The Implementation of Minimum Service Standard (MSS) in Health Sector at District Level and It’s Obstacles: Systematic Literature Review
DOI:
10.29303/jppipa.v9i10.5251Published:
2023-10-25Issue:
Vol. 9 No. 10 (2023): OctoberKeywords:
Health, Implementation, Minimum services standard, Puskesmas, RegionalReview
Downloads
How to Cite
Downloads
Metrics
Abstract
Minimum Service Standard (MSS) in health sector is a mandatory that must be implemented by every regional government in Indonesia, so the MSS target must be 100% annually. However, the report shows that the MSS in health sector has not reached the target. National achievements in 2021 for trimesters I, II, III and IV respectively is 2.38%, 7.55%, 9.95% and 52.85%. In 2022, the achievements increased and the percentages for each trimester are 26.53%, 31.05%, 39.25% and 77.49%, but still not meet the target. This condition shows the unoptimized implementation of Minimum Service Standard (MSS) in health sector that could affected to health service delivery and society welfare. This study aims to identify the implementation and obstacles of Minimum Service Standard (MSS) in health sector at district level. This study is a systematic literature review. 9 literatures on Google Scholar database and Garuda Portal selected according PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). The result shows some obstruction in the MSS in health sector’s implementation including human resources quantity and quality, inadequate infrastructure, lack of cross-sectoral and community support, and unoptimal planning and budgeting system. Based on these results it can be concluded that regional government should focused on recource factors including human recources and infrastructure, organizational factor to optimilize internal and external commitment and support including community support and budgeting support.
References
Aji, S. P., Saktiawati, A. M. I., & Ani, N. (2022). Implementasi Anggaran Kesehatan di Bidang Kesehatan Sesuai dengan SPM (Standar Penilaian Minimal). Journal of Social Research, 1(6), 500–506. https://doi.org/10.55324/josr.v1i6
Alamsyah, K., Prastiwi, E. N., & Salamah, U. (2021). Implementasi Kebijakan Penyelenggaraan Program Jaminan Kesehatan Daerah Kota Bekasi. Kebijakan: Jurnal Ilmu Administrasi, 12(2), 107–121. https://doi.org/10.23969/kebijakan.v12i2.3755
Aliyah, Y. A. N. (2020). Capaian Standar Pelayanan Minimal (SPM) Bidang Kesehatan Kasus Hipertensi dan Diabetes Mellitus di Kota Bandung Tahun 2020. J. Ilmu Pemerintah, 46(2), 355–368. https://doi.org/10.33701/jipwp.v 46i2.1484
Armita, F., Trisnantoro, L., & Sulistyo, D. H. (2020). Implementasi Permenkes Nomor 43 Tahun 2016 Tentang Standar Pelayanan Minimal (SPM) Bidang Kesehatan di Dinas Kesehatan Kabupaten Sumbawa Barat. Jurnal Manajemen Pelayanan Kesehatan, 23(2), 37–43. https://doi.org/10.22146/jmpk.v23i02
Asri, A. C., & Budiono, I. (2019). Pelaksanaan Program Indonesia Sehat dengan Pendekatan Keluarga di Puskesmas. HIGEIA (Journal of Public Health Research and Development), 3(4), 556–567. https://doi.org/10.51878/healthy.v2i1.2137
Cahyani, D. I., Kartasurya, M. I., & Rahfiludin, M. Z. (2020). Gerakan Masyarakat Hidup Sehat dalam Perspektif Implementasi Kebijakan (Studi Kualitatif). Jurnal Kesehatan Masyarakat Indonesia, 15(1), 10–18. https://doi.org/10.26714/jkmi.15.1.2020.10-18
Fadila, M., Putera, R. E., & Ariany, R. (2022). Health Promoting University Management Program in Realizing the Health Campus Society and Wellbeing in Andalas University 2022. Jurnal Kesehatan Masyarakat Andalas, 16(2), 29–42. https://doi.org/10.24893/jkma.v16i2.1003
Hasbi, N., Octora, M., Irawati, D., & Rahim, A. R. (2023). Program Pengendalian Tuberkulosis Melalui Bilik Nyedak di Puskesmas Kediri, Lombok Barat. Jurnal Pengabdian Magister Pendidikan IPA, 6(3), 549–552. https://doi.org/10.29303/jpmpi.v6i3.4814
Hasibuan, H. Y., Syarifudin, E., Suherman, & Santosa, C. A. H. F. (2023). Ethnoscience as the Policy Implementation of Kurikulum Merdeka in Science Learning: A Systematic Literature Review. Jurnal Penelitian Pendidikan IPA, 9(8), 366–372. https://doi.org/10.29303/jppipa.v9i8.4500
Jaswin, E., Basri, H., & Fahlevi, H. (2018). Implementasi Penganggaran Berbasis Kinerja dalam Pencapaian Standar Pelayanan Minimal (SPM) Penyelenggara Pelayanan Kesehatan pada Dinas Kesehatan Kabupaten Bener Meriah. Jurnal Perspektif Ekonomi Darussalam, 4(2), 284–299. https://doi.org/10.24815/jped.v4i2
Juita, I., & Elfindri, E. (2022). Analisis Faktor yang Mempengaruhi Pemanfaatan Posbindu Penyakit Tidak Menular (PTM) Oleh Penderita Hipertensi di Puskesmas Agam Barat Kabupaten Agam Tahun 2022. Jurnal Rumpun Ilmu Kesehatan, 2(2), 1–9. https://doi.org/10.55606/jrik.v2i2.344
Kadir, J. A. (2022). Faktor-Faktor yang Mempengaruhi Standar Pelayanan Minimal pada Penderita Diabetes Mellitus di Puskesmas. Jurnal Penelitian Kesehatan Suara Forikes, 13(4), 920–925. https://doi.org/10.33846/sf.v13i4.2562
Kahendra, F., Widjanarko, B., & Agushybana, F. (2023). Faktor-Faktor yang Mempengaruhi Implementasi Kebijakan Kawasan Tanpa Rokok: Literature Review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(3), 430–435. https://doi.org/10.56338/mppki.v6i3.3284
Karim, M. I. T., Moenta, A. P., & Riza, M. (2019). Implementasi Kebijakan Pemerintah Daerah di Bidang Kesehatan Masyarakat Melalui Jaminan Kesehatan Nasional. Amanna Gappa, 26(1), 53–63. https://doi.org/10.20956/ag.v26i1.6338
Karim, R., Sarifudin, R., & Batalipu, J. (2020). Implementasi Daerah Dalam Menjalankan SPM Bidang Kesehatan di Kabupaten/Kota Provinsi Gorontalo. Jambura Journal of Health Sciences and Research, 2(1), 24–31. https://doi.org/10.35971/jjhsr.v2i1.4338
Kemendagri. (2022). Pelaporan Standar Pelayanan Minimal (SPM) Ditjen Bina Pembangunan Daerah Kementerian Dalam Negeri.
Kurniawati, N., Suryawati, C., & Arso, S. P. (2019). Evaluasi Program Pengendalian Diabetes Mellitus pada Usia Produktif di Puskesmas Sapuran Kabupaten Wonosobo. Jurnal Kesehatan Masyarakat, 7(4), 633–646. https://doi.org/10.14710/jkm.v7i4.24981
Lucyianaa, V. V., Koeswara, H., & Putera, R. E. (2023). Implementasi Kebijakan Standar Pelayanan Minimal (SPM) Kesehatan pada Pelayanan Kesehatan Lanjut Usia (Lansia) di Kota Padang. Jurnal Ilmu Administrasi Publik, 11(1), 17–31. https://doi.org/10.31764/jiap.v11i1.13181
Muannisa, N. F., Arso, S. P., Nandini, N., & Nandini, N. (2022). Program Layanan Kesehatan Orang Dengan Gangguan Jiwa (ODGJ) Berat dalam Pencapaian Standar Pelayanan Minimal di Puskesmas Manyaran Kota Semarang. Jurnal Kesehatan Masyarakat Khatulistiwa, 9(3), 120–136. https://doi.org/3186/jkmk
Navis, D., Sulaeman, S., Ahmad, G., & Rustiana, S. H. (2020). Pengaruh Kepemimpinan, Kompetensi Tenaga Kesehatan, Sarana Prasarana Terhadap Mutu Pelayanan serta Dampaknya pada Kepuasan Pasien Rawat Inap di Puskesmas Leuwisadeng. Muhammadiyah Public Health Journal, 1(1). https://doi.org/10.24853/mphj.v1i1.7022
Nuradhawati, R. (2019). Dinamika Sentralisasi dan Desentralisasi di Indonesia. Jurnal Academia Praja, 2(1), 152–170. https://doi.org/10.36859/jap.v2i01.90
Nurlailah, N. (2021). Implementasi Kebijakan Vaksinasi Covid-19 Di Kab. Ogan Komering Ulu. Jurnal Dinamika, 1(2), 59–68. https://doi.org/10.54895/dinamika.v1i2.1135
Peraturan Menteri Dalam Negeri Nomor 59 Tahun 2021 Tentang Penerapan Standar Pelayanan Minimal.
Peraturan Menteri Kesehatan Republik Indonesia Nomor 4 Tahun 2019 Tentang Standar Teknis Pemenuhan Mutu Pelayanan Dasar Pada Standar Pelayanan Minimal Bidang Kesehatan.
Peraturan Pemerintah Nomor 2 Tahun 2018 tentang Standar Pelayanan Minimal.
Rahmah, L., & Parinduri, S. K. (2020). Evaluasi Standar Pelayanan Minimal Pengendalian Diabetes Melitus di Puskesmas Bogor Utara Kota Bogor Tahun 2019. PROMOTOR, 3(3), 269–281. https://doi.org/10.32832/pro.v3i3.4176
Rajagukguk, D. L., Handini, M. C., Manurung, K., & Sitorus, M. E. J. (2023). Belum Tercapainya Indikator Standar Pelayanan Minimal Program Kesehatan Ibu dan Anak (KIA) Studi Kualitatif di Puskesmas Sei Rampah, Kabupaten Serdang Bedagai, Tahun 2021). Prepotif: Jurnal Kesehatan Masyarakat, 6(1), 161–169. https://doi.org/10.31004/prepotif.v6i1.2747
Ramadhani, S., Sutiningsih, D., & Purnami, C. T. (2023). Kendala Pelaksanaan Standar Pelayanan Minimal Bidang Kesehatan pada Penderita Hipertensi di Puskesmas: Literature Review. Media Publikasi Promosi Kesehatan Indonesia, 6(4), 553–560. https://doi.org/10.56338/mppki.v6i4.3209
Rianto, R., & Purwanto, A. (2020). Pengaruh beban kerja dan komitmen organisasional terhadap kinerja perawat serta peran teamwork sebagai variabel mediasi (Studi pada RSUD Dr. Saiful Anwar Kota Malang). JIM (Jurnal Ilmu Manajemen), 6(2), 93–111. https://doi.org/10.31328/jim.v6i2.1781
Rohana, A., Sriatmi, A., & Budiyanti, R. T. (2020). Pelaksanaan Pelayanan Neonatal Berdasarkan Standar Pelayanan Minimal Kesehatan Bayi Baru Lahir di Puskesmas Dukuhseti Kabupaten Pati. Jurnal Kesehatan Masyarakat, 8(1), 97–106. https://doi.org/10.14710/jkm.v8i1.25877
Sholihah, T. A., Asih, A. Y. P., & Lara, A. G. (2023). Gambaran Penanganan Kejadian Stuntingpada Balita di Wilayah Kerja Puskesmas Jagir Kota Surabaya. SEHATMAS (Jurnal Ilmiah Kesehatan Masyarakat), 2(3), 745–751. https://doi.org/10.55123/sehatmas.v2i3.1908
Sulyastini, N. K., & Wirawan, I. M. A. (2023). Antenatal Education to Support Triple Elimination Program: A Systematic Literature Review. Jurnal Penelitian Pendidikan IPA, 9(8), 474–485. https://doi.org/10.29303/jppipa.v9i8.4234
Undang-Undang 23 Tahun 2014 Tentang Pemerintahan Daerah.
Wahidin, M., Agustiya, R. I., & Putro, G. (2023). Beban Penyakit dan Program Pencegahan dan Pengendalian Penyakit Tidak Menular di Indonesia. Jurnal Epidemiologi Kesehatan Indonesia, 6(2), 105–112. https://doi.org/10.7454/epidkes.v6i2.6253
Wahyuni, N., & Farida, A. (2021). Analisis Implementasi Standar Pelayanan Minimal Bidang Kesehatan di Puskesmas Curug, Kota Serang. Jurnal JOUBAHS, 1(2), 179–190. https://doi.org/10.47080/joubahs.v1i02.1501
Wardani, R., Dewi, D., Syafingi, H., & Suharso, S. (2019). Pelaksanaan Kebijakan Standar Pelayanan Minimal Kesehatan Kabupaten Magelang Tahun 2017-2019 dalam Mewujudkan Kesejahteraan Masyarakat. Amnesti: Jurnal Hukum, 1(2), 56–70. https://doi.org/10.37729/amnesti.v1i2.646
Wati, I. K., & Fatimah, S. (2022). Politik Hukum Otonomi Daerah di Era Pandemi Covid 19 di Bidang Kesehatan. Jurnal Pendidikan Kewarganegaraan Undiksha, 10(3), 25–33. https://doi.org/10.31004/joe.v6i1.4151
Widanti, N. (2022). Konsep Good Governance dalam Perspektif Pelayanan Publik: Sebuah Tinjauan Literatur. Jurnal Abdimas Peradaban, 3(1), 73–85. https://doi.org/10.54783/ap.v3i1.11
Zudi, M., Suryoputro, A., & Arso, S. P. (2021). Analisis Implementasi Standar Pelayanan Minimal Bidang Kesehatan di Puskesmas Guntur I Kabupaten Demak. STIKES Cendekia Utama Kudus, 8(2), 165–179. https://doi.org/10.31596/jkm.v8i2.681
Author Biographies
Munib Arrohmah, Universitas Diponegoro
Antono Suryoputro, Universitas Diponegoro
Budiyono, Universitas Diponegoro
License
Copyright (c) 2023 Munib Arrohmah, Antono Suryoputro, Budiyono
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with Jurnal Penelitian Pendidikan IPA, agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License (CC-BY License). This license allows authors to use all articles, data sets, graphics, and appendices in data mining applications, search engines, web sites, blogs, and other platforms by providing an appropriate reference. The journal allows the author(s) to hold the copyright without restrictions and will retain publishing rights without restrictions.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Penelitian Pendidikan IPA.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).