Analisis Implementasi Skrining Kesehatan pada Ibu Hamil dalam Integrasi Layanan Primer di Puskesmas Polonia Kota Medan

Abstract

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are still health problems in Indonesia. One of the government’s efforts to reduce these numbers is through the implementation of health screening for pregnant women in the Primary Service Integration (ILP) program. Screening aims to detect early infectious diseases such as HIV, syphilis, hepatitis B, malaria, and tuberculosis that can endanger pregnancy. This study aims to analyze the implementation of maternal health screening at the Polonia Health Center in Medan City from the aspects of input, process, and output. The type of research used is quantitative descriptive research supported by qualitative data. Data collection methods through in-depth interviews with eight informants, direct observation, and documentation of visit data. The results of the study showed that from the input aspect, the Polonia Health Center has adequate facilities such as a cluster room 2 mother and child, laboratory, and USG equipment, but there are still limitations in terms of the number of health workers and logistics, such as a hepatitis B rapid test. From the process aspect, screening services run according to procedure, but waiting time and queuing systems are the main complaints from patients. The reporting system is also not fully optimal because it still uses a time-limited link. In terms of output, there has been an increase in the number of visits by pregnant women since May 2025, indicating increased participation and awareness of the importance of screening. However, coverage is not yet optimal and requires strengthening of logistics management, human resources, and digital-based reporting systems.