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VOL. 2, ISSUE 1 (2026)
Provision of health services based on primary service integration
Authors
Rinci Nekawati, Sri Hartini Jatmikowati, Roos Widjajani
Abstract

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.

In contrast, lack of understanding and socialization to the community are external inhibiting factors. This study concludes that strengthening human resource capacity, optimizing information technology, improving facilities, and implementing data-based performance evaluation are important steps toward improving the effectiveness, efficiency, and quality of primary health services at the Community Health Center. Based on the research results, several recommendations for ILP program implementers include the need for more innovative and engaging outreach to increase public understanding of the services available at community health centers. It is necessary to strengthen health workers' capacity through ongoing training and to conduct routine monitoring and evaluation of the ILP program's implementation.
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Pages:86-92
How to cite this article:
Rinci Nekawati, Sri Hartini Jatmikowati, Roos Widjajani "Provision of health services based on primary service integration". International Journal of Research in All Subject, Vol 2, Issue 1, 2026, Pages 86-92
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