Evaluasi Pasca Pelatihan Pada Pelatihan Penugasan Khusus Tenaga Kesehatan Berbasis Tim (Tugsus) di Puskesmas Tahun 2024: Post-Training Evaluation of Team-Based Special Assignment (Tugsus) at Primary Health Centers in 2024

Fauzi Rahman; Ani Anisah; Kania Prameswari

doi:10.35706/pc.v6i2.13250

Authors

Fauzi Rahman Balai Besar Pelatihan Kesehatan Ciloto, Kementerian Kesehatan
Ani Anisah Balai Besar Pelatihan Kesehatan Ciloto, Kementerian Kesehatan
Kania Prameswari Balai Besar Pelatihan Kesehatan Ciloto, Kementerian Kesehatan

DOI:

https://doi.org/10.35706/pc.v6i2.13250

Keywords:

Post-Training Evaluation, Team-Based Special Assignment, Primary Health Center

Abstract

Indonesia faces significant challenges with the uneven distribution of human resources for health (HRH), especially in Disadvantaged, Border, and Outermost Areas (DTPK). To address this, the Ministry of Health launched the Team-Based Special Assignment (Tugsus) program, supported by targeted training for health workers. This study aimed to evaluate the implementation of this training after its completion, focusing on the relevance of the training materials, their application in the field, and the impact of Tugsus teams on the performance of Primary Health Centers (PuskesmasThis study employed a cross-sectional evaluation design conducted in a single data collection phase. The approach used was a mixed method, combining qualitative and quantitative approaches, the study was conducted from April 28 to May 07, 2025. Data were gathered via online questionnaires 188 of 240 program alumni (Batches 27-29), 33 supervisors, and 59 colleagues. Results indicate that the training materials are highly suitable (average 91. 31%) for practical needs and are widely applied (average 94. 33%). The highest application rates are seen in soft skills, such as Coaching (98. 40%), and routine activities, like Posyandu (99. 47%). In contrast, application of systemic topics, such as Accreditation (85.64%), is somewhat lower. The presence of Tugsus teams shows a significant positive effect, mainly by filling critical HRH gaps. However, a gap remains between the ideal concepts taught during training and the realities faced in the field, primarily due to structural barriers like limited local HR and facilities. The evaluation results show that this training provides participants with relevant competencies, but to enhance the program's future impact, there should be a focus on strengthening the capacity of the Puskesmas system to adopt innovations, rather than solely emphasizing individual competencies.

Keywords: Post-Training evaluation; Team-Based special assignment; Primary health center.

Downloads

Download data is not yet available.

References

Pemerintahan Republik Indonesia. (2009). Undang-Undang Nomor 36 Tahun 2009 Pasal 16 Tentang Kesehatan. Jakarta: Pemerintah Republik Indonesia.

Utomo, A. P., & Tehupeiory, K. P. (2014). Evaluasi Pelatihan dengan Metode Kirkpatrick Analysis. Jurnal Telematika, 9(2).

Aryanti, T., Supriyono, & Ishaq, M. (2015). Evaluasi Program Pendidikan dan Pelatihan. Jurnal Pendidikan Nonformal, 10(1), 1–13.

Rusmulyani, K. (2015). Kajian Evaluasi Pasca-Pendidikan Dan Pelatihan Kepemimpinan Tingkat III Pada Badan Diklat Provinsi Bali. Jurnal Wacana Kinerja, 18(2), 262.

Widyastuti, U., & Purwana ES, D. (2015). Evaluasi Pelatihan (Training) Level II Berdasarkan Teori The Four Levels Kirkpatrick. Jurnal Pendidikan Ekonomi dan Bisnis, 3(2). https://doi.org/10.21009/JPEB.003.2.1.

Nuraini, E., Hermawan, A., Hubeis, A. V., & Panjaitan, N. K. (2016). Kajian Evaluasi Pelatihan Program Pengembangan Manajemen. Jurnal Aplikasi Manajemen (JAM), 14(2). https://doi.org/10.18202/jam23026332.14.2.07.

World Health Organization. (2016). Global strategy on human resources for health: Workforce 2030. World Health Organization.

Efendi, F., Chen, Y. C., Kurniati, A., & Berliana, S. M. (2017). Retention of health workers in rural and remote areas in Indonesia: A systematic review. International Journal of Nursing Studies, 75, 48–55.

Mahendradhata, Y., Trisnantoro, L., Listyadewi, S., Soewondo, P., Marthias, T., Harimurti, P., & Prawira, J. (2017). The Republic of Indonesia health system review. World Health Organization.

Kementerian Kesehatan. (2018). Peraturan Menteri Kesehatan Republik Indonesia Nomor 33 Tahun 2018 Tentang Penugasan Khusus Tenaga Kesehatan dalam Mendukung Program Nusantara Sehat. Jakarta: Kementerian Kesehatan Republik Indonesia.

Nurhayati, Y. (2018). Penerapan Model Kirkpatrick Untuk Evaluasi Program Diklat Teknis Subtantif Materi Perencanaan Pembelajaran Di Wilayah Kerja Provinsi Kepulauan Riau. Andragogi Jurnal Diklat Teknis, VI(2), 77.

Rinaldo. (2018). Penguasaan Pendekatan Model Evaluasi Kirkpatrick dalam Mengevaluasi Pasca Diklat Kepemimpinan di Pusdiklat BPS Jakarta. Jurnal Medika, 04(01).

Suprapti, S., Hariyanto, T., Jaya, A. P., & Widyaningrum, K. (2018). Sistem Evaluasi Pasca Pelatihan di Rumah Sakit X Malang. Jurnal Dinamika Manajemen dan Bisnis, 1(2). https://doi.org/10.21009/JDMB.01.2.10.

Ritonga, R., Saepudin, A., & Wahyudin, U. (2019). Penerapan Model Evaluasi Kirkpatrick Empat Level Dalam Mengevaluasi Program Diklat Di Balai Besar Pelatihan Pertanian (Bbpp) Lembang. Jurnal Pendidikan Nonformal, 14(1), 12.

Akhmadi, A. (2020). Evaluasi Pelatihan Jarak Jauh dimasa Pandemi. Inovasi-Jurnal Diklat Keagamaan, 14(2), 136–144.

Fauzi, A. (2020). Evaluasi Pascapelatihan pada Kelompok Tani Hutan Pemegang Izin Perhutanan Sosial di Jawa Barat dan Jawa Tengah Tahun 2019. Agrokreatif Jurnal Ilmiah Pengabdian kepada Masyarakat, 6(3), 289-296.

Kementerian Kesehatan. (2020). Rencana Strategis Kementerian Kesehatan Tahun 2020-2024. Jakarta: Kementerian Kesehatan Republik Indonesia. 18. Rahman, M. A., Amarullah, R., & Hidayah, K.

Evaluasi Penerapan Model Pembelajaran E-Learning pada Pelatihan Dasar Calon Pegawai Negeri Sipil. Jurnal Borneo Administrator, 16(1), 101-116. https://doi.org/10.24258/jba.v16i1.656.

Hamzah, I. (2021). Evaluasi Pasca Pelatihan Dasar Golongan III Angkatan XXVIII dan XXIX Provinsi Gorontalo Tahun 2020. Jurnal SIAP (JSIAP) Media Pengembangan SDM Menuju Aparatur Bersinergi, Inovatif, Akuntabel, dan Profesional, III(2), 1-8.

Jumas, D., Ariani, V., & Asrini. (2021). Analisis Hubungan Efektifitas Pelatihan Kompetensi Tenaga Kerja Konstruksi Terhadap Level Kirkpatrick. Rang Teknik Journal, 4(1). https://doi.org/10.31869/rtj.v4i1.2093.

World Health Organization. (2021). COVID-19 and the health workforce: A scoping review. World Health Organization.

Kementerian Kesehatan. (2023). Kurikulum Penugasan Khusus Tenaga Kesehatan di Puskesmas. Jakarta: Kementerian Kesehatan Republik Indonesia.