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Regulation Of The Minister Of Health The Number 19 In 2017 2017

Original Language Title: Peraturan Menteri Kesehatan Nomor 19 TAHUN 2017 Tahun 2017

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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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