Analysis Of Dental Medical Unit Performance In Puskesmas Kelurahan At Koja District North Jakarta 2018

Background: More than 50% of the population in Indonesia were reported to have dental problems,
ironically based on Riskesdas 2018, only around 10% are able to get access to dental services.
Rifaskes 2011 has indicated the coverage of the community-based oral health program at the
Puskesmas is quietly low, even in the DKI Jakarta.
Objective:To analyze the performance of the dental medical unit at the puskesmaskelurahan in Koja
District area.
Method: A qualitative study with in-depth interviews, observations, and document studies were
carried out on two types of dental medical units that mostly be divided into Pattern I with only
dentist and Pattern III which have dentist and dental therapist.
Results:The study indicated that Pattern III had higher dental service performance primarily because
it could handle more patients and type of treatments also could carry out School-based Oral Health
(UKGS) and Community-based Oral Health (UKGM) programs. Clash of time between communitybased program and dental poly makes it difficult for dentists to fulfill all dental services. The
implementation of the UKGS and UKGM programs which only brief counseling and screening tended
merely meet the targets so that dental problems become more severe then require more complex
treatments. The study also revealed that the mummification, which were among the most frequent
treatment, were not in accordance with the standard of care due to limited resources. In addition,
management duties within puskesmas adds further workload of dentists and influenced the
performance of dental service.
Conclusion:Dentist collaboration with dental therapist will improve the performance of the dental
service, allowing them to accommodate the increase in demand, support implementation of all
dental health efforts, and improve dental service quality in the era of National Health Insurance
(JKN).