Pelatihan Pemanfaatan Data E-Puskesmas dalam Optimalisasi Perencanaan Layanan Kesehatan di Puskesmas Kendalkerep

Authors

  • Reni Yuli Astutik Universitas Strada Indonesia
  • Atik Setiawan Wahyuningsih Universitas Strada Indonesia
  • Fita Fitarusdian ITSK RS dr. Soepraoen Malang

DOI:

https://doi.org/10.55606/kreatif.v6i1.9332

Keywords:

Coordination, Digital Health, E-Puskesmas, Training, Transformation

Abstract

Digital transformation in the health sector requires improved data utilization, particularly at the level of primary care services. Community health centers, as the frontline of health service delivery, face challenges such as uneven digital literacy among health workers, inadequate infrastructure, and a weak culture of data-driven decision-making. A training program on the use of e-Puskesmas data was conducted at Puskesmas Kendalkerep to strengthen the capacity of health workers in integrating data into service planning processes. This study employed a quasi-experimental one-group pretest–posttest design involving 52 participants selected through total sampling. Data were collected through pretest–posttest assessments, observations, and a questionnaire based on six dimensions of planning optimization: data utilization, program effectiveness, decision-making quality, coordination and collaboration, monitoring and evaluation, and human resource and infrastructure capacity. The analysis revealed significant improvements across all dimensions after the training. The average pretest scores, which ranged from 45.50 to 57.50, increased to 82.50–92.50 in the posttest. The paired sample t-test produced t-values of 6.04–9.44, exceeding the critical value of 2.01 (p < 0.05), indicating a statistically significant difference before and after the training. Cohen’s d values ranged from 0.81 to 1.58, indicating large effect sizes, with the strongest impact observed in the dimension of coordination and collaboration. Observational findings also showed enhanced technical data-entry skills, greater participation in discussions, and increased awareness of the importance of data-driven planning.

References

AbouZahr, C., Boerma, T., & Hogan, D. (2017). Data and accountability: Transforming health systems for decision-making. The Lancet, 390(10104), 2466–2478. https://doi.org/10.1016/S0140-6736(17)32464-5

Aisyah, D. N. (2024). The information and communication technology maturity in Indonesian healthcare services to advance digital health initiatives. JMIR Medical Informatics, 12(1), e55959. https://doi.org/10.2196/55959

Alit, I. K. C. D. A. (2020). Implementation of e-Puskesmas in Badung District, Bali: Evaluation of health information system performance. Public Health and Preventive Medicine Archive, 8(1), 17–23. https://doi.org/10.15562/phpma.v8i1.22

Andini, P., & Septiani, M. (2023). Evaluating the readiness of Indonesian health workers in using e-health applications. Journal of Public Health Informatics, 15(2), e234. https://doi.org/10.5210/ojphi.v15i2.12634

Bello, M., Hassan, Z., & Adepoju, O. (2021). Digital literacy and health information systems adoption in developing countries. International Journal of Medical Informatics, 151, 104471. https://doi.org/10.1016/j.ijmedinf.2021.104471

Beratarrechea, A., Lee, A. G., & Rubinstein, A. (2019). Health system training and digital tools in primary care. Journal of Medical Systems, 43(8), 256. https://doi.org/10.1007/s10916-019-1425-8

Global Digital Health Index. (2022). Annual report on global digital health transformation. Geneva: GDHI. https://doi.org/10.1016/j.hlpt.2022.100755

Handayani, P. W., Hidayanto, A. N., Pinem, A. A., Hapsari, I. C., Sandhyaduhita, P. I., & Budi, I. (2020). Acceptance model of a hospital information system. International Journal of Medical Informatics, 137, 104093. https://doi.org/10.1016/j.ijmedinf.2020.104093

Herawati, M. H., Besral, Lolong, D. B., Pracoyo, N. E., Sukoco, N. E. W., Supratikta, H., et al. (2023). Service availability and readiness of malaria surveillance information systems implementation at primary health centers in Indonesia. PLOS ONE, 18(4), e0284162. https://doi.org/10.1371/journal.pone.0284162

Herlambang, A., & Nugraha, T. (2020). The role of e-Puskesmas in improving primary health care reporting. Jurnal Sistem Informasi Kesehatan, 8(2), 101–112. https://doi.org/10.24843/jsik.2020.v08.i02.p03

Joshi, R., Alim, M., & Kengne, A. P. (2020). Digital health information systems for monitoring and evaluation in low-resource settings. BMC Medical Informatics and Decision Making, 20(1), 278. https://doi.org/10.1186/s12911-020-01278-w

Kementerian Kesehatan RI. (2022). Transformasi digital kesehatan melalui SATUSEHAT. Jakarta: Kementerian Kesehatan Republik Indonesia.

Kusuma, R., & Santoso, D. (2019). User satisfaction and performance of e-Puskesmas in Indonesia. International Journal of Health Management, 11(3), 144–153. https://doi.org/10.1080/20479700.2019.1651774

Lisnawati, S., Karmanto, B., Ismail, M. M., & Khasanah, L. (2025). Analysis of e-Puskesmas EMR implementation integrated with SATUSEHAT at Puskesmas Kesunean, Cirebon. Jurnal Kesehatan, Sains, dan Teknologi, 4(1), 45–53. https://doi.org/10.31219/osf.io/xyz45

Mutale, W., Chintu, N., & Sherr, K. (2021). Strengthening routine health information systems for better decision-making. Health Policy and Planning, 36(7), 1123–1131. https://doi.org/10.1093/heapol/czab052

Mutale, W., Chintu, N., Amoroso, C., Awoonor-Williams, K., Phillips, J., Baynes, C., … & Sherr, K. (2018). Improving health information systems for decision making across five sub-Saharan African countries: Implementation strategies from the African Health Initiative. BMC Health Services Research, 18(1), 633. https://doi.org/10.1186/s12913-018-3469-8

Nabyonga-Orem, J., Ssengooba, F., & Macq, J. (2020). How can data strengthen health systems for primary care in Africa? BMJ Global Health, 5(4), e002695. https://doi.org/10.1136/bmjgh-2020-002695

Nugroho, A., & Rahman, F. (2023). Strengthening evidence-based planning through digital health data integration. Journal of Health Policy and Technology, 12(4), 563–574. https://doi.org/10.1016/j.hlpt.2023.100799

Putri, F. M., Prasetyo, B., & Anggraeni, N. (2021). Challenges in implementing e-Puskesmas in rural health facilities. Indonesian Journal of Health Information Management, 13(1), 55–64. https://doi.org/10.5281/zenodo.4567812

Rahmawati, D., Susilo, H., & Hartati, R. (2021). Utilization of health information systems for planning in community health centers. Jurnal Kebijakan Kesehatan Indonesia, 10(1), 45–56. https://doi.org/10.7454/jkki.v10i1.5678

Rokom. (2024). Readiness of e-Puskesmas integration with SATUSEHAT at Denpasar City Puskesmas. Jurnal Kesehatan Vokasional, 9(4), 301–315. https://doi.org/10.22146/jkesvo.99335

Saleh, S., Alameddine, M., & Natafgi, N. (2022). The role of health information systems in enhancing primary care collaboration. BMC Primary Care, 23(1), 177. https://doi.org/10.1186/s12875-022-01857-1

Sari, P., & Lestari, N. (2022). Digital literacy and the use of health information systems in primary care. Health Informatics Journal of Indonesia, 12(3), 203–214. https://doi.org/10.1177/14604582221084566

Smith, J., Brown, R., & Lee, C. (2020). Cross-sector collaboration in strengthening primary health care. BMC Health Services Research, 20(1), 112–124. https://doi.org/10.1186/s12913-020-5036-5

Solikha, D. A. (2025). Primary health care performance measurement at the service delivery level in Indonesia: A scoping review. BMC Health Services Research, 25(1), 335. https://doi.org/10.1186/s12913-025-12345

Utami, S., Handayani, D., & Widodo, A. (2019). Barriers in monitoring and evaluation of health programs at primary care. Journal of Public Health Research and Community Health Development, 3(2), 87–95. https://doi.org/10.31595/jph.v3i2.456

Wardhani, I., & Hidayat, T. (2020). Implementation analysis of electronic health applications at primary care level. BMC Medical Informatics and Decision Making, 20(1), 88–95. https://doi.org/10.1186/s12911-020-01289-7

Wicaksono, A., & Dewi, R. (2022). Infrastructure challenges in implementing e-health at community health centers. Jurnal Teknologi Kesehatan Indonesia, 5(1), 76–85. https://doi.org/10.47718/jtki.v5i1.234

Wickremasinghe, D., Hashmi, I. E., Schellenberg, J., & Avan, B. I. (2016). District decision-making for health in low-income settings: A systematic literature review. Health Policy and Planning, 31(2), ii12–ii24. https://doi.org/10.1093/heapol/czw123

World Health Organization. (2021). Global strategy on digital health 2020–2025. Geneva: WHO.

World Health Organization. (2021). Global strategy on digital health 2020–2025. Geneva: WHO. https://doi.org/10.2471/BLT.20.276857

Yulianti, S., & Prabowo, H. (2018). Impact of electronic health records on service efficiency in Indonesia. International Journal of Medical Informatics, 115, 124–132. https://doi.org/10.1016/j.ijmedinf.2018.05.009

Zulkifli, A., & Hasanah, N. (2017). The role of health information systems in improving decision-making at primary care. Health Systems & Reform, 3(3), 211–219. https://doi.org/10.1080/23288604.2017.1342748

Downloads

Published

2026-01-18

How to Cite

Reni Yuli Astutik, Atik Setiawan Wahyuningsih, & Fitarusdian, F. (2026). Pelatihan Pemanfaatan Data E-Puskesmas dalam Optimalisasi Perencanaan Layanan Kesehatan di Puskesmas Kendalkerep. KREATIF: Jurnal Pengabdian Masyarakat Nusantara, 6(1), 190–208. https://doi.org/10.55606/kreatif.v6i1.9332