a non-probability sampling method. Results: There is a discrepancy in the suitability of treatment at the Puskesmas with management standards according to regulations, as well as the low number of people living with HIV who are monitored for viral load suppression. The inhibiting factor for implementing HIV management in Puskesmas is the attitude of health workers to delay treatment related to perceptions of HIV prevention policies that have not been well socialized. Not all service providers are trained,lack of viral load testing facilities in hospitals, inefficient HIV management records systems, and stigma are obstacles to implementing HIV management. The supporting factors for the implementation of PDP HIV are the attitude of the willingness of health workers to provide treatment related to the perception of peer support and the presence of trained officers in counseling and logisticalsupport for adequate drugs. Conclusion: Not all people living with HIV treated at the Puskesmas have received treatment according to regulations until viral load suppression is monitored. For this reason, it is necessary to increase the capacity of HIV counselingand management for all health workers involved in providing PDP services, adding viral load testing facilities at regional hospitals, and providing HIV stigma prevention programs for people living with HIV, families, communities and health services.
Pelayanan Kesehatan Ibu: Perspektif Ibu Hamil Yang Terkonfirmasi COVID-19 Di Kabupaten Sleman Iztihadun Nisa; Ifta Choiriyyah; Tiara Marthias; Retna Siwi Padmawati
Journal of Health Service Management Vol 25 No 03 (2022)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (307.109 KB) | DOI: 10.22146/jmpk.v25i03.5186

Abstract

Latar Belakang: Pandemi COVID-19 dapat berdampak pada status kesehatan wanita hamil serta pada pelayanan kesehatan. Selama pandemi COVID-19, terjadi penurunan kualitas pelayanan kesehatan ibu. Peningkatan kualitas layanan kesehatan dapat dilakukan dengan mempertimbangkan perspektif pengguna layanan untuk meningkatkan kompetensipenyedia layanan, serta mengetahui harapan dari pengguna layanan kesehatan terhadap pelayanan kesehatan yang diberikan.Tujuan: melihat apakah pelayanan kesehatan ibu dengan berdasarkan pedoman dan standar sudah sesuai dengankebutuhan ibu untuk pelayanan kesehatan maternal. Metode: Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi untuk mengeksplorasi bagaimana pengalaman ibu hamil yang pernah terkonfirmasi COVID-19 dalam pemanfaatan layanan kesehatannya. Penelitian ini akan dilaksanakan di Kabupaten Sleman, Daerah IstimewaYogyakarta setelah mendapatkan ethical clearance dari Komisi Etik. Hasil: Pandemi COVID-19 keseluruhan berdampak secara biologis, psikologis, maupun sosial terhadap wanita hamil. Sebagian besar pelayanan kesehatan maternal di masa pandemi belum berjalan secara optimal baik dari segi pelayanan yang berfokus pada pasien, waktu tunggu, serta belum optimalnya pengadaan pelayanan psikologis kesehatan untuk ibu hamil dengan COVID-19 maupun untuk ibu hamil dalam kondisi normal. Harapan ibu hamil untuk pelayanan kesehatan yaitu adanya peningkatan fasilitas kesehatan untuk ibu hamil dengan COVID-19, adanya penguatan pengawasan, pemantauan, dan peningkatan rasa empati petugas kesehatan, serta adanya layanan psikologis untuk ibu hamil secara umum. Kesimpulan: Selama pandemi COVID-19, layanan kesehatan dapat memenuhi kebutuhan perawatan secara biologis namun belum mampu untuk memenuhi kebutuhan perawatan psikologis dan sosial. Diperlukan peningkatan respon dan empati dari petugas kesehatan dan peningkatan pelayanan kesehatan yang lebih berfokus pada kebutuhan menyeluruh wanita hamil. Kata Kunci: Ibu Hamil, Coronavirus Disease (COVID-19), High Quality Health System, Pelayanan Kesehatan Ibu dimasa pandemic COVID-19
Evaluasi Sistem Pencatatan dan Pelaporan dalam Implementasi Program PONED di Kabupaten Purbalingga Nia Ismiratri; Mubasysyir Hasanbasri; Tiara Marthias
Jurnal Kebijakan Kesehatan Indonesia Vol 12, No 3 (2023)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.84811

Abstract

Peningkatan derajat kesehatan akan dapat terwujud apabila terdapat rancangan sistem yang baik. Sistem informasi kesehatan merupakan salah satu komponen dasar di dalam sistem kesehatan karena dari sistem informasi kesehatan akan didapatkan data yang berkualitas, sebagai sumber informasi dan dasar pengambilan keputusan di masing-masing blok atau komponen lain pada sistem kesehatan. Namun, sistem pencatatan dan pelaporan sebagai salah satu instrumen dalam sistem informasi, seringkali menjadi masalah yang dihadapi di berbagai organisasi pelayanan kesehatan, salah satunya pada penyelenggaraan PONED di Puskesmas dalam rangka percepatan penurunan AKI dan AKB. Secara umum penelitian ini bertujuan untuk mengeksplorasi bagaimana pelaksanaan program PONED di Kabupaten Purbalingga. Tujuan khusus penelitian ini adalah mengevaluasi sistem pencatatan dan pelaporan program PONED, peran bidan koordinator PONED, dan penanganan keluhan pelanggan sebagai salah satu alat monitoring dan evaluasi program PONED. Penelitian ini merupakan penelitian deskriptif dengan pendekatan kualitatif yang dilaksanakan di Puskesmas Karangmoncol dan Dinas Kesehatan Kabupaten Purbalingga. Data dikumpulkan melalui wawancara mendalam, observasi dan penelusuran dokumen. Hasil penelitian menunjukkan bahwa masih adanya tim PONED di Puskesmas yang personilnya belum tersertifikasi pelatihan PONED. Sistem pencatatan dan pelaporan program PONED di Kabupaten Purbalingga masih dilaksanakan secara manual dan belum dilakukan analisis maupun penyajian secara tertib. Peran bidan koordinator di Puskesmas maupun di Dinas Kesehatan belum berjalan optimal. Mekanisme untuk mendapatkan umpan balik dari pelanggan PONED sudah dilaksanakan melalui berbagai media, namun belum dilaksanakan  analisis umpan balik dari pelanggan untuk menentukan langkah perbaikan yang perlu dilakukan. Kesimpulan yang diperoleh adalah penyelenggaraan PONED di Kabupaten Purbalingga sudah berjalan, meskipun belum termonitor dan terevaluasi secara tertib. Sistem pencatatan dan pelaporan juga sudah dilaksanakan, namun belum dapat dipastikan kualitas data yang didapatkan, karena belum ada mekanisme yang diatur mengenai analisis dan penyajian data. Kata kunci: keluhan pelanggan, evaluasi, pencatatan dan pelaporan, Puskesmas PONED.
Co-Authors Alberto, Febry Arsanti Wulandari Atik Triratnawati Atik Triratnawati Brian Sahar Afifah Deni Harbianto Deswanto Marbun Edit Oktavia Manuama Emy Huriyati Evi Susanti Sinaga Guardian Yoki Sanjaya Ifta Choiriyyah Ika Rahma Ginting Iztihadun Nisa Laksono Trisnantoro Laksono Trisnantoro Lely Lusmilasari, Lely Likke Prawidya Putri Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Lutfan Lazuardi Mubasysyir Hasanbasri Mubasysyir Hasanbasri Muhammad Faozi Kurniawan Nia Ismiratri Ningrum, Ema W. Pertiwi, Ariani Arista Putri Rina K Kusumaratna Seruni Angreni Susila Suryani Yulianti Tri Aktariyani Yanri Wijayanti Subronto