Puskesmas

Puskesmas (Indonesian: Pusat Kesehatan Masyarakat, English: Community Health

Centre) are government-mandated community health clinics located across
Indonesia. They are overseen by the Indonesian Ministry of Health and provide
healthcare for population on sub-district level. The concept was designed by G.A.
Siwabessy, the first Indonesian Minister of Health. Community and preventative
health programs formed another component of Indonesia's health system.[1] There is
approximately 9718 Puskesmas around the country according to the Ministry of
Health of Indonesia.[2]
Puskesmas Watas Warga Curup
Community health services in Indonesia were organized in a three-tier system with Selatan, Rejang Lebong,Bengkulu,
Puskesmas at the top. Usually staffed by a physician, these centres provided Indonesia.
maternal and child health care, general outpatient curative and preventative health
care services, pre- and postnatal care, immunization, and communicable disease
control programs. Specialised clinic services were periodically available at some of
the larger clinics.

There are two kinds of Puskesmas, those with beds and those without one. The
puskesmas without beds generally acts as a public outpatient treatment facility, is
rarely open after mid-day, and is definitely not likely to be either open or prepared to
deal with an obstetric emergency outside of clinic hours. This centre is usually
staffed by a Bidan (nurse) and a general practitioner who provide preventative and
curative services related to 18 different health programmes including Antenatal care
and family planning program. These Puskesmas however have been characterised as
under-burdened and problematic as these health centre tend to bypass serious patient
Puskesmas Sumber inCirebon, West
to higher level of health services. Should a critically ill patient appear at this type of Java
facility, the staff are more likely to simply send the patient on to the next level of
.[3]
care than to attempt to administer first aid or try to prepare the patient for transfer

The Puskesmas with beds are mostly located in more remote areas and ideally should be staffed and equipped to provide Basic
Emergency Obstetric Care/Pelayanan Obstetri Neonatus Essensial Dasar(BEOC/PONED) twenty-four hours per day
. A Bidan and a
GP, who are not always properly trained for BEOC/PONED, staff these centres. Those who have been trained are reluctant to attempt
procedures such as manual removal of placenta when a case requiring this procedure presents to them very rarely. UNICEF has
funded BEOC/PONED/LSS training of some Puskesmas staff in three provinces early in the life of the project. They also funded
education for Puskesmas Bidans on the administration of the MCH (Maternal and Child Health Specialist) program and on how to
supervise Bidan in various villages.[3]

See also
Health in Indonesia

References
Wasisto, Broto; et al. (2009). Sejarah Pembangunan Kesehatan Indonesia 1973-2009. Kementrian Kesehatan Republik Indonesia.
ISBN 9799254922.

1. http://countrystudies.us/indonesia/57.htm
 2. http://www.depkes.go.id/resources/download/general/daftar-puskesmas-di-indonesia-30-juni-2014.pdf
3. http://www.unicef.org/evaldatabase/files/IDN_00_003part2b.pdf

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