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Determinant Factors in Remote Regional Health Services in the Wondiboy Health Center in Teluk Wondama District (Case Study in Sendrawoi District Health Center)

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Determinant Factors in Remote Regional Health Services in the Wondiboy Health Center in Teluk Wondama District (Case Study in Sendrawoi District Health Center) International Journal of Science and Healthcare Research Vol.4; Issue: 1; Jan.-March 2019 Website: www.ijshr.com Original Research Article ISSN: 2455-7587 Determinant Factors in Remote Regional Health Services in the Wondiboy Health Center in Teluk Wondama District (Case Study in Sendrawoi District Health Center) Aning Melalolin1, A.L. Rantetampang2, Yermia Msen3, Anwar Mallongi4 1Magister Program of Public Health, Faculty of Public Health, Cenderawasih University, Jayapura. 2,3Lecturer of Master Program in Public Health. Faculty of Public Health, Cenderawasih University, Jayapura 4Environmental Health Department, Faculty of Public Health, Hasanuddin University, Makassar Corresponding Author: Anwar Mallongi ________________________________________________________________________________________________________________ ABSTRACT disappoints people who eventually have to travel far and difficult. This situation is Background; Health Centre or Puskesmas as strengthening the interest of the community not the primary service provider that is the mainstay to go to the puskesmas. Therefore, it is of service for the community, has not been able necessary to complete medical devices and to provide services to remote areas, border areas consumables that support health services, and islands. The working area of the Puskesmas especially for cases of diseases that occur in is quite extensive, geographically it is difficult many auxiliary health centers. Funds in Health to reach, a small population, scattered in small Services in Remote Areas Wondiboi Health groups far apart. The transportation is very Center, Teluk Wondama Regency (Case Study limited with expensive fees both land, sea and in Sendrawoi District Health Center) is available air. Public health status and health service but not sufficient to carry out health services in coverage in remote border areas are still low. all remote areas and tourism in Wondama Bay Methods: The purpose of this study is to in general. identify the factors that influence the affordability of Wondiboy health center services Keywords: Energy, facilities, health problems, (Case Study in Sendrawoi Pustu) which are community access included in remote areas of Wondama Bay Regency. This study uses a descriptive method 1. INTRODUCTION with a qualitative research approach. Starting The direction of health development from some of the opinions of the experts above, goals is to increase the reach and equal the type of this research is descriptive in the distribution of quality health services for the form of qualitative research methods, namely community border and island remote areas obtaining an overview of energy, facilities, health problems, community access in especially in DTP national priority health Puskesmas services, service factors, traditional centers. In order to increase reach and even factors, community behavior factors is a distribution of services health, an action determinant that influences the affordability of plan and development plan have been health services in remote areas in Sendrawoi prepared. There are 6 (six) strategies Pustu, Wondama Bay Regency. determined by the Indonesian Ministry of Results: There is insufficient coverage Health., 2010 namely:1) Mobilizing and according to existing needs because more empowering the community in DTPK, 2) personnel are employed in cities than in remote Increasing DTPK community access to areas, the security of officers is not guaranteed health services quality,3) Increase financing live in pustu. Means for Health Services in for health services in DTPK 4) Increasing Remote Areas in Wondiboi Health Center Teluk Wondama Regency (Case Study in Sendrawoi the empowerment of Health Human District Health Center), lack of health Resources in DTPK, 5) Increasing the equipment and health support facilities availability of drugs and supplies and (laboratories) in the puskesmas often strategies 6) Improve management of International Journal of Science and Healthcare Research (www.ijshr.com) 163 Vol.4; Issue: 1; January-March 2019 Aning Melalolin et.al. Determinant Factors in Remote Regional Health Services in the Wondiboy Health Center in Teluk Wondama District (Case Study in Sendrawoi District Health Center) Puskesmas in DTPK, including surveillance based on health centers, namely as technical systems, monitoring and evaluation, as well implementers of the District / City Health as a Health Information System. Office which are responsible for organizing The Indonesian Ministry of Health health development in their working areas, develops an action plan and operational because Puskesmas are always in the development plan for implementation in the District area or in rural areas. Some related field including community empowerment in policies that regulate basic health services, the form of Desa Siaga, Poskesdes, including: Kepmenkes number. 128 of Posyandu, improving Maternal and Child 2004, concerning the Basic Policy of Health (MCH), Nutrition, Prevention of Puskesmas, Kepmenkes number 949 and Infectious Diseases, Flying Doctors, 1239 in 2007 and health service guidelines Doctors Plus, Houses Moving Pain, for remote and very remote health centers in increased health financing in the form of disadvantaged areas, which in principle play Special Allocation Funds (DAK), Co- a role in organizing health efforts to Administration (TP), deconcentration funds, increase awareness, willingness and ability Social Assistance Programs, Community to live healthy for each resident to obtain Health Insurance(Jamkesmas), Health optimal health degree. Operational Assistance (BOK), Childbirth Everyone has the right to an Assurance (Jampersal), HR improvement adequate standard of living for the health especially Health Human Resources in the and well-being of himself and his family. As form of Non-Permanent Employees (PTT), a human right, human rights are inherent in Special Assignments, Study Tasks, a person not because of a person or state, improvement of medication and health and therefore certainly cannot be revoked equipment, improved health management and violated by anyone. The condition of (including management training Puskesmas, the people across the border, coastal areas surveillance program); the development of and rural areas has conditions that have Basic Essential Neonatal Obstetric Services socio-economic conditions that are not (PONED) at the Puskesmas and the different from those in Indonesia. But the Maternal and Infants' Babies Hospital fact that it is clear is that health services in (RSSIB) and Comprehensive Obstetric general have not been evenly distributed in Neonatal Services (PONEK) at the Hospital; all remote border areas and islands with improving the appearance and performance people living in urban areas. The priority of Puskesmas in border areas between situation is the emergence of health countries; and the development of Flying problems that are not yet clear standard Health Care; and Support for inter-island health services provided by health providers transport with Water-Around Health Centers along the border and inland areas. While the (RI Ministry of Health, 2010). right of the Puskesmas which is the There are three target groups, spearhead of access to health services is namely infants, toddlers and pregnant / very instrumental in health services in postpartum / breastfeeding mothers. The remote areas. public problem or issue that arises is that the Puskesmas as the primary service border area is a country window, in addition provider that is the mainstay of service for to remote areas, borders and islands the community, has not been able to provide (DTPK) has extreme topography. Therefore services to remote areas, border areas and the role of infrastructure is one of the islands. The working area of the Puskesmas important physical components of the is quite extensive, geographically it is border region because of systematic difficult to reach, a small population, infrastructure development, scattered in small groups far apart. The In its implementation, health transportation is very limited with expensive services in remote and very remote areas are fees both land, sea and air. Public health International Journal of Science and Healthcare Research (www.ijshr.com) 164 Vol.4; Issue: 1; January-March 2019 Aning Melalolin et.al. Determinant Factors in Remote Regional Health Services in the Wondiboy Health Center in Teluk Wondama District (Case Study in Sendrawoi District Health Center) status and health service coverage in remote (P2KTP) or Save Papua was carried out, in border areas are still low. The community in 2009 - 2010, when the results were not general does not yet have the knowledge maximized. Then in the following years, and behavior of healthy living and this kind of service, packaged in Flying unfavorable environmental conditions. The Doctor Health Care (FDHC) or Community use of Puskesmas in remote areas is Based Health Services with APBN and influenced by, among others, access to APBD funding sources. The research services that are not only caused by distance question is how is the health center of the problems, but there are two determinants, Puskesmas and how is the service pattern of namely determinants of supply, which are puskesmas and its networks in remote service factors, and determinants of demand border areas? which are user factors (Timyan Judith, et al. Based on the research questions 1997). Determinants of provision consist of above, the purpose of this study is to service organizations and physical identify
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