"The Readiness for Integrated Primary Health Care (ILP) at Puskesmas Pa" by Firda Safitri Rachmaningsih and Kurnia Sari
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Abstract

Integrated primary healthcare (ILP) is part of the transformation of primary healthcare aimed at improving access to quality healthcare. This study aims to analyze the readiness of puskesmas and their networks to implement ILP. This research used a qualitative approach, focusing on a case study of a puskesmas in an urban setting, specifically in the operational area of Puskesmas Pamulang in South Tangerang. Data collection methods include in-depth interviews, observations, and document reviews. This research adopts the conceptual framework of PHC monitoring based on WHO and Weiner's theory of organizational change readiness. The research findings indicate that ILP readiness at puskesmas is not fully prepared for cluster-based services, networking approaches, and digitalization strengthening. Resource availability, including human resources, infrastructure, and facilities, is inadequate, particularly at the Puskesmas network level. Readiness for digital technology is constrained and the lack of funding hampers ILP preparation. Individual commitment, demonstrated through understanding information and positive assessments of ILP, and organizational commitment evidenced by governance support and allocated funding, are factors facilitating ILP implementation. The study recommends prompt funding allocation for ILP preparation, resource fulfillment at puskesmas and posyandu, and the need for cooperation and commitment from all stakeholders in ILP implementation.

References

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Bahasa Abstract

Integrasi pelayanan kesehatan primer (ILP) merupakan bagian dari transformasi layanan primer yang bertujuan untuk mendekatkan akses pelayanan kesehatan yang berkualitas. Penelitian ini bertujuan untuk menganalisis kesiapan puskesmas dan jejaringnya dalam penerapan ILP. Penelitian ini menggunakan pendekatan kualitatif dengan mengambil studi kasus pada puskesmas karakteristik perkotaan, yaitu di wilayah kerja Puskesmas Pamulang Kota Tangerang Selatan. Pengumpulan data dilakukan melalui wawancara mendalam, observasi, dan telaah dokumen. Penelitian mengadopsi kerangka konseptual pemantauan PHC oleh WHO dan teori kesiapan perubahan organisasi oleh Weiner. Hasil penelitian menujukkan bahwa kesiapan ILP di Puskesmas Pamulang belum sepenuhnya siap untuk pelayanan berbasis klaster, pendekatan jejaring, dan penguatan digitalisasi. Ketersediaan sumber daya berupa SDM, infrastruktur, dan sarana prasarana belum memadai, khususnya pada level jejaring puskesmas. Kesiapan teknologi digital masih terkendala dan belum turunnya pembiayaan menjadi faktor yang menghambat persiapan ILP. Terdapat komitmen individu berupa pemahaman informasi dan penilaian positif terhadap ILP, serta komitmen organisasi melalui dukungan tata kelola dan pembiayaan yang telah dialokasikan sebagai inisiasi penerapan ILP sehingga hambatan yang bersifat teknis diharapkan dapat diatasi. Penelitian ini merekomendasikan agar pembiayaan untuk persiapan ILP segera diturunkan, adanya pemenuhan sumber daya di puskesmas dan posyandu, serta dukungan kerja sama dan komitmen semua pihak dalam penerapan ILP.

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