Seeing health and public awareness of the health, the need for active participation of all parties in the matter of public health, health care providers must, communities, governments and businesses a roadmap outlining an integrated development of public health and sustainable. Given the very wide range of Indonesia with the properties of the range oil, gas, mining and agriculture, agribusiness, agriculture and fisheries, to formulate the need for cooperation and to develop programs for public health, according to the characteristics of the local area, so that the phases The change towards a healthy society both in attitude, culture and management systems in the workplace to a part of public health awareness and knowledge of community and belonging in the end have owned and health is a shared responsibility and able to social sanctions for Community members who do not.
The strengthening of the informal organization as much as possible, then lay the groundwork for a formal collaboration with organizations including local MUSPIDA element can network health to play a role at the beginning of the stimulus trigger (trigger) or a mentor, and rose to may at a later date a mediator with the mentoring program and then on if healthier community independence the role implemented as a resource and development center based community health programs (community-based health) through a network of health, a pilot for Community Cooperation, businesses and local governments to do widespread coverage of the development of public health in Indonesia in the form of acceleration of the coverage area and the amount of the specific focus of the program requirements. Long-term strategic development program of public health is the result of the synchronization and the national health indicator targets, the awareness and knowledge of local people consider on health.
Program development of the public health system, a shared responsibility and in accordance with the provisions of the central government laws on Corporate Social Responsibility, or CSR (Corporate Social Responsibility), so that the ability of planning and careful analysis of the needs of the effort to financial and staffing optimization expected to be achieved through the mechanism of CSR an empowerment and community development in the health sector, including a basic requirement in the decrease morbidity and eventual support of regional and national productivity.
Pattern refresher, coaching, empowerment, and strengthening organizational networks centers, village health post, IHC, UKS / UKGS and PMR is important, such as in the development of a public health system with the goal of a healthy society and in accordance with Community participation so far possible. With a maximum participation of organizations that are actively supported in the community, such as squad IHC, PKK, Midshipman work, Scout, Bachelor of Rural Driving and other organizations through local MUSPIDA. Public health programs, the result of public health will be closely related, as perceived Community participation and at the same time continue the public awareness automatically for health culturally expected healthy habits and basic needs to be, on the other hand offers the public awareness for the early detection problems of malnutrition, disease and disasters, to ensure better coordination of responses.
Beyond the public health system support other systems such as the system of school education from kindergarten through high school health education is important for students, especially clean and healthy lifestyles through the curriculum and extra-curricular provision of schools and the role of the media is not less to change through better public education important.
Pattern refresher, coaching, empowerment, and strengthening organizational networks centers, village health post, IHC, UKS / UKGS and PMR is important, such as in the development of a public health system with the goal of a healthy society and in accordance with Community participation so far possible. With a maximum participation of organizations that are actively supported in the community, such as squad IHC, PKK, Midshipman work, Scout, Bachelor of Rural Driving and other organizations through local MUSPIDA. Public health programs, the result of public health will be closely related, as perceived Community participation and at the same time continue the public awareness automatically for health culturally expected healthy habits and basic needs to be, on the other hand offers the public awareness for the early detection problems of malnutrition, disease and disasters, to ensure better coordination of responses.
Beyond the public health system support other systems such as the system of school education from kindergarten through high school health education is important for students, especially clean and healthy lifestyles through the curriculum and extra-curricular provision of schools and the role of the media is not less to change through better public education important.
With the development of telematics systems, a plurality of optical fibers, the use of technology is expected to accelerate the transformation of the integrated health system to ensure efficient and effective manner. Development of adequate health human resources skills and understanding of digital technologies is to facilitate the implementation of community-based health system, modern technology has the ability to manage knowledge (knowledge management). And promote able to have confidence (Sustainable Development) Public health system must be able to provide access to information and services related to the development of public health programs, and if all parties, both local governments, businesses, community, including parents, schools, health centers, the media and all those who health concern with both Indonesia to go to the challenge and ready, we want a healthy society together.
Situation Analysis of Community Health Systems
Resistance of the health can not from the influence of the system that are outside of the public health system itself are separated. The development of public health need is, systems that are outside the public health system as an example to support education, information systems and technology, financial and other influences, which are have an effect on public health. The initial conditions of public health is still questionable whether Indonesia underwent a public health system able to ensure the health of the population and how to develop the health sector and the development of their own respective areas without a policy or a national or even regional public health system needs was degradation has the roles and functions, which are no longer useful for the society.
The state of the environment, which adversely affect the health of a challenge outside the public health system as an example of a new outbreaks such as avian influenza and HIV / AIDS in Indonesia's strong both global traffic flow of people and goods, including the content of food and beverages influenced. Moreover, the fundamental problem with a large population with characteristics of the islands nor supervision malnutrition malnutrition, prevent ironically with rich natural resources. Reliable public health system capable of self-protection against risk and early warning (EWS) for the regional and national levels to respond to an immediate response action is taken quickly. Technological developments in biology and medicine has led to the international issues bioterrorism makes the need for the role of government to make policy and regulation of national security, the national public health system, the local health department system borders particularly island states both air, land and sea includes protects.
The state of the environment, which adversely affect the health of a challenge outside the public health system as an example of a new outbreaks such as avian influenza and HIV / AIDS in Indonesia's strong both global traffic flow of people and goods, including the content of food and beverages influenced. Moreover, the fundamental problem with a large population with characteristics of the islands nor supervision malnutrition malnutrition, prevent ironically with rich natural resources. Reliable public health system capable of self-protection against risk and early warning (EWS) for the regional and national levels to respond to an immediate response action is taken quickly. Technological developments in biology and medicine has led to the international issues bioterrorism makes the need for the role of government to make policy and regulation of national security, the national public health system, the local health department system borders particularly island states both air, land and sea includes protects.
The ideal conditions that the current public health system should always be on monitoring and evaluation in order to be able to be repaired and is in a national health system is able to ensure the health of the community and to keep it updated is addressed. An understanding of public health should be considered as a system. Clarity of the system of environmental factors, the system input factors, actors and processes or methods of the system, the system output factors are considered both performance and results and gauge feedback robust system Public health is not just a health system of healing effort, but it is a system that includes the functions of health promotion, prevention, cure and rehabilitation of health as important a role in the transformation of healthy culture as an important element to a healthier community as The main objective of public health. With the promotion and disease prevention attempts threats to public health care system to reduce the amount of morbidity and health care costs expected to increase productivity as well as nationally.
Enormous financial burden created each year and could continue to increase both private and government spending trillions of dollars per year can be saved by building health infrastructure more, is just and modern in Indonesia. Most of the communities are able to have medical treatment abroad, spent trillions of dollars in foreign exchange was through the development of a modern public health system and demanding to be saved. Development of health centers or specialty hospitals across Indonesia make a network that seeks to provide for the best health care comes from the independence of the nation. Indonesia will be the era of globalization, with the changes in the healthcare paradigm, on the other hand, in other countries through the development of medical technology-based public health, information technology and human resource management skills clean supported by a modern infrastructure makes a threat and challenge to the ability of national public health system in the capture opportunities presented by globalization, or at least prevent foreign exchange abroad. Direction of the development of public health, that only passive and absorbing enormous health care costs an inability of public health, to find out the solution of public health problems caused weak public health systems, to improve, especially the health services for falling for routine problems caused improve curative and rehabilitative functions of the company.
Public health system, which starts from a small group of people in the RT or RW with posyandu, village health post, sub-health centers, health centers and government hospitals, a network of systems of primary health care, which a series of guidelines has regarding the development and cooperation with other levels of formal and informal community be existing, relevant government agencies and private health service networks, to become an integrated health care. Posyandu Public health is a system of public health in the communities should be a continuous development of the level of health care as a reference or local health authorities have so posyandu have adequate basic skills in the management of the health center environment. Prosyandu work includes not only the activities of a government program, such as vaccinations, but also the extension of disease activity and a healthy lifestyle lectures and clean an important part in the realization of a healthier culture of communion. Proactive stance in health care stakeholders is needed to push the awareness and knowledge about the importance of health. Use a clean and healthy environment starts from the shower house is a good start in the use of medicinal plants in the house an effort awareness, knowledge, and health care costs makes affordable to the general public through the countryside and coastline. Refresher posyandu through practical training modules, such as the baby, counseling materials, how to brush teeth properly weigh are P3K and other expected impact positively influence educational community.
The influence of other systems outside the health sector needs to be addressed, the education system can be a role in growth of the culture and behavior of healthy and clean appropriate by additional teaching materials curriculum, the application of UKS help extracurricular activities / UKGS by small medical students in the health problems even interested to play and to communicate to the parents and the environment. The application of information technology systems by JARDIKNAS also on health issues using the latest information on health and problems mainly practical issues and day-to-day as an example demo video on how to wash hands properly, and the medium used is the the beginning of a healthy culture for children from an early age. Technology Internet connection via optical cable helps all members of the health policy of neighborhood health center or health center to connect at least to the general hospitals and health services in the region to the health department in the center, it is accelerating a technology, the process of communication and coordination, and opportunities to improve the quality of medical services that can not ask exist in the region as an example of a medical practice in remote areas, the experts who are in the big cities, so that the cases of the disease are given a second opinion about the diagnosis may. The development of public health support the establishment of a national health system or network using the same infrastructure JARKESNAS JARDIKNAS the use of the facilities and the infrastructure can be optimized to the maximum optical cable for the good of the community, especially in the areas of health used. The process of allocating an epidemic faster by saving health administration received billions of dollars are spent to maintain communication and coordination by the administration of non-digital, as opposed to the use of digital data and electronic media. The development of public health services for the digital future based offer the possibility of a digital identity card, which will create not only a health problem but also a problem of population, social security, driver's licenses and other contains (single number identity). In the presence of the digital health card, the state's ability to process the data in terms of speed and very high akuransi including census issue and determine the state of public health in each area and immediate decisions quickly and accurately.
The results of the development of public health is a healthy community with a target between the attainment of national productivity. Among the target healthy Indonesia is aligned with all health indicators that can be achieved by 2010. Side effects of the most important is the health of a growing culture of a clean and healthy behaviors, which are the foundation of the company was aware of the importance. Maintaining health Environmental factors beyond the control of the community in the areas of health, such as clean water, nutritious food and air pollution is still a major public health problem of vulnerability. Public health system should be able to give guarantees of life (lifetime warranty), the better, because protecting children birth through age-appropriate enshrined in legislation for the citizens best. The lack of public health systems in the country led to fainting ensure public health problems, which prevent the emergence of popular perception of the state of the state without a state for the further growth of a critical stance towards the government and democratic society.
Community Health Systems Model Approach
A systems approach to modeling the public health system is necessary in order to facilitate understanding of the elements of public health and their interactions, the development of health care in the preparation of this paper. A model is a simple representation of a problem, so that all stakeholders have the perception to understand and maintain a common understanding within the health sector, including the resources, processes and interactions, results and side effects including Fakor environmental factors, the security system must be diperhatian Public Health maintained and developed under the circumstances, are an increasingly uncertain future.
One thing to understand that future resources are increasingly limited by new diseases either by mutations or by biological and technological capabilities of the human population has increased, which requires adequate health care. Therefore, the state's ability to cover basic needs such as education, health, food and shelter on the journey of public health, which can be integrated into the social system and behavior, so that the burden does not calculate too large. A very dominant for developing countries like Indonesia, the influence of environmental factors, including the effects of the current system and the liberalization of foreign investment, national policies, systems outside the public health and community behavior settings and improvements related to the development of a reliable system of public health need to be taken.
One of the susceptibility of the public health to be because of national policies and behavior patterns of the community helpless. Focus as an example of the problem of industrialization in Java triggered urbanization with social problems such as health problems, while the properties has Islands / Archipelago Indonesia a distinct advantage with generic entry Gentiles be optimized in the globalization era. Industry to the possible application areas can contribute to the regional economic development, social issues, urbanization and health, so that the public health system both regionally and nationally, to support each other in achieving the public health control instead of a public health system that is not stable so out of control in a time-bomb for the residents around. Urbanization with various settlements along the river is a classic problem that causes the function and role of the ineffectiveness of the public health system is a ticking time bomb of disease and other health problems due to weak or no public health system.
Public health system is not in a position to realize that alone on a variety of public health issues and the need for the implementation of public participation that health is a shared responsibility that begins with simple and can be done, ranging from individuals, families, RT, RW, Village, Neighborhood, City are /. face-district, state, and eventually the entire population For example, the behavior of people in the trash in its place is a modest attempt to influence the budget savings, but give exceptional for caretakers and the efforts to control the spread of disease, floods and other social problems prevent. But unfortunately, the understanding of the waste still relatively limited, so many rivers to fall victim to the garbage, floods, disease and the loss of the beauty of a local river caused. Thoughts about the health hazards of waste produced the need for a waste material that is not stacked a productive area of national policy in general in a mountain of trash that end up broken in cases of houses for residential areas adjacent to the landfill (landfill).
Liberalization of investment flows without knowledge of the environment and public health due to lack of a national policy for the destruction of communities and the impact of health problems, such as natural resource exploration next to the dam water and settlements led to disaster vulnerability, and ultimately to the destruction to justify public health. To this end, the need to ensure for a regulation that each application and development / investment in the community not too much is harmful to public health, including the destruction of a healthy environment and the discipline violations that harm could people prevent themselves . A challenge of globalization, in which there is a charge of liberalization and capitalism, that the government must always be vigilant and wise use of natural resources in the country, the sustainable, the next generation of investment savings and health at local and national levels, the be have maximum benefit for the good of the people is. Anticipated capital expenditures of state and society is an investment that provides significant value to explore the priorities for investment not only the natural resources alone to concentrate investment only major national markets, the benefits of investing as mere technicians, the only himself the investment services sector strengthening, etc. but an investment in the empowerment of the community in the long run may contribute to transfer konwhow, technology transfer and the dissemination of knowledge as an example for the industry. If communities can not be offset in the long run the situation will be found that the healthcare system in the long run to lose their role and function in society. Performed at the macro level, with an emphasis of macroeconomic policies to strengthen only on economic parameters such as correlation dollars with foreign currency and neglect micro sector economic decisions has vulnerable to short-term money / speculative than strengthening the manufacturing-based industry the ability to fundamentally long term economic of the country. The ability of the economy of the country to contribute as a form of independence one of the dominant factors, the success of public health, particularly in developing countries, where public confidence in the government is still high. The ability to understand the potential of the nation, is itself a strong capital base, development of appropriate systems to the conditions and characteristics of the nation.
Public health system is not in a position to realize that alone on a variety of public health issues and the need for the implementation of public participation that health is a shared responsibility that begins with simple and can be done, ranging from individuals, families, RT, RW, Village, Neighborhood, City are /. face-district, state, and eventually the entire population For example, the behavior of people in the trash in its place is a modest attempt to influence the budget savings, but give exceptional for caretakers and the efforts to control the spread of disease, floods and other social problems prevent. But unfortunately, the understanding of the waste still relatively limited, so many rivers to fall victim to the garbage, floods, disease and the loss of the beauty of a local river caused. Thoughts about the health hazards of waste produced the need for a waste material that is not stacked a productive area of national policy in general in a mountain of trash that end up broken in cases of houses for residential areas adjacent to the landfill (landfill).
Liberalization of investment flows without knowledge of the environment and public health due to lack of a national policy for the destruction of communities and the impact of health problems, such as natural resource exploration next to the dam water and settlements led to disaster vulnerability, and ultimately to the destruction to justify public health. To this end, the need to ensure for a regulation that each application and development / investment in the community not too much is harmful to public health, including the destruction of a healthy environment and the discipline violations that harm could people prevent themselves . A challenge of globalization, in which there is a charge of liberalization and capitalism, that the government must always be vigilant and wise use of natural resources in the country, the sustainable, the next generation of investment savings and health at local and national levels, the be have maximum benefit for the good of the people is. Anticipated capital expenditures of state and society is an investment that provides significant value to explore the priorities for investment not only the natural resources alone to concentrate investment only major national markets, the benefits of investing as mere technicians, the only himself the investment services sector strengthening, etc. but an investment in the empowerment of the community in the long run may contribute to transfer konwhow, technology transfer and the dissemination of knowledge as an example for the industry. If communities can not be offset in the long run the situation will be found that the healthcare system in the long run to lose their role and function in society. Performed at the macro level, with an emphasis of macroeconomic policies to strengthen only on economic parameters such as correlation dollars with foreign currency and neglect micro sector economic decisions has vulnerable to short-term money / speculative than strengthening the manufacturing-based industry the ability to fundamentally long term economic of the country. The ability of the economy of the country to contribute as a form of independence one of the dominant factors, the success of public health, particularly in developing countries, where public confidence in the government is still high. The ability to understand the potential of the nation, is itself a strong capital base, development of appropriate systems to the conditions and characteristics of the nation.
As an example of a simple model of health care, such that the understanding of the development of health with respect to the internal control and the system described below are considered. In the description of the internal process horizontally Healthcare sees the role and function of health care not only chain referral (referral system), but there is a process for the formation under a service that not only the responsibility of the Department of Health in promoting a lot in terms of regulation and government programs, but can build on top of medical care in medical cases, so that the process of science and coaching refresher can run continuously. For example, health centers must neighborhood health center for all key factors both in terms of health promotion, prevention, treatment and rehabilitation for patients in accordance with the scope to develop below.
Prove the level of coaching and hopefully in the future be in a position to control the internal processes-vertical, a province which is responsible for the entire system of public health services of the RS government the provincial and district / city level in the neighborhood health center is the smallest unit of health care. Offer during the internal processes, the vertical support systems, such as elementary, junior high / high school, community, corporate and private healthcare is involved to support a public health system partners and complement to maximum part of the public health system involvement students, communities and companies. posyandu good to be with all levels of health care to the government hospital
The role of PR firms implemented or are responsible for cooperatives function in society through a social responsibility to help the efforts of health promotion and disease prevention to help a local disease mapping in collaboration with health care. The need for the company's participation in health care is a positive perception for the local community while strengthening the public health system in relation to health promotion and prevention in the field of health.
Necessary support for private healthcare services to the appeals process to which the infrastructure of comprehensive health services including medical or specialist / health center hospitals accept special. Private Healthcare centers of excellence that can have joint health to help companies in healthcare through social responsibility and community development of posyandu to government hospitals in the city / municipality and the province.
Environmental factors affect the public health healthcare survive resilience capability and thrive in situations of environmental uncertainty. As a basic requirement in addition to the economy, education, food and clothing, health is a requirement that citizens must be protected include all levels of society. Certainly health problems ever at any time, there are no perfect state of the public who are in good health, but general health, the public requires to meet the needs of health care to take the time to adequately is an important thing for a healthy society , on the other side the ability to recognize environmental damage health is needed, where the role of all stakeholders including the public, healthcare, government and corporate bonds, collaboration and have the same duties in public health issues.
In the age of globalization, foreign interests can not be the dominant factor in a country's development, the role of the state has become very important as policy makers in the life of the nation and its people. Understanding the flow of investment as an engine of the economy of a country is primarily a developing country a theoretical understanding, which will be as universally applicable. Regardless of the type of foreign investment is a plus, but not all foreign investment provides long-term positive results and foreign investment may create negative results due to the flow of investment is not worth the reversal of the capital by the domestic economic and environmental problems absorbed endanger the health society. The strengthening of the rupiah will strengthen still considered a disadvantage for domestic exports instead, but the basic import of capital goods for the long-term economic strength. The strengthening of the rupiah as export losses without internal capabilities coupled sector to improve efficiency. Independence of the nation in the last priority policy and decision making in business To determine the capacity of policy and strategic decisions in the relations between the countries, national security and safety, including public health, economic and political decisions that the sustainability of the existence of the state and the nation's current and future provision may be affected. For example, the scarcity of natural resources in the future and understanding that his country does not have sufficient resources for the people, then the company's financial instrument holding company form and take advantage of economic agreements (non-tariff), was the kind of company in capable of a predator to be economic by the limits of the de jure and de facto states have, without the natural resources of a foreign country is to remember another country without reaching their full potential and to subsidize people with foreign investment package . Understanding the limited natural resources, which receive an accumulation of scenario reserves of natural resource exploitation itself plus the resources of other countries to economic stability and security for their citizens.
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