Analysis of the Implementation of Public Health Services under Primary Care Integration Regulations
DOI:
https://doi.org/10.12928/dpphj.v20i2.17113Keywords:
Primary Care Integration, Puskesmas, Public Health Services, Policy Implementation, PacitanAbstract
Background: Primary Care Integration is a strategic policy in the transformation of Indonesia’s health system that aims to strengthen primary health care through the integration of life-cycle-based services and the strengthening of promotive, preventive, and curative efforts. Although its implementation has been expanded across various primary health care facilities, evidence regarding the factors influencing its success remains dispersed across various studies. This systematic review aims to identify, evaluate, and synthesize evidence regarding the factors influencing the implementation of Primary Care Integration in public health services. Method: The literature search was conducted in Google Scholar and Garuda using a predetermined search strategy based on inclusion and exclusion criteria. The selection and reporting processes followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2021 guidelines. Results: A total of 1,180 articles were identified at the initial stage, and after the screening and eligibility assessment processes, seven articles met the criteria for thematic analysis. The synthesis results identified four main determinants of implementation, namely human resource capacity, availability of facilities and infrastructure, utilization of health information systems, and service governance. The competence of health workers and cadres supports the implementation of screening, area monitoring, and health education, while limitations in technical competence, digital literacy, technological infrastructure, financing, and operational support constitute consistent barriers. Conclusion: Overall, the success of Primary Care Integration implementation depends on the integration of resource capacity, technological and infrastructure support, service governance, cross-sectoral coordination, and the continuity of policy support.
References
Erinaputri N, Listiani R, Pramudyawardani FD, Istanti ND. Peran Puskesmas untuk mencapai Universal Health Coverage di Indonesia: literature review. J Medika Nusantara. 2023;1(2):190-199. doi:10.59680/medika.v1i2.310
Diarti MW, Wiadnya IBR, Zaetun S, Jiwintarum Y. Edukasi dan pelatihan skrining penyakit tidak menular (PTM) melalui pemberdayaan kader dan tenaga kesehatan di Posyandu Prima. Jurnal Pengabdian Masyarakat Sasambo. 2023;5(1):81. doi:10.32807/jpms.v5i1.1444
Widjaja G. Pelayanan kesehatan bagi pasien menurut UU No. 17 Tahun 2023 tentang Kesehatan. Innovative: Journal of Social Science Research. 2023;3(6):2490-2498.
Nuraini I. Analisis implementasi standar pelayanan minimum kesehatan indikator penderita HIV di Puskesmas Banjaran Kota tahun 2023. J Kebijakan Kesehatan Indonesia. 2024;13(3):150-158. doi: https://doi.org/10.22146/jkki.95747
Indriyati L, Wahyudin A, Sulistyowati E. Evaluasi program pilot project transformasi layanan primer di Puskesmas Telaga Bauntung Kabupaten Banjar tahun 2022. J Kebijakan Pembangunan. 2023;18(1):65-80. doi:10.47441/jkp.v18i1.311
Charlina R, Hamid AY, Syafwani M. Pengalaman Perawat Melaksanakan Tugas Pokok Dan Fungsi Perawat Di Upt Puskesmas Panamas Kapubaten Kapuas Tahun 2023 / 2024. Innovative: Journal Of Social Science Research. 2024 Oct 2;4(5):5011–28. doi:10.31004/innovative.v4i5.15597.
Mait TO, Rosyidah R, Sulistyawati S. Evaluasi Kesiapan Promkes dalam Impelementasi Program Integrasi Layanan Primer (ILP) di Puskesmas. Jurnal Penelitian Inovatif. 2025 Jan 21;5(1):133–40. doi:10.54082/jupin.1029.
Saputri KLP, Wirajaya MKM, Laksmini PA. Evaluasi program kerja bidang promosi kesehatan dalam penanganan stunting di UPTD Puskesmas II Dinas Kesehatan Kecamatan Denpasar Timur. Promotif: Jurnal Kesehatan Masyarakat. 2023;13(2):85-94. doi:10.56338/promotif.v13i2.4022
Agustina D, Sopang AS, Deviyanti D, Safitri, Simanullang SM. Analisis faktor yang mempengaruhi efektivitas pelayanan kesehatan di Puskesmas. ARRAZI: Scientific Journal of Health. 2023;1(1):18-26.
Siswati T, Lestari NT, Najmi IIA, Olfah Y, Setiyobroto I, Prayogi AS. Optimalisasi Peran Kader melalui Pelatihan Integrasi Layanan Primer di Kabupaten Sleman. Jurnal Pengabdian Masyarakat Cendikia Jenius. 2025; 30;2(2):119–27. doi:10.70920/pengabmaskes.v2i2.163.
Puspita, N. (2026). Implementasi Integrasi Layanan Primer (Ilp) Pada Pencapaian Program Standar Pelayanan Minimal (Spm) Di Puskesmas Darma Kabupaten Kuningan Tahun 2026 (Doctoral dissertation, Universitas Bhakti Husada Indonesia).
Permana AS, Pratiwi SA, Qodri ZS, Susena E. Sistem informasi pemetaan hasil integrasi layanan primer Poskesdes Sukodono Desa Sukodono Pacitan. Journal of Cyber Health and Computer. 2024; 2(2):1-4. doi:10.18196/jochac.v3i4.1
Rizki D, Dwijosusilo K, Prahmana KA. Inovasi Pelayanan Publik Melalui Program Sikilap (Strategi Menuju Kapuas Sehat dengan Integrasi Layanan Primer): Strategi Menuju Kabupaten Kapuas Sehat: Penelitian. Jurnal Pengabdian Masyarakat dan Riset Pendidikan. 2025; 4(1):2466–72. doi:10.31004/jerkin.v4i1.2004.
Salihin SM, Jusuf H, Mokodompis Y. Analisis lingkup pelayanan klaster ibu dan anak dalam penyelenggaraan integrasi pelayanan primer di Puskesmas Kabila. J Kolaboratif Sains. 2025;8(1):216-223.
Allen LN, Rechel B, Alton D, Pettigrew LM, McKee M, Pinto AD, et al. Integrating public health and primary care: a framework for seamless collaboration. BJGP Open. 8(4):BJGPO.2024.0096. doi:10.3399/BJGPO.2024.0096.
McCuen Dee J, Gell N, van Eeghen C, Littenberg B. Physical therapy for survivors of torture: A scoping review. Torture. 2024;34(1):113–27. doi:10.7146/torture.v34i1.138985.
Amin M, Irawati N, Siagian Y. Peningkatan efisiensi layanan Puskesmas melalui penerapan sistem informasi terpadu. Jurnal Pengabdian Masyarakat Mitra Kreasi Cendekia. 2024;2(1):84-92.
Hardianti S, Budiman, Nadirawati. Kesiapan tenaga kesehatan dalam pelaksanaan Posyandu Prima terintegrasi Perkesmas di Puskesmas Kota Purwakarta. J Educ Dev. 2024;12(3):464-471. doi:10.37081/ed.v12i3.6299
Sukirman I, Asiwisastra J, Santosa P. Pengaruh implementasi integrasi layanan primer terhadap kualitas pelayanan rawat jalan di klaster 3 Puskesmas Tanjungsari Sumedang. J Tata Kelola dan Kebijakan Publik. 2025;1(2).
Setyoningrum, U., & Aryanti, N. (2025). Peningkatan Peranan Kader Kesehatan dalam Pelaksanaan Posyandu Integrasi Layana Primer (ILP) di Dusun Tegalrejo Desa Lerep Kabupaten Semarang. Indonesian Journal of Community Empowerment (IJCE), 7(1), 121-125. doi: https://doi.org/10.35473/ijce.v7i1.4062
Soedirham O. Integrated Services Post (Posyandu) as Sociocultural Approach for Primary Health Care Issue. Kesmas. 2012;7(5):195–8. doi:10.21109/kesmas.v7i5.40.
Sumardilah DS, Indriyani R, Muliani U, Prianto N. Pemberdayaan masyarakat melalui posyandu terintergrasi untuk meningkatkan pelayanan kesehatan primer di Desa Cabang Empat Kecamatan Abung Selatan-Lampung Utara. Community Development Journal : Jurnal Pengabdian Masyarakat. 2024;5(6):10991–9. doi:10.31004/cdj.v5i6.37306.
Dhynianti L, Darmawan ES. Kerjasama pemerintah swasta dalam pemenuhan pelayanan kesehatan primer di Jakarta. 2024:486-501.
Zulfahman, Syafrani S, Kamal Y, Yunita J, Sambudi D. Evaluasi implementasi manajemen Puskesmas terakreditasi utama di Kabupaten Kampar tahun 2020. J Kesehatan Komunitas. 2021;6(3):393-402. doi:10.25311/keskom.vol6.iss3.636
Nasution FS, Gurning FP. Analisis capaian kinerja program upaya kesehatan masyarakat di Puskesmas Binjai Estate Kota Binjai. Jurnal Kesehatan Tambusai. 2024 Sep 20;5(3):9339–49. doi:10.31004/jkt.v5i3.32191.
Lafrense YS, Syahputra CY, Syafitri AN. Strategi pelayanan prima terhadap kepuasan pelanggan di Puskesmas Arjuno. Juremi: Jurnal Riset Ekonomi. 2024 Jul 4;4(1):53–60. doi:10.53625/juremi.v4i1.8026.
Reskidian LO, Anhar VY, Sholikah S, Wartono W. Tantangan dan hambatan pemberdayaan masyarakat dalam pengendalian penyakit tidak menular di daerah semi-perkotaan: sebuah evidence based practice di Padukuhan Samirono, Sleman, Yogyakarta. J Kesmas Jambi. 2020;4(2):43-49. doi:10.22437/jkmj.v4i2.10569
Pomeo WRR, Winarti E. Dinamika implementasi kebijakan penempatan tenaga kesehatan di daerah terpencil: tantangan dan realitas lapangan. Jurnal Kesehatan Tambusai. 2024 Mar 31;5(1):2309–29. doi:10.31004/jkt.v5i1.26883.
Jannah PI, Eliana D, Anindya FL, Trisasri R, Awaludin, Rizki RK. Implementation of the Primary Care Integration Program (ILP) in Efforts to Improve Public Health in Indonesia – Systematic Review. Jurnal Manajemen Pelayanan Kesehatan. 2026 Feb 23;29(00):2–8. doi:10.22146/jmpk.v29i00.25774.
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