Syntax Literate: Jurnal Ilmiah Indonesia p�ISSN:
2541-0849
e-ISSN: 2548-1398
Vol.
6, Special Issue No. 2, Desember 2021
STUDY OF HEALTH CARE STRATEGY DURING THE
COVID-19 PANDEMIC (Case Study at Puskesmas Purwodadi I Grobogan Regency)
Pratiwi Tedjo, Munawar
Noor
Universitas 17 Agustus 1945 Semarang, Semarang, Indonesia
Email: [email protected], [email protected]
Abstract
The Physical Distancing and Work From Homr (WFH) policy is accountable to all areas including
public services. The policy aims to trigger the eyes of the spread of this
outbreak. Based on this, what was done in this study was a study on health care
strategies during the Covid-19 pandemic in Purwodadi 1 Health Center, Grobogan
regency. The purpose of the study was to find out what Health Care Strategy was
developed by Purwodadi I health center during the Covid-19 pandemic. This
assessment method is a descriptive method with a qualitative approach by using
strength analysis, weaknesses, opportunity, thearth (SWOT). Data collection uses
observations, in-depth interviews with established informants. The results of
the study concluded that the health care strategy carried out by Puskesmas
Purwodadi I has utilized the weaknesses that have been to capture better
service opportunities as well as existing weaknesses facing challenges in
health services during the Covid-19 Pandemic. The recommendation of the study
results is cooperation between health centers, sub-districts, village heads,
community leaders, to build public awareness is maintained. It needs to be
developed by building collaboration between puskesmas (Government) with the
Business World and Educational Institutions to develop open innovation in
public services.
Keywords: Service Strategy; Health Center;
Health; Covid-19
Received: 2021-11-20;
Accepted: 2021-12-05; Published: 2021-12-10
Introducing
Ideas
At the end of 2019, the entire world was shocked by the emergence of
Coronavirus or Servere Acurate Repiratory Syndrome Coronavirus 2 (SARS-CoV-2)
as Covid-19. The Covid-19 virus has an impact on all aspects of people's lives,
especially health aspects. Since Indonesian President Joko Widodo first
confirmed that Indonesia was positive for Covid-19 on March 2, 2020, Indonesia
has adopted measures or strategies to act quickly because efforts to prevent
the Covid-19 virus have not More and more common. Physical Distancing and Work
From Home (WFH) policy is accountable to all institutional activities of
government and business institutions.
Public service is the COR
government agency in the health field, with the Public Health Center
(Puskesmas) as the pioneer in health services and the pioneer in breaking the
Covid-19 transmission chain. Puskesmas which has a sub-district work area make
various efforts in handling the prevention and restriction of Covid-19
transmission, among others, providing hand washing, handsaniteiser, masks and
strict health protocols (Agustur Interview 2021).
Although currently handling covid-19 is a priority, but that does not mean it can leave other services that are the function of health centers, namely carrying out public health efforts (SMEs) and individual health efforts (UKP) at the first level as stipulated in Decree No. 43 of 2019 on Health Centers. The reason is that based on HL Bloom's theory, health is affected by 4 interrelated factors, namely environment 40%, health behavior 30%, health service 20%, and genetics 10% (Ira Nur Rofika, 2018). Among these four factors, behavior and environment have a great influence, while the behavior of the community itself has a great influence. Puskesmas continues to make healthy living community movements (Germas) in creating a culture of healthy living by conducting detection and response interventions implemented in an integrated manner in providing other health services during the Covid-19 pandemic. The focus of handling the Covid-19 pandemic not only rests on handling cases, but needs to be done voluntarily and obediently to carry out government advice to use masks, diligently wash hands with soap and running water and stay at home.
In the service activities of Purwodadi I Health Center, many
obstacles were encountered during the service during the Covid-19 pandemic,
such as the lack of sanitation facilities in Puskesmas, many patients
complained, it was difficult to follow the rules, and tended to be casual and
underestimated. Do not listen to doctors and sanitation work. Suggestions.
Puskesmas's Covid-19 case service and other services are
conducted in an integrated manner, because there are still basic/main services
that must be provided to the community, such as pregnant women check-ups, child
immunizations, child development monitoring, etc.
Puskesmas Purwodadi I is the technical implementation unit of
Grobogan Regency Health Office (UPTD). It is responsible for organizing the
healthy development of its area. As the first-tier health service center, it
implements first-class health service activities as a whole, integrating and
continuously covering private and public goods service. In addition, the
mandatory health tasks that must be completed are (basic six items) namely:
1. Health promotion efforts
2. Environmental health
efforts
3. Maternal and child health
efforts and family planning
4. Efforts to improve
community nutrition
5. Efforts to prevent and
eradicate infectious diseases
6. Treatment efforts.
In order not to occur inequality in community services
carried out by health centers, the Ministry of Health sets a Minimum Service
Standard (SPM) through the Regulation of the Minister of Health no. 741 /
MENKES / PER / 2008 on minimum service standards in the health sector in the
Regency / City. This service standard is a standard with certain limits to
measure the performance of the implementation of regional mandatory authority
related to basic services to the community that includes types of services,
indicators and values including:
1. Basic health services.
2. Referral health services.
3. Health care in disaster situations.
4. Environmental health coaching and basic situations.
5. Health promotion.
Types of public health service in accordance with SPM health
include: Registration counter service, general poly service, dental and oral
health services, maternal and child health services. Health care for pregnant
women. Nutritional health and immunization services. Administrative services
(TU). Dispensary service and cashier. �Emergency
services.
The problem in this study is how the Purwodadi I Health
Center service strategy in public health services in the mass of the Covid-19
Pandemic.
Research Methods
This institutional study uses descriptive
methods with qualitative approaches. That is by describing all the facts
followed by the stage of analysis (Ratna, 2009). The object of the study can be
expressed as a social situation of study that wants to know what is happening
in it. The reviewers looked closely at the activities and strategies of health
services during the Covid-19 pandemic at Purwodadi I Health Center, Grobogan
regency.
Collect data through observations,
in-depth interviews and documentation, assisted by students who are members of
the Administrative SelectOr Capita Group (KSA) for 2 (two) weeks. The data
analysis technique used in this assessment is to use SWOT analysis techniques
(Strenghts, Weakness, Opportunities and Threaths) The goal is to find important
aspects of strength, opportunity (external aspects), and find a strategy of
umpteenth service strategy at Puskesmas Purwodadi I Grobogan Regency that is
innovative in the future.
Study
Results
Power Factor
a. Health
Services during the Covid-19 pandemic at Purwodadi Health Center 1 provision of
First Level Health Facilities (FKTP) in the Covid-19 pandemic
b. Inventing,
detecting and responding to Covid-19 in the prevention and control of Covid-19
to control the number of cases.
c. Utilize the
resources at its disposal effectively and efficiently in breaking the chain of
transmission, both at the level of individuals, families and communities.
Weakness Factors
a. The concern
of the wider community to come check themselves into health facilities (faskes)
for fear of contracting Covid-19.
b. Proper, fast
and complete health information is not yet understood by people who need health
services in health centers.
c. Requires
adaptation of health services since the Covid-19 Pandemic, because Puskesmas is
the vanguard in serving public health in its region.
Opportunity Factor
a. Tightening
health protocols by affirming to the public who come to the Health Center, if
not using a mask will not be served.
b. Carry out
preventive activities for people who come to puskesemas by checking whether they
have symptoms of Covid-19 or not
Challenge Factor
a. Lack of
Puskesmas facilities for all services both public services and special services
covid-19
b. Lack of
public awareness to adhere to health protocols, and underestimate the impact of
covod-19 and reluctant to adhere to health protocols
c. Lack of
health workers who have skills related to covid-19
d. Providing
education to the public to be avoided from Covid-19 through social media, door
to door (results of interviews with informants, observations, August 26-31, 2021)
SWOT
Analysis
The SWOT analysis based on The
Concept of David (1993) analysis is based on
strength-weakness-opportunity-threat. SWOT analysis helps in the final
conclusion of the assessment using the Internal Factor Evaluation (IFE) matrix
covering strengths and weaknesses, and the External Factor Evaluation (EFE)
matrix includes opportunities and challenges.
The SWOT matrix shows eight squares,
that is, the two boxes on the left represent external factors (opportunities
and threats), the two boxes on the top represent internal factors (strengths
and weaknesses), and the other four boxes represent strategic issues. Meeting.
Between external factors and internal factors. According to the research of
Setiawan Hari Purnomo and Zulkieflimansyah (1999), based on the results of SWOT
analysis, there are four alternative strategies, namely SO, WO, ST and WT
strategies.
Alternative strategies are the result
of swot analysis matrix that results in so, WO, ST and WT strategies.
Alternative strategies are produced at least 4 pieces of strategy as a result
of SWOT matrix analysis. The resulting strategy (Summary, 2011) is as
follows:�
a. Therefore,
the strategy is based on the way the mind uses all its power to seize and
exploit opportunities as much as possible.
b. Saint. This
strategy is a strategy that uses the power you must overcome the threat.
c. WO Strategy
The application of this strategy is based on taking advantage of existing
opportunities by minimizing existing weaknesses.
d. WT strategy
This strategy is based on business activities aimed at minimizing the existing
weaknesses and avoiding threats.
SWOT Analysis Stepsng
(Purwanto, 2006) to analyze SWOT
leaders (managers) using 4 (four) strategic steps, namely:
a. So
(Strengths-Opportunities) strategy is a strategy used by utilizing or
optimizing the power you have to take advantage of various opportunities.
b. WO
(Weaknesses-Opportunities) strategy is a strategy that is used as optimally as
possible to minimize existing weaknesses in order to take advantage of various
opportunities.
c. Strengths-Threats
are strategies used by harnessing or optimizing forces to reduce threats.
d. WT
(Weaknesses-Threats) strategy is a strategy used to reduce weaknesses in order
to minimize or avoid threats.
SWOT Matrix
Based on the
swot analysis pattern above can be described the results of the analysis that
can be described in the matrix as follows:
|
SWOT |
STRENGTHS |
WEAKNESES |
|
1. Purwodadi
Health Center's health services during the Covid-19 pandemic 1 provision of
First Level Health Facilities (FKTP) in the Covid-19 pandemic 2. Perform
invention, detection and response in the prevention and control of Covid-19
to control the number of cases. 3. Utilize
the resources at its disposal effectively and efficiently in breaking the
chain of transmission, both at the individual, family and community levels. |
1. The
concern of the wider community to come check themselves into health
facilities (faskes) for fear of contracting Covid-19. 2. Proper,
fast and complete health information is not yet understood by people who need
health services in health centers 3. Since
the Covid-19 pandemic, health services need to be adjusted, because Puskesmas
is a pioneer in serving public health in the area. |
|
OPPORTUNITIES |
STRATEGI SO |
STRATEGI WO |
|
1. The district government provides assistance in
services in the midst of the Covid-19 pandemic. 2. Health service assists services at Puskesmas. 3. People can understand the health protocols
implemented since the beginning of the Covid-19 pandemic. |
1. Build
cooperation between Health Centers, Subdistricts, Village Heads, community
leaders, to build public awareness. 2. Inform the
Health Protocol Procedures to the public through meetings, put up banners,
billboards etc. . |
1. Improving
the quality of officers in the process of licensing to the community. 2. Add
facilities of service with renovation of buildings to facilitate health
services 3. Emphasize
the use of double masks for officers and the public who come to the Health
Center. |
|
THREATS |
STRATEGI ST |
STRTEGI WT |
|
1. 1. The danger of spreading the Covid-19 virus. 2. 2. Low public interest in following government policy on covid-19 3. 3. Low level of public education.to understand various policies related to covid-19. |
1. Conduct regular coaching about the dangers of Covid-19 so that the community more adheres to the praturan health protocol. 2. Improve health care procedures with strict health protocols. |
1. Provide guidance to the people who come to the Health Center, to comply with the health regulations applied. 2. Reminding the public to maintain health protocols through social media, banners, billboards etc. |
Based on the
results of swot analysis in the matrix above can be explained the strategy
carried out by Puskesmas Purwodadi I in health services during the Covid-19 Pandemic
as follows:
1.
Strenght-Opportunitis Strategy (SO)
a.
��Building
cooperation between Health Centers, Subdistricts, Village Heads, community
leaders, to build public awareness.
b.
��Informing the
Health Protocol Procedures to the public through meetings, putting up banners,
billboards etc.
2. Weeknees-Opportunities
Strategy (WO)
a. ��Improving the quality of officers in the
process of dissing to the community.
b. ��Add facilities of service with building
renovations to facilitate health services
c. ��Emphasize the use of double masks for
officers and the public who come to the Health Center.
3. Strenght-
Threats Strategy (ST)
a. ��Conducting regular coaching about the dangers
of Covid-19 so that the community more adheres to the praturan health protocol.
b. ��Improve health care procedures with strict
health protocols.
4. Weakneses-Threats
Strategy (WT)
a. ��Giving a briefing to the people who come to
the Health Center, to obey the health regulations applied.
b. ��Reminding the public to maintain health
protocols through social media, banners, billboards etc.
Conclusion
Health care strategy carried out by Puskesmas Purwodadi I has
taken advantage of the weaknesses that have to capture better service
opportunities by:
a. Improving the quality of
officers in the process of dissing to the community.
b. Add facilities of service
with building renovations to facilitate health services.
c. Emphasize the use of
double masks for officers and the public who come to the Health Center.
Likewise, there are weaknesses that face challenges in health
services during the Covid-19 Pandemic by:
a. Giving a briefing to the
people who come to the Health Center, to obey the health regulations applied.
b. Reminding the public to
maintain health protocols through social media, banners, billboards etc.
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Copyright holder: Pratiwi Tedjo, Munawar Noor (2021) |
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