Vol. 2 No. 1 (2026): February
Articles

QUALITY OF PRIMARY HEALTH SERVICES IN COASTAL SAMPANG: PATIENT AND HEALTH OFFICER PERSPECTIVES

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  • Moh. Fery Gunawan ,
  • Sapto Pramono,
  • Zainal Fatah
Moh. Fery Gunawan
Universitas Dr. Soetomo
Sapto Pramono
Universitas Dr. Soetomo
Zainal Fatah
Universitas Dr. Soetomo

Published 2026-02-28

Keywords

  • healthcare quality, primary healthcare, coastal region, healthcare access, health personnel, healthcare infrastructure, communication barriers, health services, Indonesia, Sampang

Abstract

This study explores the quality of primary healthcare services in the coastal area of ​​Sampang, Madura, focusing on both patients' and healthcare providers' perspectives. The unique geographical, social, and cultural characteristics of the region present considerable challenges that impact service delivery. Key issues identified include limited accessibility due to geographic distance and inadequate transportation infrastructure, shortages of trained and competent health personnel, and insufficient medical facilities and logistical support. These factors contribute to delays in service provision, lower service quality, and decreased patient satisfaction. Additionally, communication barriers stemming from language differences and cultural diversity hinder effective interactions between healthcare providers and the community, affecting trust and adherence to medical advice. The strain on healthcare workers, who often face high workloads and limited professional development opportunities, further exacerbates service gaps. From the patient's viewpoint, barriers such as difficult access, unclear medical information, and cultural misalignment diminish perceived service quality and health outcomes. Meanwhile, healthcare providers struggle with resource constraints and logistical difficulties, especially under adverse weather conditions and challenging terrains. The study underscores the importance of a holistic, culturally sensitive approach to enhancing healthcare delivery in remote coastal regions. Recommendations include strengthening infrastructure, increasing workforce capacity, fostering culturally appropriate communication, and improving logistical systems. Policies should prioritize integrated strategies that address geographic, social, and resource-related barriers to ensure equitable and high-quality primary healthcare services for coastal communities. Overall, addressing these multifaceted challenges is essential for improving health outcomes and achieving universal health coverage in underserved coastal areas.                                                                                                                    

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References

  1. Agustina, WN, Yasnani, & Hartoyo, AM (2024). The Relationship between the Quality of Health Services and the Satisfaction of Coastal Communities in Katela Village at the Tikep Community Health Center, West Muna Regency, 2023. Journal of Health Administration and Policy (JAKK-UHO), 5(1), 121–130.
  2. Ahsan, ZR, Ramadanti, NZ, Osananda, GS, Rahmawaty, R., & Niko, N. (2023). Accessibility of primary health care in the community on Penyengat Island, Tanjungpinang City, Riau Islands. Gulawentah: Journal of Social Studies, 8(1), 93–102. https://doi.org/10.25273/gulawentah.v8i1.16418
  3. Apriliana, & Sukaris. (2022). Analysis of Service Quality at CV. Singoyudho Nusantara. Maneksi Journal, 11(2), 498–504.
  4. Armita, A., Hamdiyah, H., Tahir, M., Laela, N., & Syahriani, S. (2025). The Relationship between the Quality of Normal Delivery Services by Village Midwives and the Satisfaction of Women Giving Birth. Journal of Health Research, Poltekkes Depkes Bandung, 16(1), 136–143.
  5. Asmarasari, B., & Astuti, RS (2025). Analysis of Mothers' Behavior in Providing Exclusive Breastfeeding in Semarang City (Case Study of Genuk Community Health Center). Diponegoro Journal, 1(1), 1–10.
  6. Bay, AY, & Thaifur, R. (2024). Behavior Change Studies: Literature Review. COLLABORATIVE JOURNAL OF SCIENCE, 7(1), 348–358. https://doi.org/10.56338/jks.v7i1.4878
  7. Berhimpong, MJA, Rattu, AJM, & Pertiwi, JM (2020). Analysis of Physical Activity Implementation Based on the Health Belief Model by Health Workers at Community Health Centers. Journal of Public Health and Community Medicine, 1(4), 54–62.
  8. Dewi, AS, Suyanto, & Sari, DK (2024). Public Perception of Accessibility of Health Services. J-KESMAS) Journal of Public Health, 10(1), 93–106.
  9. Fajeri, N., & Marniati, M. (2024). Analysis of the Implementation of National Mental Health Policy in Primary Health Facilities. Seventeen Health Journal (Jurkes TB), 5(2), 393–416.
  10. Fakhreza, I., Afandi, D., & Rosdiana, D. (2022). Professional Behavior of Coastal Health Workers in Primary Health Services at Batu Panjang Community Health Center, Bengkalis Regency in 2014. Jom FK, 1(2), 1–12.
  11. Felisitas, Elizabeth, Vinsur, & Sutiyarsih, E. (2024). Analysis of factors influencing elderly visits to health services. JNK: Journal of Nursing and Midwifery, 6(2), 189–196. https://doi.org/10.26699/jnk.v6i2.ART.p189
  12. Hasibuan, R., & Susanti, D. (2024). Aspects of Utilization of the National Health Insurance Card (JKN) in Primary Health Facilities. Echo Health, 16(1), 54–65. https://doi.org/10.47539/gk.v16i1.437
  13. Indrinawati, NN, & Widayati, K. (2021). Overview of Primary Health Services for Stunting Incidence in Sukawati District, Gianyar Regency. Bali Health Published Journal, 3(2), 37–45.
  14. Katemba, Y., & Winarti, E. (2024). Analysis of Smoking Behavior and Its Impact on Public Health in the Community Health Center Work Area: An Approach Based on Behavior Change Theory. Tambusai Health Journal, 5(2), 3788–3808.
  15. Lestari, H. (2022). Identification of Environmentally Based Health Problems in Coastal Communities in the Eye Health Center Work Area. Miracle Journal of Public Health (MJPH), 5(2), 127–135. https://doi.org/10.36566/mjph/Vol5.Iss2/295
  16. Maharani, D., Haeruddin, Ahri, RA, Muchlis, N., & Andayanie, E. (2024). Factors Associated with the Utilization of BPJS Health Services in Mappedeceng District. Window of Public Health Journal, 5(1), 139–152.
  17. Misdayanti, & Suwanti. (2025). Overview of Environmental Sanitation in the Coastal Community of Bajo Indah Village. Afiasi: Journal of Public Health, 6(1), 19–29.
  18. Napirah, MR, Rahman, A., & Tony, A. (2020). Factors Associated with the Utilization of Health Services in the Working Area of the Tambarana Community Health Center, North Poso Pesisir District, Poso Regency. Journal of Urban Development, 4(1), 29–39. https://doi.org/10.14710/jpk.4.1.29-39
  19. Nurbaiti, A., & Iriyanto, G. (2023). The Relationship between Perception of Health Service Quality and Satisfaction of Coastal Communities as Non-Wage Worker Participants at the Panggarangan Lebak Banten Community Health Center. Healthy Papua, 6(1), 380–389.
  20. Oktavilantika, DM, Suzana, D., & Damhuri, TA (2023). Literature Review: Health Promotion and Health Behavior Change Theory Model. Tambusai Education Journal, 7(1), 1480–1494.
  21. Puji, LKR, Fitriani, D., Annisa, N., Bahri, S., & Ilmi, AF (2022). Determinant Factors Influencing the Utilization of Health Services for JKN-KIS Participants at the Bojongsari Community Health Center. MAP Midwifery and Public Health Journal, 2(1), 1–10.
  22. Putri, NQMA, & Syakurah, RA (2022). Public Health Students' Perceptions of COVID-19 Health Communication Efforts. Higeia Journal of Public Health Research and Development, 6(2), 152–164.
  23. Rahman. (2025). Accessibility, Availability of Workforce, and Availability of Facilities for Utilizing Health Services at Community Health Centers in Coastal Areas: Literature Review. Kendari Journal of Public Health (JKKM), 4(3), 1–10.
  24. Ramadhani, AC, & Susilawati. (2022). Analysis of Factors Associated with the Utilization of Health Services in Coastal Areas. Journal of Health Science, 3(6), 804–811.
  25. Riyanti, FF, & Nina. (2022). The Relationship Between Knowledge, Infrastructure, and Supervision on Covid-19 Prevention Behavior. Journal of Public Health Education, 1(2), 64–70. https://doi.org/10.53801/jphe.v1i02.41
  26. Sari, NI, & Besral, B. (2020). The Use of mHealth Can Improve Health Behavior in Patients with Non-Communicable Diseases. Journal of Biostatistics, Population, and Health Informatics, 1(1), 57–65. https://doi.org/10.7454/bikfokes.v1i1.1005
  27. Serewy, AM, & Winarti, E. (2024). Application of the Theory of Planned Behavior in Analyzing the Correlation Between Personal Hygiene and High Cases of Worm Infection in Pregnant Women. Tambusai Health Journal, 5(1), 1201–1222.
  28. Sugiyono. (2022). Quantitative, Qualitative and R & D Research Methodology. Alfabeta.
  29. Syahri, M., & Susilawati. (2023). Maternal and Child Health Service Program in Coastal Communities. Tambusai Health Journal, 4(3), 2177–2184.
  30. Wahyuni, S., & Ferial, L. (2023). Inspection of Health Facilities at Community Health Centers in Remote Areas. JOUBAHS Journal, 03(1), 91–108.
  31. Weraman, P. (2024). The Influence of Access to Primary Health Services on the Health and Welfare of Rural Communities. Journal of Education and Teaching Review, 7(3), 9142–9148.
  32. Winda, & Susilawati. (2023). Analysis of the Utilization of Community Health Center Health Services in Each Coastal Area: Literature Review. Journal of Anesthesia: Journal of Health and Medical Sciences, 1(3), 106–117.
  33. Yani, F., Irianto, SE, Djamil, A., & Setiaji, B. (2022). Determinants of the Level of Knowledge, Attitudes, and Behavior Towards Clean and Healthy Living Behavior (PHBS) in Community Households. Permas Scientific Journal: Kendal Health College Scientific Journal, 12(3), 661–672.
  34. Zaini, R., Parinduri, SK, & Dwimawati, E. (2022). Factors Associated with the Utilization of Health Services at the Tegal Gundil Community Health Center, Bogor City in 2020. PROMOTOR: Journal of Public Health Students, Ibn Khaldun University, Bogor, Indonesia, 5(6), 481–490. https://doi.org/10.32832/pro