Analisis implementasi standar pelayanan minimal (SPM) bidang pelayanan kesehatan hipertensi di Puskesmas X Kabupaten Malang
DOI:
https://doi.org/10.32734/trophico.v5i1.20161Keywords:
Hypertension, Minimum Service Standards (MSS), Health Center, Qualitative StudyAbstract
Minimum Service Standards (MSS) for health emphasize the importance of the type and quality of basic services to achieve optimal and equitable health services, especially in the health sector of non-communicable diseases, which continue to increase in prevalence. Non-communicable diseases (NCDs), especially hypertension, are health problems which cases continue to increase. The prevalence of hypertension in 2018 was 34.11%, decreasing to 30.8% in 2023, but this figure has not met the national target. East Java ranks fourth with the highest prevalence of hypertension at 34.30%. The third lowest hypertension service achievement is Malang Regency. Puskesmas X had a low hypertension treatment rate of 12.71% in 2023. The purpose of this study was to analyze the implementation of MSS in hypertension health services at Puskesmas X and identify inhibiting factors based on input, process, and output variables. This study used a qualitative method with in-depth interviews involving 11 informants with an interview guide instrument and researchers conducted observations with an observation sheet instrument to record field data. This study used source triangulation and method triangulation. The results showed that hypertension MSS implementation at Puskesmas X faced several challenges, particularly limited human resources, suboptimal training, lack of educational media, weak cross-sector coordination, and ineffective data recording and reporting. Although MSS achievement increased from 3.7% (2021) to 31.3% (2024), it is still far from the national target of 100%. Overall, improvements in MSS implementation in hypertension health services at Puskesmas X have not fully met the set targets.
Downloads
References
Agusnawati, R., Nurfadillah, N., Wiradana, N., & Muktamar, A. (2024). Efektivitas evaluasi strategi dalam manajemen pengendalian mutu organisasi. Indonesian Journal of Innovation Multidisipliner Research, 2(1), 87–105. https://doi.org/10.69693/ijim.v2i1.148
Akbar, F. (2025). Analisis pelaksanaan standar pelayanan minimal pada penderita hipertensi di Puskesmas Tigo Baleh Kota Bukittinggi tahun 2024. Human Care Journal, 9(3), 645–675.
Akmal, D., Rahmawati, Setianto, R., Dewi, B. A., & Anri. (2023). Hubungan riwayat keluarga dan merokok dengan kejadian hipertensi. Journal of Nursing and Public Health, 11(2), 636–641. https://jurnal.unived.ac.id/index.php/jnph/article/view/5351
Alamsyah, A., Purba, C. V. G., Zulsefriandi, R., Herdianto, J., Arifah, S. A., & Aini, N. (2023). Deteksi dini penyakit tidak menular dengan melakukan pemeriksaan kesehatan dan edukasi kesehatan. Jurnal Pengabdian Untuk Mu NegeRI, 7(2), 192–196. https://doi.org/10.37859/jpumri.v7i2.5390
Anindya, P. A., Jati, S. P., & Nandini, N. (2020). Upaya menerapkan Standar Pelayanan Minimal di bidang kesehatan berdasarkan indikator pelayanan kesehatan hipertensi di Puskesmas Kota Semarang. Jurnal Ilmiah Mahasiswa, 10(2), 30–33. https://ejournal.undip.ac.id/index.php/jim/article/view/31375/17584
Aprilia, D., Mawanti, A., Marsanti, A. S., Ardiani, H., Masyarakat, F. K., Taman, K., … Timur, J. (2020). Faktor yang mempengaruhi kepatuhan pengobatan penderita hipertensi usia produktif di Desa Karangsono Kecamatan Barat Kabupaten Magetan. Jurnal Kesehatan Masyarakat, 6(2), 92–105. https://journal.lppm-unasman.ac.id/index.php/jikm/article/view/1873
Arifin, S., Mutisari, D., & Putra, R. A. A. H. S. (2020). Peta teori ilmu kesehatan masyarakat (1 ed.). Banjarmasin: Mitra Wacana Media.
Asi, F. A. E., Suryoputro, A., & Budiyono, B. (2022). Analisis implementasi kebijakan Standar Pelayanan Minimal (SPM) penderita hipertensi di Puskesmas Kota Palangka Raya. JKM (Jurnal Kesehatan Masyarakat) Cendekia Utama, 10(2), 232–245. https://doi.org/10.31596/jkm.v10i2.1082
Azahra, A. D., Alayfia, F., Oktaviani, H. A. E., Amanda, N. T., Azzahra, R., Kasfia, S. R., … Imron, A. (2023). Penolakan terhadap perubahan dan perilaku dalam organisasi. Jurnal Visionida, 9(2), 218–232. https://doi.org/10.30997/jvs.v9i2.11048
Cahyani, A. P. P., Hakam, F., & Nurbaya, F. (2020). Evaluasi penerapan Sistem Informasi Manajemen Puskesmas (Simpus) dengan metode Hot-Fit di Puskesmas Gatak. Jurnal Manajemen Informasi dan Administrasi Kesehatan (JMIAK), 3(2), 20–27. https://doi.org/10.32585/jmiak.v3i2.1003
Dewi, A. A. R., & Ayuningtyas, D. (2023). Policy Implementation Analysis of SPM Health Sector for Hypertension Sufferers in South Kalimantan Province, Indonesia in 2022. Journal of Indonesian Health Policy and Administration, 8(3), 152–166. https://doi.org/10.7454/ihpa.v8i3.7276
Dhynianti, L., & Darmawan, E. S. (2024). Kerjasama pemerintah swasta dalam pemenuhan pelayanan kesehatan primer di Jakarta. Jurnal Cahaya Mandalika, 6(1), 486–501. https://ojs.cahayamandalika.com/index.php/jcm/article/view/3089
Fandi, E. C., & Sunarto. (2021). Perbandingan dukungan sumber daya non finansial di Puskesmas Salaman 1 dan Puskesmas Gamping 1 terhadap pelaksanaan SPM bidang kesehatan. Jurnal Manajemen Kesehatan Indonesia, 9(2), 93–101. https://doi.org/10.14710/jmki.9.2.2021.93-101
Ghaniy, R. A., Efendi, S., Wulan, S., & Triyanto, D. (2020). Analisis penerapan Sistem Pencatatan dan Pelaporan Terpadu Puskesmas (SP2TP) Puskesmas Sukamerindu Kota Bengkulu. VISIKES: Jurnal Kesehatan Masyarakat, 19(1), 83–97. https://doi.org/10.33633/visikes.v19i01.3764
Haritani, H., Hariadi, P., Oktresia, E., Sovia, F., & Gemantari, B. M. (2022). Peran kader posyandu terhadap tingkat kunjungan masyarakat. Jurnal Kesmas Asclepius, 4(2), 68–74. https://doi.org/https://doi.org/10.31539/jka.v4i2.4456
Herawati, Y. T., Baroya, N., Sandra, C., Ramani, A., Ningrum, P. T., & Akbar, K. A. (2022). Kesiapan puskesmas menuju Badan Layanan Umum Daerah (BLUD) di wilayah Kabupaten Jember. Jurnal Ilmu Kesehatan Masyarakat, 18(2), 127–134. https://doi.org/10.19184/ikesma.v18i1.31491
Kemenkes. (2019). Buku pedoman manajemen penyakit tidak menular. Jakarta: Kemenkes RI.
Kemenkes. (2023). Survei kesehatan Indonesia 2023 dalam angka. https://www.badankebijakan.kemkes.go.id/hasil-ski-2023/
Masnah, C., & Daryono. (2022). Efektivitas media edukasi booklet dalam meningkatkan dukungan keluarga dan kepatuhan pengobatan penderita hipertensi. The Public Health Science Journal, 11(3), 213–222.
Maula, I. N. (2020). Pelaksanaan Standar Pelayanan Minimal pada Penderita Hipertensi. HIGEIA (Journal of Public Health Research and Development), 4(Special 4), 799–811. https://doi.org/https://doi.org/10.15294/higeia.v4iSpecial%204.34885
Muhadi, M., & Kholidy, C. (2020). Implementasi Peraturan Menteri Dalam Negeri Nomor 23 Tahun 2007 dalam rangka meningkatkan pengawasan terhadap satuan kerja di Lingkungan Pemerintah Kabupaten Lampung Selatan. Jurnal Pro Justitia, 1(2), 45–52. https://doi.org/10.57084/jpj.v1i2.445
Nia, I. M. (2022). Hambatan pelaksanaan Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) di Puskesmas: Literature review. Promotif : Jurnal Kesehatan Masyarakat, 12(1), 1–7. https://doi.org/10.56338/pjkm.v12i1.2393
Nova, S., Adyas, A., & Djamil, A. (2021). Evaluasi pelaksanaan Pembinaan Terpadu (Posbindu) PTM di Kabupaten Pesisir Barat. Poltekita: Jurnal Ilmu Kesehatan, 15(2), 178–188. https://doi.org/10.33860/jik.v15i2.494
Peraturan Menteri Kesehatan Nomor 4 Tahun 2019 tentang Standar Pelayanan Minimal (SPM) Kesehatan.
Peraturan Menteri Kesehatan Republik Indonesia Nomor 19 Tahun 2024 tentang Penyelenggaraan Pusat Kesehatan Masyarakat.
Ramadhani, S., Sutiningsih, D., & Purnami, C. T. (2024). Implementasi Standar Pelayanan Minimal Bidang Kesehatan pada penderita Hipertensi di Puskesmas Kota Surakarta. Healthy Tadulako Journal (Jurnal Kesehatan Tadulako), 10(2), 316–323. https://doi.org/10.22487/htj.v10i2.832
Rohman, A. (2017). Dasar dasar manejemen (1 ed.). Malang: Inteligensia Media.
Sary, A. N., Dewi, A., & Kurniawan, T. (2021). Analisis pelaksanaan program sistem pencatatan dan pelaporan terpadu Puskesmas di Dinas Kesehatan Kabupaten Pasaman Barat. Jurnal Kesehatan Medika Saintika, 11(1), 1–10. https://doi.org/10.30633/jkms.v11i1.528
Suhbah, W. D. A., Suryawati, C., & Kusumastuti, W. (2019). Evaluasi Pelaksanaan Program Pos Pembinaan Terpadu Penyakit Tidak Menular (Posbindu PTM) Puskesmas Sukolilo I Kabupaten Pati. Jurnal Kesehatan Masyarakat, 7(4), 647–657. https://doi.org/https://doi.org/10.14710/jkm.v7i4.24983
Susanto, S. E., & Wibowo, T. heri. (2022). Effectiveness of giving deep relaxation to reduce pain in hypertension patients in edelweis room down, Kardinah Tegal Hospital. Jurnal Inovasi Penelitian, 3(4), 5841–5846. https://doi.org/https://doi.org/10.47492/jip.v3i6.1961
Susetyo, M. B., Mahendradhata, Y., & Suryobintoro, B. (2024). Evaluasi sumber daya manusia dalam program Pos Pembinaan Terpadu Penyakit Tidak Menular di Kabupaten Tapin. Jurnal Kebijakan Kesehatan Indonesia, 13(1), 31–39. https://doi.org/10.22146/jkki.90838
Syahputra, R. D., & Aslami, N. (2023). Prinsip-prinsp utama manajemen George R. Terry. Manajemen Kreatif Jurnal, 1(3), 51–61. https://doi.org/10.55606/makreju.v1i3.1615
Wulandari, D. A., & Lesmana, T. C. (2021). Analisa performance instalasi radiologi dalam upaya pemenuhan Standar Pelayanan Minimal (SPM) di Rumah Sakit Condong Catur Yogyakarta. Jurnal Manajemen Kesehatan Indonesia, 9(2), 87–92. https://doi.org/10.14710/jmki.9.2.2021.87-92
Yunia, G. fIolita, & Wahyono, B. (2021). Program Pengendalian Penyakit Tidak Menular berbasis Posbindu di Puskesmas di wilayah kerja Puskesmas Bawen. Indonesian Journal of Public Health and Nutrition, 1(3), 590–599. https://doi.org/10.15294/ijphn.v1i3.51428
Zudi, M., Suryoputro, A., & Arso, S. P. (2021). Analisis implementasi Standar Pelayanan Minimal Bidang Kesehatan di Puskesmas Guntur I Kabupate Demak. Jurnal kesehatan Masyarakat, 8(2), 165–179. https://doi.org/https://doi.org/10.31596/jkm.v8i2.681
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Tropical Public Health Journal
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
