Addition of Human Resources

Oct 13, 2025 by wbrum.org 23 views

Analysis of the Value Chain of Tuberculosis Health Services at Medan Johor Health Center in 2018

Introduction

Tuberculosis (TB) is a significant public health concern in many parts of the world, including Indonesia. In 2017, Medan Johor Health Center recorded a striking number of TB cases, ranking second highest in Medan with 1,025 suspected cases. This study aims to analyze the quality of TB health services at Medan Johor Health Center from the perspective of patients, TB officers, and the Medan City Health Office. The study focuses on the value chain of TB health services, which is divided into two main categories: Service Providing Services and Service Support Activities.

Background

Medan Johor Health Center is a primary healthcare facility that provides essential health services to the community. In 2017, the center recorded a significant number of TB cases, with 539 (52.7%) cases in Pangkalan Mashyur Village, 290 (28.3%) in Kwala Bekala Village, and 196 (19%) in the Johor Gedung Village. This study aims to identify the strengths and weaknesses of the TB health services provided by Medan Johor Health Center and to provide recommendations for improvement.

Methodology

This study used an in-depth interview and observation method to collect data from 11 informants relating to TB problems at Medan Johor Health Center. The informants included patients, TB officers, and health officials from the Medan City Health Office.

Tuberculosis Health Services Quality

The results of this study showed that each variable analyzed produced a positive assessment from the informants, indicating that the quality of TB health services at Medan Johor Health Center was at a fairly good level. However, this research also identifies several deficiencies that need to be overcome, especially in terms of human resources and physical conditions of the Puskesmas facilities.

The Importance of Human Resources in Health Services

The existence of adequate human resources is very crucial in supporting the quality of health services. In the context of Medan Johor Health Center, TB analyst deficiencies can inhibit the patient handling process, ranging from initial detection to effective treatment. In addition, the physical condition of the Puskesmas that is less than optimal also needs to be considered. Adequate facilities and a clean and comfortable environment are very influential on patient satisfaction and health.

The Value Chain of Tuberculosis Health Services

The value chain of TB health services is divided into two main categories: Service Providing Services and Service Support Activities. Service delivery activities include three phases: before service, during service, and after service. Meanwhile, supporting activities are divided into organizational culture, organizational structure, and strategic resources.

Service Providing Services

Service delivery activities include three phases:

Before Service: This phase includes activities such as patient registration, medical history taking, and laboratory tests.
During Service: This phase includes activities such as diagnosis, treatment planning, and medication administration.
After Service: This phase includes activities such as follow-up appointments, laboratory test results, and patient education.

Service Support Activities

Service support activities include:

Organizational Culture: This refers to the values, norms, and beliefs that shape the behavior of healthcare providers.
Organizational Structure: This refers to the formal and informal relationships between healthcare providers and the way they are organized to deliver services.
Strategic Resources: This refers to the resources required to deliver services, including human resources, facilities, and equipment.

Recommendations for Medan Johor Health Center

Based on this analysis, some important recommendations for Medan Johor Health Center include:

Addition of Human Resources: Propose the addition of health workers, especially TB analysts, to increase the capacity and quality of service.
Improvement of Facilities: Improving the physical condition of the Puskesmas, including a better service room and supporting facilities.
Development of Organizational Culture: Developing a positive and supportive organizational culture that values patient-centered care and teamwork.
Strengthening of Organizational Structure: Strengthening the formal and informal relationships between healthcare providers and improving the way they are organized to deliver services.
Enhancement of Strategic Resources: Enhancing the resources required to deliver services, including human resources, facilities, and equipment.

Conclusion

This study aims to analyze the quality of TB health services at Medan Johor Health Center from the perspective of patients, TB officers, and the Medan City Health Office. The study focuses on the value chain of TB health services, which is divided into two main categories: Service Providing Services and Service Support Activities. The results of this study showed that each variable analyzed produced a positive assessment from the informants, indicating that the quality of TB health services at Medan Johor Health Center was at a fairly good level. However, this research also identifies several deficiencies that need to be overcome, especially in terms of human resources and physical conditions of the Puskesmas facilities. Based on this analysis, some important recommendations for Medan Johor Health Center include the addition of human resources, improvement of facilities, development of organizational culture, strengthening of organizational structure, and enhancement of strategic resources.
Frequently Asked Questions (FAQs) about Tuberculosis Health Services at Medan Johor Health Center

Q: What is the current situation of Tuberculosis (TB) cases in Medan Johor Health Center?

A: In 2017, Medan Johor Health Center recorded a striking number of TB cases, ranking second highest in Medan with 1,025 suspected cases. Of these, 539 (52.7%) cases are in Pangkalan Mashyur Village, 290 (28.3%) in Kwala Bekala Village, and 196 (19%) in the Johor Gedung Village.

Q: What are the main challenges faced by Medan Johor Health Center in providing TB health services?

A: The main challenges faced by Medan Johor Health Center in providing TB health services include:

Limited human resources, particularly TB analysts
Poor physical conditions of the Puskesmas facilities
Inadequate organizational culture and structure
Insufficient strategic resources

Q: What are the recommendations for improving the quality of TB health services at Medan Johor Health Center?

A: Based on this analysis, some important recommendations for Medan Johor Health Center include:

Addition of Human Resources: Propose the addition of health workers, especially TB analysts, to increase the capacity and quality of service.
Improvement of Facilities: Improving the physical condition of the Puskesmas, including a better service room and supporting facilities.
Development of Organizational Culture: Developing a positive and supportive organizational culture that values patient-centered care and teamwork.
Strengthening of Organizational Structure: Strengthening the formal and informal relationships between healthcare providers and improving the way they are organized to deliver services.
Enhancement of Strategic Resources: Enhancing the resources required to deliver services, including human resources, facilities, and equipment.

Q: How can the community contribute to improving the quality of TB health services at Medan Johor Health Center?

A: The community can contribute to improving the quality of TB health services at Medan Johor Health Center by:

Providing support and resources for the health center
Participating in health education and awareness programs
Encouraging and supporting patients to seek medical attention
Providing feedback and suggestions for improving the health center's services

Q: What are the benefits of improving the quality of TB health services at Medan Johor Health Center?

A: Improving the quality of TB health services at Medan Johor Health Center can bring numerous benefits, including:

Reduced morbidity and mortality rates due to TB
Improved patient satisfaction and outcomes
Enhanced reputation and credibility of the health center
Increased access to quality healthcare services for the community

Q: How can the health center ensure that the recommendations are implemented effectively?

A: The health center can ensure that the recommendations are implemented effectively by:

Establishing a clear plan and timeline for implementation
Assigning a team leader to oversee the implementation process
Providing training and support for healthcare providers
Monitoring and evaluating the progress of implementation
Making adjustments as needed to ensure successful implementation.