Zulhijrian Noor
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Description of Community Satisfaction at Puskesmas Lok Bahu During The Implementation of Primary Care Integration Zulhijrian Noor; Ratno Adrianto; Irfansyah Baharuddin Pakki
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : In January 2025, the Mayor's decree designated all Community Health Center in Samarinda as Primary Health Service Integration Implementers. The initiative aims offer comprehensive services the encompass all stage of life, from infancy to the erderly. It is expected that change will improve the quality of care and enhance community satisfaction. Puskesmas Lok Bahu measures satisfaction through the Community Satisfaction Survey in accordance with Permenpan No.14 of 2017. Over the past three years, satisfaction scores have shown some variation but have consistenly remain in the very good category. Objective : This reasearch aims to describe community satisfaction at Puskesmas Lok Bahu during the implementation of primary care integration. Research Methods/ Implementation Methods : This reasearch employs a descriptive method, utilizing secondary data collected from a community satisfaction survey in first semester of 2025 from 398 respondents at Puskesmas Lok Bahu Results : The Community Satisfaction Index stands of 89. The lowest score was related to serviced periode, which received at rating of 3.435, while the highest score were for handling complaints from service users and service rates, both of which scored 3.857. A notable issue with service timing was identified due to an insufficient number of medical personnel in relation to patient visits, the center had only two doctors, and one of whom also served as the head of Puskesmas Conclusion/Lesson Learned : It is recommended to consider the addition of medical personnel and to enhance the queuing system along with information technology solutions to effectively redice patient wait times.
REVIEW OF BASIC IMMUNIZATION SERVICES AT LOK BAHU HEALTH CENTER JANUARI-JULI 2025 Rahmania; Aprilia Nurlaila Zahro; Wa Ode Nurul Azkiah; Ainaya Salsabila; Hanis Kusumawati Rahayu; Zulhijrian Noor
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Complete basic immunization (CBI) is a priority public health program aimed at preventing Vaccine-Preventable Diseases (VPDs). This study aimed to review the implementation of CBI services at Lok Bahu Health Center, Samarinda City, during the period of January–July 2025. This research employed a descriptive qualitative design involving key informants (health workers and posyandu cadres) and supporting informants (health center management, pharmacy staff, and parents). Data were collected through in-depth interviews, observation, documentation, and review of official records, then analyzed through data reduction, data display, and conclusion verification using source, method, and data triangulation. The findings revealed that at the planning stage, the program was arranged through the Annual Activity Proposal Plan (RUK) and cross-sectoral coordination; however, specific strategies to reach hard-to-reach populations were still limited, community involvement remained suboptimal, and non-vaccine funding relied heavily on cadres’ self-sufficiency. At the implementation stage, the main obstacles included limited health personnel and cadres, delays in vaccine distribution, and community resistance to immunization. From the beneficiaries’ perspective, parents’ time constraints and concerns about vaccine side effects also affected the completeness of child immunization. At the evaluation stage, the Mini Quarterly Workshops functioned as forums for identifying barriers and cross-sectoral follow-up, yet discrepancies persisted between manual recording and the ASIK digital application, alongside reporting delays from posyandu. In conclusion, CBI coverage in the Lok Bahu Health Center working area has not met the national target, influenced by planning, implementation, and evaluation factors that have not been fully integrated. Strengthening cross-sectoral coordination, funding support, stable vaccine distribution, adaptive risk communication, and synchronization of digital recording systems are required to sustainably improve immunization coverage.