Ahmad Hafizullah Ritongan
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Analysis of the Implementation of Minimum Service Standards at Mersam Community Health Center, Batanghari Regency, Jambi, 2025 Ayu Nurmala; Ahmad Hafizullah Ritongan; Sri Melda Br. Bangun
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/0vk0mz80

Abstract

The implementation of Minimum Service Standards (MSS) in the health sector is an obligation of local governments to ensure the provision of basic health services for the community. This study aims to analyze the implementation of MSS at Mersam Community Health Center, Batanghari Regency, in 2025, viewed from the aspects of communication, resources, disposition, and bureaucratic structure, as well as to identify the supporting and inhibiting factors. This research employed a qualitative approach with a descriptive method through interviews, observations, and documentation.The results indicate that the implementation of MSS has been carried out in accordance with existing regulations; however, it has not been fully optimal. The main obstacles include limited health personnel, inadequate facilities and infrastructure, high workload, and low public awareness of preventive services. Supporting factors include leadership commitment and support from the Health Office. The strategies implemented involve improving coordination, optimizing available resources, and strengthening public outreach. The findings emphasize the importance of strengthening resource capacity and enhancing cross-sectoral coordination to ensure that MSS implementation becomes more effective and sustainable in improving the quality of basic health services at the community health center level.
Analysis of ARV Medication Compliance in Patients With HIV/AIDS at DR. H. Kumpulan Pane Hospital, Tebing Tinggi City in 2025 Anestetika Ginting; Ahmad Hafizullah Ritongan; Sri Melda Br. Bangun
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/rcx32f93

Abstract

Background: HIV/AIDS remains a serious global health problem because it attacks the immune system and can progress to AIDS without regular antiretroviral (ARV) therapy. Globally, more than 37 million people are living with HIV, and Indonesia is among the countries with relatively low ARV coverage, with only around 10% of people living with HIV/AIDS (PLWHA) receiving treatment. In North Sumatra, Tebing Tinggi City is one of the areas experiencing an increase in cases; however, the utilization of HIV testing services and adherence to ARV medication remain low. A preliminary study at RSUD Dr. H. Kumpulan Pane showed that lack of information, motivation, and behavioral skills caused some patients to be inconsistent in undergoing therapy.Objective: This study aimed to analyze adherence to ARV medication among PLWHA at RSUD Dr. H. Kumpulan Pane, Tebing Tinggi City, in 2025. Methods: This study used a quantitative design with a cross-sectional approach. Results: The results showed that information, motivation, and behavioral skills had a significant effect on adherence to ARV medication among PLWHA at RSUD Dr. H. Kumpulan Pane, Tebing Tinggi City, in 2025. The better the information received, the higher the patient’s motivation, and the better the behavioral skills in managing therapy, the higher the patient’s adherence to ARV treatment. Conclusion: Information, motivation, and behavioral skills are important determinants that contribute to the success of ARV therapy among PLWHA.