Evaluation of Health Services System Process Based on Island Clusters (Case Study in Tanimbar Island District)

Abstract

The Cluster Center in the island cluster strategy is a health facility that provides primary and secondary
health efforts that oversee several sub-groups and/or satellite groups within an island group. The purpose
of this study was to determine the process of the island cluster-based health service system in the Tanimbar
Islands Regency. This type of research is qualitative research. There were 8 informants in this study, namely
the head of health Office, and 7 Head of Public Health Center in the southern cluster of the Tanimbar
Islands. Source of informants determined intentionally (purposive). The results showed that the planning
process was still carried out by each health facility that was not following island cluster-based services.
The organization is carried out by the head of the Public Health Center by monitoring the implementation
including preparation and setting of strategies and evaluating the achievement of targets. The implementation
of island cluster-based health services is divided into 2 systems, namely case referral and program referral. In
the implementation of health services not yet running optimally. Supervision consists of internal supervision
and off-site supervision conducted every three months. The evaluation was carried out to see the problems
faced by the Public Health Center to be immediately handled, the evaluation showed several programs had
not been implemented 100%.