The spread of COVID-19 in Indonesia has prompted the government to urge health agencies to develop telemedicine and direct people to minimize activities outside the home, including visiting health services. In its implementation, the use of telemedicine has increased rapidly even though it is still in the development stage and there is no specific regulation. Java Island as a region with a high number of COVID-19 cases has the potential to utilize telemedicine. The purpose of this study was to analyze the factors that influence the use of telemedicine during the COVID-19 pandemic on the island of Java. This research is a quantitative study with a cross-sectional approach. Respondents of the study were 269 people using the incidental sampling method. The results of this study indicate factors related to the use of telemedicine services during the Covid-19 period in Java, namely knowledge (p = 0.000), attitude (p = 0.000), trust (p = 0.000), accessibility (p = 0.000), role environment (p = 0.000), individual health assessment (p = 0.000), and perceived benefits (p = 0.006). Meanwhile, the unrelated factor was the perception of obstacles (p = 0.090). It is recommended that the government formulate telemedicine regulations related to patient protection guarantees, medical record safety, information and communication technology standards, and quality assurance. The health office conducts telemedicine education to the public and supervises telemedicine providers to ensure that services remain integrated with the health facilities.

Purwoyoso Primary Health Care is a health center that has completed data collection on Healthy Indonesian Programs with Family Approaches (PIS-PK) reaching 99% in 2018. The results of the data collection showed that hypertension sufferers who seek regular treatment are still low. Purwoyoso Primary Health Care was chosen as the location for hypertension intervention and focused on RW 11 Purwoyoso Village which is the area with the lowest Healthy Family Index (IKS) due to a decrease caused by indicators of hypertension sufferers who have not reached 100%. There are three intervention programs which include the Cetar program, jemput bola, and Taman Hepi. The purpose of this study was to analyze the implementation of the PIS-PK intervention program on hypertension at Purwoyoso Health Center. This study used a qualitative method through in-depth interviews with the research subjects of the head of the Purwoyoso Health Center, hypertension program holders, program implementors, cadres, and the community. The results showed that the intervention program did not have a target indicator of success. In the Cetar and Taman hepi programs, there were insufficient resource constraints, unclear division of labor, and inadequate supervision activities. This research concludes that the variables that influence the intervention program are resources and bureaucratic structure. Purwoyoso Health Center need to develop indicators of success as benchmarks for assessment, cross-sector collaboration related to resources, training cadres, collaboration with other programs, and periodically conducting monitoring and evaluation.

In response to policy changes, the hospital as an organization is expected to establish a strategy to stay afloat in business competition. However, the health industry, especially hospitals, has certain determinants that are different from other industries. This article is a literature review that focuses on business strategy management, namely sustainable competitive advantage in the hospital industry. This review is aimed at managers nowadays in building and maintaining their hospital positions. In conclusion, changes in strategy can be made specifically according to the type of hospital and positioning results.

Diabetes mellitus (DM) is the fifth most disease in Semarang, but the achievement of Minimum Service Standard (SPM) only reached 50.64% in 2017. The district with the highest morbidity in Semarang is South Semarang which has two health centers. Puskesmas Pandanaran has lower achievement than the other central health in South Semarang, which is 89%. The purpose of this study is to analyze the implementation of SPM for DM in Puskesmas Pandanaran. The research method is qualitative research with in-depth interviews. Research subjects include the head of puskesmas, the program in charge, the program implementer, and the community. The research was conducted in August-October 2020. The results showed that the implementation of SPM services is still constrained at the stage of logging and early detection of DM patients. Unfulfilled performance targets are affected by standard and policy objectives that are difficult to achieve due to differences in the amount of target with the actual population, lack of infrastructure resources and funding sources, there is no Standar Operational Procedure (SOP) in the implementation of SPM for DM patients, and community knowledge factors. The conclusion of this study is variable that affects the performance of SPM are standards and policy objectives, resources, characteristics of implementing organizations and the social environment of the community. Coordination between health services and health centers regarding the use of data as targets for achievement is required, addition and fulfillment of infrastructure and funds, creating SOPs, forming team to record DM patients, and giving education.

Indonesia experiences a double burden of disease. According to Riskedas 2018, non-communicable diseases have increased and the Gerakan masyarakat hidup sehat (Germas) indicators have not been achieved. Health Promoters are health workers who play a role in the achievement of the Gemas indicator. For this reason, it is necessary to study the profession of Health Promoters and the factors that affect the performance of Health Promoters. The purpose of writing this literature review was to describe health promoters and analyze the determinants of the performance of health promoters. The method used is a literature review from journals and references related to Health Promoter, Health Promoter Performance and Performance.  Health Promoters as registered health workers in carrying out their duties based on existing professional standards. There are 3 (three) national journals and 3 (three) international journals related to the performance of Health Promoters, from these three sources it is known that the performance of Health Promoters were influenced by capabilities, incentives and organizational support. Factors that affect the performance of Health Promoters are capabilities, incentives and organizational support, for that it is necessary to improve the performance of Health Promoters through increased capabilities, incentives and organizational support.