Perbedaan Pelayanan Kesehatan Ibu dan Anak di Perkotaan dan Daerah Terpencil

The purpose of the study is to understand the quality of service of mother and child health service in both urban and rural areas in District of Samosir. This cross sectional study was conducted in two health center areas repre- senting rural (Puskesmas Mogang) and urban (Puskesmas Buhit) in District of Samosir. In measuring the quality of service, Servqual concept of Albert Parasuraman was used. Result shows that the score for all expectations are high for all of health service dimension both in Puskesmas Mogang and Puskesmas Buhit. There are differences in perception of patients with re- gard to tangibility, reliability, empathy, accessibility, and affordability (p 0,05). There are significant differences on expectation and the reality of health service quality (p < 0,05) as it perceived by the community in both Puskesmas Buhit and Puskesmas Mogang. Community's expectations of better health services quality are profound in both urban and rural areas. It is concluded that the existing quality of service not meeting the community expectation