Implementation of Health Center Management Policies on the Quality of Health Services

Nadya Farhani (Department of Health Promotion, Wirang Health Center, Haruai, Tabalong Regency, 71572, South Kalimantan, Indonesia)
Rosihan Adhani (Faculty of Density, Lambung Mangkurat University, Jalan Veteran, Banjarmasin, 70122, South Kalimantan, Indonesia)
Harapan Parlindungan Ringoringo (Department of Child Health, Faculty of Medicine and Health Science, Lambung Mangkurat University, Jalan Veteran, Banjarmasin, 70122, South Kalimantan, Indonesia)
Ermina Istiqomah (Department of Psychology, Faculty of Medicine and Health Science, Lambung Mangkurat University, Jalan Ahamd Yani Km. 36, Banjarbaru, 70714, South Kalimantan, Indonesia)
Edi Hartoyo (Department of Child Health, Faculty of Medicine and Health Science, Lambung Mangkurat University, Jalan Veteran, Banjarmasin, 70122, South Kalimantan, Indonesia)
Adi Nugorho (Department of Reproductive Health and Nutrition, Public Health Study Program, Postgraduate Program, Faculty of Medicine and Health Sciences, Lambung Mangkurat University, Jalan Ahamd Yani Km. 36, Banjarbaru, 70714, South Kalimantan, Indonesia)

JPKMI (Jurnal Publikasi Kesehatan Masyarakat Indonesia)
Vol 12, No 3 (2025): Jurnal Publikasi Kesehatan Masyarakat Indonesia

Effective management is essential for health centers to ensure that standards for health services are met through proper planning, implementation, supervision, and evaluation. One method of assessing the quality of services at Community Health Centers is through the health centers Performance Assessment, which evaluates aspects such as activity coverage, quality, and management. Given the pivotal role of management in enhancing the quality of health services, the implementation of health centers management practices is critical. This study explores the obstacles to effective health centers management within Tabalong District. A qualitative research approach was employed, utilizing a case study methodology. Data were gathered via in-depth interviews, focus group discussions (FGDs), observations, and documentation, involving 15 informants from both the health Office and health centers in the region. Despite efforts to adhere to Minister of Health Regulations No. 6/2016 and No. 19/2020, challenges remain, including non-functional SMD MMDs and mini-workshops that do not comply with established guidelines. Additional constraints comprise limited human resources, budgetary restrictions, incomplete standard operating procedures (SOPs), and fragmented information systems.