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Regulatory Region Number 3 By 2013

Original Language Title: Peraturan Daerah Nomor 3 Tahun 2013

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RIAU ISLANDS PROVINCIAL GOVERNMENT

REGULATION OF RIAU ISLANDS PROVINCE NUMBER 3 YEAR 2013

ABOUT

PROVINCIAL HEALTH SYSTEM

WITH THE GRACE OF GOD YANG MAHA ESA

GOVERNOR OF RIAU ISLANDS,

DRAWS: a. that in order to order regional autonomy, in particular government affairs and public services in the field of health are given the best protection to the people with a system associated with the other systems. with government asas good and true according to the laws of legislation;

b. that health development aims to

achieve a high degree of health for the development and coaching of human resources and as a capital for the implementation of regional development that is in its nature the development of the community The full province, which is the responsibility of the government, the private and the public so that it needs to be developed Provincial Health System;

c. that based on consideration as intended in the letter a, and the letter b needs to establish the Regulation. Area about Provincial Health System;

Given: 1. Law No. 1 of 1962 on

Sea Quarantine (State Gazette of the Republic of Indonesia in 1962 No. 2, Additional Gazette of the Republic of Indonesia Number 2373);

2. Law No. 2 of 1962 on

Air Quarantine (State Gazette of the Republic of Indonesia in 1962 Number 3, Additional Gazette of the Republic of Indonesia No. 2374);

3. Law No. 4 of 1984 on Pestilation

Contagious Disease (sheet Of State Of The Republic Of Indonesia In 1984 Number 20, Additional Gazette Of The Republic Of Indonesia Number 3273);

4. Act Number 16 of 1992 on

Quarantine of animals, fishes and plants (leaf of state of the Republic of Indonesia 1992 No. 56, Additional Gazette of the Republic of Indonesia Number 3482);

5. Law No. 5 of 1997 on

Psychotropic (Sheet State Of The Republic Of Indonesia In 1997 Number 10, Addition Of Sheet Republic Of Indonesia Number 3671);

6. Law No. 22 of 1997 on

Narcotics (State Gazette of the Republic of Indonesia in 1997 No. 67, Additional Gazette of the Republic of Indonesia Number 3698);

7. Law No. 8 of 1999 on

Consumer Protection (State Gazette of the Republic of Indonesia in 1999 No. 42, Additional Gazette of the Republic of Indonesia Number 3821);

8. Law No. 18 Year 2002 on System

National Research, Development, Information Science and Technology (State Sheet of the Republic of Indonesia Year 2002 Number 84, additional Gazette of the Republic of Indonesia Number 4219);

9. Law No. 25 of 2002 on

Establishment of Riau Islands Province (State Gazette Indonesia Year 2002 Number 111, addition of State Sheet of the Republic of Indonesia Number 4237);

10. Law No. 17 of 2003 on

State Finance (Republic of Indonesia States of 2003 Number 47, Additional Gazette of the Republic of Indonesia Number 4286);

11. Law No. 25 of 2004 on National Development Planning System (2004 Indonesian State Sheet Number 104, Additional Gazette of the Republic of Indonesia Number 4421);

12. Act Number 29 of 2004 on the Practice of Medicine (Indonesian Republic of Indonesia Year 2004 Number 116, Additional Gazette of the Republic of Indonesia Number 4431);

13. Law No. 32 Year 2004 on

Local Government (Indonesian Republic of 2004 Number 125, Additional Gazette Republic of Indonesia No. 4437) as amended in the last few times by the Act of 2004. Number 12 In 2008 On The Second Change Of The Law Number 32 Of 2004 On The Local Government (sheet Of State Of The Republic Of Indonesia 2008 Number 59, Additional Gazette Of The Republic Of Indonesia Number 4844);

14. Law No. 33 of 2004 on

The Financial Balance Between the Central Government and the Local Government (State Gazette Indonesia Year 2004 Number 126, Additional Gazette of the Republic of Indonesia Number 4438);

15. Law No. 40 of the Year 2004 on System

National Social Security (Gazette Of The Republic Of Indonesia In 2004 Number 150, Additional Sheet Republic Of Indonesia Number 4456);

16. Law Number 17 Year 2007 on

National Long-Term Development Plan 2005-2025 (State Gazette Indonesia year 2007 Number 33, Additional Gazette Republic of Indonesia Number 4700);

17. Law No. 24 Year 2007 on

Disaster Countermeasures (State Gazette Indonesia Year 2007 Number 66, Additional Gazette Republic of Indonesia Number 4723);

18. Law No. 25 of 2009 on

Public Service (State Gazette of the Republic of Indonesia 2009 number 112, Additional Gazette of the Republic of Indonesia Number 5038);

19. Law No. 32 of 2009 on the Protection and Management of the Environment (Indonesian Republic of Indonesia Year 2009 Number 140, Additional Gazette of the Republic of Indonesia Number 5059);

20. Law Number 36 Year 2009 on Health (State Gazette of Indonesia Year 2009 Number 144, Additional Gazette Republic of Indonesia Number 5063);

21. Law No. 44 Year 2009 of Home

Sick (State Gazette of the Republic of Indonesia in 2009 Number 153, Additional Sheet State of the Republic of Indonesia No. 5072);

22. Law No. 24 Year 2011 on Agency

Organizing Social Security (Indonesian Republic of Indonesia Year 2011 Number 116, Additional Gazette Republic of Indonesia Number 5256);

23. Government Regulation No. 40 of 1991 on

Countermeasures Infectious Disease Outbreak (State Of The Republic Of Indonesia 1991 No. 49, Additional Sheet Of Republic Of Indonesia State Number 3447);

24. Government Regulation No. 32 of 1996 on

Health (State Gazette of Indonesia in 1996 No. 49, Additional Gazette of the Republic of Indonesia Number 3637);

25. Presidential Decree No. 72 of 2012 on the National Health System (State Sheet of the Republic of Indonesia 2012 No. 193);

26. President Regulation No. 109 of 2012 on

The Safety of Materials containing the addictive substance of tobacco products for health (State Sheet of the Republic of Indonesia 2012 Number 278);

27. The decision of the Minister of Health of the Republic of Indonesia No. 1116 /MENKE/SK/VIII/2003 on the Guidelines of the Staging Of Health Epidemiological Surveillance Systems;

28. Riau Islands Regional Regulation No. 6 Year 2008 on Government Affairs which became the Authority of the Government of Riau Islands Province (leaf section of the Riau Islands province of 2008 Number 6);

With The Joint Agreement

REPRESENTATIVES OF THE RIAU ISLANDS PROVINCE OF ISLANDS

AND

GOVERNOR OF RIAU ISLANDS

DECIDES:

SET: REGULATION THE AREA ABOUT THE HEALTH SYSTEM

PROVINCE.

CHAPTER I OF THE GENERAL PROVISION

Article 1

In this Area Regulation referred to: 1. The area is Riau Islands Province. 2. The Government is the Central Government. 3. The Regional Government is the Government of the Riau Islands Province. 4. The Regional People's Representative Council, later called the DPRD is

The Regional Representative Council of Riau Islands Province. 5. The Governor is the Governor of Riau Islands. 6. The Ministry of Health is the Provincial Health Service of Riau Islands. 7. Health is a prosperous state of body, soul, and social that

allows each person socially and economically productive lives.

8. The subsequent Riau Islands Health System (SKP) is a guideline, a reference to the establishment of health development in the Riau Islands Province, both by the Government, the private and the society that is integrated and supportive. In order to ensure the high degree of public health, it is the highest.

9. The public health effort (UKM) is an activity undertaken by the government and/or the public as well as private, to maintain and improve health and prevent and mitigate the health problems in the area. people.

10. The UKP ' s subsequent personal health efforts are any activities undertaken by the government and/or the public as well as private, to maintain and improve health as well as prevent and cure diseases as well as recover. Personal health.

11. The next School Health effort abbreviated as UKS is

any activities organized by educational institutions to maintain and improve health for educated students.

12. The Provincial Scale is a broad scope of setting areas against one and/or more districts/cities and/or cross-border regions.

13. The next unit of unit work, abbreviated as SKPD, is the service, agency, agency and government agency of the Riau Islands Province.

14. Private is any world component of the effort and organizer of non-government health efforts in Riau Islands Province.

15. A potential group of every group that develops in a society that has the ability to promote health in its environment.

16. The community is every person domiciled in the Riau Islands Province.

17. Healthcare is every person who is devoted to health and has knowledge and/or skills through education in health care that for certain types requires the authority to conduct health efforts.

18. Health means is a place used to host health efforts in the Riau Islands Province.

19. A profession organization is an organization that moves in the field of Health Labor such as: Indonesian Doctors Association (IDI) and Indonesian Dental Doctors Association (PDGI), Indonesian Bidan Association (IBI), Indonesian Pharmaceutical Scholar Association (ISFI), Indonesian National Nurses Association (PPNI), Indonesian Pharmaceutical Association (PAFI), Association of Experts (Indonesian National Pharmacy), Indonesia (FRIENDSHIP), Indonesian Public Health Expert Association (IAKMI), Indonesian Health Laboratory Technology (PATELKI), Indonesian Environmental Health Expert Association (HAKLI), Indonesian Association of Environmental Health (IAI), and/or organization of the Indonesian Public Health Organization (Indonesian: Indonesian: Indonesian: Indonesian Environmental Agency), Indonesian Environmental Health Expert Association (Indonesian: Indonesian Environmental Health Expert), and/ other health professions that have a branch organization structure in the Province " Riau Islands.

20. The Swadaya Society (NGO), which is later abbreviated to NGOs, is an independent non-governmental organization that contributes to the development of healthcare in the Riau Islands Province.

21. Medical referrals are health care that governs reciprocally responsibility for health problems both vertically or horizontally.

22. The subsequent provision of Basic Health Services in the so-called PPK is made up of PPK 1, PPK 2 and PPK 3 is the level of health care that starts from the basic services of Puskesmas.

CHAPTER II INTENTS, OBJECTIVES, ASAS AND SCOPE

Section Parts

Mean and Purpose

Section 2

SKP is intended as a guideline and reference to host health development

Article 3

The SKP objective is the establishment of a health development by all components of both the Local Government, private and community. Synergically, useful and useful in order to achieve a degree of health. The society is as high as it is.

Second Part Asas and Scope Scope

Section 4

Asas the hosting of Riau Islands Provincial Health System: a. performed equally, equitable, sustainable and mutually

support; and b. uphold and respect human rights, dignity

humans, the fattening of cultural social values and the plurality of religious values.

Article 5

The Provincial Health System ' s Lingkup Room includes: a. Direction of Policy and Health Regulation; b. Health Care; c. Health Human Resources: Pharmacy, Device and Health Supplies; e. Financing and Warranty of Health Financing; f. Supervision, coaching and supervision; g. The Addictive Substance of Addictive Substances that contains addictive substances is

tobacco products for health; and h. Prevention and Disease Management.

CHAPTER III HEALTH SYSTEM

Section Kesatu

Direction Of Health Policy And Regulation

Section 6

(1) The direction of the Policy is a function to provide the direction of health development in the Riau Islands Province in the form of Vision formulas and health development missions.

(2) The health regulation is directed for improvement of the quality of health care in the field: a. Human resources of health b. the means and the infrastructure; c. financing; and d. financing guarantee.

The Second Part of the Health Effort

Section 7

Health efforts as referred to in Article 5 of the letter b consist of: a. Public Health efforts; and b. Personal Health effort.

Paragraph 1 Public Health Effort

Article 8

(1) UKM is an activity undertaken by the government,

local government, the District/City government, private and The public is to maintain and improve health and prevent and mitigate and mitigate the health problems in society.

(2) UKM as referred to in section 7 of the letter a, includes: a. health promotion; b. health of mother and child as well as family planning; c. nutritional improvement of society; d. environmental health and basic sanitation provision;

e. prevention and control of infectious and non-infectious diseases; f. Public health care; g. School health or other desigcountries; h. Mental health and exercise; i. Usila health; j. Industry health and tourism; k. Hajj health; l. Remote Indigenous Community Health (KAT) and Remote Areas

Border and Islands (DTPK); m. Safeguarding of pharmaceutical, tool and health supplies; n. The safeguarding of the use of addictive substances in food and drink; o. Narcotics protection, psychotropic, addictive substance and material

is dangerous; p. Disaster relief and humanitarian aid; and q. Disability.

(3) The health effort as referred to in paragraph (1) is

aims to maintain, protect and improve public health through promotional efforts, preventative, curative, rehabilitative and Community empowerment.

(4) Basic health care is exercised by UKM kelurahan or village and UKM subdistrict.

(5) The form of UKM as referred to in verse (3) is posyandu,

village health post, village saltside post, puskesmas maid, puskesmas and puskesmas care.

(6) In addition to the ministry as Referred to in paragraph (2) and paragraph (5)

can also be implemented a development health effort following the local health issue.

Article 9

UKM in its implementation is grouped into: a. Primary UKM; b. Secondary UKM; and c. UKM tertiary.

Article 10

UKM primary as referred to in Article 9 of the letter a is UKM the underlying level of science and basic health technology aimed at the community.

Article 11 (1) secondary UKM as referred to in Article 9 of the letter b is

UKM advanced level that is based on the science and specialistic health technology directed to the community.

(2) The secondary UKM as referred to in paragraph (1) is organized by the government, public and private with the responsibility of the County Health Service/City-supported sector.

Article 12

(1) In hosting of UKM the secondary as referred to in paragraph (2), the District Health Service/City conducts function: a. managerial functions; and b. Health technical functions.

(2) The managerial function referred to in paragraph (1) the letter a,

includes planning, execution, control, monitoring, supervision, assessment and accountability of the health development In the county.

(3) The technical functions as referred to in paragraph (1) letter b may be executed with the availability of some technical units to execute basic health care priorities as referred to in Section 8 of the paragraph (2) and the health efforts Development as defined in section 8 of the paragraph (5).

Article 13

(1) The tertiary UKM as referred to in Article 9 of the letter c is the preeminent level of UKM that is based on the science and subspecialistic health technology directed to the community.

(2) UKM The tertiary as referred to in verse (1) is exercised by the government, public and private with the responsibility of the Provincial Health Service and the Ministry of Health supported across sectors.

Article 14

(1) In hosting Tertiary UKM as referred to in

Article 13, Provincial Health Service exercised function: a. managerial functions; and b. Health technical function.

(2) The managerial function referred to in paragraph (1) of the letter a,

includes planning, execution, control, monitoring, supervision, assessment and accountability of the health development of the Province.

(3) The technical functions as referred to in (1) letter b may be implemented with the support of some of the flagship centers for direct service and referral needs of the district/city.

paragraph 2 Individual Health Efforts

Section 15

(1) The individual health efforts as referred to in Section 7

paragraph (1) letter b is any activity performed by the government and/or Public and private to maintain and improve health, prevent and cure diseases and restore personal health.

(2) Personal health efforts as referred to by paragraph (1) are organized with the purpose of provide health care to individuals in a comprehensive, successful and successful individual. Useful, fair, thorough, integrated, continuous, quality, safe and affordable.

Section 16

Individual Health Efforts consist of: a. Primary; b. Secondary; and c. tertiary.

Article 17

(1) The primary UKP as referred to in Article 16 of the letter a is

UKP base level, underlying the basic health sciences and technology addressed to the individual.

(2) Primary UKP as referred to in paragraph (1) is organized

by the government, the public and private both individuals and groups, among others: a. Puskesmas; b. Practice Doctor; c. Practice of Dentistry; d. Doctor Family Practice; e. Bidan practices;

f. Bidan Family Practice; g. Polyclinic/treatment hall; h. Maternity Home; i. Tradisonal Treatment and Alternative Therapy; j. Physical fitness; and k. Cosmetics.

(3) In terms of the National Health Guarantee it has developed

The ministry of primary personal health efforts other than done in Puskesmas can also be submitted to the public and private by applying the physician concept family.

Article 18

(1) Secondary UKP as referred to in Article 16 of the letter b is an advanced UKP, underlying the science and science of specialistic health directed to the individual.

(2) UKP the secondary as referred to in paragraph (1) is organized by the government, the government areas, the District/City government, the public and private both individuals and groups, among others: a. Specialist physician initiative; b. Specialist dentists specialist; c. A specialist clinic; and d. Public and special hospitals that are equivalent to type C and B

non education.

(3) The Secondary UKP is required to assist primary UKP in the form of medical referral services which are the devolution of authority and responsibility in case management reciprocally.

(4) Medical persuasion as referred to paragraph (1) includes: a. Case reference; b. Knowledge of knowledge; and c. References laboratory examination materials; and/or

network for anatomical pathology examination.

Article 19

(1) The tertiary UKP as referred to in Article 16 of the letter c is the pre-eminent UKP, which is the subject of science. knowledge and subspecific health technologies are addressed to individuals.

(2) The tertiary UKP as referred to in paragraph (1) is organized by the government, the public and private both individuals and groups, among others:

a. the practice of a subspecialist physician; b. The flagship service center; and c. The public and special hospitals are equivalent to type B and A

education.

(3) tertiary UKP services are carried out on the health means among others: a. Public hospitals; and b. Special hospital.

(4) Special Hospital as referred to in paragraph (3) letter b

can be equipped with a flagship service centre among others: a. Heart seed service; b. Cancer seed service; c. seed service countermeasures stroke; d. Organ transplant seed services; e. Steamcell flagship service; f. the service of the flagship of plastic surgery and the recoobstruction; g. Kidney seed services and hemodealisa; and h. Soul and drug services.

Article 20

The tertiary UKP is obliged to assist the Secondary UKP in the form of a special medical referral service which is the devolution of authority and responsibility in case management in reciprocity.

Third Quarter

Health Human Resources

Article 21

(1) The health human resources are an area health subsystem that integrates an array of concerted efforts and mutually support, in order to ensure the quality and security of health services.

(2) Integration The number of attempts to be made in verse (1) consists of: a. Health HR planning; b. education and Health SDM Training; c. IBM Health Care; and d. coaching and supervision of SDM Health.

(3) The health human resources as referred to in paragraph

(1) include Healthcare and Non-Health Power.

(4) Healthcare as referred to in paragraph (3) includes:

a. Medical personnel; b. Nursing power; c. Kefarmasian power; d. Public health power; e. malnutrition; f. Physical ignition power; g. medical persistence force; and h. power Ream Medik power.

Section 22

(1) Health HR Planning as referred to in Section 21 of the paragraph (2) the letter is an attempt to establish a type, number, and qualification of the Health SDM to meet the development needs of the IBM Cloud Service. Short, medium-term, and long-term health, on each administrative level, on any institution, at regular conditions, or on an emergency.

(2) Health education and training in the Health of the United States, as defined in the Article 21 paragraph (2) of the letter b is an attempt to meet the health that is implemented through the institution or a government or private institution that has qualified or standardized as an organizer of education and health training.

(3) The Health Care Human Resources as referred to in the Article

21 paragraph (2) of the letter c is Recruitment efforts, leaching, placement, utilization and development of healthcare.

(4) The coaching and supervision of SDM Health as contemplated

in Section 21 of the paragraph (2) the letter d is an attempt to direct, provide support and supervising the development and empowerment of SDM Health.

Section 23

(1) The Provincial Health Service is authorized in terms of establishing, placing and distributing Medical Energy, Specialist and strategic health personnel including the placement of medical personnel in the Remote Areas of the Border and Islands (DTPK).

(2) Healthcare as referred to in paragraph (1), the Local Government and the District/City Government can provide legal protection and fair and fair rewards in accordance with the profession and its expertise in performing duties and Her profession.

(3) Further provisions on Imbalan as intended

in paragraph (2) are governed by the Governor's Regulation.

Fourth Part of the Pharmaceutical, Tool and Health Supplies

Section 24

(1) Pharmaceutical supplies, tools and health supplies are the order

various regulatory and management efforts to ensure the safety, quality and availability of pharmaceutical, health care and health supplies.

(2) Supplied The pharmacy, the health care tools and supplies, as referred to in the paragraph (1) include: a. Procurement; b. distribution; c. use; and d. Quality control and supervision.

(3) The execution of functions as referred to in paragraph (2) letter a,

letter b and letter c, can be done by the government and private in the form of a pharmacist service.

(4) Execution of functions Quality control and supervision as referred to in paragraph (2) the letter d is performed by the government, the Local Government, and the Government/City Government in accordance with its authority.

Article 25

(1) The Local Government cooperates with the District/City Government guarantees availability, affordability, alignment and bufferstock basic health care and referral drugs, health supplies, health tools, reagents and vaccines, including routine drug services, specialty drugs and medicine for disasters.

(2) Local Government and Government District/City carries out the settings, coaching, supervision and control of the pharmaceutical trade, provincial health and food tools and monitoring and evaluation of the management and provision of medicine, the health tool, food, reagents and vaccines carried out by the District/City.

Fifth part of the financing and health financing guarantee

paragraph 1

financing

section 26

Health financing is a set of funding efforts. From legitimate sources, the alloocization, and the integrated financial and financial resources are in support of the high degree of health.

Article 27

(1) Funding ' s efforts as referred to in Article 26 are the activities of raising funds for the hosting of Health and/or good health efforts sourced from the government, the government region, District/City government, private, public and other authorized and non-binding communities.

(2) The funding efforts of UKM and UKP as referred to in paragraph (1) may be sourced from APBN, APBD Province, APBD District/City, Private, community participation and other sources are legitimate and non-binding.

(3) Private sourced funding applies a public private mix partnership (partnership) principle.

(4) The source of funds from the public is being actively established by the public

to finance the UKM in the form of healthy funds.

(5) Monitoring and oversight of health financing sources are carried out by the Health Service Province, County/City Health Service in accordance with its authority.

(6) The assistance of the UKP staging as referred to

paragraph (3) along concerning the technical implementation is set up with the Governor's Rule.

Article 28

(1) The allocation of funds as referred to in Article 26,

is the designation of the use and use of the collected funds as well sourced from APBN, APBD Province, APBD Regency/City, Private, public participation, set to priority health issues.

(2) Budget Alocations sourced from APBD at least

10% on each budget year, with proportional divisions for promotional, preventive, curative and rehabilitative services.

(3) Alocation of the funds coming from from the community to host

UKM is allocated based on the partnership principle in accordance with the capabilities.

(4) Alocation of the funds sourced from the community for holding

UKP is done through the payment of service services or membership in the health care guarantee program.

(5) Alocation The funds that are from private to the implementation of the UKM

and the UKP are conducted through a cooperation agreement.

(6) The Provincial Health Service and the District/City are in accordance with its authority to host: a. management, guidance, coaching and warranty control

area health maintenance; and b. guidance and control of the guarantee

national health maintenance.

Section 29

(1) The event as referred to in Section 26 of the paragraph (2) letter c, is the use of the funds that have been allocated in the Income and revenue budgets are appropriate.

(2) The Exorderation as referred to in paragraph (1) may be used for the hosting of UKM and UKP.

(3) Health fund buyers for UKP are directed primarily through

health maintenance guarantees.

(4) The health care guarantee for poor residents and vulnerable residents is the responsibility of the Local Government.

(5) Further provisions on health maintenance guarantee

as referred to in paragraph (4) are governed by the Governor Rule.

Paragraph 2 Of Health Financing Guarantee

Section 30

(1) Local Government and Government/City Government can

provide a guarantee of financing health care for the non-able population and/or have no health guarantee.

(2) The Local Government and Government of the City/City together-the same or each one can allocate the health care companion funds placed on the Hospital appointed or otherwise in the form of another health guarantee.

(3) Service Healthcare as referred to in paragraph (1) is granted

Class III inward facilities, and in certain circumstances may be given a level of space facility on it.

(4) Further provisions of the Warranty Companion Fund

Health financing, as referred to in paragraph (2) along the technical implementation is governed by the Governor's Ordinance.

The Sixth Part Of Licensing, Coaching And Supervision

Paragraph 1

Licensing

Section 31

(1) Perizinan issued by the Local Government, including:

a. a specific health care recommendation grant provided by the government;

b. Health care grants include non-educational Class B government hospitals, specialized hospitals, private hospitals as well as equivalent health care facilities;

c. awarding foreign health care recommendations; d. Recommendations for the health of the health commodities industry,

Great Pharmaceutical (PBF) and Health Tool dealers (PAK); and

e. Administration of the Great Merchant Pharmaceutical (PBF) Branch and the Tradisonal Drug Small Business (UKOT).

(2) the District/City Government in issuing a permit must conform to the authority and conditions of the laws.

Paragraph 2

Coaching and Oversight

Article 32

(1) The Local Government is conducting coaching on all activities related to the Health Service in the Province.

(2) The coaching as referred to in paragraph (1) is exercised by the Provincial Health Service and the City County Health Service in accordance with its jurisdiction.

Article 33

(1) the Local Government and the District Government/City are conducting surveillance against all activities related to the hosting of healthcare in the Province And District/City.

(2) Surveillance as referred to in paragraph (1) is exercised by

Provincial Health Service and County/City Health Service in accordance with its authority.

(3) Surveillance as referred to in paragraph (1) can be performed by working with the organization of the profession and the community.

The Seventh Section Safeguards Materials Containing Addictive Substances

Tobacco For Health

Article 34

(1) Staging The security of the use of materials that contain the addictive substance is a tobacco product for Health is directed not to interfere and harm the health of individuals, families, communities, and the environment.

(2) Tobacco products include cigarettes and other tobacco products that use it mainly by burning and suction. And/or inhaled, which contains addictive substances and other materials that are harmful to the health.

(3) The local government and the government/City government accordingly

its authority is responsible for regulating, organizing, fostering, and Overseeing the safety of materials that contain the addictive substances of tobacco products. for health.

(4) In order of safeguarding the material that

contains an addictive substance with tobacco products for health, local government and municipal/municipal governments are required to make the Substances Without Cigarettes.

(5) Non-Rokok Areas as referred to in paragraph (4) includes:

a. a health care facility; b. the place where the learning process teaches; c. the place of the child play; d. a place of worship; e. Public transport; f. the workplace; and g. Public sites include: Airport, Terminal, Mall, Hotel,

restaurants and other places specified.

(6) General Manager and elsewhere as referred to in verse (5) the letter g is required to provide a special place of smoking.

(7) The special place of smoking as referred to in paragraph (6) is provided with the provision: a. Separate from a room or area expressed as a place

prohibited smoking; b. It's equipped with an air-sucking device; and c. It has an adequate air circulation system.

(8) Any person who is in a Non-Rokok Zone is prohibited

performing activities: a. smoking; b. sell cigarettes; and c. promote and install cigarette ads.

Eighth Section for Disease Prevention and Disease

Section 35

(1) Local Government, District/City Government, Private and

Society is responsible for the prevention and countermeasures of infectious diseases, potential infectious diseases of plague and non-infectious diseases.

(2) The infectious disease as referred to in paragraph (1) is HIV/AIDS.

(3) The outbreak potential infectious disease as referred to in paragraph

(1) includes: a. Dengue fever (dengue); b. Malaria;

c. Lung TB; and d. Other infectious disease potential outbreaks.

(4) Prevention and Infectious Disease potential infectious disease

as referred to in paragraph (3) is done in a way: a. epidemiology survailans, an investigation of the extraordinary scale of the scale

province; and b.

(5) Each person is prohibited from obstructing any prevention and countermeasures of infectious diseases and potential infectious diseases of the plague.

(6) The non-infectious disease as referred to in paragraph (1) includes: a. Hypertension; b. Diabetes; c. Vascular heart/cardio; d. Cancer; and e. Other non-infectious diseases.

(7) Local Government and District/City governments do

The prevention and countermeasures of the disease are not contagious as referred to in paragraph (6) by socialization, skrining/screening, Periodic examination and empowering of clean and healthy life behavior.

CHAPTER IV ADMINISTRATIVE SANCTION

Section 36

(1) Any person or legal entity that violates the provisions

as referred to in Article 34 of the paragraph (6) and paragraph (8), and Article 35 of the paragraph (5), be subject to administrative and/or criminal provisions as set out in the laws.

(2) administrative sanctions as referred to in paragraph (1), may be: a. Oral alert; b. written warning; c. temporary termination of activities; and d. revocation.

(3) The written warning as referred to in paragraph (2) of the letter b

is done incrementally as much as 3 (three) times the warning.

(4) In addition to the administrative sanction as referred to in paragraph (2),

enforceable sanctions under the provisions of the invite-invite rule.

BAB V

provisions CLOSING

Section 37

Conditions The Provincial Health Development will be set in its own with the Regional Regulation on Health.

Article 38

The rules of this Region go into effect on the date of promulgance. In order for everyone to know, ordered the invitter of the Regional Regulation with its placement in the Riau Islands Provincial Area Sheet.

Set in Tanjungpinang on the date

GOVERNOR OF THE RAU ISLANDS,

dto

H. MUHAMMAD SANI Was promulred in Tanjungpinang on the date

SECRETARY OF THE RIAU ISLANDS PROVINCE AREA, dTO H. SUHAJAR DIANTORO SHEET AREA OF RIAU ISLANDS PROVINCE 2013 NUMBER 3

EXPLANATION

TOP

REGULATION OF RIAU ISLANDS PROVINCE NUMBER 3 YEAR 2013

ABOUT

PROVINCIAL HEALTH SYSTEM

UMUM

The health sector is one of the strategic sectors in the context of the resilience of a country in the face of threats and challenges of various things, both from the outside and from within the country itself. In addition, the degree of health of a nation shows the extent to which the welfare of the people/nation inhabits the country. On the other hand, individual health and society are the rights of azasi that must be guaranteed and maintained by the state. In order to ensure the health of individuals and people, in the context of improving the resilience of the country, a clear and clear order is required to include a wide variety of individuals and groups of society in order to achieve a goal. In society and in the country. The order is known as the Health System.

Related to the above, the Government of the Republic of Indonesia in

2004 has launched the National Health System (SKN) as a replacement and adjustment to SKN 1982 with regard to the hosting of a decentralised country as well as an anticipation of global change. In the SKN document 2004 it is said that the National Health System (SKN) It is defined as an order that sets up a unified Indonesian effort and supports each other, in order to ensure its high degree of health as a manifestation of general welfare as contemplated in the opening of the 1945 Constitution.

On the SKN document it is said to be that to

guarantee the success of health development in the area needs to be developed by the Regional Health System (SKD). In this connection, SKN is a supra system of SKD. The SKD consists of the Propinsi Health System (SKP) and the Regency/City Health System (SKK). The SKD is a reference to various parties in the development of health development in the area.

Complexes of health problems in the Riau Islands Province require a system that can respond to problems. The health care system at the time of this document was composed could no longer accommodate the needs of public health care and the demands of globalization such as health care, probations and IPTEK. Riau Islands province should be able to perform early handling in the face of health problems to achieve the goal of "every healthy person" and become "healthier". The Riau Islands Health System is structured according to the conditions and potential that exists with regard to local wisdom. Riau Islands province is an area that has great potential, vast forests, river waters and ample mining results that produce high ground PAD and others.

The province of Riau Islands as an integral part of the State

Unity of the Republic of Indonesia requires a Health System that allows for its toughness in resilience in the field of health and is able to provide the conditions for use maintaining the survival of health in realizing the welfare of the community in its territory. SKP Riau Islands is a guideline for individuals/communities and local governments in organizing various activities, in which these guidelines are not limited to the health sector only, but may also be used by other related sectors.

II. ARTICLE BY SECTION

Article 1 Quite Clearly Section 2 Quite Clearly Section 3 Is Quite Clear Section 4 Is Quite Clear Section 5

a. Direction of Health Policy and Regulation; Is the clarity of the direction of health development policy

supported by regulations as well as standard appropriate guidelines. The direction of development is poured in the Vision and Health Development Mission set for the long term (20 years) and medium term (5 years).

b. Health Care effort; Is an activity to keep and improve health

residents are suffering from pain. The health care system must guarantee the alignment of access to these health efforts in fairness. The health care system also has to guarantee that health efforts

effective and quality, that is in accordance with the default standard of each such effort.

c. Health Human Resources; It is the availability of health human resources that

professionals, effective and efficient in performing their duties as well as spread evenly.

d. Pharmaceuticals, Health Supplies; Pharmacy is medicine, medicine and traditional medicine.

The tools and Health Care are all kinds of equipment used for medical care and medical care. Public health.

e. Financing and Financing Health; Financing and Health Financing is

available for financing and availability of guarantee will be sufficient health financing for all health efforts within SKP as well as those costs to be used in an effective, efficient, transparent, accountable and fair-level.

f. Permits, Coaching and Oversight;

Licensing is a part of the legal relationship between the administration of the administration and the citizens in order to maintain a balance of interest between the public and its environment and the public. Individual's interests and efforts to realize legal certainty for members of a community of interest. Coaching is an effort made by the Government to realize the goal of the establishment of regional autonomy. Oversight is a process of activities intended to ensure that the local government is running in accordance with the applicable laws and regulations.

g. Addictive Treatment of Addictive Substances that contains addictive substances for health products

Addictive Substances are materials that cause addictive or dependencies that harm health by characterized behavioral, cognitive, and behavioral changes. physiological phenomenon, a strong desire to consume such materials, the difficulty in controlling its use, giving priority to the use of such materials rather than other activities, increasing tolerance and can lead to a state of withdrawal symptoms. Substance. Tobacco products are products that are entirely or partially made of tobacco leaves as ingredients that are treated for use by burning, smoked, and inhaled or chewed.

h. Prevention and Treatment of Disease Prevention is an attempt to prevent a person from contracting the disease and not passing it on to others. The inclusion of the Paya Penangguaran is any attempt aimed at enlarging the death rate, limiting the contacings and the spread of the disease so that the plague does not extend to other regions.

Article 6 Quite Clearly Article 7 Is Quite Clear. Article 8 reasonably Clearly Article 9 Quite Clearly Section 10 Quite Clearly Article 11 Quite Clearly Article 12 Quite Clearly Article 13 Quite Clearly Article 14 Quite Clearly Article 15 Quite Clearly Article 16 Is Quite Clear Article 17 Pretty Clear Section 18 Quite Clearly Article 19 Quite Clearly Section 20 Pretty Clear Article 21 Quite Clearly Article 22 Quite Clearly Article 23 Quite Clearly Article 24 Quite Clearly Section 25 Is Quite Clear

Article 26 reasonably Clearly Article 27 reasonably Clearly Article 28 Quite Clearly Section 29 Quite Clearly Section 31 Quite Clearly Article 31 Quite Clearly Article 32 Quite Clearly Article 33 Quite Clearly Section 34 Is Clear Enough Article 34 The area without cigarettes is a room or area that is declared prohibited for smoking activities or activities producing, selling, advertising, and/or promoting Tobacco Products. Article 35 Quite Clearly Article 36 Quite Clearly Article 37 Quite Clearly Section 38 Quite Clearly ADDITIONAL SHEET AREA OF RIAU ISLANDS PROVINCE NUMBER 26