KBK has a role as one of the quality control efforts to control costs in FKTP, based on the results of a preliminary study at the Nganjuk District Health Office, it is known that there are 5 Primary Health Care in Nganjuk District that cannot meet the indicators in the KBK so that the capitation received is not 100% full during 2018-2021. This study aims to describe how the KBK payment policy is implemented based on standard variables and policy objectives, resources, communication, and social conditions. This was a qualitative study. Results showed that the standards and objectives of the KBK payment policy are well understood, but the RPPT standards have been difficult to meet so far. Based on the aspect of facility resources, puskesmas are still often constrained by the information system used for data input. Communication in implementing policies has been going well starting from the process of distributing information, clarity of information, and consistency of information. The social conditions of the community around the puskesmas, especially the type of work and age, also influence the achievement of the contact number target at the puskesmas. The KBK payment policy has been implemented, but it is necessary to evaluate the policy so that further improvements and policy developments can be carried out.

In order to improve the quality of health services, competency development is needed, including through training. Bapelkes Semarang has the task and function of organising training, one of which is Pelatihan Jabatan Fungsional Bidan (Pengangkatan Pertama) which uses the Massive Open Online Courses (MOOC) method. The use of MOOC aims to improve the quality and quantity of learning. However, based on the evaluation of the implementation, there are still complaints from participants regarding the implementation of MOOC. So it is necessary to evaluate MOOC. The evaluation results become the basis for the development of cMOOC for training in the health sector including the review of the policies that underpin it. This research was conducted using descriptive qualitative method with in-depth interviews and secondary data collection. The results of the research on training participants showed that not all of them had digital literacy skills so that there were still many training obstacles and to take part in the training they had to use a Letter of Duty so they were not free to attend the training. Facilitators need adaptation in learning the Student Centreed Learning (SCL) model. There is no legal umbrella for the implementation of MOOC. So that if it will be developed into cMOOC, it is necessary to limit cMOOC to knowledge base training or as a pre-requisite programme for other training. As well as the issuance of a legal umbrella that accommodates the principles of MOOC.

In order to overcome diabetes, the government set some laws and regulations. One of them is Government Regulation Number 2 of 2018 concerning minimum service standards. SPM for Health is regulated in Permenkes number 4 of 2019. District / City Health SPM consists of 12 indicators. One of the indicators is health care in patients with diabetes mellitus according to the standard. Magelang regency is the third lowest Regency in 2020 with achievements of only 41.9 percent and 59.75 percent in 2021. Necessary analysis related factors inhibiting and supporting implementation. This study was conducted by the method of Qualitative content analysis. Using in-depth interview techniques, field observation and secondary data retrieval.The results of the study there are variations between the achievement of SPM Puskesmas. factors inhibiting the achievement of SPM in the field of health indicators of health services in patients with diabetes mellitus in Magelang regency is the lack of availability of budget, infrastructure and Human Resources, community characteristics and lack of understanding and knowledge both from the organizers and users. Supporting factors for the achievement of SPM in the field of health indicators of health services for people with diabetes mellitus in Magelang regency are leadership support and the chosen policy strategy.