Analisis Pencapaian SPM Pelayanan Kesehatan Orang dengan Risiko Terinfeksi Virus HIV di Puskesmas Pasar Ujung Batu Kabupaten Padang Lawas

Abstract

HIV/AIDS is a communicable disease that remains a global and national health challenge. The Indonesian government has established various policies, including the implementation of Minimum Service Standards (SPM) in health services for individuals at risk of HIV infection. However, its implementation has not been optimal in various regions, including in Padang Lawas Regency. This study aims to analyze the achievement of SPM in health services for individuals at risk of HIV infection at Pasar Ujung Batu Health Center. This type of research is quantitative with a descriptive approach supported by qualitative data and uses systems theory which includes three components: input, process, and output. Data were collected through in-depth interviews with informants and documentation from the health center and the local health office. The study found that in terms of input, the availability of medical supplies and medicines was adequate according to SPM. However, there were limitations in human resources and a lack of offline training. In the implementation process, several obstacles were identified, such as limited funding leading to the absence of outreach activities to key populations, low community awareness, poor coordination with Non-Governmental Organizations (NGOs) and peer groups, and persistent stigma in the community, resulting in underutilization of services. In terms of output, only 461 people (38%) out of the targeted 1,195 individuals (100%) at risk of HIV received services according to standards in 2024. These findings indicate that the SPM achievement at Pasar Ujung Batu Health Center is still far from the set target. Therefore, efforts are needed to enhance the capacity of health workers, optimize budgeting, conduct offline training, strengthen public education, and foster cross-sectoral support to achieve the national "95-95-95" target in HIV control.