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"Accessibility and Other Factors Related with Utilization of Treatment Curative Services at Baros Community Health Center For its Community , Sukabumi Municipality In April 2004Utilization of curative services at Baros Community Health Centre for its community is low, especially from Jaya Mekar Village and Sudajaya Hilir Village.

This study aimed to describe the utilization of curative at Baros Community Health Centre and factors related to at Sukabumi municipality in April 2004.

Design of the study was across sectional one. This study aimed to see the correlation among accessibility, quality reason, education, need of health services , financial source and family income with utilization of curative services at Community Health Centre.

The respondents were families in Baros Sub District who have experienced curative services at Baros Community Health Centre and other surrounding Community Health Centre. Total samples were 100 respondents, selected by systematic random sampling selection technique.

The results of study showed that accessibility , education and family income were associated with utilization of curative services at Community Health Centre while quality reason, need of health services and financial source had no association with it.

Multivariate analysis was used in this study to explain the most associated factor with the utilization of curative services . By this analysis , accessibility was found significantly associated with it. Odd Ratio 20,68 ,P= 0,000 ( 95%CT ; 6,845 - 62,479 ).

The proportion of curative services utilization at Baros Community Health Centre by its community showed 50 % . This study recommends a need to think about optimalization of health services visit at remote areas at Sudajaya Hilir Health Clinic,lth Centre, periodic health services visit at remote areas and community poverty alleviation project. There is also a need to think about raising and developing of curative services at Baros Community Health Centre, increasing community coverage, conducting community transportation need survey, and promoting education.

Bibliography : 40 ( 1972 - 2004)."

"Mann Whitney analysis result based on Puskesmas with inpatient and without inpatient in achieving Desa Siaga Aktif target because sig=0,308>[alpha](0,05). Descriptively, inpatient Puskesmas in rural areas are doing more effort in conducting Promkes four dimensional program compared to non-inpatient Puskesmas."

"Safe community as a system starts at village level, sub health centers, health center to the emergency services in hospitals. This effort is to encourage people to motivate and raise awareness of the potential. This research aims to develop a model of community-based safe community in an effort to emergency care system in the village of alert starting from system input, process and output. The study design is explanative, with qualitative data. This research was conducted in the Province of West Java and Yogyakarta Special Region. The results in terms of system inputs that safe community concept has not been much to formulate. Some claim a disaster mapping, taking into account the estimated number of victims, and needs help cure and health care in safe community based. Coordination of the main tasks and functions of each. Policy department already has a foundation of legitimacy according to laws, government regulations, medium-term development plan for the area and the Regent's decision letter, the local governor and even districts. Budget still relies on budget allocations, budget and block grand. Overview of the system process of the mdependence of the community there has been no system to start, but the potential is quite high, with the correct organizational, professional and can be better ensure the implementation of sustainable community based disaster management. Some of the inhibiting factor is the mobilization of community resources are lacking, limited human resources, budgeting, and coordination among sectors less traffic, less socialization and data collection, communications need to be increased, volunteers erratic, and less care. Development of community-based safe community model that is holistic, with the ability to empower local communities. This model includes the initiation efforts, partnerships, mobilization, advocacy resources, to accommodate the cultural, behavioral and regulatory assistance and support to the preventive, promotive safe and healthy communities in the entire cycle of human life in the state of emergency and disaster daily. Networks formed a partnership that is expected to be a shared responsibility between the cross-cutting."

"Untuk mengatasi permasalah air bersih dan sanitasi sesuai kesepakatan MDG?s pada goal 7 target 10, pemerintah bersama pihak donor membuat program CWSH (community water services and health) yang dilaksanakan di 4 propinsi dan 20 kabupaten, tujuan programnya adalah meningkatkan derajat kesehatan masyarakat melalui komponen pembangunan sarana air bersih dan sanitasi, permberdayaan masyarakat dan perubahan perilaku hidup sehat. Untuk pengendalian pelaksanaan mutu program, peran data atau informasi berkait dengan quality control (QC) dan quality assurance (QA) /verifikasi proses kegiatan di dapat dari mekanisme laporan bulan dan qurtal. Sepanjang kuartal 2009 laporan terlambat penyampaiannya mulai dari 10 sampai 40 hari dari akhir priode kuartal yang disepakati. Sedangkan laporan bulanan priode Juli 2008 -Juli 2009 hanya 21,4 % yang tepat waktu (on schedule). Seluruh laporan (quartal dan bulanan) belum menginformasikan ukuran hasil dan manfaat yang dicapai sesuai key performance indicator (KPI) yang termuat didalam logical framework CWSHP disetiap keluaran komponen kegiatan. Kondisi ini disebabkan data masih diolah dengan worksheet, tidak mampu mengolah data secara otomatis membuat data tidak mudah dan cepat disajikan dan tidak mudah untuk diintergrasikan di tingkat kabupaten, propinsi maupun pusat. Untuk membantu seorang manager melakukan pengendalian, dengan memperoleh kemudahan pengumpulan data dan pemantauan kegiatan, sehingga memperoleh manfaat waktu, biaya dan megurangi kesalahan membuat keputusan atau mengambil tindakan, diperlukan alat pengendali berupa PPMS (project performance Monitoring system) dengan teknologi berbasis Web (database dan Internet) yang mampu memproses dan menampilkan data secara realtime dalam berbagai bentuk (kurva, tabel, grafik) pada jangkauan area wilayah yang luas.

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To overcome the problem of clean water and sanitation MDG's in goal 7 target 10, the government together with the donor makes the Community Water Services and Health (CWSH) program conducted in 4 provinces and 20 districts, the purpose of the program is to improve community health status through development clean water and sanitation facilities, community empowerment and health behavior change component.

To control the quality of program implementation, the role of the data or information related to quality control (QC) and quality assurance (QA) / verification process may be the mechanism of activity in the months and quartal report. Throughout the late quarter report 2009 range from 10 to 40 days from the final quarter of the agreed period. While the monthly report period July 2008-July 2009 that only 21.4% on time (on schedule ).

All reports (quartal and monthly) were not informed of the outcome and the benefits achieved according to key performance indicator (KPI) is contained within the logical framework of activities CWSHP each output component. This condition is caused by the data is still processed by the worksheet, is not capable of processing data automatically creates easily and fast data not presented and not easy to integrate in the district, provincial and central governments.

To help a manager to control, to obtain ease of data collection and monitoring activities, so as to obtain the benefit of time, cost and errors decisions reduce or take action, necessary control equipment such as PPMS (Project Performance Monitoring System) with Web-based technologies (databases and Internet) capable of processing and displaying data real time in various forms (curves, tables, graphs) in the coverage area of a large area."

"Dalam Undang-Undang Kesehatan tahun 2009 disebutkan bahwa fasilitas pelayanan terdiri atas pelayanan kesehatan perorangan dan pelayanan kesehatan masyarakat. Hal tersebut juga didukung dalam SKN 2012 bahwa upaya kesehatan dibagi menjadi 2 bagian utama yaitu pelayanan kesehatan perorangan dan pelayanan kesehatan masyarakat. Di Indonesia perbedaan antara Upaya Kesehatan Masyarakat (UKM) dan Upaya Kesehatan Perorangan (UKP) belum dijabarkan dengan jelas.Tujuan dari penelitian ini adalah diketahuinya tingkat pengetahuan tenaga kesehatan di Puskesmas Bogor Timur terkait Upaya Kesehatan Masyarakat (UKM) dan Upaya kesehatan Perorangan (UKP) berdasarkan SKN 2012. Penelitian ini adalah penelitian kualitatif dengan menggunakan teknik wawancara mendalam dan focus group discussion dalam pengambilan data primer. Data diperoleh dari 17 informan yang merupakan penanggung jawab program kesehatan di Puskesmas Bogor Timur Kota Bogor.Hasil penelitian ini adalah bahwa tingkat pengetahuan tenaga kesehatan mengenai UKM dan UKP masih rendah. Para tenaga kesehatan lebih mengetahui mengenai UKM dibandingkan UKP. Tenaga kesehatan mengelompokan UKM dan UKP berdasarkan sasaran, tujuan kegiatan, peran serta masyarakat, personel pelaksana dan lokasi pelaksanaan kegiatan. Para tenaga kesehatan juga tidak tahu adanya peraturan perundangan mengenai UKM dan UKP. Berdasarkan penelitian ini disarankan agar pemerintah pusat dan pemerintah daerah lebih mensosialisasikan peraturan perundangan yang baru pada semua tenaga kesehatan dan kepada para tenaga kesehatan diharapkan agar dapat mempelajari mengenai peraturan perundangan yang baru karena peraturan perundangan secara tidak langsung berhubungan dengan pekerjaan.

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In the Health legislation in 2009 that the facilities services consist of personal health services and community health. It also supported in the National Health System in 2012 that health efforts are divided into two main parts: the personal health services and community health services. In Indonesia, the difference between personal and community health care efforts have not been clearly defined.The purpose of this research is to know the level of knowledge of health workers at Puskesmas Bogor Timur about personal and community health care efforts based on SKN 2012. This study is a qualitative study using in-depth interview techniques and focus groups in primary data collection. Data were obtained from 17 informants who are in charge of health programs in Puskesmas Bogor Timur.The results of this study is that the level of knowledge of health professionals about personal and community health care efforts is low. The health workers more aware of the efforts of personal health compared the efforts of community health. Health workers classify the efforts of community health and personal health effort based on the goals, objectives activities, community participation, location of implementation activities. The health workers also were unaware of the laws and regulations concerning community health efforts and the efforts of personal health. Based on this research, it is recommended that the Central Government and local governments more to socialize a new legislation on the regulation of all health workers and the health workers are expected to be able to learn more about the new legislation because the legislation regulations legislation indirectly relate to the job."