Thursday, November 4, 2010

The Stairs: District- Provincial- National

As I mentioned in my previous posts, health system are being set up thoroughly through the region of the country. There are management to administer and conduct the health system in every level of the country of which yes- to provide care:)

For today's post, I would like to discuss on the organization of the health system in 3 levels: National, provincial, and district.

Generally, each sub-district in Indonesia has at least one public health center (PUSKESMAS: Pusat Kesihatan Masyarakat) headed by a doctor, usually supported by two or three sub-centres, the majority of which are headed by nurses. Most of the health centres are equipped with four-wheel drive vehicles (or even motorboats) to serve as mobile health centres and provide services to underserved populations in urban and remote rural areas.

At the village level, the integrated Family Health Post provides preventive and promotive services. These health posts are established and managed by the community with the assistance of health canter staff. To improve maternal and child health, midwives are being deployed to the villages.

Regional government has the authority of “support". This has an implication that regional development has to be performed by District/City, while the development at Province level is limited only to those, which have not been covered by District/City, and Inter-district/Inter-city.  Meanwhile, the Central government has to perform the role of policy formulation, standards and providing guidance to Province and District/City government levels.

The chart below will help to clarify the organizational structure of health system in Indonesia:

  • "Governance and Regulation", Panel Discussion 
  • "Medical Doctors and Specialist Distribution in Indonesia", GROUP 8 TUTORIAL SESSIONS (Week 1)

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