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Introduction
Why do you have to know about PUSKESMAS as the primary health care system in Indonesia in relation to the Public health and community nutrition systems course?
References
Pedoman Kerja Puskesmas, Depkes RI Sistim Kesehatan Nasional Renstra Depkes 2005-2009 Standar Pelayanan Minimal Bidang Kesehatan
What is PUSKESMAS?
Functional health organization unit Public health development center Building community participation Provide comprehensive and integrated services to the community under its coverage in the forms of principal activities
PUSKESMAS coverage
Population density (~30,000) Areas (~district head office) Geographic (extended to have supporting-Puskesmas/Puskesmas Pembantu or Puskesmas Keliling) Infrastructure (personnel and facilities)
PUSKESMAS coverage
Coverage: sub-district Population: 150,000 Referral and Coordinating several Puskesmas Kelurahan (village-level)
Policlinic Maternal and child clinic Hygiene and sanitation program Communicable diseases program And others
Functions:
Public health development center Building community participation to promote healthy life behaviors Provide comprehensive and integrated health care services
Activities:
Stimulating the community to do self-help activities Informing the community to search and use the locally available resources effectively and efficiently Technically assisting the community for medical content, medical and health referral without rising any dependency Providing direct health services to the community Collaborating with other related sectors in implementing the health programs
Roles:
As a technical implemental institution, it shall have a managerial capabilities and long-term vision to improve the quality of health services In planning, managing and evaluating Using and updating related information techniques to improve the comprehensive and integrated health services
Status:
Administration, as a technical unit of district government office via the district health office Hierarchical health service, as a primary health service facility (*)
Organization of PUSKESMAS
HEAD OF PUSKESMAS
SUPPORTING UNIT
Organization of PUSKESMAS
PERSONNEL Head of Puskesmas JOB DESCRIPTION Leading, supervising and coordinating Puskesmas activities (structural and functionally) Staffing, finance, facility, recording and reporting
Organization of PUSKESMAS
PERSONNEL Unit I JOB DESCRIPTION Maternal and child health, family planning and nutrition program activities Prevention and treatment of communicable diseases (immunization, environmental health and laboratory)
Unit II
Organization of PUSKESMAS
PERSONNEL Unit III JOB DESCRIPTION Dental and oral health, occupational health and elderly Public health nursing, school and sport health, mental health, eyes health and other specific healths
Unit IV
Organization of PUSKESMAS
PERSONNEL Unit V JOB DESCRIPTION Building and developing community health activities and public health promotion Out-patient and in-patient treatment services Pharmacy
Organization of PUSKESMAS
SUPPORTING UNIT Supporting Puskesmas JOB DESCRIPTION Implementing Puskesmas programs to 2,500 10,000 population Implementing Puskesmas programs to remote areas Provide maternal and child health service to 3,000 population
Referral system
Hierarchy Households Community Primary health service facility Primary referral unit Advanced referral unit Health service component Individual or family members Households of ten, Posyandu Puskesmas and its supporting units, private practices, etc District hospital, laboratory, private practices, etc Provincial hospitals, special health facilities, etc
Referral system
Medical referral (diagnostic and treatment): patient consultation, sending specimens and inviting special health personnel Health referral (promotion and prevention): epidemiological survey and eradication of outbreaks, food aids, investigation of food poisoning, special aids during disaster and displaced population/refugee, clean water technology and laboratory
Conclusion
Why do you have to know about PUSKESMAS as the primary health care system in Indonesia in relation to the Public health and community nutrition systems course?