Many of our society at villages in Papua Province are not getting maximum health services by puskesmas for various reasons. Unfortunatly, the condition of the puskemas—which can be interpreted as the face and image of the government—does not indicated the expected the attraction to visit. People prefer to visit local public hospital or to practice doctors in the afternoon. This situation affirms the poor image of puskesmas. What is wrong in Puskesmas?. This question should be disclosed to fined what is really with our healh centers? The aims of this study was to find the root of the problems of lack of capacity of puskesmas as public organization in doing health service to society. This study uses literature study methods supported by data and documentation. The results of the study shows that to solve the problems related to puskesmas as the basis of public healt service hence there are two aspects that must be done that are 1). Structuring Organizational Structure and 2). Changing Organizational Culture. As the conlucion of this study is to bring well and qualified health service to the community can be started by optimizing task and function of puskesmas as public organization followed by commitment, good leadership, change of perspective, regulation arrangement and strong will to improve the performance of puskesmas. Banyak masyarakat kita, di pedesaan (baca : kampung-kampung) di Provinsi Papua kurang mendapatkan pelayanan maksimal oleh Pusat Kesehatan Masyarakat (Puskesmas) karena beragam alasan. Sayangnya, keadaan Puskesmas—yang dapat dimaknai sebagai wajah dan citra pemerintah—tidak menunjukkan keadaan yang diharapkan, bahkan nyaris kehilangan daya tarik untuk dikunjungi. Masyarakat lebih memilih berkunjung ke rumah sakit umum daerah (RSUD) atau ke dokter praktek pada sore hari. Keadaan ini memberi penegasan pada buruknya citra Puskesmas. Ada apa di Puskesmas? Pertanyaan ini patut diungkapkan untuk ditemukan ada apa sebenarnya dengan Puskesmas-Puskesmas kita. Tujuan penelitian untuk menemukan akar masalah lemahnya kapasitas puskesmas sebagai organisasi publik dalam melakukan pelayanan kesehatan kepada masyarakat. Kajian ini menggunakan metode studi literatur yang didukung dengan data-data dan dokument. Hasil kajian menunjukkan untuk menyelesaikan masalah-masalah yang berkaitan dengan Puskesmas sebagai basis pelayanan kesehatan masyarakat maka ada dua aspek yang harus dilakukan yakni 1). Penataan Struktur Organisasi Puskesmas dan 2). Melakukan Perubahan Budaya Organisasi. Sebagai simpulan kajian ini adalah untuk mendekatkan pelayanan kesehatan yang layak dan bermutu prima kepada masyarakat dapat dimulai dengan optimalisasi tugas dan fungsi Puskesmas sebagai organisasi publik yang diikuti dengan komitmen, kepemimpinan, perubahan cara pandang, pengaturan regulasi, dan kemauan yang kuat untuk memperbaiki kinerja puskesmas
Puskesmas (Community Health Center) is a public organization that is tasked with providing the best health services to the people who live in 139 villages and 5 sub-districts in Jayapura Regency. In fact, Community Health Center are not optimally performing their duties and functions because they experience delays in their human resources, supporting facilities, poor management of Community Health Center, no clear regulatory support and a lack of budget availability to support Community Health Center operations in their services. The problem in this research is How to Strengthen the Organizational Capacity of Puskesmas in Improving Health Services in Jayapura District? The purpose of this study was to analyze the Strengthening of Public Health Center Organizational Capacity in improving health services in Jayapura Regency. This research is expected to contribute to the Jayapura Regency Government, through the Health Office and in particular for Community Health Center as regional technical implementation units to improve the Organizational Capacity in Improving Health Services in Jayapura Regency. The results showed that the Organizational Capacity of Puskesmas can be improved by strengthening management governance, incentive systems, facilities, leadership, organizational culture, communication, and organizational structure.
Puskesmas merupakan garda terdepan pemerintah dalam memberikan pelayanan kesehatan kepada masyarakat, terutama masyarakat asli papua di kampung-kampung yang jauh dari akses layanan kesehatan. Puskesmas Depapre melayani penduduk Distrik Depapre sebanyak 4.657 (Profil PKM Depapre, 2020) dengan pertimbangan bahwa: Pertama, Puskesmas merupakan tempat masyarakat kampung mendapatkan pelayanan kesehatan, sehingga budaya organisasinya harus dibenahi. Kedua, Puskesmas dipahami sebagai kehadiran pemerintah di tengah masyarakat, sehingga budaya organisasinya perlu dibenahi dan diterapkan secara memadai, membangun komunikasi yang efektif dan memperhatikan struktur organisasi. Ketiga, perlu didorong penerapan budaya organisasi Puskesmas dalam meningkatkan pelayanan kesehatan kepada masyarakat di Distrik Depapre dengan menciptakan inovasi, pemberian perhatian pada hal-hal detail, memperhatikan aspek manusia, penghargaan pada hasil, berorientasi tim, senantiasa berkompetisi melakukan kebaikan dan dapat mempertahankan sesuatu yang baik bagi Puskesmas dalam melakukan pelayanan yang inovatif dan lebih maksimal. Metode Dalam penelitian menggunakan penelitian deskriptif dengan pendekatan kualitatif, dimana data dikumpulkan dengan observasi, wawancara, dan studi dokumen. Hasil penelitian menunjukan bahwa Puskesmas Depapre memiliki Budaya Organisasi Tanggap Pelanggan dan Etis yang dibuktikan dengan penerapan prinsip-prinsip pelayanan dengan tata nilai sesuai namanya DEPAPRE dengan didukung faktor internal dan eksternal yang membuat Puskesmas Depapre sangat unik.
Public service is the provision of goods or services to meet the needs of every citizen based on established service standards. Village officials' understanding of service standards is an important factor, in order to be able to develop service standards that are in line with community expectations. However, many service products still do not yet have service standards, which is a problem in the field, so the community has the right to know the service standards provided. The activities carried out in this community service program are establishing public service standards in Nolokla Village, East Sentani District, Jayapura Regency, by actively involving the community in every stage of activity and providing assistance to village officials to set public service standards. With the dedication of the FISIP campus, Cenderawasih University, Jayapura, regarding Minimum Service Standards (SPM), which are provisions regarding the type and quality of essential services that are Mandatory Government Affairs, every citizen has the right to receive at a minimum. Implementation of SPM starting from the data collection stage, calculating the need to fulfil Basic Services, preparing plans for fulfilling Basic Services and implementing fulfilling Basic Services, and facilitating the preparation of SOPs and Village Head Regulations as a reference for Public Service Standards in Nolokla Village
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