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3 decreased morbidity and mortality;
4 compilation of improvement in program managerial procedure and puskesmas
management; 5
increased utilization of puskesmas health service facilities by the public; 6
increased quality and equality of health services; 7
accessibility of the society living in special regions and health susceptible regions. Activities in this program consist of:
1 compilation of basic concept of improvement in puskesmas health efforts and policy
consolidation as well as management of basic health service program supporting decentralization;
2 development of quality assurance program and rational treatment program;
3 increased mechanism and support to referral activities;
4 increased reach of services to health susceptible social groups e.g. the community at
urban slum areas, isolated societies, poor people, etc. and to the communities in special regions e.g. remote areas, new settlement, border zones etc.;
5 work force training;
6 development of public institution in health sector and public empowerment in health
development; 7
increased role of NGO and business community in health development; 8
monitoring and evaluation.
b. Referral Health Service Program
This program is aimed at increased consolidation and maintenance of the reach and equality as well as quality of referral health service toward the optimal public health level
improvement. Targets to be reached are:
1
all hospitals have the ability to offer holistic comprehensive service in line with their respective class hence they can face regional and global demand;
2 realization of hospitals as a place for human resource development in health sector,
for research, screening and application of health science and technology and as pioneer of development with health concerns according to their respective class;
3 development of ability and consolidation of hospitals’ autonomy in referral health
services, including medical referral, health referral and managerial referral; and 4
realization of hospitals as motivators of society so they can protect, maintain and improve the health of individuals, families, and society.
Activities of this program consist of: 1
formulating the revision of the basic concept of referral health efforts and policy consolidation as well as management of referral health service program, to support
hospital autonomy and decentralization; 2
development and consolidation of quality assurance program and rational treatment in the hospitals;
3 increased coverage of services to the poor people through development and
application of policy of subsidy that is accurately targeted; 4
education and training of health manpower; 5
research and screening of medical technology;
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6 motivating public participation in protection, maintenance, and improvement of
health; and 7
monitoring and evaluation.
3.4. Supportive Health Service Program
This program is aimed at increasing productivity, capability, quality, reach, effectivity and efficiency in supportive health services, increasing referral and supportive health service
facilities in order to increase public health level. Targets of this program are:
1
availability of supportive facilities and infrastructures and BPFK; 2
workers in places with high risk conditions do not suffer from occupational diseases and accidents;
3 realization of national referral health laboratory for service activity and development
of health laboratory technology; 4
development of public health laboratory in all districts to support health improvement efforts and prevention of diseases;
5 increased laboratory service capability at puskesmas, hospitals, health laboratory
office and other health laboratories according to programs needed in the region; 6
development of health laboratory information system. Activities of this program consist of:
1 identification of K3;
2 increasing the ability and institution of BPFK;
3 development of efforts in safeguarding, maintaining, testing and calibrating basic
and referral health service facilities; 4
doing preventive program in the form of early examination for workers; 5
formation of national referral health laboratory; 6
compilation and determination of standard and method of laboratory service; 7
accreditation of health laboratory and quality assurance in all aspects for all areas of laboratory examinations and reaching all types of laboratories in all service levels;
8 renovation and rehabilitation of buildings and facilities for service and safety of
laboratory at puskesmas, hospitals, health laboratory office and other health laboratories;
9 increased maintenance, utilization of laboratoric instruments at puskesmas,
hospitals, health laboratory office and other health laboratories; 10
supply of technical manpower and laboratory expert manpower; 11
technical training for laboratoric manpower in various areas and types of expertise for various types and grades of laboratories;
12 supply of simple laboratoric kit for midwife at village and to optimize midwife’s
role at village in health laboratoric service; 13
supply of laboratory operational materials for examination, quality assurance and safety of laboratories at puskesmas, hospitals, health laboratory office and other
health laboratories;
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14 implementation of inspection activity by gradation for public laboratory service,
clinical laboratory, and up grading of science and technology, doing technical cultivation by laboratory in higher service grade to those below it, and from more
capable laboratory to those less capable; and
15 increase in health laboratoric information system.
3.5.
Cultivation and Development of Traditional Treatment Program
This program is aimed at increasing the utilization of traditional medicines and methods which have been proved safe and effective either by itself or being combined in a
comprehensive health service, and protecting the society from negative effects of traditional treatment.
Targets of this program are: 1
increased public autonomy in terms of overcoming health problems using traditional treatment efforts;
2 expansion of exploration, study, research and testing of various traditional
treatments; 3
increased utilization of various traditional medicines and treatment methods which have been proven safe and efficacious either through health service network from
household, society, puskesmas and hospital or individual; and 4
consolidated cultivation of traditional treatment at each administrative level. Activities of this program consist of:
1 Formation and cultivation of the Center for Development and Application of
Traditional Treatment Sentra P3T. The activities include consolidating the functions of study, research, testing, education, training and service of traditional
treatment;
2 Selection, testing, certification, registration licensing traditional treatment
manpower; 3
Standardization of the traditional methods which have been proven safe and effective;
4 Standardization and licensing of traditional treatment practices and expansion of
usage scope of traditional treatment methods which have been proven safe and effective as self effort and through health service facilities puskesmas, hospital, and
the like;
5 Development of information network and documentation of traditional treatment;
6 Utilization of medicinal plants from TOGA household medicinal yard;
7 Inventory, screening, clinical testing, utilization and evaluation of traditional
medicine; 8
Exploration, analyzing, documentation of traditional medicines from the national precious inheritance in various regions in Indonesia;
9 Compilation of laws on traditional treatment;
10 Training of health and non-health manpower and educating graduates and post-
graduates in traditional treatment; and 11
Compilation of information system and dissemination of information on traditional treatment, and guidance-control-supervision.
3.6.
Reproductive Health Program
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This program is aimed at increasing the health level of mothers, children, adolescents, the reproductive age, and elderly so as to create an optimal reproductive health.
Targets of this program are: 1
birth attendance done by health worker reaches 90; 2
management of obstetric cases complications at least 12 of all labors; 3
contraceptive service on 60 of reproductive age couples, cultivation of neonatal health reaches 90;
4 cultivation of the under 5 years old children and preschool children reaches 80;
5 cultivation of school health efforts at primary school SD and Madrasah Ibtidaiyah
reaches 100, at secondary school SLTP and Madrasah Tsanawiyah reaches 50 of the schools and at senior high school SLTA and Madrasah Ahliah reaches 45
of the schools;
6 50 puskesmas offer health service for shcool age children and adolescents outside
the school the study club, ‘pondok pesantren’, study group; and 7
60 puskesmas do cultivation of the elderly health. Activities of this program consist of:
1 arrangement of maternal health efforts;
2 arrangement of children and adolescents’ health efforts;
3 arrangement of the reproductive age’s health efforts;
4 arrangement of elderly’s health efforts.
3.7. Nutritional Improvement Program
