Community Health Centers Services Research Articles

Evaluation of the Muara Satu Community Health Center in Lhokseumawe City's outpatient services' quality utilizing the importance-performance analysis approach and possible increase in customer value

A dynamic state of people, processes, environments, goods, and services that either meet or beyond expectations is known as service quality. It is vital to improve services to compete and provide higher-quality services at the Muara Satu Community Health Center through initiatives to enhance human resources and ongoing performance improvement. The Muara Satu Community Health Center has received major accreditation for its services; however, as of yet, no reassessment has been conducted. The management of Puskesmas wishes to refine the accreditation to become plenary so that patient satisfaction can serve as a gauge of the success of the center's health services provided to the community. This study aims to evaluate the degree of agreement between patient interests and satisfaction and the Muara Satu Community Health Center's service quality performance. Additionally, it seeks to identify the attributes that should be given priority for service improvement through the application of the Potential Gain in Customer Value (PGCV) method. Patients' complaints regarding services, such as uncomfortable waiting rooms and a lack of information about the ailments they were suffering from, posed a challenge for this study. Five categories were created based on 17 characteristics of the patient requests made at the health center and were given to 58 pre-selected samples. This category includes Assurance, Empathy, Tangible, Reliability, and Responsive. The Muara Satu Health Center is required to implement seven priority orders for quality improvement based on the IPA and PGCV methods, based on data processing findings. These orders include requiring the Community Health Center staff to inform patients before providing services, having a comfortable waiting area, and having officers act quickly and appropriately when necessary. Facilities in Puskesmas are fully equipped. The types of ailments, their treatments, and how to take medication are all thoroughly explained by the doctor. Furthermore, physicians allot enough time for patient examinations

Factors Associated with Blood Sugar Control Behavior on Patients with Diabetes Mellitus in Blang Kuta Community Health Center Area, Pidie Jaya District in 2023

Introduction: Diabetes mellitus has become one of the increasingly alarming global health challenges. As a chronic disease, diabetes results in various detrimental consequences, including high mortality rates and significant healthcare costs. Objective: This research aims to determine the factors associated with blood sugar control behavior among diabetes mellitus patients in the Blang Kuta Community Health Center's service area. Method: This study is a quantitative research with a cross-sectional approach. The population in this study consists of all DM patients in 4 villages in the Blang Kuta Community Health Center's service area, totaling 252 individuals. Sampling was conducted using proportional random sampling techniques, involving 72 DM patients. Data collection was performed through interviews using questionnaires and analyzed through univariate, bivariate analysis using chi-square test, and multivariate analysis using logistic regression test using the SPSS program. Result: The univariate analysis results revealed that the majority of respondents exhibited poor behavior (54.2%). Bivariate analysis results indicated a significant relationship between knowledge (p-value 0.000), level of education (p-value 0.002), gender (p-value 0.005), and self-efficacy (p-value 0.000) with blood sugar control behavior. However, variables such as family history (p-value 0.471) and duration of diabetes mellitus (p-value 0.277) did not show a significant relationship. Multivariate analysis results indicated that knowledge (p-value = 0.035, OR = 5.114) and self-efficacy (p-value = 0.000, OR = 13.278) are important determinants of blood sugar control among patients with diabetes mellitus. Conclusion: There is a significant relationship between knowledge, education, gender, and self-efficacy with blood sugar control behavior. However, variables such as family history of diabetes mellitus and duration of diabetes mellitus do not show a significant relationship. Nonetheless, factors strongly associated with blood sugar control behavior in diabetic patients are knowledge and self-efficacy.

Implementation of the Analytical Hierarchy Process Method for the Muaro Jambi Community Health Center Service Performance Assessment System

Analytic Hierarchy Process (AHP) in this research is used for decision making in assessing the performance of Puskesmas services. The aim of this research is to show the effectiveness and usefulness of the AHP method in assisting complex decision-making processes. Next, the collected data was analyzed using the AHP method to produce priority levels and weights for the main criteria used, namely health promotion (C1), environmental health (C2), maternal and child health including family planning (C3), efforts to improve nutrition (C4), efforts to prevent infectious diseases (C5), treatment efforts (C6), health development efforts (C7). The processes in the system include, user data processing, criteria data processing, value category data processing, sub-criteria data processing, alternative data processing and assessment data processing. Meanwhile, the output data produced includes ranking data reports and final results reports in graphical form. The results of the research on the performance assessment system for the highest health center services, namely Tanjung Public Health Center with a score of 0.743389, were ranked number 1.

Implementasi Metode Kano dan Importance Performance Analysis pada Pengembangan Sistem Pelayanan Puskesmas

<p><em>Puskesmas is a community health service. Improving public health services can be achieved through providing excellent and quality health services. In terms of the performance of the puskesmas administrative services, there is no information system for processing patient data, which has an impact on the quality of services in the puskesmas. The aim of this research is to create a web-based knowledge management system that assesses the quality of health services provided by health centers. This will measure the gap between the actual performance of the Puskesmas, patient expectations, and the level of satisfaction experienced by patients. The system will also propose alternative solutions to increase patient satisfaction. in improving the quality of services provided by Community Health Centers. The methods used in the research are Importance and Performance Analysis (IPA) and the Kano method. The reason for choosing the IPA method is because IPA can be used to measure respondents' mastery of research attributes and can also measure the importance of an attribute based on respondents' perceptions. This research uses the Kano technique to categorize the features of a product or service based on their ability to fulfill customer desires effectively. The result of this research is a Knowledge Management System designed for Community Health Center services, which has the potential to reduce knowledge gaps.</em></p>

Current situation of pharmacy services in community health centers and the functioning of pharmacists in family doctor teams in Shanghai

BackgroundCurrently, polypharmacy is common among residents at high risk of unsafe medication practices, partly due to a lack of medication reconciliation and comprehensive medication management. Pharmacy services, facilitated by community health centers with regional advantages, align with their functional orientation. However, a significant gap persists between the supply of pharmacy services in community health centers and public demand. ObjectiveTo assess the current state of pharmacy services and the integration of pharmacists into family doctor teams in Shanghai, as well as to identify the challenges faced by community pharmacists, with the goal of providing recommendations for their development. MethodsA combination of qualitative and quantitative approach was adopted. In December 2020, a stratified sampling method was employed to survey 307 on-duty pharmacists with licensed pharmacist qualifications from 29 community health centers, including 6 in the central urban areas, 8 in the inner and outer suburban areas, and 15 in the outer suburban areas. The contents of the questionnaire covered basic information about the pharmacists, the development of pharmacy services, and the participation of community pharmacists in the family doctor team. Concurrently, a convenience sampling method was used to invite 29 key stakeholders, including 11 head of pharmacies, 6 family doctors, 12 community health center directors or health commission managers from central urban areas, inner and outer suburban areas, and outer suburban areas, for semi-structured focus interviews on pharmacy service demands, resources allocation, and service processes. ResultsThe quantitative results indicated that the most community pharmacists attended 1-2 times of training programs [139 (45.3 %)], with continuing education as the main form of training [252 (82.1 %)]. The most common pharmacy service activities were prescription dispensing [284 (92.5 %)], prescription review [253 (82.4 %)], and pharmacy window advice or outpatient consultation guidance [196 (63.8 %)]. The services consuming the most pharmacist hours were prescription dispensing [280 (91.2 %)], prescription review [244 (79.5 %)], and prescription feedback [145 (47.2 %)]. Only 78 (25.4 %) participants joined family doctor teams. Qualitative results revealed a high demand for pharmacy services among older patients, alongside weak awareness of rational drug use. Challenges included shortage of pharmacist workforce, need for enhanced professional quality, incomplete community pharmacy drug lists, and need for more applying information technology. Furthermore, community pharmacists are often undervalued, with services focusing narrowly on dispensing, insufficient targeted training on rational drug use, and limited functioning within family doctor teams. ConclusionCurrently, the resources allocation and supply capacity of pharmacy services are inadequate to meet resident demands, and the pharmacy service process requires improvement and optimization. The impact of pharmacists who have joined family doctor teams is limited. Therefore, it is necessary to enhance incentive mechanism, clarify service content and improve the service model.

The Relationship of Standard Operating Procedures for Services at the Health Center to Community Satisfaction During the Covid-19 Pandemic in Kendari City

Backgrounds: When Covid-19 became a pandemic in Indonesia, it automatically changed the face of the administrative structure and work patterns within government agencies. Starting from the term physical distancing that is applied to the work process that has shifted, from working in the office to working from home. The development of online-based service, administration and coordination processes is starting to be pursued as much as possible in each government agency environment, both central government and regional government. This is what attracted the author to conduct research on the Relationship between Standard Operating Procedures for Community Health Center Services and Community Satisfaction during the Covid-19 Pandemic in Kendari City
 Methods: This research is quantitative research, using a cross sectional survey approach. The population is all people who receive health services and the sample is 385 at the Kendari City Health Center.
 Results: The pvalue (0.038) and X2hit (6.532) were obtained, because the pvalue (0.038) < α (0.05) and the X2hit value (6.532) >
 Conclusion: Health center are expected to be able to provide basic health services and become pioneers in driving development in their working areas. Health center are required to provide good quality services in terms of management, resources, facilities and infrastructure so that the services provided are in accordance with standard operational procedures.

Analisis Faktor Yang Berhubungan Dengan Kejadian HIV/AIDS Pada Laki-Laki Di Wilayah Kerja Puskesmas Simpur Bandar Lampung Tahun 2023

Abstract HIV/AIDS is one of the top-ranking infectious diseases that can lead to death. One of the five nations with a sizable number of cases is Indonesia. Out of Indonesia's 250 million people, the LGBT community numbers about 7.5 million. With 248 instances recorded, data from the Bandar Lampung City Health Office on HIV/AIDS cases at the Simpur Community Health Center, broken down by gender, reveals that men are more likely to contract the disease than women. The goal of this study is to examine the risk variables connected to the development of HIV/AIDS in men within the Simpur Community Health Center's service area in Bandar Lampung in 2023. A case-control strategy is used in the quantitative research methodology. There are 180 men in the study population, making 153 guys in the sample. Purposive sampling is the method of choice for sampling, while univariate, bivariate (chi-square), and multivariate (logistic regression) studies are employed for data analysis. According to the findings of the univariate analysis, 66.7% of people do not have HIV/AIDS while 33.3% have. HIV/AIDS and occupation (p-value=0.003), knowledge (p-value=0.005), marital status (p-value=0.0001), and sexual history (p-value=0.017) all show positive correlations in the bivariate analysis. Traumatic experiences have the highest impact on the likelihood of developing HIV/AIDS (p-value < 0.0001) and an odds ratio (OR) of 38613. Families, close friends, and healthcare professionals are urged to offer ongoing support, care, education, and counseling to HIV/AIDS patients in order to keep them motivated and stop the spread of the disease Keywords: HIV, AIDS, Knowledge

Maternal knowledge and family support for child food insecurity among households with stunting in young children

Bakcground: Stunting is a common health issue. In poor nations, particularly Indonesia, stunting is a long-term problem with chronic malnutrition that results in growth abnormalities in children, where the child's height is lower or shorter (stunted) than the average for their age.Purpose: To determine the relationship between maternal knowledge and family support for child food insecurity among households with stunting in young children.Method: Cross sectional research methodology is being used in this quantitative investigation. 110 toddlers from the Bojongnangka Tangerang Community Health Center's service region served as the study's population of interest. Simple random sampling is the sampling method employed. The measurements taken include the toddler's height and the answers to a questionnaire that the toddler's parents completed. SPSS 20 was used for data analysis. The Mann Whitney test was used to do univariate and bivariate analysis after the data had been gathered.Results: With a p value of 0.041, there is a significant correlation between the occurrence of staining and knowledge. Parental education (P=0.267), family skills (P=0.438), family attitudes (P=0.838), family emotional support (P=0.521), family informational support (P=0.707), and family appreciation support (P=0.872) do not significantly correlate with the prevalence of stunting.Conclusion: The prevalence of stunting in the Bojongnangka Tangerang Community Health Center is significantly correlated with knowledge.

Optimizing Healthcare Services at Suwawa Health Center through Android-based Information System

Healthcare services are the implementation of efforts to maintain optimal health levels, both at the individual and community levels. Improving the quality of healthcare services in Community Health Centers (Puskesmas) has become increasingly important, especially since people today are more discerning in choosing the healthcare services they receive. The research objective is to design and implement an information system that facilitates service transformation at Puskesmas Suwawa. This system aims to enhance the accessibility of healthcare services by allowing the public to undergo health check-ups, report complaints, and consult with general practitioners without the need to physically visit the Puskesmas. The research method used is the research and development method, which aims to create a specific product and test its effectiveness. The system was tested using Whitebox testing, where the registration web module was converted into a flowchart, and Cyclomatic Complexity (CC) was calculated, as well as Blackbox testing. The test results showed that Cyclomatic Complexity (CC) was 6, and the V(G) test result was 6. Based on these results, it can be concluded that the Android-based healthcare service information system at Puskesmas Suwawa, Bone Bolango Regency, can improve the effectiveness and efficiency of providing healthcare services to the public

Overview of Pregnant Women's Knowledge and Motivation in the Triple Elimination Examination at The Bintan District, Indonesia, 2023

. Introduction:Triple elimination (Human Immunodeficiency Virus (HIV), syphilis, and hepatitis B) is a very serious and life-threatening disease that can be transmitted vertically from mother to child during pregnancy. The aim of this research is to describe the knowledge and motivation of pregnant women in prenatal examinations in an effort to prevent vertical transmission of this dangerous disease from mother to baby during pregnancy. Methods:The research object was all pregnant women who came to have their pregnancies checked at the Sasah Tanjung Uban health center, North Bintan District, Bintan Regency, during 2023. The research method used the accident sampling technique, collected data, and continued with descriptive analysis. Results:The results showed that there were 4 pregnant women whose cases were reactive to hepatitis B out of a total of 179 pregnant women, while all of them were negative for HIVand syphilis. Conclusion:This indication also shows that the rate of hepatitis B sufferers is still high in the Sasah Tanjung Uban community health center service area, with a statistical mean of 0.0223±0.01108 and a significance value of 0.14822, so ongoing treatment and services are needed

The Role of Community Health Center Service Quality and Health Service Facilities on Patient Satisfaction Through Community Health Center Accreditation

<p>Kepuasan pasien puskesmas merupakan hal penting untuk selalu diperbaiki baik kepuasan pasien pada tangible dan intangible. Tujuan penelitian ini adalah untuk mengembangkan sebuah konstruk mediasi akreditasi Puskesmas (intangible) sebagai pelayanan kepuasan pasien puskesmas. Hasil penelitian antara lain: (1) tidak ada pengaruh kualitas pelayanan puskesmas terhadap kepuasan pasien; (2) tidak ada pengaruh fasilitas pelayanan kesehatan terhadap kepuasan pasien; (3) tidak ada pengaruh akreditasi puskesmas terhadap kepuasan pasien; (4) ada pengaruh fasilitas pelayanan kesehatan terhadap akreditasi puskesmas; serta (5) variable mediasi akreditasi dapat memediasi secara penug antara variable independent (fasilitas pelayanan dan kualitas pelayanan puskesmas) terhadap kepuasan pasien. Simpulan penelitian ini adalah kepuasan pasien puskesmas dapat tercapai apabila puskemas meningkatkan fasilitas pelayanan kesehatan, dan akreditasi puskesmas.</p>

Relationship between Parity Status and The Incidence of Preeclampsia in Pregnant Women

Preeclampsia is one of the main causes of maternal death. In 2022, there will be 31 cases of preeclampsia in the Tarokan Community Health Center service area. Preeclampsia may have a negative impact on the mother and unborn baby. The aim of this study was to determine the relationship between parity and the incidence of preeclampsia in pregnant women. This research method is analytical observational with a case control design, with a population of 50 data from pregnant women, sampling using a simple random sampling procedure with 25 respondents who experienced preeclampsia and 25 data who did not experience preeclampsia. The results of the chi-square test with a significance level of 0.05 show that the calculation results show a ρ value of (0.023).Conclusions of This study aims to determine the relationship between parity and the incidence of preeclampsia in pregnant women in the Tarokan Community Health Center working area, Kediri Regency. To recognize preeclampsia early, especially for pregnant women, it is recommended to frequently monitor their pregnancy and comply with integrated ANC.

The Leadership Qualities of Midwives When Collaborating With Nurses During Postpartum

Leadership and collaboration aid in communicating, coordinating, and negotiating to achieve common goals. This study aimed to analyze the leadership qualities of midwives when collaborating with nurses in postpartum services in community health centers. This was a descriptive-analytic study with a cross-sectional design. The research subjects were 30 midwives in charge of maternal health for 42 days postpartum. Data were collected through a questionnaire that included four leadership indicators: directive, consultative, participatory, and delegating. Postpartum service coverage was measured by the frequency of postpartum maternal visits and included KIE and health promotion. The results showed a significant correlation between collaborative leadership and postpartum service coverage in the directive function (p=0.002), the consultative function (p=0.042), the participatory function (p=0.000), and the delegation function (p=0.028). The most significant correlation was the participatory function with an OR value of 8.011 (95% CI = Lower 1.315 - Upper 21.052). Practical implications in the future require strengthening organizational culture factors and empowering the community to access services and utilize available health information.
 Keywords: Leadership Effect, Collaboration, Postpartum Service Coverage

The Association of Mobility, Social Deprivation, and Pediatric Primary Care Outcomes in Community Health Centers

To examine how social deprivation and residential mobility are associated with primary care use in children seeking care at community health centers (CHCs) overall and stratified by race and ethnicity. We used electronic health record open cohort data from 152 896 children receiving care from 15 US CHCs belonging to the OCHIN network. Patients were aged 3-17years, with ≥2 primary care visits during 2012-2017 and had geocoded address data. We used negative binomial regression to calculate adjusted rates of primary care encounters and influenza vaccinations relative to neighborhood-level social deprivation. Higher rates of clinic utilization were observed for children who always lived in highly deprived neighborhoods (RR=1.11, 95% CI=1.05-1.17) and those who moved from low-to-high deprivation neighborhoods (RR=1.05, 95% CI=1.01-1.09) experienced higher rates of CHC encounters compared with children who always lived in the low-deprivation neighborhoods. This trend was similar for influenza vaccinations. When analyses were stratified by race and ethnicity, we found these relationships were similar for Latino children and non-Latino White children who always lived in highly deprived neighborhoods. Residential mobility was associated with lower rates of primary care. These findings suggest that children living in or moving to neighborhoods with high levels of social deprivation used more primary care CHC services than children who lived in areas with low deprivation, but moving itself was associated with less care. Clinician and delivery system awareness of patient mobility and its impacts are important to addressing equity in primary care.

Prevention and control of COVID-19 infection at the community health center during the new normal era

ABSTRACTIntroduction: Due to the coronavirus disease (COVID-19) pandemic, community health center services were limited. It was critical to have health protocols as a reference for the prevention and control of COVID-19 infection during adaptation in the new normal in Bandung City. The purpose of this research was to determine the prevention and control of COVID-19 infection at community health center in the new normal. Methods: A cross-sectional study was conducted utilizing observation through questionnaire with chosen yes (if appropriate) or no (if not appropriate) based questions in checklist form. Inclusion criteria was active dentist in community health center and exclusion criteria dentist was not completely answer question in checklist form. Purposive sampling was used to choose 30 dentists for the research sample. Data analysis uses frequency distribution and is divided into four stages, which are: preparatory, pre-visit, visiting, post-visiting stage. Data analysis uses frequency distribution. Results: At the preparatory stage were appropriate: Air flow setting on average 50%; clean water management 100%; room arrangement and management 50%. At the pre-visit stage were appropriate: Management of tele-dentistry detection and screening average 67%; patient treatment scheduling management 100%. The visiting patient stages were appropriate: detection and screening during patient visit only measurement of patients body temperature 100%; The concept of four handed dentistry 43.3%; implementation of isolation precaution in dentist personal protective equipment average 92.2% and in transmission precaution average 85%. At the post visit patient stages were appropriate: cleaning the workplace average 85%; Medical equipment management 100%; Medical waste treatment average 87.7%. Conclusion: During adaptation of the new normal, the implementation of prevention and control of COVID-19 infection in dental and oral health services community health center is not in accordance with the protocol. Improvements are still needed on several stages.Keywords: Dentist, community health center, prevention and control of COVID-19 infection, new normal.

Assessment of type 2 diabetes mellitus patients' behavioral characteristics associated with integrated treatment and prevention services in community health centers in China.

The purpose of this study was to describe behavioral characteristics of type 2 diabetes mellitus (T2DM) patients, identify homogeneous clusters, and explore factors affecting behaviors associated with integrated treatment and prevention (ITP) services for T2DM in community health centers in China. A convenient sampling method was employed at a community health center between January and July 2022 in Nanjing. A total of 354 patients completed the self-reported questionnaires. After performing a Cluster Analysis to create a profile of participants' behaviors, a multiple linear regression analysis was conducted to explore the correlations between T2DM patients' characteristics and their behaviors associated with ITP services. 316 T2DM patients with a mean age of 72.09 years (SD = 5.96) were included. The behavior profiles of patients associated with ITP services were clustered into "Lower" (n = 198) and "Higher" (n = 118) groups, with average scores of 54.41 and 71.46, respectively. Of all the behaviors, complication examination and public health utilization scored the lowest. Health insurance, duration of disease, and treatment modality were independent predictors on the patients' behaviors associated with ITP services for T2DM. Patients' behaviors associated with ITP services for T2DM were moderately good (the score rate was 63.98%). Of all the behaviors, complication examination and public health service utilization scored the lowest and, as such, may warrant further research. The clustering of patients' behaviors tends to be polarization, distributed at the upper and lower ends of the behavior spectrum. It is necessary to develop and implement targeted interventions for different groups to improve T2DM patients' behaviors associated with ITP services.

The First Year of the COVID-19 Pandemic: Changes in Preventive Services in Community Health Centers

IntroductionCommunity Health Centers provide comprehensive primary healthcare services to many underserved populations. It is unknown how routine preventive and chronic care services in Community Health Centers may have changed nationwide during the COVID-19 pandemic.MethodsThe 2014–2020 Health Resources and Services Administration Uniform Data System of Community Health Centers was used, and data analysis was conducted from November 2021 to May 2022. Data for clinical quality measures in 2020 were treated as during the pandemic, whereas receipt of care in 2019 and before were treated as before the pandemic. Outcomes included 6 clinical quality measures of being up to date for colorectal cancer screening, cervical cancer screening, tobacco screening and cessation counseling, BMI screening and follow-up, depression screening and follow-up, and aspirin use for ischemic vascular disease. A mixed effects regression model was used to estimate changes in measures by year.ResultsBetween 2019 and 2020, receipt of preventive services declined for each of the 6 clinical quality measures: from 40.8% to 37.7% for colorectal cancer screening, from 48.8% to 44.9% for cervical cancer screening, from 85.8% to 83.4% for tobacco screening and cessation counseling, from 70.7% to 65.4% for BMI screening and follow-up, from 71.1% to 64.9% for depression screening and follow-up, and from 81.5% to 79.4% for aspirin use for ischemic vascular disease.ConclusionsReceipt of preventive services in Community Health Centers declined during the COVID-19 pandemic for each of the 6 clinical quality measures considered in the study. Immediate action is required to support ongoing high-quality, primary healthcare services in Community Health Centers across the nation.

Pelayanan Pusat Kesehatan Masyarakat Di Distrik Klamono Kabupaten Sorong Provinsi Papua Barat

This study aims to describe and explain the Community Health Center Services in Klamono District, Sorong Regency, West Papua Province. The study was conducted at the Klamono Public Health Center in Klamono District, Sorong Regency, West Papua Province. The research method used is descriptive qualitative method to describe and explain phenomena that occur naturally and as they are. The informants in this study were medical personnel, namely, 1 head of the Klamono Public Health Center, 1 Head of Pharmacy / Pharmacy Room, 2 nurses (1 nurse and 1 midwife), 3 community health center employees, and also elements of the community, namely 5 people/patients who had get service. The data used in this study are primary data obtained from direct observations in the field, interviews with research informants, and documentation, while secondary data obtained from organizational structures, archival data, documents, reports and books. The technique used in data analysis in this research is interactive analysis. The results of the research conducted using the views of eight research indicators indicate that the services at the Klamono Public Health Center are already good so that it can be said to be maximal, but there are also things that are not yet good so it can be said that they are not optimal.

Pemberdayaan Puskesmas Sebagai Sarana Peningkatan Derajat Kesehatan Masyarakat Di Gampong Sungai Pauh Tanjung Kota Langsa

Puskesmas is a health service facility that organizes public health efforts and first-level individual health efforts. Community Health Centers known as Puskesmas are First Level Health Facilities (FKTP) which are responsible for public health in their working areas in one or part of the sub-district area. In the Regulation of the Minister of Health Number 75 of 2014 concerning Community Health Centers it is stated that the Puskesmas has the function of organizing the first level of Community Health Efforts (UKM) and Individual Health Efforts (UKP). The lack of public understanding of the role of the puskesmas causes a conflict on the status of the community's health status. the inhibiting factor for community health center services is the lack of education and health information for the community on healthy lifestyles, the results of mini workshops that are not published to the surrounding community. public health. The method used is a lecture by providing counseling about the role of Puskesmas for the community to improve health status and be free from various health problems that often occur in the community. The target achieved in community service is to increase public knowledge about the function of the puskesmas which will later change people's attitudes in making changes in health status.

Analysis of the Implementation of the Generic Regional Health Information System (SIKDA) at Simpang Tiga Health Center Pekanbaru City

The application of the Generic Regional Health Information System at the Community Health Center as a user aims to provide convenience for officers in carrying out reporting activities between sections and also for activities in reporting to the Health Office by using the Generic Regional Health Information System for online patient management. It is hoped that the results of the application of the Generic Regional Health Information System will be input for the benefit of management in preparing a health program planning and is expected to be used as a monitoring system for Community Health Center services by the Head of the Community Health Center and the Health Office to be more effective. This research is a qualitative research with a case study approach. The types of data used are primary data and secondary data. Primary data were obtained from direct observation, in-depth interviews, and document review. The informants of this study consisted of the Head of the Public Health Center, the Person in Charge of the Generic Regional Health Information System, the Operator of the Generic Regional Health Information System, the Police Officer, the Drug Warehouse & Pharmacy Officer and the Cashier of the Simpang Tiga Health Center. The results showed that the implementation of the Generic Regional Health Information System at the Simpang Tiga Health Center was still running up to the registration flow, so it was not interrelated between programs in accordance with the regulations set by the Government. Human resources who operate the Regional Health Information System still have adequate and not in accordance with the minimum educational standards, besides that the operators who run the Regional Health Information System have never received. Existing facilities and infrastructure still do not support the operation of the Generic Regional Health Information System, ranging from network and computer disturbances, which are still insufficient for the implementation of a complete Regional Health Information System flow. Therefore, it is hoped that the puskesmas can pay attention to the existing constraints, so that the operation of the Generic Regional Health Information System runs optimally.