Text
KARAKTERISTIK LAYANAN KESEHATAN MATA TERINTEGRASI PADA FASILITAS KESEHATAN TINGKAT PERTAMA DI KOTA MATARAM DAN KABUPATEN LOMBOK UTARA SERTA VISION CENTER DI PULAU LOMBOK
ABSTRAK
KARAKTERISTIK LAYANAN KESEHATAN MATA TERINTEGRASI
PADA FASILITAS KESEHATAN TINGKAT PERTAMA DI KOTA
MATARAM DAN KABUPATEN LOMBOK UTARA SERTA VISION
CENTER DI PULAU LOMBOK
Nadine Aisyah Sultan Firdaus, Monalisa Nasrul, Isna Kusuma Nintyastuti
Latar Belakang: Gangguan penglihatan masih menjadi masalah kesehatan
masyarakat global, termasuk di Indonesia. WHO mendorong penerapan Integrated
People-Centered Eye Care (IPCEC) untuk memperkuat layanan kesehatan mata di
tingkat primer. Namun, kajian terkait implementasi layanan kesehatan mata
terintegrasi di fasilitas kesehatan tingkat pertama (FKTP) masih terbatas,
khususnya di Nusa Tenggara Barat. Penelitian ini bertujuan untuk mendeskripsikan
karakteristik layanan kesehatan mata terintegrasi pada FKTP di Kota Mataram dan
Kabupaten Lombok Utara serta Vision Center di Pulau Lombok berdasarkan Eye
Care Situational Analysis Tool (ECSAT) dari WHO.
Metode: Penelitian menggunakan desain deskriptif kuantitatif dengan kuesioner
ECSAT dari WHO. Responden ditentukan dengan total sampling. Instrumen
dibagikan dalam bentuk cetak dan diisi secara langsung oleh responden dengan
pendampingan peneliti. Data dianalisis secara univariat dan ditampilkan dalam
bentuk tabel serta narasi deskriptif.
Hasil: Terdapat variasi capaian antar variabel. Pelayanan bedah katarak merupakan
variabel terkuat, terutama dari aspek pembiayaan dan ketersediaan layanan.
Beberapa variabel berada pada kategori penguatan sedang, termasuk layanan
berbasis komunitas, refraksi dan optik, layanan mata anak, perawatan mata
diabetes, layanan terintegrasi di tingkat primer, serta kualitas pelayanan, meskipun
masih lemah pada pencatatan data, rujukan, dan pemanfaatan teknologi. Variabel
terlemah adalah layanan low vision dan rehabilitasi yang masih sangat terbatas dari
sisi fasilitas, alat bantu, dan koordinasi.
Kesimpulan: Integrasi layanan kesehatan mata di FKTP dan Vision Center di
Pulau Lombok belum berjalan optimal. Penguatan diperlukan terutama pada
pencatatan data, efektivitas rujukan, pemanfaatan teknologi, serta pelaksanaan
layanan untuk kelompok rentan seperti anak dan pasien diabetes. Layanan bedah
katarak menunjukkan capaian terbaik namun tetap memerlukan perbaikan sistem
pencatatan dan evaluasi, sedangkan layanan low vision dan rehabilitasi memerlukan
intervensi mendesak.
Kata Kunci: Layanan Kesehatan Mata, IPCEC, ECSAT, Fasilitas Kesehatan
Tingkat Pertama, Lombokvii
ABSTRACT
CHARACTERISTICS OF INTEGRATED EYE CARE SERVICES AT
PRIMARY HEALTH CARE FACILITIES IN MATARAM CITY, NORTH
LOMBOK REGENCY AND VISION CENTERS IN LOMBOK
Nadine Aisyah Sultan Firdaus, Monalisa Nasrul, Isna Kusuma Nintyastuti
Backgrounds: Visual impairment remains a significant global public health issue,
including in Indonesia. WHO promotes the implementation of Integrated PeopleCentered Eye Care (IPCEC) to strengthen eye health services at the primary care
level. However, studies assessing the implementation of integrated eye care in
primary health care facilities are still limited, particularly in West Nusa Tenggara.
This study aims to describe the characteristics of integrated eye health services at
primary health care facilities in Mataram City and North Lombok Regency, as well
as Vision Centers in Lombok Island, based on the WHO Eye Care Situational
Analysis Tool (ECSAT).
Methods: This study employed a descriptive quantitative design using the ECSAT
questionnaire from WHO. Respondents were selected through total sampling. The
instrument was distributed in printed form and completed directly by respondents
under the supervision of the researcher. Data were analyzed univariately and
presented in tables accompanied by descriptive narratives.
Results: The findings show variations in performance across variables. Cataract
surgery services emerged as the strongest variable, particularly in terms of
financing and service availability. Several variables fell into the moderate-strength
category, including community-based services, refraction and optical services,
child eye care, diabetic eye care, integrated primary-level services, and service
quality, although these remained weak in data recording, referral processes, and
technology utilization. The weakest variable was low-vision and rehabilitation
services, which were limited in terms of facilities, assistive devices, and
coordination.
Conclusion: The integration of eye health services in primary health care facilities
and Vision Centers in Lombok Island has not yet been optimal. Strengthening is
required particularly in data recording, referral effectiveness, technology
utilization, and service delivery for vulnerable groups such as children and
individuals with diabetes. Cataract surgery services demonstrated the strongest
performance but still require improved documentation and evaluation systems,
while low-vision and rehabilitation services demand urgent intervention.
Keywords: Eye Care Services, IPCEC, ECSAT, Primary Health Care Facilities,
Lombok
Tidak tersedia versi lain