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Regulatory Region Number 20 In 2011 In 2011

Original Language Title: Peraturan Daerah Nomor 20 TAHUN 2011 Tahun 2011

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materials, a sarian (galenic) supply, or a mixture of the material that is hereditary has been used for treatment, and can be applied accordingly. with the norms applicable in society.

16. Health technologies are all forms of tools and/or methods aimed at helping to enforce diagnosis, prevention, and handling of human health problems.

17. Health efforts are any activity and/or a series of activities undertaken

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integrally, integrated and cynically continuous to maintain and improve public health degrees in the form of disease prevention, health improvement, disease treatment, and health recovery by government and/or society.

18. Promotional health care is an activity and/or a series of health care activities that focus more on health promotion activities.

19. Preventive health care is a preventive measure against a health problem/disease.

20. A curative health service is an activity and/or a series of treatment activities intended for the cure of disease, the reduction of suffering from disease, disease control, or disability control to the quality of the sufferer. can be awake as optimal as possible.

21. Rehabilitation health services are activities and/or a series of activities to restore the former sufferer into society so that it can function again as a member of a useful society for itself and society as maximum as possible. According to her abilities.

22. Traditional health care is the treatment and/or treatment in a manner and medication that refers to empirically hereditary experiences and skills that can be accounted for and applied according to the prevailing norm in the Society.

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23. Health care is the place used to host health efforts.

24. Health insurance is a collection mechanism and in order to provide protection for the health risks that befall the participants and/or her family.

25. Health licensing is the function and process of holding government in the publishing of permits in the field of health.

26. A permit in the field of health is a Decision of State Governance granted to any person who conducts health efforts activities.

27. A registration is an official record of the status and/or health personnel that has certified a competency and has had other qualified qualifications and is legally recognized for running the practice and/or job Her profession.

28. A recommendation is a consideration given by an agency or an official to be used in the granting of a permit in the field of health.

29. Certification is a certificate given to any person hosting activities and/or a series of activities that must be eligible for health.

30. Supervision is a monitoring activity, reporting and evaluating the activities of a permit holder to establish a level of obedience to the requirements of the permissions and/or laws.

31. Administrative sanction is the application of a tool for the administration of the administration of the administration

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imposition of duty and/or removal of the right to a permit holder and/or an organizer ' s authority on the basis of noncompliance and/or violation of the permit and/or laws of law.

32. Each person is an individual or entity, whether or not a legal entity or an unlegal entity.

33. Day is the work day specified by the Local Government.

Second Part

Destination

Article 2

The health care is aimed at raising awareness, willpower, and healthy living ability for each person to be realized the high degree of public health, as an investment for the socially and economically productive development of human resources.

BAB II

THE DUTIES AND RESPONSIBILITIES OF THE LOCAL GOVERNMENT

Article 3

The duty and responsibility of the Local Government in the hosting of healthcare includes: a. procurement and improved health care

through the hosting of education and/or training;

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b. procurement and health care assistance in accordance with the needs of the area;

c. provision of health care facilities; d. publishing permission of the health care facility; e. determination of the number and type of service facilities

health as well as granting of operating permits in the Regions.

f. the improvement and development of health efforts;

Article 4

The absence and assistance of the health power as referred to in Article 3 of the letter b is done with regard to: a. the type of health care needed

society; b. the number of health care facilities; and c. the amount of health care according to the workload

existing health services.

Section 5

Determination of the number and type of health care facilities as well as granting operating permits in The area as referred to in Article 3 of the letter c is carried out by the Local Government by considering: a. area of territory; b. health needs; c. the number and distribution of the population; d. the pattern of disease; e. The (f). social functions; and g. ability to leverage technology

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CHAPTER III OF THE HEALTH CARE TYPE

Part General

Section 6

To realize its high degree of health for the public, health care efforts are held. integrated and thorough in the form of individual health efforts and public health efforts.

Article 7

The health efforts as referred to in Section 6 are organized in a unified, thorough and continuous in form health service: a. Promos; b. Preventative; c. curative; and d. Rehabilitation.

Section 8

(1) The health care efforts as referred to in Section 7 are required to be implemented by the Local Government through availability: a. basic program (basic six):

1. health service; 2. Prevention and eradication of disease; 3. health of the mother and child (family

plan); 4. health promotion;

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5. nutrition; and 6. environmental health.

b. development program: 1. school health; 2. Sports health; 3. traditional health; 4. tooth and mouth health; 5. eye health; 6. Security for the drinks; 7. Security custody and alkes; 8. senses and audits; 9. Mental health; 10. Blood service; and 11. Body surgical services.

c. innovative program. (2) The health care efforts as

referred to a paragraph (1) is supported by a health resource.

(3) The health care and mouth of the mouth abreak-after:always">

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in humans, and/or form structures and repair body functions.

12. Health care is every person who is devoted to health and has knowledge and/or skills through education in health care that for a particular type requires the authority to make a health effort.

13. A health care facility is a tool and/or place used to host health care efforts, either the promotion, preventive, curative or rehabilitative performed by the Government, local government, and/or The public.

14. Drugs are materials or alloys of materials, including biological products used to influence or investigate the physiological system or state of pathology in the framework of diagnosis, prevention, healing, recovery, improved health and Birth control, for man.

15. A traditional medicine is a material or concoction of ingredients that are plant materials, animal materials, mineralg and observation of the disease as referred to in paragraph (1) is further regulated by the Regent.

Part Sixth

Prevention and Intrusion Disease

Article 20

(1) The Local Government is obliged to host a certain infectious and non-infectious disease prevention and treatment effort.

(2) The Local Government is obliged to finance the efforts of the short-speed and countermeasures of the disease contagious.

(3) The Local Government in conducting preventive efforts and The disease countermeasures as referred to in verse (1) may involve private and society actively.

Article 21

In order of degraded disease control/genetics, the Local Government is working on things as follows: a. Socialization to the community; and b. Facilitation of the means for case network.

Seventh Environment Sehat

Article 22

(1) Any development activities undertaken by the Local Government and the public are required to pay attention to and apply health

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the environment for realizing healthy environmental quality.

(2) The healthy environment as referred to in paragraph (1) includes residential, workplace, recreational and other places of work, and other public places.

(3) Any development activities are mandatory-kan and implementing environmental health to realize healthy environmental quality.

(4) Any institution that produces waste is liquid, gas and solid waste is obliged to stare at it- It's a waste that it has to make in accordance with the rules that apply below. State Government oversight.

(5) Every citizen and visitor is obliged to realize and maintain a clean and healthy environment as well as free from the threat of diseases including cigarette smoke on public places and government offices or private.

The Eighth Section of the Workers 'Health

Article 23

(1) Any employers are required to protect workers from work environments that can adversely affect workers' health in accordance with the laws.

(2) The Local Government is entitled to check the work environment as referred to in paragraph (1) as an effort to improve workers ' health and safety.

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The Ninth Part of the Family Health Service

Article 24

(1) The Regional Government is responsible for hosting a family health service that includes the health of the mother, baby, toddler child, child School age, youth, aged and fertile age.

(2) The Local Government in conducting family health care efforts as referred to the verse (1) involves private and public parties.

Part Tenty Soul Health

Article 25

(1) Mental health is addressed to ensure everyone can enjoy a healthy psychiatric life, free from fear, pressure, and other disorders that can interfere with mental health.

(2) The government and society are responsible for creating mental health conditions. optimal by ensuring the availability, accessibility, quality and structuring of mental health efforts.

Section Elevation of Nutritional Problems

Article 26

(1) The Local Government is in charge of

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organizes a nutritional problem response primarily to pregnant mothers, infants and children under five (toddlers).

(2) The Regional Government is responsible for the improvement of family and community nutrition status with the active participation of the public and private.

(3) The Regional Government organizes bad nutrition measures especially for poor families.

(4) The Local Government is responsible for increasing the promotion of community nutrition programs.

(5) All parties who play as well as in the efforts of malnutrition relief as referred to in paragraph (3) may cooperate with the Government Area.

Twelfth Section

Hajj Health Service

Article 27

(1) The Regional Government organizes Hajj health services efforts in the form of coaching, monitoring and health checks of the hajj before departure and the return of return from the Hajj.

(2) The Government The area designated Puskesmas, Labkesda and Hospital Managing Director of Health Hajj as per the level/stage of examination.

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The Thirteenth Part of the Traditional Health Service

Article 28

Tradisonal Health Service is scouted and overseen by the Local Government in order to be responsible for its benefits and security and not in conflict with religious, social and pateness norms.

The Sixth Quarter

Cross Health Service and the Kumuh Region

Article 29

(1) The health efforts of the area borders and urban slums are the responsibility of the Local Government in cooperation with the border local government and the Propinsi Government.

(2) Any health means in the Regions bordering on other areas is required to receive cross-border patients and report on the results of its activities to the Local Government.

BAB IV

HEALTH CARE

Part Health Type

Article 30

(1) The Local Government is mandatory for procurement

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health power. (2) The health force as referred to in

paragraph (1) consists of: a. Medical personnel; b. Nursing power; c. Kefarmasian power; d. Public health power; e. malnutrition; f. Physical ignition power; g. medical diligence.

(3) The medical power as referred to in paragraph (2) of the letter a includes: a. doctor; and b. dentistry.

(4) The nursing as referred to in paragraph (2) b includes: a. A nurse; b. dental carers; and c. bidan.

(5) The pharmacist as referred to in paragraph (2) of the letter c includes: a. Apothecary; b. Kefarmasian technical power; c. pharmaceutical analyst; and d. assistant pharmacist.

(6) The public health force as referred to in paragraph (2) of the letter d includes: a. health epidemiologist; b. health entomologists; c. health microbiologists; d. Health care; e. health administrators; and f. Sanitarian.

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(7) The nutrient as referred to in paragraph (2) of the letter e includes: a. nutritionists; and b. dietisien.

(8) Physical ignition power as referred to in paragraph (2) of the letter f includes: a. physiotherapist; b. okupasiterapis; and c. wicara therapists.

(9) The medical perseverance as referred to in paragraph (2) of the letter g includes: a. radiographer; b. radiotherapist; c. dental technician; d. Electromedical technicians; e. health analyst; f. Optisien refractionists; g. Prosthetic authorics; h. transfusion technicians; and i. medical recorder.

The Second Part Requirements

Article 31

The health force as referred to in Article 30 of the paragraph (1) is>(1) Local Government mandatory monitoring and monitoring of the disease.

(2) In the conduct of the monitoring and observation of the disease as referred to in paragraph (1) all related parties are mandatory in cooperation with the Local Government.

(3) People/institutions that find cases of disease potentially outbreak of disease report to State Government through the Service.

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(4) The manner of staging and execution of the monitorin:always; page-break-after:always">

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d. comply with the standard of service in accordance with the laws of the laws;

e. improving supporting facilities and supporting facilities in accordance with the development of technology and science; and

f. provide health assurance and other warranties to health human resources in accordance with the applicable rules of the law.

g. convey reports of results of the health care activities periodically to the Local Government.

(2) The Local Government is doing accreditation against the health means according to authority.

(3) The Local Government can designate the body/agency Independent of the IBM Cloud Service, IBM will provide Client with access to the IBM Cloud Service and Client's use of the Cloud Service.

(4) The order of accreditation of health means is further regulated by the Regent.

Second Quarter

Sarana Health Unjang

Article 51

(1) Sarana health support is a health means of clinics, laboratories, Beauty clinics, water health services, radiological clinics, pharmacies, drugstores, folk pharmacies, opticals, health labs other health facilities.

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(2) The Local Government carries out the settings, coaching, supervision and control as well as the pattern of deployment to the health care system.

Third Section

Pharmaceutical supplies, Health and Food Tools

Article 52

(1) Other health sarana is a means of health of optics, massage parl/massages, fitness centers, beauty salons, spas, sauna, and other similar health means.

(2) The Local Government carries out setting, coaching, oversight in the perlin efforts of public health care users.

Article 53

(1) The Local Government regulates, fostering, supervising and controlling the means of rehabilitation of abuse and dependence of narcotics, psychotropic and other addictive substances (NAPZA) by the house sick, home, guesthouse or cottage performed by an individual or a legal institution.

(2) The authorities of the Local Authorities issue a permit for the rehabilitation services of the abuse and dependence of narcotics, psychotropic and Another addictive substance (NAPZA).

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The fourth part of the Transport/Transport Health/Transport Fourth section

Article 54

(1) Individual health services can be held through the means of mobility health.

(2) Health Sarana Mobility/transport can be: a. exercised by the Local Government and

private. B. provide health care in place-

a place that does not interfere with public order.

c. provide outpatient health care, transport of the body and transport of patient referrals to a more complete facility.

(3) The authority of governing and supervising as well as establishing technical standards of the organizer of the health means of mobility/transport is exercised by the Local Government.

(4) The Government of the Local Authorities publishes a permit, setting the technical standard, carrying out settings, coaching, supervision and control of the means Mobility/transportation health.

Article 55

(1) Sarana health care support and other health means are required to submit reports of results of health care activities to the Local Government.

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(2) The manner of reporting the results of the health care activities as referred to in paragraph (1) is set further by the Regent.

BAB VI

THE REGIONAL HEALTH GUARANTEE

THE GENERAL SECTION

Article 56

(1) The health guarantee is held in the Ciamis County area and a reference to West Java Propinsi for the poor.

(2) Any Ciamis County residents who do not have insurance guarantee Health guaranteed his health in accordance with the rules of the invite-invitation.

The Second Part

Regional Health Guarantee

Article 57

(1) Ciamis County residents are entitled to a comprehensive health care service according to medical indications, except that which is not guaranteed by the Local Government.

(2) Comprehensive health services as referred to in paragraph (1) include: a. Outpatient First Level (RJTP),

executed at the heirloom and

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the network is both inside and outside the building covering service: 1. medical consultation, physical examination and

health counseling; 2. Simple laboratory (blood, urine and

regular feces); 3. small medical action; 4. examination and dental treatment,

including cabut/tambal; 5. Maternity check/nifas/breastfeeding, baby

and toddler; 6. Medication delivery.

b. The first-degree hospitalization (RITP), carried out on the care center of care includes service: 1. hospitalic accommodation. 2. medical consultation, physical examination and

health counseling. 3. simple laboratory (blood, urine, and

routine feces). 4. Minor medical action. 5. Drug delivery. 6. normal delivery and with purlit

(PONED). C. Advanced Advanced Drive (RJTL), implemented

on RSUD includes services: 1. Medical consultation, physical examination and

health counseling by a specialist/general doctor.

2. diagnostic support: clinic laboratory, radiology and electromedik.

3. Minor and moderate medical measures. 4. examination and treatment of dental level

advanced.

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5. The medication that refers to the Hospital Formularium.

6. Pregnancy check and high risk delivery and purview.

d. Advanced hospitalization (RITL), carried out in Class III-class treatment room RSUD includes service: 1. hospitalic accommodations in grade III. 2. medical consultation, physical examination and

health counseling. 3. diagnostic support: clinic laboratory,

radiology and electromedics. 4. Medical action. 5. Medium and large operation. 6. Medical rehabilitation services. 7. Intensive care. 8. The medication that refers to

Formularium Hospital. 9. Blood service. 10. The ingredients and the health tools are exhausted. 11. High-risk copies and

purpote (PONEK). (3) The provisions of advanced outpatient

as referred to in paragraph (2) the letter c and advanced hospitalization as referred to in paragraph (2) the letter d is further governed by the regent.

Section 58

The unsecured health care (exclusion) by Regional Health Guarantee is: a. services that are not appropriate for the procedure and

provisions.

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b. materials, tools and actions that aim for the cosmetics.

c. general check up. D. Mock dental prothesis. e. F-eye glass service. intra Oculer Lens (IOL) g. Hearing aid services. h. movement of motion ai/p>

(1) The Health Sarana is mandatory:

a. provide health services that are in accordance with the medical procedures and applicable regulations and coninvitations;

b. receive and serve patients in an emergency and are prohibited from refusing to reason for financing and other non-medical reasons;

c. referencing her patients to other health means capable of handling the condition of the patient referred to by assuring them. Formerly the availability of service to the referral hospital.

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c. medik gas installation; d. the installation of steam; e. installation of waste management; f. Fire prevention and countermeasures; g. directions, standards and means of evacuation when

an emergency; h. the installation of the air; i. information and communication systems; and j. ambulance.

(2) Prasarana as referred to in paragraph (1) must meet the standards of service, security, and the safety and health of the hosting of the Hospital

(3) The Prasarana as referred to the paragraph (1) must be in a state of preserve and function properly.

(4) The operation and maintenance of the Hospital prasarana as referred to in paragraph (1) must be performed by officers who have a competency in their field.

(5) Operating and maintenance The hospital infrastructure as referred to in paragraph (1) must be documented and

(6) Further provisions of the Hospital infrastructure as referred to in paragraph (1) to the paragraph (5) are governed in accordance with the laws.

Paragraph 5 Human Resource Requirements

Article 71

(1) Human resources requirements are as

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referred to in Section 66 of the paragraph (1) the letter of the Hospital must have a fixed power that includes medical and medical support, nursing, pharmacist, hospital management power, and power. nonhealth.

(2) The number and type of human resources as referred to in paragraph (1) must conform to the type and classification of the Hospital.

(3) The Hospital must have its data of composure doing the practice or employment in hosting of the Hospital.

(4) The hospital can employ an unfixed power and consultants in accordance with the needs and capabilities in accordance with the provisions of the perinvitation regulations.

Article 72

(1) The medical practice of conducting medical practice in the Hospital is required to have a Practice Pass in accordance with the provisions of the Laws.

(2) Certain health workers who work in the Hospital are required to have permissions in accordance with the provisions of the laws.

(3) Any health workforce working in the Hospital must work in accordance with the standards of the profession, the standard of the Hospital ministry, the standard applicable operational procedure, the ethics of the profession, respecting patient rights and prioriting safety patient.

(4) The provisions of the medical and health care power as referred to in paragraph (1)

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and paragraph (2) is implemented in accordance with the provisions of the laws.

Article 73

(1) The hospital can employ power

foreign health according to the needs of the ministry.

(2) The foreign health care workforce as referred to in verse (1) is only done with regard to the interest in the technology and science as well as the availability of local health power.

(3) The foreign health care workforce as referred to in verse (1) is only done for foreign health personnel who have had a Letter of Sign Registration and Ijin Mail Practice

(4) Further provisions about the assistance of a foreign health force on the paragraph (1) paragraph (2) and paragraph (3) are governed in accordance with the provisions of the laws.

Paragraph 6

Pharmacian Requirements

Section 74

(1) The pharma requirements as referred to in Section 66 of the paragraph (1) letter e must guarantee the availability of a quality pharmaceutical and health tool, beneficial, safe and affordable.

(2) The service of pharmaceutical supplies at the Hospital must follow the standards of the pharmacist ministry.

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(3) Health care management, pharmaceutical supplies, and disposable materials in the Hospital must be performed by a one-door pharmaceutical installation.

(4) The price of pharmacy supplies at the home pharmacy installation Pain must be reasonable and benchmark to the benchmark price specified in accordance with the laws.

(5) Further provisions regarding the standard of the pharmacies of service as referred to in paragraph (2) are governed in accordance with the laws.

Paragraph 7

Appliance requirements

Article 75

(1) The equipment requirements as referred to in Section 66 of the paragraph (1) of the letter f include medical and non-medical equipment must meet the standard of service, quality requirements, security, safety and laicable use.

(2) The medical equipment as referred to in paragraph (1) must be tested and calibrated periodically by the Health Facility Testing Hall and/or the health facility testing institution authorized.

(3) Appliances that use ionizing rays must meet the provisions and must overseen by authorized agencies.

(4) The use of medical and nonmedical equipment in the Hospital should be performed according to patient medical indications.

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(5) The operation and maintenance of the Hospital equipment must be performed by officers who have a competency in their field.

(6) The maintenance of the equipment must be documented and evaluated periodically and Continuous

(7) Terms of testing and/or calibration of medical equipment, standards related to security, quality, and benefits are performed in accordance with the provisions of the invite-invitation rules.

Section 76

The hospital that does not meet the requirements as referred to in Article 64, Section 66, Article 67, Article 68, Article 69, Article 70, Article 71, Article 72, Article 73, Article 73, Article 74, Article 74 and Article 75 are not granted permission to establish, revoked or unextended the operating permission of the Hospital.

BAB VIII

ELDERLY HEALTH AND AGE DISABLED

Article 77

(1) The health care efforts of further age must be aimed at keeping a healthy and productive life socially or economically compatible with the dignity of humanity.

(2) Local governments are required to guarantee the availability of health care facilities and facilitate the group Our age to be able to remain independent and socially and euilding as referred to in Article 68 should be able to be used to meet plenary health care needs, education and training, as well as research and development of science and technology health.

(2) The Hospital Building as referred to in paragraph (1) at least consists of space: a. Outpatient; b. Inpatient room; c. emergency room;

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d. The operating room; e. the health room; f. Radiological space; g. Laboratory room; h. Sterilization space;irect, and protect the community.

(2) Functions the instrument of governance as referred to in verse (1) aims for: a. Confirm general norm in action

specific laws; b. set on individual deeds; c. provide legal protection; and d. protecting common interests.

Section 92

(1) the preventive judicial function as referred to in Section 90 of the letter b is intended to prevent Licensee from committing a violation of the permit and/or regulatory requirement It's

(2) The preventive juridical function as referred to in paragraph (1) is performed by listing the prohibition norm and the command norm attached to the permit decision.

Section 93

The control function is referred to in Article 90 of the letter c is intended for: a. Prevent, address and orchestrate the tool-

The spread of social, economic, and environmental impacts quickly, appropriately, as well as coordinated;

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b. reduce loss to government, society, and permit holder.

Article 94

The coordination function as referred to in Article 90 of the letter d is intended to integrate and absorb the processes and substances of health care in the between the associated agencies.

Section 95

(1) Public oversight functions as referred to in Article 90 of the letter e are intended to give the same opportunity and breadth to the public to play a role and in the health licensing.

(2) the implementation of public surveillance functions as meant in verse (1) is done in a way: a. enhancing self-reliance, outsourcing

society, and partnerships; b. To grow the ability and

a pioneer of society; c. cultivate the future of masyara-

kat to perform social surveillance; d. provide opinion advice; and e. relay information and/or reports.

The Second Section

Grouping Permissions

Section 96

Health permissions are grouped over:

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a. classification; b. category; and c. type.

paragraph 1 classification

section 97

The health licensing classification as referred to in Article 96 of the letter a consists of: a. permission in the field of health; and b. non-permit in the field of health.

Paragraph 2 Category

Article 98

(1) Permission in the health field as referred to in Article 97 of the letter a is the permission given to any person performing activities and/or a range of activities in the field of health.

(2) The permit in the field of health as referred to in paragraph (1) can be categorized into: a. Permit field of the means of medical services; and b. Health care policy.

(3) The non-permit in the field of health as referred to in Article 97 of the letter b is the document and proof of legality over the subject matter to any person in the realm of the state administration law.

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(4) Non-Permission in the health field as referred to in paragraph (3) can be categorized into: a. Registration; b. Recommendations; c. Certification; and d. Accreditation.

Article 99

(1) Permission of the medical services means as referred to in Section 98 of the paragraph (2) letter a, consisting of: a. the means of medical services; and b. the means of medical support services.

(2) The medical services Sarana as referred to in paragraph (1) of the letter a, covering: a. Hospital Permission; b. Medical Hall's permission; c. Maternity Home permit; and d. Basic Medical Services Medical Services permit.

(3) The means of medical support services as referred to in paragraph (1) letter b, include: a. Permission of the Aesthetic Beauty Clinic; b. Health Care Permission (c). Permission Pharmacy; d. Drug Store Permission; e. Permission of the People's Pharmacy; f. Optical Hosting Permit; g. Health laboratory clearance; and h. Permit Hosting Service Radiology

Diagnostics.

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Article 100

(1) The health care field permit as referred to in Section 98 of the paragraph (2) letter b, consists of: a. Medical personnel; b. Nursing power; c. Kefarmasian power; d. Physical ignition power; and e. Medical Perseverance.

(2) The type of medical clearance referred to in paragraph (1) letter a, covering: a. Doctor's Practice; b. Doctor Dental Practice;

(3) the type of nursing permit as referred to in paragraph (1) letter b, includes: a. Nurse Practice Permission; b. Bidan Practice Permission; and c. Dental Nurse Work permit.

(4) The type of pharmacist clearance as referred to in paragraph (1) of the letter c, includes: a. Apothecary work permit; b. Assistant to the Assistant Apoteker; and c. Kefarmasian Analyst Work permit.

(5) The type of physical ignition power permit as referred to in paragraph (1) letter d, includes: a. Practice Physiotherapy; b. Therapeutic Work Permit; c. The practice of Therapist Practice; and

(6) The type of medical perseverance permit as referred to in paragraph (1) letter e, include: a. Work permit Radiographer; b. The Optisien Refractionist Workforce.

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(7) Another type of health care power permit, covering: a. Complementary Treatment Workforce Permit-

Alternative. B. Traditional Drug Permission

Paragraph 3

Type

Article 101

The type of health permissions as referred to in Article 96 of the letter c consists of: a. Hospital Permission; b. Medical Hall's permission; c. Maternity Home permit; d. Basic Medical Services Medical Services permit; e. Permission of the Aesthetic Beauty Clinic; f. Water-based Services; g. Permission Pharmacy; h. Drug Store clearance; i. Permission of the People's Pharmacy; j. Optical Hosting Permit; k. Medical Laboratory clearance; l. Radiological Services Permit

Diagnostics; m. Doctor and Dentistry permit; n. Complementary Treatment Workforce Permit-

Alternative; o. Nurse Practice Permission; p. Bidan Practice Permission; q. Employment Permit For Dental Nurses; r. Apothecary Work Permission;

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s. Work permit Assistant Apoteker and Kefarmasian Analyst;

t. Practice Physiotherapy; u. Therapeutic Practice Permit; v. Permission Practice Therapist Wicara; w. Traditional medicine permit; x. The Optisien Refractionist Work permit; and y. Licensed Radiographer.

Third Section

Permission in Health Field

Paragraph 1 Hospital License

Article 102

(1) Organizing Class C and Class D Government Hospital and Private Hospital The equivalent required for a permit.

(2) Permission as referred to in paragraph (1), consists of: a. Permission To Establish A Hospital; And B. Hospital Operating Permit.

(3) The permission to establish as referred to in paragraph (2) letter a, is the permission issued to estabH CARE

Section Parts Function

Section 90

The Health permit set in this Regional Regulation serves as: a. Instrument of government; b. Preventative yuridis; c. control; d. coordination; and e. public surveillance.

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Article 91

(1) The function of the governance instrument as referred to in Article 90 of the letter a is intended as a means of administrative law to set, dforts obtained through education. A high quality, security, and effectiveness that is based on biomedical science, which is not yet accepted in conventional medicine.

(2) Organizing of alternative compaction treatment as referred to in verse. (1), it is mandatory to have a Complementary Medical Labor Permit Letter- Alternatively.

(3) A Complementer-Alternative Medical Permit Letter as referred to in verse (2), is a written proof given to the complementary medicine force-

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alternatives in order to exercise the practice of complete-alternative treatment.

Paragraf 14

The Nurse Practice permit

Section 116

(1) The nurse is someone who has passed a nurse's education both at home and abroad in accordance with the invitational regulations.

(2) Each The nurse is referred to in a verse (1) that runs the self-practice of the nurse in order to have a Nurse Practice Letter.

(3) The Letter of the Nurse Practice as referred to in verse (2), is a written proof given to the nurse to perform individual nursing practices and/or groups.

(4) Letter The Nurse Practice Permit as referred to in paragraph (1), applies only to 1 means of health care.

Paragraph 15

Bidan's Practice Permission

Article 117

(1) Bidan is a woman who graduated from education bidan that has been egistrated in accordance with the laws.

(2) Every Bidan that runs the practice of bidan is required to have a Bidan Practice License.

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(3) The Letter of Practice of Bidan as referred to in paragraph (2), is the written proof given to the Bidan that is already meeting the requirements for exercising the practice of obstetrics.

(4) Bidan Practice License as referred to in paragraph (2), apply only to 1 (one) health care means.

Paragraf 16

Dental Nurse Work permit

Article 118

(1) The dental nurse is any person who has passed the nurse's education The teeth are consistent with the laws.

(2) The dentist is referred to in paragraph (1), who does the mandatory work of having a Job License.

(3) The Job License as referred to in verse (2), is a written proof given to the dental nurse to perform Dental and oral health care services on health facilities.

Paragraf 17

Apoteker Work permit

Article 119

(1) Apoteker is a pharmaceutical scholar who has graduated as Apoteker and has utters the oath of office. Apothecary.

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(2) Any Apothecary to run a pharmacist job on both the Government and private pharmacies must have a Apoteker Work Permit.

(3) The Apothecary Practice Permit as referred to in the paragraph (2), is the permission given to the Apoteker to be able to carry out Kefarmasian Work on the Apothecary or Installation of the Hospital Pharmacy.

(4) The Apoteker Work Permission Letter as referred to in paragraph (2), applies only to 1 (one) means farmasian.

Paragould 18

Assistant Job Assistant Apothecary and Analyst Kefarmasian

Article 120

(1) Assistant Apotecher and Kefarmasian Analyst is a health care certified Assistant School of Pharmacy/Secondary School of Pharmacy, Pharmaceutical Academy of Pharmaceutical Affairs, Health Polytechnic, Academy of Pharmaceutical Analysts (2) Any Assistant Apotecher and Pharmacist analyst to exercise the farcationist job on the means of government pharmacies and the private must have the Assistant Apoteker Assistant Permit.

(3) Letter lzin Assistant Apoteker ' s work as referred to in paragraph (2), is a written proof given to the Assistant Letter llzin Holder

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Apoteker for performing pharmacist work in the pharmacist means.

(4) The Apoteker Assistant Working License as referred to in paragraph (2), applies only to 1 (one) of the farcationist means.

Paragraph 19

Physiotherapist ' s practice permit

section 121

(1) Physiotherapist is someone who has passed physiotherapy education in accordance with the laws.

(2) Physiotherapy is a form of health care aimed at individuals and/or groups to develop, maintain and restore the motion and function of the body throughout the life cycle by using manually handling, improving motion, equipment, function training, and communication.

(3) The Fisiotherapist who does the mandatory physiotherapy has a Fisiotherapist Practice Permission Letter.

(4) The Fisiotherapist ' s Practice of Permission as referred to in verse (2), is written proof given to the physiotherapist to run the practice physiotherapy.

(5) The Fisiotherapist Practice License as referred to in paragraph (2), applies only to 1 (one) health care means.

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paragraph 20 of the Therapeutic Practice Permit

Article 122

(1) The Okupation of a therapist is a person who has passed the education education of at least a degree of diploma III in accordance with the laws of the invite- the applicable invitation.

(2) The therapy is a form of health care to the people/patients experiencing physical and/or mental impairment by using meaningful activity to increase individual self-reliance on the activity area daily life, productivity and leisure utilization in order improving the degree of public health.

(3) The therapist 's Okupation in organizing its activities is required to have a Therapeutic Therapeutic Practice Permit.

(4) The Therapeutic Therapist' s permission of Practice as referred to in paragraph (2), is proof written given to the ear of the therapist to exercise the practice of occupational occupational therapy.

(5) The Letter of Practice of Therapists as referred to in verse (2), applies only to 1 (one) means of the occupational service of therapy.

(6) A therapist ' s sufficance can have a maximum of 2 (two) Permissions Licenses I'm A Therapist.

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paragraph 21 permission of the Talk Therapist Practice

section 123

(1) The wicara therapist is someone who has passed a wicara therapist's education both in and abroad according to the rules perinvite-invitation.

(2) The Talk of Practice Therapist Wicara is a written proof given to a wicara therapist to exercise wicara therapy practices.

(3) wicara therapists can carry out the practice of wicara therapists on the means of Talk therapy services, individual and/or group practices.

(4) the wicara therapists who are conduct a practice on the means of speech therapy, individual practices and/or groups are required to have a Wicara Therapist Practice Permit.

(5) The Talk of the Practices Therapist Practice as referred to in paragraph (3), applies only to 1 (one) The means of wicara therapy services.

Paragraf 22

Traditional Drug Pass

Artipractice of medicine.

(3) Letter A doctor or dentist's permission, as referred to in verse (1), applies only to 1 means of health care.

(4) A doctor or dentist may have a maximum of 3 (three) of the Doctor's Practice of the Practice of the Doctor or a dentist.

paragraph 13

Complementary Treatment Workforce Permit

Section 115

(1) complementary treatment-alternatives are non-conventional treatment aimed at improving the degree of public health including promotional, preventive, curative, and rehabilitative ef/p>

fair, certain, and non discriminatory; c. respond and respond to any

requests for permission submitted; and d. provide information, explanation and

the information required by the permission of the permit for free.

(2) The complete terms of permissions are known and easily accessible to the public.

Section 134

The applicant is mandatory: a. meets the licensing requirements in accordance with

the laws of the negotiations; b. ensuring that all documents submitted

are true and legitimate; c. cooperative and assist in process agility

clearance management; and

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d. not commit unlawful conduct.

Third Part

Requests Permission

Section 135

(1) To obtain a Health License, the applicant must submit a written request to the Regent via the Head Service/Officials are authorized.

(2) Requests as referred to in paragraph (1), must be supplemented by a defined requirement.

(3) Example the format of the application as referred to in paragraph (1), is set further by the Regent.

Fourth Section

Verification Request

Article 136

(1) Service can verify compliance with the health care request.

(2) The implementation of verification as referred to in paragraph (1), includes: a. completeness and validation checks

document requirements; b. field check of location/location

being the object of health clearance; and/or c. Event news issuer of the verification results.

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(3) In the conduct of the verification as referred to in paragraph (1), the mandatory Verification Team is formed from the associated Regional Device Workspace.

(4) If the Team is formed, the team will be used to create a team of personnel. Verification as specified in paragraph (3), then the Secretariat of the Verification Team, which is based in the Service.

(5) The Verification Team and Verification Team Secretariat, are established and specified by the Regent.

Fifth Section

The issuance and rejection of Health Permit

Article 137

(1) If the document invocation and the terms and conditions have been fully completed and valid, then the Head of the Service/Officer authorized, on behalf of the Regent must publish a predefined permit.

(2) Complete as referred to in paragraph (1), i.e. the entire requirement has been

(3) Valid as referred to in paragraph (1), i.e. the entire document is correct and does not conflict with the laws.

Section 138

(1) The term of the completion of the licensing service

is set at most 14 (fourteen) days of work since the acceptance of the request document is complete and valid.

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(2) In terms of complete request, correct, and not contrary to the rules of invocation-the invitation as referred to in paragraph (1), and the health permit has not been issued, a health permit is considered approved.

(3) If applicable state as referred to in paragraph (2), the Head of the Service (s), in the name of the Regent is required to publish a health permit.

Section 139

(1) Any information deficient in the document relating to the request of the permission, it must be delivered to the applicant in writing.

(2) Delivery of the document deficient information as referred to in paragraph (1), at least loading: a. any explanation of any requirement that is not

is filled; b. things deemed necessary by the applicant permission

in accordance with the general ministry principle; and c. provide sufficient time limits.

(3) If up to the specified time limit as referred to in paragraph (2) the letter c, the application of the application incomplete, then the Head of the Service/Officials is authorized, on behalf of the Regent may refuse a permit.

(4) If the permit document is invalid, then the Chief of Service/Officials is authorized, on behalf of the Regent to refuse request permission.

(5) Rejections of permission as

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referred to in verse (3) and verse (4), must be accompanied by its reasons.

Section 140

(1) Any mandatory permit decisions contain at least: a. the official authorized to publish a license; b. basic law granting consent; c. subject of permission; d. The Dictum provided the provisions-

terms, restrictions and conditions;

e. Permission issuer is not available. other matters related to the provisions

that prevent the occurrence of health licensing violations and/or laws.

(2) The decision of health licensing as referred to in paragraph (1), is contained in the health licensing register.

(3) The health licensing register as referred to in paragraph (2), is published officially by the Chief of the Service.

(4) The performance and technical guidance of the permissions as referred to in paragraph (1), and the register as referred to in paragraph (2), is further regulated by the Regent.

Sixth Part of the Effective, Extended, and Relist Permit

Health

Section 141

The applicable law of service means of service Medical

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base, covering: a. The permit to set up the Hospital is valid for 2

(two) years and can be extended for 1 (one) year.

b. The Hospital operational permit is granted for a term of 5 (five) years and can be extended back during the meeting of the requirements.

c. The Medical Hall permit is granted for a term of 5 (five) years and can be extended back during the meeting of the requirements.

d. Maternity Home Permission is granted for a term of 5 (five) years and may be extended back during the meeting of the requirements.

e. The Base Service Allowance is granted for a term of 5 (5) years and may be extended again during the meeting of the requirements.

Section 142

The term of the medical care health service means permit field, the Client is not authorized to use the Cloud Service. includes: a. Pharmacy permission is so forth as long as

concerned is still actively performing activities and is required to re-list every 1 (one) year once.

b. Drug Store licenses are in effect for as long as they are active and are required to re-list every 1 (one) year.

c. The people's dispensaries permit the following as long as it is still active and is required to perform a re-list of every one year.

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d. The Optikal Hosting Permit is provided for a term of 3 (three) years and can be extended back during the fulfils of the requirements.

e. The Aesthetic Beauty Clinic permit is granted for a term of 3 (three) years and can be extended back during the meeting of requirements.

f. The Water Use Healthy Service permit is provided for a term of 3 (three) years and can be eb>

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Paragraph 4 The Time Requirements

Section 132

Each mandatory permit publishing process provides a certainty of time for deliverance.

The Second Part of the Granting Obligation and Applicant Permit

Section 133

(1) The authoring of mandatory permits: a. Set up a complete permission requirement,

clearly, measurable, rational, and open; b. treat any applicant of permission < a single door integrated service.

(2) For the granting of services at one place, covering various type of service that is not

213

has a process link, and is served through multiple doors, organized through a one-roof integrated service.

(3) For the granting of service at one place and covering various types of services that have a process link, organized through a one-door integrated service.

BAB VII

COACHING AND SUPERVISION

Parts of coaching

Article 159

(1) The Local Government is doing coaching terha-dap every health effort.

(2) Coaching as referred to in verse (1), including: a. system development; b. human resources; c. workgroup.

(3) The coaching as referred to in paragraph (1) is performed through: a. coordination periodically; b. mentoring, supervision, and

consulting; c. education, training, and the interns; and d. planning, research, development,

monitoring, and evaluation of the hosting of health clearances.

(4) Further provisions regarding coaching are set further by the Regent.

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Second Section Oversight

Article 160

(1) The Regent conducts oversight of the hosting and organizers of activities related to health efforts.

(2) The Regent in Perform the monitoring as referred to in paragraph (1), may form a supervising team formed and specified by the Regent.

(3) The supervising team as referred to in paragraph (2), consists of the personnel of the Working Unit. Related Area Devices

(4) Personnel The Supervising Team as referred to in paragraph (3), may be accompanied by a community element.

(5) Further provisions on surveillance are further regulated by the Regent.

BAB VIII

SOCIETAL EMPOWERMENT

Article 161

(1) Increilies the potential source power as well as community self-reliance, exercised through the empowerment of communities in the maintenance and improvement of quality of life as well as the degree of health, through: a. access to health information; b. opportunity in expressing opinions;

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c. decision making; d. solving health problems; and e. initiative, creation and innovate in the field

health. (2) Public empowerment as

referred to in paragraph (1) involves a community, private, individual, group as well as a health care stakeholder who acts as a change agent for the application of healthy living behavior.

BAB XIX

THE RIGHT AND LIABILITIES OF THE COMMUNITY

Section For Community Rights

Section 162

Each person has the same rights in: a. obtaining access to health resources; b. obtaining secure health care,

quality, and affordability; c. independently and responsively

determines the necessary health services for which it is available;

d. got a good and healthy living environment for the attainment of health degrees;

e. obtaining information and education about the kese-a balanced and responsible view; and

f. obtaining information about its health data including the actions and treatments that have been or will be received from the health care.

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Second Section Of Community Oblicity

Section 163

Everyone is obliged to: a. Participate, maintain, and

improve the degree of decent public health, including individual health efforts, public health efforts, and health-insightful development;

b. Respect for the right of others in an effort to acquire a healthy environment, both physical, biological, or social;

c. behave in a healthy life to realize, maintain and advance a proper health;

d. keeping and improving the degree of health for others who are his responsibility;

e. Participate in social health insurance programs, as per the terms of the invite-invite rule.

BAB XX

THE ROLE AS WELL AS SOCIETY

Article 164

(1) The business and world of the business acts as well as in all forms and stages Hosting the health in order to help accelerate the attainment of good public health degrees.

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(2) The role of the public and the business world in the hosting of health as it is referred to in paragraph (1) as the perpetrator, organizer, maintainer, person of the fund, oversight and health.

(3) In improving the quality of the hosting of health care required roles as well as the community.

(4) The role as well as the society as referred to in verse (1), embodied in the form of community supervision.

(5) The society is entitled get access to information and participation access at any stage and time in the the hosting of health care.

(6) Access the information as referred to in paragraph (3), includes: a. stages and time in the retrieval process

decision granting decision; and b. Activities plan and/or effort and

estimate its impact on public health.

(7) Participation Access as referred to in paragraph (3), includes filing of complaint over objections and/or violation of health licensing.

(8) The terms of the filing for any objection or violation as referred to in paragraph (5) are based on the invitters ' regulations.

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CHAPTER XXI FOR HEALTH HOSTING STRATEGY

Section 165

The health of the health is done with the strategy: a. Effective implementation of coordination with

all stakeholders to establish a health development synergity;

b. Improving the quality of health facilities and infrastructure in order to ensure effective, effective and quality health care;

c. Increased alignment and expansion of health access, quality improvement, improved governance, accountability, and public image of health management;

d. Exhumation and empowerment of both internal and external potential in order to produce effective and productive health care-garaan; and

e. Improved performance and professionalism of healthcare as well as health institutions through welfare grants and awards.

BAB XXII

MANAGEMENT AND HEALTH INFORMATION

Section Of Health Management

Section 166

(1) The health management in the Region refers to

219

The National Health System and the Provincial Health System to ensure a decent degree of health, systematic, directionally, integrated, thorough and perceptually on the changes.

(2) Health management as referred to in paragraph (1) is done in a unified and interchange between the government.

Second Section

Health Information

Section 167

(1) In the realisation of the effearagraph (1) in accordance with the laws.

BAB VI

LICENSING SERVICES

Article 156

The licensing organisers are set up efficiently and effectively as per the task and function of the permissions service.

Section 157

Organizing the permissions As referred to in Article 156 it has a function: a. Execution of service; b. community control management; c. information management; and d. internal supervision.

Article 158

(1) In order to host a health care permit can be performed throughle 171 of the f if: a. not to implement the rules

negotiations;

227

b. violates the terms of the requirements that are contained in the health permit;

c. transfer its permissions to the other party without the express written consent of the permit; and/or

d. a serious violation of the health care attempt.

(2) The order of the revocation of the permit as referred to in paragraph (1) is set further by the Regent.

BAB XXV

CRIMINAL provisions

Article 179

(1) Any person who organizes activities and/or a series of health care activities without permission as referred to in this County Regulation, threatened by criminal confinement at most 3 (three) months and/or fines at most Rp 50,000.000.00 (fifty million rupiah).

(2) Penal Tindak as referred to in paragraph (1) is a violation.

(3) The Denda as referred to in paragraph (1) is referred to the Regional Kas.

Section 180

Against the doable deeds As a criminal offense other than as provided in Article 179, are threatened by criminal charges as set out in the laws.

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CHAPTER XXVI TRANSITIONAL PROVISIONS

Section 181

(1) The health permit issued before

The County Regulation is promulred, it remains valid

up to the expiration of the permission.

(2) The health care holder as

referred to in paragraph (1), must report permission

that it owns to the Regent via the Head

Service or other authorized officer.

BAB XXVII

CLOSING provisions

Article 182

(1) By the enactment of the Regulation of this Region, then

all Regulations governing the same

and in conflict with this Regional Rule,

revoked and declared no longer applies.

(2) Things are not quite set in Regulation

This area, along the Regarding technical

implementation, further set by the Regent.

Section 183

The rules of this region begin to apply to the date of the promulgable.

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For everyone to know it, ordering the invitational of this Area Regulation with its placement in the Leaf County of Ciamis Region.

Set in Ciamis on 10 October 2011

BUPATI CIAMIS,

Cap/ttd

H. ENGKON KOMARA Held in Ciamis on October 10, 2011

COUNTY SECRETARY OF CIAMIS, H. TAHYADI A SATIBIE LEAF DISTRICT OF CIAMIS COUNTY 2011 NUMBER 20

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EXPLANATION

UP

COUNTY REGULATION OF CIAMIS COUNTY

NUMBER 20 IN 2011

ABOUT

HOSTING HEALTH

I. UMUM

Health development is a part of the National Development which aims to raise awareness, will, and the ability to live healthy for each person in order to manifest the health of the public health. In order to ensure that the health of the health development is required the support of the National Health System (SKN) is being held in the area called the Regional Health System (SKD).

The Regional Health System (SKD) is an order that sets up as a government, community, and private sector effort in a unified and supportive area, in order to guarantee its highest degree of health. as a manifestation of the general welfare as referred to in the Opening of the 1945 Constitution The SKD is a form and as well as the method of hosting a health development.

Next as a follow-up to the Regional Health System (SKD) the implementation needs to be set up regarding the Health Care Act as set In accordance with the terms of this Attachment, the terms of this Agreement are subject to the terms of this Agreement, and the provisions of this Agreement are subject to the terms of the Agreement.

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Health Energy, Sarana and Prasarana Health, Regional Health Guarantee, Hospital, Health Advanced Age and Persons with Disabilities, Environmental Health, Family Planning, Regional Health Care considerations, Financing Health, Health Licensing, Licensing Procedures, Licensing, Coaching And Supervision, Community Empowerment, Community Rights And Obligations, Role As Well As Society, Health Care-Hosting Strategy, Management and Health Information, Cooperation and Partnership, Administrative Sanctions, Criminal Terms, Conditions Transition and Enclosing Conditions.

II. Article 2 of the Article 1 reasonably clear

Article 2 reasonably clear Article 3 Quite clearly Article 4 Quite clear Article 5 Simply clear Article 6 Quite clear Article 7 Quite clear Article 8 Quite clear Article 9 Quite clear Article 9 Quite clearly Article 10 Is clear enough

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Article 11 reasonably clear Article 12 reasonably clear Article 14 reasonably clear Article 14 reasonably clear Article 15 reasonably clear Article 17 reasonably clear Article 17 reasonably clear Article 18 Quite clearly Article 19 Quite clear Article 20 reasonably clear Article 20 is clearly Clear Article 21. Quite clearly Article 22 Quite clearly Article 23 Quite clearly Article 24 Quite clearly Article 25 Quite clear Article 26 Quite clear Article 27 is clearly clear

233

Article 28 reasonably clear Article 29 Quite clearly Article 30 reasonably clear Article 31 reasonably clear Article 32 reasonably clear Article 33 Quite clear Article 35 reasonably clear Article 35 reasonably clear Article 36 Quite clearly Article 37 Quite clear Article 37 is clear enough Article 38 Quite clearly Article 39 is quite clear Article 40 Quite clearly Article 41 Quite clearly Article 42 Quite clearly Article 43 Quite clearly Article 44 Is quite clear Article 44 is clear enough

234

Article 45 reasonably clear Article 46 reasonably clear Article 47 Quite clearly Article 48 Quite clearly Article 51 reasonably clear Article 51 reasonably clear Article 52 Quite clear Article 52 Quite clearly Article 53 Is clearly Clear Article 54 Quite clear Article 55 Quite clearly Article 56 Quite clear Article 57 Quite clearly Article 58 Quite clearly Article 59 Quite clearly Article 60 Quite clearly Article 61 is clear enough Article 61 is clear enough

235

Article 62 reasonably clear Article 63 reasonably clear Article 64 reasonably clear Article 65 Quite clear Article 66 reasonably clear Article 67 reasonably clear Article 68 Quite clearly Article 69 Quite clearly Article 70 reasonably clear Article 71 clearly Article 71 is clearly clear Article 72 Quite clearly Article 73 Quite clearly Article 74 Quite clearly Article 75 Quite clearly Article 76 Quite clearly Article 77 Quite clearly Article 79 Quite clearly Article 79 I-righteous and/or falsification of data, documents, and/or information;

b. the obligations set forth in the document are not implemented by the health care organizer.

(2) The order of the imposition of the sanction of the revocation of the permit as referred to in paragraph (1) is set further by the Regent.

Paragraph 7

revocation of

Article 178

(1) Organizing health care holders as health care holders are subject to administrative sanction of the revocation of the health clearance as referred to in Artic