EVALUASI PELAYANAN KESEHATAN DALAM MENCEGAH PENYAKIT KULIT PADA WARGA BINAAN DAN TAHANAN DI LEMBAGA PEMASYARAKATAN KELAS III GUNUNG TUA
Abstract
Skin diseases are among the most common health problems in correctional facilities, especially where overcrowding occurs. Gunung Tua Class III Correctional Facility houses 259 inmates and detainees in a building designed for 64 people (an occupancy rate of 404.69%), and its clinic is served by only two medical personnel. This study evaluates health services for preventing skin diseases in the facility using Donabedian's structure, process, and outcome framework and identifies the factors that hinder those services. A descriptive qualitative approach was applied. Data were collected through in-depth interviews with ten informants selected by purposive sampling, direct observation, and documentation, then analyzed with the Miles and Huberman interactive model assisted by NVivo. The findings show that the services are running but are not yet optimal. Structurally, a clinic, basic medical equipment, medicines, leadership support, and internal hygiene rules are available, yet personnel, medicine stock, water and sanitation, and a clear service SOP remain limited. In terms of process, services cover screening of new inmates, examination, treatment, hygiene education, medical records, coordination with security officers, and separation of potentially contagious cases. In terms of outcome, some inmates improved and most were satisfied, but skin complaints persisted, with 198 complaints recorded from September 2025 to July 2026. The inhibiting factors are limited health personnel, limited medicines and facilities, poor living conditions and sanitation, and overcrowding. These factors do not stop the services, but they limit how optimally skin diseases can be prevented and treated.
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