PUSKESMAS:

THE PRIMARY HEALTH CARE SYSTEM

IN INDONESIA

Introduction

Why do you ha! to "no# a$out

PUSKESMAS a% th! &ri'ary h!a(th
car! %y%t!' in Indon!%ia in r!(ation
to th! Pu$(ic h!a(th and co''unity
nutrition %y%t!'% cour%!)

R!*!r!nc!%

P!do'an K!r+a Pu%"!%'a%, D!&"!%

RI

Si%ti' K!%!hatan Na%iona(

R!n%tra D!&"!% -../0-..1

Standar P!(ayanan Mini'a( 2idan3

K!%!hatan

What i% PUSKESMAS)

4unctiona( h!a(th or3ani5ation unit

Pu$(ic h!a(th d!!(o&'!nt c!nt!r

2ui(din3 co''unity &artici&ation

Proid! co'&r!h!n%i! and

int!3rat!d %!ric!% to th! co''unity
und!r it% co!ra3! in th! *or'% o*
&rinci&a( actiiti!%

PUSKESMAS6 co!ra3!

Part o* or th! #ho(! %u$0di%trict

(kecamatan), d!&!ndin3 on:

Po&u(ation d!n%ity 789.,...:

Ar!a% 78di%trict h!ad o**ic!:

;!o3ra&hic 7!<t!nd!d to ha!

%u&&ortin30Pu%"!%'a%/Puskesmas
Pembantu or Puskesmas Keliling)

In*ra%tructur! 7&!r%onn!( and *aci(iti!%:

PUSKESMAS6 co!ra3!

E%&!cia((y *or $i3 citi!% 7&o&u(ation

= 'i((ion: > Puskesmas Pembina:

Co!ra3!: %u$0di%trict

Po&u(ation: =/.,...

R!*!rra( and Coordinatin3 %!!ra(

Puskesmas Kelurahan 7i((a3!0(!!(:

Co'&r!h!n%i! h!a(th %!ric!

Pro'otion

Pr!!ntion

Cur!?tr!at'!nt

R!ha$i(itation
*or a(( 3!nd!r and a3! *ro' conc!&tion
to tho%! dyin3

Int!3rat!d h!a(th %!ric!%

A(( &rinci&a( h!a(th %!ric! actiiti!%:

Po(ic(inic

Mat!rna( and chi(d c(inic

Hy3i!n! and %anitation &ro3ra'

Co''unica$(! di%!a%!% &ro3ra'

And oth!r%
i'&(!'!nt!d to3!th!r und!r on!
coordination and (!ad!r

4unction% and ro(!% o* PUSKESMAS
in th! &u$(ic h!a(th %y%t!'

4unction%:

Pu$(ic h!a(th d!!(o&'!nt c!nt!r

2ui(din3 co''unity &artici&ation to

&ro'ot! h!a(thy (i*! $!haior%

Proid! co'&r!h!n%i! and int!3rat!d

h!a(th car! %!ric!%

4unction% and ro(!% o* PUSKESMAS
in th! &u$(ic h!a(th %y%t!'

Actiiti!%:

Sti'u(atin3 th! co''unity to do %!(*0h!(&

actiiti!%

In*or'in3 th! co''unity to %!arch and u%! th!

(oca((y aai(a$(! r!%ourc!% !**!cti!(y and
!**ici!nt(y

T!chnica((y a%%i%tin3 th! co''unity *or '!dica(

cont!nt, '!dica( and h!a(th r!*!rra( #ithout
ri%in3 any d!&!nd!ncy

Proidin3 dir!ct h!a(th %!ric!% to th!

co''unity

Co((a$oratin3 #ith oth!r r!(at!d %!ctor% in

i'&(!'!ntin3 th! h!a(th &ro3ra'%

4unction% and ro(!% o* PUSKESMAS
in th! &u$(ic h!a(th %y%t!'

Ro(!%:

A% a t!chnica( i'&(!'!nta( in%titution, it

%ha(( ha! a 'ana3!ria( ca&a$i(iti!% and
(on30t!r' i%ion to i'&ro! th! @ua(ity
o* h!a(th %!ric!%

In &(annin3, 'ana3in3 and !a(uatin3

U%in3 and u&datin3 r!(at!d in*or'ation

t!chni@u!% to i'&ro! th!
co'&r!h!n%i! and int!3rat!d h!a(th
%!ric!%

4unction% and ro(!% o* PUSKESMAS
in th! &u$(ic h!a(th %y%t!'

Statu%:

Ad'ini%tration, a% a t!chnica( unit o*

di%trict 3o!rn'!nt o**ic! ia th! di%trict
h!a(th o**ic!

Hi!rarchica( h!a(th %!ric!, a% a &ri'ary

h!a(th %!ric! *aci(ity 7A:

Or3ani5ation o* PUSKESMAS
HEAD O4
PUSKESMAS
TECHNICAL UNIT
I0III
SUPPORTIN;
UNIT
TECHNICAL UNIT
IB0BII
HEAD O4
ADMINISTRATION
UNIT

Or3ani5ation o* PUSKESMAS
PERSONNEL CO2 DESCRIPTION
H!ad o*
Pu%"!%'a%
L!adin3, %u&!ri%in3 and
coordinatin3 Pu%"!%'a%
actiiti!% 7%tructura( and
*unctiona((y:
H!ad o*
Ad'ini%tration
unit
Sta**in3, *inanc!, *aci(ity,
r!cordin3 and r!&ortin3

Or3ani5ation o* PUSKESMAS
PERSONNEL CO2 DESCRIPTION
Unit I Mat!rna( and chi(d h!a(th,
*a'i(y &(annin3 and
nutrition &ro3ra' actiiti!%
Unit II Pr!!ntion and tr!at'!nt o*
co''unica$(! di%!a%!%
7i''uni5ation,
!niron'!nta( h!a(th and
(a$oratory:

Or3ani5ation o* PUSKESMAS
PERSONNEL CO2 DESCRIPTION
Unit III D!nta( and ora( h!a(th,
occu&ationa( h!a(th and
!(d!r(y
Unit IB Pu$(ic h!a(th nur%in3, %choo(
and %&ort h!a(th, '!nta(
h!a(th, !y!%6 h!a(th and
oth!r %&!ci*ic h!a(th%

Or3ani5ation o* PUSKESMAS
PERSONNEL CO2 DESCRIPTION
Unit B 2ui(din3 and d!!(o&in3
co''unity h!a(th actiiti!%
and &u$(ic h!a(th &ro'otion
Unit BI Out0&ati!nt and in0&ati!nt
tr!at'!nt %!ric!%
Unit BII Phar'acy

Or3ani5ation o* PUSKESMAS
SUPPORTIN;
UNIT
CO2 DESCRIPTION
Su&&ortin3
Pu%"!%'a%
I'&(!'!ntin3 Pu%"!%'a%
&ro3ra'% to -,/.. D =.,...
&o&u(ation
Mo$i(!
Pu%"!%'a%
I'&(!'!ntin3 Pu%"!%'a%
&ro3ra'% to r!'ot! ar!a%
Bi((a3! 'id#i*! Proid! 'at!rna( and chi(d
h!a(th %!ric! to 9,...
&o&u(ation

Pri'ary Pro3ra'% o* PUSKESMAS
=E Mat!rna( and chi(d h!a(th
-E 4a'i(y P(annin3
9E Nutrition I'&ro!'!nt
FE Eniron'!nta( h!a(th
/E Co''unica$(! di%!a%!% !radication
GE Tr!at'!nt, inc(udin3 !'!r3!ncy condition
HE Pu$(ic h!a(th !ducation?&ro'otion
IE Schoo( h!a(th &ro3ra'
1E S&ort h!a(th
=.EPu$(ic h!a(th nur%in3

Pri'ary Pro3ra'% o* PUSKESMAS
==E Occu&ationa( h!a(th
=-E D!nta( and ora( h!a(th
=9E M!nta( h!a(th
=FE Ey!%6 h!a(th
=/E La$oratory
=GE R!&ortin3 and r!cordin3 o* h!a(th
in*or'ation %y%t!'
=HE E(d!r(y
=IE Contro((in3 traditiona( h!a(!r
=1E And oth!r%

R!*!rra( %y%t!'
Hi!rarchy H!a(th %!ric! co'&on!nt
Hou%!ho(d% Indiidua( or *a'i(y '!'$!r%
Co''unity Hou%!ho(d% o* t!n, Po%yandu
Pri'ary
h!a(th %!ric!
*aci(ity
Pu%"!%'a% and it% %u&&ortin3
unit%, &riat! &ractic!%, !tc
Pri'ary
r!*!rra( unit
Di%trict ho%&ita(, (a$oratory,
&riat! &ractic!%, !tc
Adanc!d
r!*!rra( unit
Proincia( ho%&ita(%, %&!cia(
h!a(th *aci(iti!%, !tc

R!*!rra( %y%t!'

Ty&! o* r!*!rra( %y%t!':

M!dica( r!*!rra( 7dia3no%tic and tr!at'!nt::

&ati!nt con%u(tation, %!ndin3 %&!ci'!n% and
initin3 %&!cia( h!a(th &!r%onn!(

H!a(th r!*!rra( 7&ro'otion and &r!!ntion::

!&id!'io(o3ica( %ur!y and !radication o*
out$r!a"%, *ood aid%, in!%ti3ation o* *ood
&oi%onin3, %&!cia( aid% durin3 di%a%t!r and
di%&(ac!d &o&u(ation?r!*u3!!, c(!an #at!r
t!chno(o3y and (a$oratory

Conc(u%ion

Why do you ha! to "no# a$out

PUSKESMAS a% th! &ri'ary h!a(th
car! %y%t!' in Indon!%ia in r!(ation
to th! Pu$(ic h!a(th and co''unity
nutrition %y%t!'% cour%!)