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STATE NEWS
REPUBLIC OF INDONESIA No. 432, 2017 FRANKKES. Indonesian Program Funding Sehat.
Guidelines.
REGULATION OF THE REPUBLIC OF INDONESIA HEALTH MINISTER NUMBER 19 OF 2017
ABOUT
THE FUNDING GUIDELINES OF THE INDONESIAN PROGRAM ARE HEALTHY
WITH A FAMILY APPROACH
WITH THE GRACE OF GOD ALMIGHTY
MINISTER HEALTH REPUBLIC INDONESIA,
Rebalanced: a. that in order to implement the Indonesian Program
Sehat with the Family Approach through the effort
promote and preventative, curative and rehabilitative that
executed by Puskesmas needs support
funding;
b. that there is some internal funding source
implementation of the necessary puskesmas activities
integrated in order to be effective and efficient;
c. that based on consideration as
is referred to in the letter a and letter b, need to set
Health Minister ' s Regulation on Guidelines
Indonesian Program Funding Sehat with Approach
Family;
Given: 1. Law No. 7 of 2003 on Finance
State (State Gazette of the Republic of Indonesia of the Year
2003 Number 47, Additional Gazette Republic of the Republic
Indonesia Number 4286);
2. Law Number 1 Year 2004 on
The State Treasury (Republican Gazette
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2017, No. 432 -2-
Indonesia Tahun 2004 Number 5, Extra sheet
Republic of Indonesia Indonesia Number 4355);
3. Law No. 36 Year 2009 concerning
Health (State Gazette of the Republic of Indonesia Year
2009 Number 144, Additional Gazette Republic of the Republic
Indonesia Number 5063);
4. Law No. 23 Year 2014 on
Local Government (Republican Gazette
Indonesia Year 2014 Number 244, Extra Sheet
State of the Republic of Indonesia Number 5587) as
has been amended last with Act Number 9
Year 2015 on Second Changes to the Invite-
Invite Number 23 Year 2014 on Governance
Area (State Sheet of the Republic of Indonesia Year
2015 Number 58, Additional Gazette Republic of State
Indonesia Number 5679);
5. Presidential Rule Number 12 Year 2013 on
Health Guarantee (Republican Gazette
Indonesia Year 2013 Number 29) as it has
amended last with Presidential Regulation No. 28
Year 2016 about Third Change in Regulation
Presidential Number 12 Year 2013 on Guarantee
Health (State Sheet of the Republic of Indonesia Year
2016 Number 62);
6. President Regulation No. 32 of 2014 on
Management and Utilize of Guaranitation Funds
National Health At Level Health Facilities
First Property Of Local Government (State Sheet
Republic of Indonesia 2014 Number 81);
7. Health Minister Regulation No. 71 of 2013
on Health Care On Health Guarantee
National (Republic of Indonesia State News 2013
Number 1400) as amended with
Minister Regulation Health Number 99 Year 2015
about Changes to Health Minister Regulation
Number 71 of 2013 on Health Services
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On National Health Guarantee (State News
The Republic of Indonesia Year 2016 Number 15);
8. Health Minister Regulation No. 28 of 2014
on the Implementation Guidelines of the Assurance Program
National Health (Republic of the Republic of Indonesia News
Year 2014 Number 874);
9. Health Minister Regulation No. 64 of 2015
about the Organization and the Ministry of Work
Health (Republic of the Republic of Indonesia News 2015
No. 1508);
10. Health Minister Regulation No. 21 Year 2016
on the Use of Health Guarantee Funds
National For Health Service Services and
Operational Cost Support at Health Facility
First Level Belongs Local Government (State News
Republic of Indonesia Year 2016 Number 761)
11. Health Minister Regulation Number 39 Year 2016
on the Guidelines of Indonesian Program
Sehat with Family Approach (State News
Republic of Indonesia of 2016 No. 1223);
12. Health Minister Regulation No. 71 of 2016
on Technical Lead of the Use of Alocation Fund
Special Nonphysical Fields of the Budget Year
2017 (Republic of Indonesia State News 2016
Number 2109);
DECIDED:
SET: A HEALTH MINISTER REGULATION ON THE GUIDELINES
FUNDING THE Indonesian PROGRAM HEALTHY WITH
THE FAMILY APPROACH.
Article 1
Guidelines of Indonesian Program Funding Healthy with
Family approach aims to integrate
various funding sources are optimally effective and
efficient in execution Indonesia Sehat Program with
Family Approach.
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Article 2
The Indonesian Program Funding Guidelines Sehat with
The Family Approach as referred to in Section 1
includes:
a. funding of healthy indonesia programs with an approach
family in puskesmas; and
b. coaching and supervising.
Article 3
The Indonesian Program Funding Guidelines Sehat with
The Family Approach as referred to in Section 1
is listed in the Attachment that is the non-
integral to this Minister's Regulation.
Article 4
Guidelines of the Indonesian Program Sehat with
The Family Approach is a reference to the Puskesmas which
has applied the PPK-BLUD or has not yet applied the BLUD.
section 5
(1) The coaching and supervision in execution
The rules of the Minister are performed by the head of the working unit
the county/city health service area device and
are functionally by the supervising apparatus instance
the county/city government in accordance with the provisions
laws.
(2) coaching and supervising as referred to
on paragraph (1) is intended for the implementation of funding
running effectively, efficiently, and accountable.
Section 6
This Health Minister Regulation applies to The date
is promulred.
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For everyone to know, ordered
the invitational of the Order of the Minister with its placement
in the Republic of Indonesia News.
Specified in Jakarta
on March 3, 2017
HEALTH MINISTER
REPUBLIC OF INDONESIA,
ttd
NILA FARID MOELOEK
Reundleed at Jakarta
on March 17, 2017
DIRECTOR GENERAL
MINISTRY OF LAW AND HUMAN RIGHTS
REPUBLIC OF LAW
INDONESIA,
ttd
WIDODO EKATJAHJANA
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ATTACHMENTS
HEALTH MINISTER REGULATION
NUMBER 19 YEAR 2017
ABOUT
PROGRAM FUNDING PROGRAM
INDONESIA IS HEALTHY WITH
FAMILY APPROACH
BAB I
INTRODUCTION
A. Background
Health development in the period 2015-2019 focus on
Indonesia Sehat program with target increasing degrees
public health and nutritional status through three main pillars, namely: (1)
application healthy paradigm, (2) strengthening of health care, and (3)
National Health Guarantee implementation (JKN) achievement efforts
priorities of 2015-2019 health development in the Program
Indonesia Sehat is implemented with underlying all potential
existing, well from the central government, province, districts/cities, private,
and the public. Health development starts from the smallest unit
on the community, ie the family.
The government sets the family development policy through
the coaching of resilience and family welfare, to support
the family to be able to perform its function optimally. Ministry
Health sets the health development operational strategy
through the Indonesian Programme Healthy with Family Approach.
The family approach is one way Puskesmas to
improve target range and closing/improving access
health care in its work area by coming to the family.
The development family approach of a home visit by
Puskesmas and the expansion of the Care effort Public Health
(Perkesmas). Through this program, Puskesmas is not only
hosting health services in the building, but also in
outside the building in its work area. Such activities include:
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1. Family visits for collection/data collection
Family health and rejuvenation (updating) data base.
2. family visits in the framework of health promotion as an attempt
promotion and preventative.
3. Family visit to follow up on health care
in the building.
4. utilization of data and information from family health profiles to
community empowerment/empowerment and management
Puskesmas.
In carrying out promotional and preventative efforts with
family approaches, Puskesmas can use various sources
funding in Puskesmas stemming from the Budget
Revenue and Regional Shopping (APBD), Revenue budgets and
State Shopping (APBN), as well as other sources.
A wide range of funding or funding sources in Puskesmas,
may incur dual or overlapping funding
program funding/activities in Puskesmas, so that implementation
the Indonesian program is healthy by approach family to be not
optimal. In addition, the utilization of the various funds sources is still
segmented in each of the programs implemented at
Puskesmas. To optimize various funding sources
it is required an integrated funding guideline
to support the implementation of promotional and preventative efforts, through
the family approach. In this guideline, it will be discussed with the mechanism
utilization of Kapitation funds, BOK funds, as well as other APBD Funds to
support the Indonesian Program Healthy with Family Approach.
B. Goal
The guidelines aim to integrate various sources
funding optimally to be effective and efficient in implementation
Indonesia Sehat Program with Family Approach.
C. Target
Target guideline is the county/city Health Service and
Good Puskesmas that have applied PPK-BLUD or not
apply the BLUD.
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D. Scope
This guideline describes the integration of funding in the puskesmas
sourced from Health Operational Assistance Fund (BOK), Dana
Kapitation of the National Health Guarantee Program (JKN) and other APBD
for Indonesian program activities Sehat with Family Approach in
puskesmas.
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BAB II
FUNDING HEALTHY INDONESIA PROGRAM WITH AN APPROACH
FAMILY AT PUSKESMAS
A. Indonesian program Sehat with Family Approach in
puskesmas.
To realize healthy families then various activities at
Puskesmas is executed among others through family approach strategy
with exit building activities (home visits) on family and
UKBM in the region work and address various health issues
facing in the family. Implementation of the Indonesian Program Sehat with
Family approach at the level of puskesmas is performed through activities-
activities as follows:
a. Performing family health care using a profile
family health (prokesga) by family enlargage (can be assisted
by health cadres).
b. create and manage the Puskesmas data base by power
the Puskesmas data manager.
c. analyze, formulate a health problem intervention, and
draw up the puskesmas plan by the Puskesmas leadership.
d. Conduct health counseling through a home visit by
family enlarging.
e. carrying out professional services (in and outside the building) by
technical/professional health care puskesmas.
f. carrying out the information system and reporting puskesmas by
the Puskesmas data manager power.
The activities should be integrated into the step-
the Puskesmas management step that includes Management
The Puskesmas Health Services program is implemented through three
stages, Planning (P1), Stakeholders (P2), and
Oversight-Control-Assessment (P3).
1. Preparation for implementation
Preparation for implementation of the Indonesian Program Healthy with Approach
The family at Puskesmas includes:
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a. Integration and integrated task settings consist of:
1) Internal Socialization
Head of Puskesmas socialized Indonesian Program
Sehat with Family Approach to all power
health in Puskesmas, including those in the network
such as Puskesmas (Pustu), traveling Puskesmas
(Pusling), midwife in the village, among others. The first socialization
can use the next lokmin forum can
use special special/internal meetings
technical
2) External Socialization
External socialization of family approach is done
to the Camat, Chairman of RT/RW, Lurah/Head of the Village, chairman-
chairman of the civil organization such as the PKK, and
the community-leaders. Socialization can be performed
in the form of dialogue, advocacy and meeting.
b. Preparation Preparation
1) performs an inventory of the number of family data in the region
Puskesmas work.
2) prepares a dataan instrument (prokesga form,
pinkesga, performs the division of the binaan region and
sets out Family sanitary pad.)
2. P1 (Planning)
Planning (P1) is the stage of compiling the Activities Proposal Plan
(RUK) and Plan of Implementation Activities (RPK) Program Indonesia
Healthy with a Family Approach based on facts and
data. Activities performed include:
a. Collecting and Processing Data
1) Family Data Collection
Executed by family Pembina and/or officers
the dater. The data is performed in the form of a visit
and interviews and collected via the filling
form or application.
2) The data storage with the entry program application for
is next stored in the database family.
3) Family data processing to calculate IKS (Index
Kelaurga Health).
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b. Identify the Health Problem and its Breaking Potential
Identify the health problems, resources and other problems
through the data processing results conducted starting to level
kleuarga, Puskesmas and Subdistrict.
c. Determining Health Problem Priority
The health problem priority is determined by level
urgency, seriousness, development potential and ease
in address.
d. Create a Problem, Cause of Health Issues and
set the Problem ' s Breaking Up, inserting
problem solving in the Activities Proposal Plan (RUK)
Puskesmas as well as compiling the Implementation Activities Plan
(RPK).
3. Reinforcement of the Plugins (P2)
a. Home Visit Implementation
A home visit is conducted by a puskesmas officer who
is appointed as a family ensign, periodically or appropriate
agreement with the family. Step-step implementation
home visit:
1) Preparation
Family Pembina performs implementation preparation
home visits among other identification issues
The health facing each family and potential
The dismissal, conducting the analysis until it is fixed
way problem solving, sets the intention of the visit
and prepares the material to be delivered/discussed
with the family, complete with the props
required, as well as compiling a list of visits plans
home.
2) Implementation
There are four steps in the implementation of the visit
home is Salam, Ajak talk, Jalaskan and help, and
Remind me. Family emblems through effective combations
can dig up problems in the family, provide
an understandable explanation and help with
giving you more knowledge about
the issue that encountered.
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b. Health Program Implementation
Health issues in the scope of subdistrict
entered into health program planning at
Puskesmas (in RUK and RPK) which will support and
accelerate the increase of the IKS, where the implementation of the program-
the health program by applying the approach
family.
c. Movement Through the Mini Workshop
The movement for implementation of activities that
listed in the RPK is done through the hosting
mini workshop (lokmin). Lokmin is done once a month
as the internal meeting of Puskesmas and every three months
(the tributary) by inviting cross-sector parties
related.
4. Oversight-Control-Assessment (P3)
a. Supervision and Control through the Mini Workshop, including:
1) the monthly mini-workshop
Intended to review the process of activities already
running as well as the results of activities in identifying
barriers and deviation from already
is planned and sets a correction action
to be taken, if there are any obstacles/difficulties and
deviation, in order to guarantee the course of activities and
the target is appropriate. which are planned.
2) The Advertising mini masterpiece
Intended to review
-The process of interchange
sectors that are already running to identify
there are /no obstacles and deviation from what
has been a deal, as well as updating and/or
strengthening the cross-level cooperation commitment. sector, in order to
guarantee the laceration of cross-sector support for
any healthy family indicator.
b. Assessment through the Mini Workshop
Assessment to the success of the RPK implementation, including
activities related to the family approach
executed as much as 2 (two) times in a year that is
on mid-year (midterm review) and at the end of the year
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c. Assessment of the Puskenmas Performance by the Health Service
district/City
Assessment of the performance of the puskesmas by the health service
county/city through report-reports from the library and
assessment results discussed/discussed in coordination meeting
with the ranked puskesmas and cross sectors
county/city.
B. Funding Source Implementation of Healthy Indonesia Program With
Family Approach in Puskesmas.
Implementation of the Healthy Indonesia Program through Family Approach
in Puskesmas can be financed from the various cost sources available at
Puskesmas, e.g. Regional Shopping Revenue Fund (APBD)
of regional revenue, JKN capitation funds, Physical Special Allocation Funds
subfield of basic health care and nonphysical Special Alocations
in form Health Operations Assistance, Village Funds, Funds For
Tobacco excise Results, Taxes Cigarettes, and the Corporate Social
Responsibility (CSR) funds and other financial sources are legal. The entire source
the funding above is expected to be effectively leveraged
and efficient by each Puskesmas to implement the Program
Indonesia Sehat with a family approach referring to
provisions Use each source of funding. Source
the funding to be described in this guideline is clawing
the integration of Health Operational Assistance, JKN capitation funds, and other APBD
.
1. Health Operations Assistance (BOK)
BOK which is one of the forms of the non-physical DAK Field
Health is the central government's assistance to the government
area to support the operational Puskesmas in order
achievement of national priority health programs, in particular
preventive promotional activities as part of the health effort
society. BOK's utilization is directed to appropriate
health officials to the public and empowering
society through the mobilization of health cadres to play an active role
in health development.
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BOK's alignment is not to take over responsibility
local governments in the implementation of development financing
health in the area as stated in the Invite-
Invite Number 23 of 2014 on Regional Governance and
Act No. 36 of 2009 on Health.
The BOK Puskesmas Fund can be used for various activities
organized by Puskesmas and its network includes:
a. Essential public health efforts and development,
includes fulfillment of the support needs of activities,
community empowerment, and cross-sectoral cooperation as well as
Puskesmas management.
b. Public health efforts implemented by Tim
Nusantara Sehat include outdoor health services
in particular to reach the remote/remote area,
community empowerment, and health care innovation.
The activities performed by Team Nusantara Sehat remain
be the force with Puskesmas where the team
is located.
c. Activities to realize the village of Total Sanitation Based
Society (STBM) by sanitarian/health care
the Puskesmas environment, which includes: exposure, Identification
Problems and Situation Analysis (IMAS) of health behavior,
monitoring paska pemicuan, manufacture and map updates
sanitation and cadre books, soap-wearing handwashing campaigns,
school sanitary hygiene campaigns, and water quality surveilans
(pre and post construction) as well as verification of Stop Urinate
recklessly (SBS).
d. The appointment of a health promotion contract at Puskesmas
which is carried out by the District Health/City Health Service.
The BOK funds available on each level can be utilized
to finance the activities covered in the activities menu at
the health care facility that accepts the BOK fund allocation,
includes:
1) Transport local in village area, subdistrict,
county/city for health officials, cross sectors including
kader;
2) Service travel or transport of civil servants and non civil servants;
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3) Purchase of consumables;
4) Material/materials shopping to support promotional services
and preventative services among other media replication, reagent, rapid
fast test/test materials, PMT materials counseling and recovery is based
local;
5) Shopping and print shopping;
6) Food and beverage shopping;
7) Hosting, socialization, meeting; and
8) Honorarium PNS and non PNS;
Dana BOK not can be used for shopping purposes
indirect (salary, allowance etc) Capital shopping, health efforts
curative and rehabilitative, drug purchases, vaccines, maintenance
buildings, vehicles, referral transport costs.
2. National Health Guarantee Kapitation Fund (JKN)
Puskesmas as the first-degree health care provider
in JKN is entitled to receive payments from BPJS Healthcare over
the health care services provided to JKN participants.
The payment was provided by BPJS Health pre-
efforts based on the number of JKN participants registered at
Puskesmas next called capitation payment.
The Kapitation Fund is a quantity of Paid per-month payment
upfront to Puskesmas based on the number of participants
registered without taking into account the type and number of services
the health provided. The capitation fund as intended
is paid directly by BPJS Health to Puskesmas and
the fund is recognized as revenue and can be used
to support health care to the entire community
at Puskesmas.
a. Utilization of Kapitation Funds on the Service Body Puskenmas
Regional General (BLUD)
Management and Maintenance of the Kapitation Fund on Puskesmas
which has implemented a BLUD Financial Management Pattern,
fully refers to the provisions A BLUD.
b. Utilization of Kapitation Fund on Non-BLUD Puskesmas
The Kapitation Fund received by Puskesmas from the Agency
The Health Social Security Organizer is utilized
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all for the payment of health care services and
support for the operational cost of health services. The allocation
for the payment of health care services for each
Puskenmas is set at least 60% (sixty
percent) of the Capitation Fund receipts, while the allocation
for operating fee support payment service
health is set to the margin of receipt of funds
capitation is reduced by large allocation for services payment
health care.
The allocation of such allocation above is set every year with
Regional Head Decision on the proposal of the Head of Health Service SKPD
District/City by considering:
a. the allowance has been received from the Local Government;
b. health care operations in order
achieve performance targets in the field of health care; and
c. Drug needs, health tools, and medical materials are exhausted.
The Capitation Fund ' s benefits for Service Services Health
is given to employees in Puskesmas with the provision as
following:
a. Health care services of the Kapitation Fund are provided to
health and non-health personnel performing
services on the Puskesmas which include: Civil Servant,
Government employees with the Working Agreement, and Employee Not
Fixed.
b. Service services are provided by taking into account the variables
presence, type of business, tenure, task force
administration, and responsibilities of the program held.
Whereas the allocation of the Capitation funds for the support of the cost operation
health services can be utilized by following
terms as follows:
a. The Capitation Fund's allocation for support payments costs
health care operations are utilized for the costs
the drug, health care, and medical materials are exhausted and cost
other health care operations.
b. Other health care operating expenses support
as referred to above includes:
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1) Operational goods shopping, among others including:
-Health services in the building,
-Health services outside the building,
-Operational and maintenance of the Puskesmas vehicle
circumference,
-Printed materials or office stationery,
-Administration, program coordination, and information systems
-Improved capacity of health human resources
-Maintenance of means and infrastructure
2) Shopping Capital for the provision of the means and infrastructure in
The directly related Puskesmas
directly with health care in Puskesmas belongs to
local government area government. Examples of shopping
capital among others: patient lounge shopping, medicine cabinet,
toilets, curtains, linen, archive cabinets, officer worktables, air conditioning,
genset, nameplate, billboard creation,
FKTP fence creation, and other other.
C. Integration of Health Operational Assistance (BOK), Dana
Capitation of JKN and other APBD for Implementing Program Implementation
Indonesia Healthy With Family Approach in Puskesmas.
Local Government as executor health affairs at
its territory, mandatory active role in the implementation of the Indonesian Program
Sehat with Family Approach. Puskesmas as a Technical Unit
under Local Government and a family approach executor, it must
support full funding from the Local Government. In
carrying out such activities, Puskesmas can use
various funding sources present in Puskesmas.
To be able to integrate existing funding sources at
Puskesmas in the course of the Program Implementation Indonesia Healthy through
Family approach, Puskesmas can carry out the steps
as follows:
1. Puskesmas conduct identification of all activities including
Indonesia Sehat Program with Family Approach according to
type, purpose, objective and details of activities to be implemented
during a period in detail. Identification of such types of activities
performed at each stage, ranging from the socialization stage,
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Organizing, planning, execution, and
supervision-control-appraisal.
2. Puskesmas identifies the source of the funding that is obtained
at a period in accordance with applicable terms. The provisions
include utilization, funding mechanism,
budgeting, execution and enterprise, as well as liability
funding answers as examples of table 1.
Table 1: Identification of the Source Financing on Puskesmas
No. The source of the Funding Guidance Guide
1. the APBD of the Ministry of Foreign Affairs 13/2006 and its
Peruvion
59/2007 and Permendagri
21/2011) About the Guidelines
Regional Financial Management
the Ordinance of the Regulation of the Interior Minister no.
31 Year 2016 about the Guidelines
Drafting of the Budget Year
2017
2. The Capitation Fund of Presidential Regulation no. 32 years
2014 on Management and
Maintenance of the JKN Cap Capitation Fund
on Pemda's FKTP
under the Regulation of the Minister of Health no. 21
In 2016 on Usage
The JKN Kapitation Fund for Services
Health Service and
Operational Cost Support at
FKTP belongs to Pemda.
3. Operational Assistance
Health (BOK)
The Regulation of the Minister of Health no. 71
In 2016 on DAK Use
Non Physical Fields Of Health Year
Budget 2017
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4. The Village Fund of Government Regulation no. 60 Years
2014 about the Village Fund
A source from APBN as
has been changed several times last
with Government Regulation no. 8
Year 2016 on Changes
Second Government Regulation no. 60
Year 2014
Ordinance of the Rule of Minister of Village no. 21
The Year 2015 on Priority
Use of the Village Fund Year
2016
3. Puskesmas is mapping the source of the funds in
Puskesmas that allows for use at any type
activities that have been planned, referring to the regulations
already identified.
4. Next, Puskesmas can detail the activities in
implementation of the family approach. The funding done
refers to a regulation already identified with the principle
avoiding overlap/double of financing in one
activity/activity as the following example table 2.
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5. Activity identification results and financing sources are poured in
The drafting of the Activity proposal Plan (RUK) and the implementation Plan
Activities (RPK) integrated Puskesmas in management
puskesmas and planning systems in region.
HEALTH MINISTER
REPUBLIC OF INDONESIA,
ttd
NILA FARID MOELOEK
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