Urgency in Primary Health Care Investment
There is a certain amount of urgency in investing in primary health care. These investments include the following. First, providing primary services to the village level. This step is pursued by providing sub-Puskesmas in each village equipped with health workers and cadres according to standards.
Second, refocusing the function of the Community Health Center as a champion for regional health development. This step is being pursued with the Puskesmas as the coordinator of health development in the sub-district and increasing the capacity of the Puskesmas and institutional relations with the sub-district and village governments.
Third, revitalization and institutionalization of health cadres. This step is pursued with health cadre competency standards and the institutionalization of health cadres in the incentive system health service system.
Investment in primary health services is also part of the game changer of social transformation. As is known, the strategy implemented to realize social transformation is accelerating compulsory education to 13 years and increasing the gross enrollment rate (APK) in tertiary institutions and producing quality STEAM graduates, including the use of endowment funds for education.
Another strategy is to reorganize the authority for education and health governance, such as managing teachers, medical personnel and health workers, as well as investing in basic health services, overcoming stunting, and eradicating neglected infectious and tropical diseases (especially tuberculosis and leprosy).
Social transformation is also carried out by alleviating poverty through a unified Regsosek system and integrated adaptive social protection.
Specifically, investment in basic health services aims to expand investment in comprehensive basic health services to the village and sub-district levels, including health service institutions supported by political commitment, leadership, financing and governance, cross-sectoral collaboration, stakeholders and community participation, including the private sector.
Basic health services are urgently needed to support the achievement of universal health coverage, address the root causes and risk factors for health problems effectively and efficiently.
Apart from that, the basic health service system is also expected to be able to adapt and be responsive to change.
Source: Bappenas
