Pelayanan Kesehatan di Daerah Terpencil Kepulauan (Studi Kasus di Pulau Sapudi Kabupaten Sumenep, Tahun 2009) (Health Services At Remote Islands Area In Sumenep District)

Background: Health services in remote islands are still poor. This study aims to assess the health services in healthcenters and its network in Sapudi island, Sumenep district. Method: This study is a descriptive study that was conducted atpuskesmas Gayam and puskesmas Nonggunong, in Sapudi island. The primary data were collected through Focus GroupDiscussion (FGD) with health workers and community leaders composed of 10 persons in each health centers. The datawere also collected by doing In-depth interview with head of health centers and interview with 30 heads of households inthe sub-district Gayam and NonggunongThe secondary data were from health center reports and profi les. The data wereanalyzed descriptively. Results: The number of nurses and midwives in health centers is insuffi cient, because the areasare quite extensive while the publictransportation is very limited. So, it is diffi cult for people to reach the health centers.Tradisional water transportasions in Nonggunong health centers are not appropriate to the area in Sapudi island. Thepeople\u27s residential area is far, so only on market day people could visit the health centers because of the scheduleof thepublic transportation. Traditional doctors are commonly the fi rst choice when they get health problems. Conclusions: Theavailability of health workers in Sapudi island is still insuffi cient. The available water transportation must be suited to thecondition of each areas. People who want to visit health center are so infl uenced by the availability of public transportationon marketdays. Traditional doctors are the fi rst choice for the people when they get health problems. Recommendations:It is suggested to increase the frequency of health workers to do fi eld visit

Kajian Undang-Undang Nomor 36 Tahun 2009 Tentang Kesehatan dan Peraturan Perundangundangan Lain Terkait Hak Kesehatan Reproduksi dan Keluarga Berencana (Review Of Law No. 36 Year 2009 Concerning The Regulation Of Health And Other Legislation Related To Re

Background: Law No. 36 in the year of 2009 consists of reproductive health and family planning has been exist. Thestudy is aimed to elucidate the regulation on human right issues. Method: It was an applied study to obtain operationalprogram and review of relevant law and regulation. Data were collected by observation and interviews with offi cials offamily planning services in primary health centers in Malang Municipality, East Java Province and Sampit District, Centerof Kalimantan. Discussions with stakeholders to review the Law No. 36 of 2009 associated with results of the issues.Results: It concludes that health service performed at family planning clinic still did not meet quality of services as expected,specially providing information and counseling contains the patient rights on reproductive health and family planning (therights and obligations of governments, local governments, health professionals and other skilled personnel and community participants of Family Planning), article 71, 72, 73, 74, 78 in Law 36 years of Health in 2009. Conclusions: The formulation of regulations to Law No. 36 of Health and other relevant government regulations on reproductive health and family planning is ideal, but the application still has not fully complied. Recommendations: Health service quality should be improved to provide counseling services in addition to enhance awareness about the rights and obligations to health personels and clients by socialization the Law 36 of 2009. Furthermore, it suggests to reevaluate the Health Act after a period of 5 yearto assess the effectiveness of implementation in the next 3 years with the expectations the family planning program hasbeen socialized in accordance with Law No. 36 of 2009 to providers and clients