Community health centers (Puskesmas), as primary
health facilities, play a strategic role in providing quality, affordable, and
easily accessible health services to the public. The transformation of primary
health services through the integrated primary service (ILP) approach at the
Karangan Community Health Center, East Kutai Regency, aims to provide
integrated services based on the life cycle, from infants to the elderly, by
utilizing competent human resources and supporting information technology. This
study uses qualitative methods, including observation and interviews, to
describe the implementation of ILP-based health services and the factors that
support and inhibit it. Based on the study's results, the implementation of ILP
at the Karangan Community Health Center has run smoothly, with integrated
services and strong cross-cluster coordination. Internal supporting factors include
competent human resources, adequate facilities, and management support;
external supporting factors include policy support, support from the Health
Office, and support from related cross-sectoral partners. However, a limited
number of health workers, differences in staff understanding, and technical
constraints in the information system remain internal inhibiting factors.
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