scholarly journals EVALUASI PEMERIKSAAN JENTIK BERKALA RUMAH WARGA DI WILAYAH PUSKESMAS TANAH KALIKEDINDING SURABAYA

2017 ◽  
Vol 3 (2) ◽  
pp. 195
Author(s):  
Rina Tri Agustini
Keyword(s):  
Public Health ◽  
Mortality Rate ◽  
Human Resources ◽  
Health Center ◽  
Research Design ◽  
Hemorrhagic Fever ◽  
Public Health Center ◽  
Study Evaluation ◽  
Regulations And Guidelines ◽  
Analyze Data

During of January 2015 Dengue Hemorrhagic Fever (DHF) took place in 37 County city in East Java province, which the number of cases were 3136 and mortality rate were 52 cases. Surabaya reached 59 cases of DHF. The number of Larva Free Index in Tanah Kalikedinding Public Health Center bas around 86–88.7% in 2015, so haven’t reached the specified target which is 95%. One of the activities conducted to improve Larve Free Index was performing Periodic Larva Inspection of houses. Therefore, need to evaluation the implementation of Periodic Larva Inspection of houses included implementer, activities, time of implementation, reporting, and instrument of Periodic Larva Inspection. The Research design observational with study evaluation by descriptive.Technique of collecting data were included interviews, and documents collected. Analyze data by compared data obtained with the existing regulations and guidelines. Evaluation of implementer were in accordance with the regulation. However, if possible have to do advocacy for human resources addition from outside the posyandu cadres and dasawisma groups. Activities aspect underway in accordance with the guidelines. Time of implementation by Larva Monitoring Mother appropriate to standard, while it by Public Health Center offi cers more routine because it is adapted to conditions.Reporting aspect was in accordance with the regulation. Instruments that carried when implementation were accordingly. However, need to use Larva Card in each houses/buildings to facilitate the Inspection and data collecting. In addition, can be apply the Larva Free Village Contest to motivate cadres and citizens.Keywords: DHF, evaluation, larva, Periodic Larva Inspection.

scholarly journals Faktor Risiko yang Mempengaruhi Terjadinya Kejadian Demam Berdarah Dengue (DBD) di Puskesmas Sewon II Bantul

2020 ◽  
Vol 11 (1) ◽  
pp. 7-12
Author(s):  
Ubaidillah Ubaidillah ◽  
Deden Kurniawan
Keyword(s):  
Public Health ◽  
Health Center ◽  
Dengue Fever ◽  
Research Design ◽  
Dengue Hemorrhagic Fever ◽  
Significant Relationship ◽  
Hemorrhagic Fever ◽  
Case Control ◽  
Chi Square ◽  
Public Health Center

Berdasarkan data Dinas Kesehatan Kabutapten Bantul, data demam Berdarah Dengue dari seluruh Puskesmas di kabupaten Bantul Tahun 2017 menunjukan Puskesmas Sewon II menempati urutan pertama kejadian DBD dengan kasus sebanyak 44 kasus dan berdasarkan Data Puskesmas Sewon kabupaten Bantul terdapat 40 kasus kejadian Demam Berdarah. Tujuan penelitian ini untuk mengetahui Faktor-Faktor Risiko Yang Mempengaruhi Terjadinya Penyakit Demam Berdarah Dengue (DBD) di wilayah kerja Puskesmas Sewon II Bantul Tahun 2018. Metode penelitian menggunakan desain penelitian kuantitatif dengan rancangan penelitian case control. Jumlah sampel sebanyak dalam penelitian ini sebanyak 40 kasus dan 40 kontrol, menggunkan teknik purposive sampling. Penelitian dilaksanakan pada bulan april 2018 dengan wawancara menggunkan kuesioner. Analisis data menggunakan uji chi-square dengan program SPSS. Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara membersihkan tempat penampungan air, tidak mengubur barang-barang bekas, Tidak menabur bubuk abate dengan kejadian Demam Berdarah Dengue  pada pasien  di Wilayah Kerja Puskesmas Sewon II Bantul. Tidak terdapat hubungan yang bermakna antara menggantung pakaian dengan kejadian Demam Berdarah Dengue pada pasien  di Wilayah Kerja Puskesmas Sewon II Bantul. Based on data from Bantul District Health Office, dengue fever data from all Puskesmas in Bantul regency in 2017 shows Puskesmas Sewon II ranks first case of DHF with case as many as 44 cases and based on data of Puskesmas Sewon Bantul regency there are 40 case of Dengue fever. This studi aims to determine the risk factors that influence the occurrence of Dengue Hemorrhagic Fever (DHF) in the work area of ​​Sewon II Bantul Public Health Center in 2018. The research method used quantitative research design with case control research design. The number of samples in this study were 40 cases and 40 controls, using purposive sampling technique. The study was conducted in April 2018 by interview using a questionnaire. Data analysis using chi-square test with SPSS program. The result shows that there is a significant relationship between cleaning up water reservoirs, not burying used goods, not sowing abate powder with the occurrence of Dengue Hemorrhagic Fever in patients in Public Health Center the Sewon II  Bantul. There is no significant relationship between hanging clothes with the occurrence of Dengue Hemorrhagic Fever in patients Public Health Center in the Sewon II Bantul. 

scholarly journals HUBUNGAN PERILAKU MASYARAKAT DALAM PEMBERANTASAN SARANG NYAMUK DAN FAKTOR LINGKUNGAN DENGAN KEJADIAN DEMAM BERDARAH DENGUE DI WILAYAH PUSKESMAS I DENPASAR SELATAN DAN PUSKESMAS I DENPASAR TIMUR

2016 ◽  
Vol 10 (1) ◽  
pp. 17
Author(s):  
Dwi Jata ◽  
Nyoman Adi Putra ◽  
I.B.G. Pujaastawa
Keyword(s):  
Public Health ◽  
Health Center ◽  
Sampling Method ◽  
Hemorrhagic Fever ◽  
Total Sample ◽  
Cross Sectional ◽  
Public Health Center ◽  
Community Behavior ◽  
Service Need

Dengue hemorrhagic fever (DHF) is one of diseases that causes health problems in Indonesia and oftenly creates extraordinary events with great death. The purpose of this research is to discover relationship community behavior in mosquito nesting eradication and environmental factors with DHF incidence in 1st Public Health Center Denpasar Selatan and 1st Public Health Center Denpasar Timur. The research design used is observational, cross-sectional. Total sample of 82 households. Sampling was done in proportion sampling method. Results of the analysis of environmental variables associated with DHF incidence in 1st Public Health Center Denpasar Selatan: occupant density (p = 0.02), mobility (p = 0.01), the habit of hanging clothes (p = 0.04). 1st Public Health Center Denpasar Timur: mobility (p = 0.00), clogged water ditches (p = 0.00), containers water existance (p = 0.03), the habit of hanging clothes (p = 0.00). Knowledge, attitude and actions in 1st Public Health Center Denpasar Selatan and 1st Public Health Center Denpasar Timur statistically correlated with DHF incidence. As conclusion of the research results, in 1st Public Health Center Denpasar Selatan and 1st Public Health Center Denpasar Timur, that is mobility, the habit of hanging clothes, knowledge, attitude and actions strongly related with DHF incidence, while that is clogged water ditches, containers water existance and occupant density has no relation with DHF incidence. Public Health Center need to intensify health promotion, improves the quality of MNE (PSN), and the Provincial Health Service need to support Public Health Center on setting policies which necessary.

scholarly journals ANALISIS PELAKSANAAN PROGRAM PENGENDALIAN DEMAM BERDARAH DENGUE (DBD) DI PUSKESMAS KARYA WANITA KOTA PEKANBARU

2021 ◽  
Vol 1 (2) ◽  
pp. 443-456
Author(s):  
Qory Ayunitami ◽  
Herlina Susmaneli ◽  
Christine Vita Gloria Purba
Keyword(s):  
Public Health ◽  
Aedes Aegypti ◽  
Health Center ◽  
Age Groups ◽  
Control Process ◽  
Control Program ◽  
Hemorrhagic Fever ◽  
Public Health Center ◽  
Dengue Disease ◽  
The Government

Demam Berdarah Dengue (DBD) merupakan salah satu jenis penyakit menular yang disebabkan oleh virus dengue yang ditularkan melalui gigitan nyamuk Aedes Aegypti. Penyakit DBD dapat muncul sepanjang tahun dan dapat menyerang seluruh kelompok umur. Puskesmas Karya Wanita merupakan daerah yang endemis yaitu daerah yang mudah terjangkit penyakit dalam jumlah besar salah satunya penyakit DBD. Upaya dari pemerintah untuk mengatasi penularan penyakit DBD dengan melakukan program pengendalian DBD. Program pengendalian ini berupa pemberantasan sarang nyamuk, penyelidikan epidemiologi dan penggulangan fokus. Kegiatan ini mempunyai tujuan utama diantaranya untuk menurunkan angka kesakitan, menurunkan angka kematian, dan mencegah terjadinya KLB penyakit DBD. Tujuan penelitian ini untuk menganalisis pelaksanaan program pengendalian DBD di Puskesmas Karya Wanita Kota Pekanbaru tahun 2020. Penelitian ini merupakan penelitian kualitatif deskriptif dengan pendekatan studi kasus. Subjek penelitian ini terdiri dari 1 informan kunci yaitu Kepala Puskesmas, 2 informan utama yaitu Pemegang Program DBD, Petugas Promosi Kesehatan, dan 2 informan pendukung yaitu Kader dan Masyarakat. Teknik yang digunakan dalam penelitian ini adalah wawancara mendalam dengan menggunakan bantuan pedoman wawancara serta analisis data dilakukan secara deskriptif dan disajikan dalam bentuk narasi . Hasil penelitian ini menunjukkan bahwa pelaksanaan program pengendalian DBD belum optimal, hal ini disebabkan oleh kurangnya dana untuk melaksanakan program ini, dan juga masih kurangnya partisipasi masyarakat dalam melakukan program Pemberantasan Sarang Nyamuk (PSN). Diharapkan kepada pihak puskesmas agar dapat bekerjasama dengan pihak terkait seperti Dinas Kesehatan Kota/Provinsi dan lintas sektor dalam pendanaan untuk semua kegiatan pengendalian DBD dan lebih memotivasi masyarakat agar ikut serta dalam proses pengendalian DBD. Dengue Hemorrhagic Fever (DHF) is a type of infectious disease caused by the dengue virus which is transmitted through the bite of the Aedes Aegypti mosquito. DHF can appear throughout the year and can affect all age groups. Karya Wanita Public Health Center is an endemic area, namely an area that is easily infected by large numbers of diseases, one of which is DHF. Efforts from the government to overcome the transmission of dengue disease by implementing a dengue control program. This control program takes the form of eradicating mosquito nests, epidemiological investigations and focus repetition. This activity has the main objective of reducing morbidity, reducing mortality, and preventing outbreaks of dengue fever. The purpose of this study was to analyze the implementation of the DHF control program at  Karya Wanita Public health center Pekanbaru City in 2020. This research is a descriptive qualitative research with a case study approach. The subjects of this study consisted of 1 key informant, namely the Head of the Puskesmas, 2 main informants, namely the DBD Program Holder, a Health Promotion Officer, and 2 supporting informants namely Cadres and the Community. The technique used in this research is in-depth interviews using interview guides and data analysis is done descriptively and presented in narrative form. The results of this study indicate that the implementation of the DHF control program is not optimal, this is due to the lack of funds to implement this program, and also the lack of community participation in carrying out the Mosquito Nest Eradication (PSN) program. It is hoped that the public health center will be able to collaborate with related parties such as the City / Provincial Health Office in funding for all DHF control activities and to further motivate the community to participate in the DHF control process

scholarly journals Affecting Factors BPJS Users on the Tiered Referral System in the Pokenjior Community Health Center, Padang Sidempuan City

2021 ◽  
Vol 4 (2) ◽  
pp. 1822-1831
Author(s):  
Ria Hartaty ◽  
Sri Lestari Ramadhani Nasution ◽  
Ali Napiah Nasution ◽  
Ermi Girsang
Keyword(s):  
Public Health ◽  
Human Resources ◽  
Health Center ◽  
Pearson Correlation ◽  
Referral System ◽  
Dominant Factor ◽  
Public Health Center ◽  
Work Area ◽  
User Knowledge ◽  
Research Type

This study aims to determine the factors that influence BPJS users of the Tiered Referral System in the Work Area of Pokenjior Health Center, Padangsidimpuan City. This research is an analytical research type with explanatory research type. The populations in this study were all BPJS users or patients undergoing health services at the Pokenjior Public Health Center in Padang Sidempuan City with a sample of 98 patients participating in the Health BPJS. Data were collected using a questionnaire and analyzed using the Pearson Correlation test and multiple logistic regression tests. The results showed that there was an influence of BPJS user knowledge (p = 0.007), officer attitudes (p = 0.003), availability of infrastructure and human resources (p = 0.002), and referral information (p = 0.003) to the tiered referral system at Pokenjior Public Health Center. The results of multivariate analysis and modeling show that BPJS user knowledge, availability of infrastructure, and human resources and referral information are the dominant factors influencing the tiered referral system. Thus it was concluded that the knowledge factor of BPJS users, the availability of infrastructure and human resources as well as the referral information had a significant effect on the tiered referral system in Pokenjior Public Health Center, and the availability of infrastructure and human resources was the biggest or most dominant factor affecting the tiered referral system in the work area Pokenjior Public Health Center in Padangsidimpuan City

scholarly journals PENGETAHUAN DAN SIKAP BIDAN MENGENAI PENGGUNAAN PARTOGRAF DALAM PERSALINAN DI PUSKESMAS PONED KOTA MANADO

e-CliniC ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Jacqueline P. Toemandoek ◽  
Freddy Wagey ◽  
Maria Loho
Keyword(s):  
Public Health ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Health Center ◽  
Positive Attitude ◽  
Health Workers ◽  
Good Knowledge ◽  
Poor Knowledge ◽  
Public Health Center ◽  
Knowledge And Attitude

Abstract: The high maternal mortality rate is mostly due to pregnancies and labours. Health workers who can help labour are inter alia midwives. A health center that has the facilities and the ability to provide 24-hours services to cope emergency cases of obstetric and neonatal care is called PONED Public Health Center (PHC). This study aimed to obtain the knowledge and attitude of midwives about partograph in PONED PHCs in Manado. There were 33 respondents of 6 PONED PHCs in Manado. The results showed that most of the midmives (90.9%) in PONED PHCs had good knowledge about the usage of pantograph in labour; 2 respondents (6.1%) had fair knowledge, and 1 respondent (3.0%) had poor knowledge. All midwives (100%) had positive attitude about the usage of partograph. Conclusion: Most midwives in PONED PHC in Manado had good knowledge and positive attitude about the usage of partograph in labour.Keywords: midwives, PONED Public Health Center, partographAbstrak: Tingginya angka kematian ibu terutama pada saat kehamilan dan persalinan. Tenaga kesehatan yang dapat menolong persalinan yaitu salah satunya bidan. Puskesmas yang memiliki fasilitas dan kemampuan memberikan pelayanan untuk menanggulangi kasus kegawatdaruratan obstetrik dan neonatal selama 24 jam yaitu puskesmas PONED. Pada penelitian ini terdapat 33 responden dari 6 puskesmas PONED di Kota Manado. Hasil penelitian memperlihatkan bahwa tingkat pengetahuan bidan tentang penggunaan partograf dalam persalinan di Puskesmas PONED Kota Manado umumnya (90,9%) baik, 2 responden (6,1%) cukup, dan 1 responden (3,0%) kurang. Mengenai distribusi sikap, semua bidan (100%) mempunyai sikap positif. Simpulan: Umumnya bidan di puskesmas PONED Kota Manado mempunyai pengetahuan yang baik dan sikap yang positif mengenai penggunaan partograf dalam persalinan.Kata kunci: bidan, puskesmas PONED, partograf

scholarly journals The Perception Customers about the Means Quality Infrastructure of Ngantang Public Health Center

2020 ◽  
Vol 4 (1) ◽  
pp. 258-264
Author(s):  
Dwi Ratna ◽  
Sandu Siyoto ◽  
Byba Melda Suhita
Keyword(s):  
Public Health ◽  
Human Resources ◽  
Health Center ◽  
Sampling Technique ◽  
The Elderly ◽  
Persons With Disabilities ◽  
Public Health Center ◽  
The Public ◽  
Customer Perceptions

Background: Ngantang Public Health Center, being a public health center, always tries to apply minimum service standards. Services provided are a form of effort organized to meet community needs. Purpose: The research objective was to explore customer perceptions about the quality of buildings, equipment, human resources at Public Health Center Ngantang. Methodhs: The design used in this research is a qualitative descriptive study with a case study design, which describes customer perceptions about infrastructure; quality of buildings, equipment, human resources at the Public Health Center Ngantang. The sampling technique of this research is purposive sampling technique. The informants in this study consisted of 21 people, namely 5 BPJS PBI, 5 General, 5 Independent BPJS and 6 patient companions as triangulation informants. Data collection techniques using observation, interviews and documentation. Results: The results of the research on customer perceptions about the Public Health Center Ngantang building are the contours of lands prone to landslides, adequate parking facilities, unsafe security facilities, building components and materials are good enough, facilities for persons with disabilities and the elderly are incomplete, consumables are not yet available, furniture is less structured, human resources or labor lack of sympathy and empathy. Conclusion: By conducting this research, it can be used as a reference for Public Health Center Ngantang in improving the quality of infrastructure. consumables are not yet available, water furniture is less structured, human resources or labor lack sympathy and empathy. By conducting this research, it can be used as a reference for Public Health Center Ngantang in improving the quality of infrastructure.

scholarly journals THE The Application Of E-MTBS To Increase The Quality Of Midwife Service In Giving Midwifery Care For Under Five Years Old Toddler

2020 ◽  
Vol 9 (2) ◽  
pp. 1415-1421
Author(s):  
Muhasshanah Muhasshanah ◽  
Neny Yuli Susanti
Keyword(s):  
Public Health ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Health Center ◽  
Medical Personnel ◽  
Infant Mortality Rate ◽  
Midwifery Care ◽  
Public Health Center ◽  
Center Area

MTBS is one of the government’s efforts to reduce infant mortality rate. Most of sick toddler cases found in Situbondo regency are dealing with dengue fever and pneumonia, especially in Banyuputih Public Health Center area. One of the approaches to reduce the infant mortality rate is to consistently fill the MTBS format. However, due to limited manpower and the workload, medical personnel especially midwife could not optimally fill out the MTBS, so that toddler diseases could not be detected early. It is because the filling format and the reporting system of MTBS are not user friendly. The objective of this research is to develop MTBS implementation by using Information Technology System, in order to increase the quality of midwife service in giving midwifery care and reduce the infant mortality rate in Banyuputih Public Health Center area. This research generated a product in the form of information system called e-MTBS

scholarly journals Aplikasi Autoregressive Integrated Moving Average (ARIMA) untuk Meramalkan Jumlah Demam Berdarah Dengue (DBD) di Puskesmas Mulyorejo

2017 ◽  
Vol 5 (2) ◽  
pp. 177
Author(s):  
Luluk Nor Kasanah
Keyword(s):  
Public Health ◽  
Health Center ◽  
Dengue Hemorrhagic Fever ◽  
Moving Average ◽  
Arima Model ◽  
Hemorrhagic Fever ◽  
Small Error ◽  
Least Square ◽  
Public Health Center ◽  
Forecasting Method

ARIMA was one of a forecasting method of time series if independent variable be ignored, it would use the past and present value as a dependent variable. The accuracy of ARIMA forecasting method was good to produce short-term forecasting. The advantages of ARIMA method than other method was this method didn’t require the data pattern so it could be used for all kinds of data pattern, so it could be applied in cases of dengue hemorrhagic fever (DHF) in Mulyorejo Public Health Center. This study was to determine the best forecasting model as well as to predict and analyze the results of forecasting number of dengue hemorrhagic fever in Mulyorejo Public Health Center. The data was monthly number of dengue hemorrhagic fever patients in Mulyorejo Public Health Center from January 2010 to February 2016 (a total of 74 plots data). The results were the number of dengue hemorrhagic fever cases in Mulyorejo Public Health Center could be predicted with ARIMA model (1,0,0), thought based on diagnostics test the ARIMA model met all tests but the forecasting number of dengue hemorrhagic fever cases in years 2016–2017 showed a downward trend, and in 2017 was fl at, while MAPE and MAE amounted to 63.026% and 1.89%, the value of the error was large enough which indicated that less accurate forecasting. DHF data had a lot of missing data caused big value of MAPE and MAE so must be transformed by series mean method. DHF data was trend and seasonal so winters exponential smoothing with ordinary least square was better than ARIMA to get small error.

scholarly journals STUDI FAKTOR – FAKTOR LINGKUNGAN FISIK RUMAH PENDERITA DBD DI WILAYAH KERJA PUSKESMAS PURWOKERTO SELATAN KABUPATEN BANYUMAS TAHUN 2014

2015 ◽  
Vol 34 (2) ◽  
pp. 46-58
Author(s):  
Donie Ajian Veronica ◽  
Arif Widyanto ◽  
Budi Triyantoro
Keyword(s):  
Public Health ◽  
Health Center ◽  
Mosquito Larva ◽  
Research Result ◽  
Hemorrhagic Fever ◽  
Air Humidity ◽  
Public Health Center ◽  
The Public ◽  
Infection Disease ◽  
Breeding Place

Dengue Hemorrhagic Fever (DHF) disease is an infection disease caused by Dengue virustransmitted primarily through bites of Aedes aegypti. Based on the Purwokerto Selatan Public HealthCenter repotrs the number of dengue cases incedence from January to December 2013 recorded 92cases.The research objective was to describe physical house environment factors of DHF patients atdistrict Purwokerto Selatan Public Health Center like height of place, rainfall, ilumination, air temperatur,air humidity, kind of breeding place, and mosquito larva density (C.I, H.I, B.I, ABJ). The sample caseswere all patients with dengue in the public health center Purwokerto Selatan 2013.The research result shows from 77 patient was observation as subyek of cases DHF with agebetween 11-15 years old are 14 people (18,18%), 66,23 % are man with total 51 people, 46, 75 % arestudents with total 36 people. Height of places average are 74 meters from surface of the sea. Rainfall3.940 mm. Average of ilumination for part in the house 130 lux, part out of the house 443 lux. Average airtemperature for part in the house 31oC, part out of the house 32oC. Average air humidity part in thehouse 66%, part out of the house 62%. Total container was found are 285 container. C.I=2,45%,H.I=9,09%, B.I=9,09%, dan ABJ=90,0%.Kind of breeding place was found are basin for bath, place for clean water, vase, dispenser,refrigerator, pail, aquarium, pond, second objects, and container for drink bird. Mosquito larva density C.Iborder fill from WHO, (≤ 5%), border fill from WHO H.I (≤ 10%), B.I border fill from WHO (≤ 50%), andABJ border fill from WHO (≥ 95%) because of that be needed do restraint for mosquito larva. Give asuggestion to all people for do

scholarly journals Analysis of Policy, Infrastructure Facilities and Human Resources in Preparation for Re-Accreditation

2021 ◽  
Vol 7 (3) ◽  
pp. 296-304
Author(s):  
Riri Julianti ◽  
Sumengen Sutomo ◽  
Aldiga Rienarti Abidin ◽  
Jasrida Yunita ◽  
Reno Renaldi
Keyword(s):  
Public Health ◽  
Human Resources ◽  
Health Center ◽  
Health Information System ◽  
Health Staff ◽  
Exploratory Research ◽  
Public Health Center ◽  
Financial Administration ◽  
Service Standards ◽  
Document Review

Accreditation is an acknowledgment of the public health center agency, by an independent accreditation agency set by the Minister of Health after meeting the first level health facility service standards to improve the quality of services on an ongoing basis. Puskesmas Bagansiapapi is a middle-accredited puskesmas that will go through a re-accreditation process scheduled for 2020 and is planned to be a pilot health center in Rokan Hilir district. Based on the results of initial interview with Head and Staff of Public Health center, there are some recommendations from surveyors for 2020’s re-accreditation preparation such as policies, infrastructure and human resources. Downstream 2020.This type of research is qualitative descriptive exploratory research with in-depth interviews, observation and document review with the respondents of the quality head, an admin’s leader, an UKM’s Leader, the head of UKP, the Head of Public Health Center and the Internal Health Staff. The results showed that the preparatory policies for accreditation had been implemented well. The facilities and infrastructure in preparation for accreditation have not met Permenkes 43 of 2019 and have not met the needs of the community. Judging from the adequacy of human resources has not met the standard Permenkes No. 43 of 2019 in the form of environmental sanitation workers, health information system personnel, financial administration staff, administrative staff and those needed by medical record health centers and information technology workers.Preparation for Puskesmas Bagansiapiapi accreditation in policy has been well implemented, infrastructure and human resources do not meet standards.

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