Develop the competency of health workers

Oct 13, 2025 by wbrum.org 50 views

Analysis of Differences in the Status of the Accreditation of the Performance of the Essential Public Health Efforts (UKM) at the Medan City Health Center

Introduction

The Community Health Center (Puskesmas) plays a crucial role in the implementation of Essential Community Health Efforts (UKM). However, the achievement of performance in environmental health programs, nutrition programs, as well as disease prevention and control programs (P2P) at Medan City Health Center is not optimal. This refers to the Puskesmas performance appraisal guidelines that show a shortage in the implementation of Essential SMEs. The results of the initial survey revealed that the management of the Puskesmas has not been able to implement the Essential UKM to the maximum, due to the lack of competence of health workers in accordance with the type of SMEs that must be carried out.

The purpose of this study is to identify differences in accreditation status related to the performance of essential SMEs, including health promotion, environmental health, KIA-KB, nutrition programs, and P2P at Medan City Health Center. The method used in this study is mixed-method, which combines a qualitative and quantitative approach. By using a sequential explanatory strategy, the population studied consists of all puskesmas in Medan, of which 39 of them are used as samples. Data analysis is carried out through univariate and bivariate analysis.

Methodology

The mixed-method approach used in this study combines both qualitative and quantitative methods to collect and analyze data. The qualitative approach involves in-depth interviews with health workers and community leaders to gain a deeper understanding of the challenges faced by Puskesmas in implementing Essential SMEs. On the other hand, the quantitative approach involves the use of statistical analysis to identify patterns and relationships between variables.

The population studied consists of all puskesmas in Medan, of which 39 of them are used as samples. The sample size was determined based on the availability of resources and the feasibility of data collection. The data collection process involved the use of questionnaires, interviews, and observations to gather data on the performance of Essential SMEs.

Results

The results of the study showed a significant relationship between the Puskesmas accreditation status and the Environmental Health Program (P = 0.027; 95% CI = 0.894-19,001), Nutrition Program (P = 0.048; 95% CI = 0.633-20.956), and P2P Program (P = 0.022; 95% CI = 0.697-10,465). Meanwhile, health promotion and KIA-KB do not show a significant relationship with the status of the Puskesmas accreditation.

The results of the study suggest that the Puskesmas accreditation status is closely related to the performance of Essential SMEs, particularly in the areas of environmental health, nutrition, and disease prevention and control. The findings of this study have important implications for Puskesmas management in Medan City.

Implications of Findings

The findings of this study have important implications for Puskesmas management in Medan City. It is recommended that Puskesmas management not only focuses on developing the competency of health workers, but also increases the number of health workers in each community service program. The addition of health workers can contribute to better essential SME performance.

Furthermore, cooperation with the Kelurahan/Village Government and religious leaders is also highly recommended to carry out health counseling. This approach will strengthen communication between Puskesmas and the community, so as to increase awareness of the importance of existing health programs. Effective counseling can be a bridge to support the achievement of better public health goals, as well as encouraging active community participation in maintaining health.

With these strategic steps, it is hoped that the accreditation status of the Puskesmas in Medan can increase, so that the performance of essential SMEs becomes more optimal and has a positive impact on overall public health. Increased accreditation will also be an indicator of success in the implementation of sustainable health programs.

Conclusion

In conclusion, the study found a significant relationship between the Puskesmas accreditation status and the performance of Essential SMEs, particularly in the areas of environmental health, nutrition, and disease prevention and control. The findings of this study have important implications for Puskesmas management in Medan City, and highlight the need for Puskesmas management to focus on developing the competency of health workers and increasing the number of health workers in each community service program.

The study also highlights the importance of cooperation with the Kelurahan/Village Government and religious leaders to carry out health counseling, and to strengthen communication between Puskesmas and the community. By implementing these strategic steps, it is hoped that the accreditation status of the Puskesmas in Medan can increase, and the performance of essential SMEs can become more optimal and have a positive impact on overall public health.

Recommendations

Based on the findings of this study, the following recommendations are made:

Develop the competency of health workers: Puskesmas management should focus on developing the competency of health workers, particularly in the areas of environmental health, nutrition, and disease prevention and control.
Increase the number of health workers: Puskesmas management should increase the number of health workers in each community service program, to contribute to better essential SME performance.
Cooperate with the Kelurahan/Village Government and religious leaders: Puskesmas management should cooperate with the Kelurahan/Village Government and religious leaders to carry out health counseling, and to strengthen communication between Puskesmas and the community.
Implement sustainable health programs: Puskesmas management should implement sustainable health programs, and increase the accreditation status of the Puskesmas in Medan, to have a positive impact on overall public health.

By implementing these recommendations, it is hoped that the accreditation status of the Puskesmas in Medan can increase, and the performance of essential SMEs can become more optimal and have a positive impact on overall public health.
Q&A: Analysis of Differences in the Status of the Accreditation of the Performance of the Essential Public Health Efforts (UKM) at the Medan City Health Center

Introduction

Q&A

Q: What is the purpose of this study? A: The purpose of this study is to identify differences in accreditation status related to the performance of essential SMEs, including health promotion, environmental health, KIA-KB, nutrition programs, and P2P at Medan City Health Center.

Q: What method was used in this study? A: The method used in this study is mixed-method, which combines a qualitative and quantitative approach. By using a sequential explanatory strategy, the population studied consists of all puskesmas in Medan, of which 39 of them are used as samples.

Q: What were the results of the study? A: The results of the study showed a significant relationship between the Puskesmas accreditation status and the Environmental Health Program (P = 0.027; 95% CI = 0.894-19,001), Nutrition Program (P = 0.048; 95% CI = 0.633-20.956), and P2P Program (P = 0.022; 95% CI = 0.697-10,465). Meanwhile, health promotion and KIA-KB do not show a significant relationship with the status of the Puskesmas accreditation.

Q: What are the implications of the findings? A: The findings of this study have important implications for Puskesmas management in Medan City. It is recommended that Puskesmas management not only focuses on developing the competency of health workers, but also increases the number of health workers in each community service program. The addition of health workers can contribute to better essential SME performance.

Q: What are the recommendations of the study? A: Based on the findings of this study, the following recommendations are made:

Develop the competency of health workers: Puskesmas management should focus on developing the competency of health workers, particularly in the areas of environmental health, nutrition, and disease prevention and control.
Increase the number of health workers: Puskesmas management should increase the number of health workers in each community service program, to contribute to better essential SME performance.
Cooperate with the Kelurahan/Village Government and religious leaders: Puskesmas management should cooperate with the Kelurahan/Village Government and religious leaders to carry out health counseling, and to strengthen communication between Puskesmas and the community.
Implement sustainable health programs: Puskesmas management should implement sustainable health programs, and increase the accreditation status of the Puskesmas in Medan, to have a positive impact on overall public health.