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EPUTUSAN MENTERI KESEHATAN REPUBLIKINDONESIANOMOR 267/MENKES/SK/III/2008

TENTANGPEDOMAN TEKNISPENGORGANISASIAN DINASKESEHATAN DAERAHENDAHULUAN

A. Latar Belaka!

T"#"a a$%&al Ba!$a I'&e$%a $e(a!a%)aa *a! ter+at") 'ala)Pe)("kaa U'a! U'a! Da$ar ,UUD- 1 a'ala )el%'"!% $e!ea3Ba!$a I'&e$%a 'a $el"r" t")3a 'ara I'&e$%a $erta "t"k)e)a#"kake$e#ateraa ")")4 )e+er'a$ka ke%'"3a (a!$a4 'a %k"t )elak$aaka

ketert%(a '"%a *a! (er'a$arka ke)er'ekaa4 3er'a)a%a a(a'%4 'akea'%la $&$%al.Dala) ra!ka 3e*ele!!araa Pe)er%taa Daera $e$"a%'e!a a)aatU'a!5"'a! Da$ar Ne!ara Re3"(l%kI'&e$%a Ta" 14 Pe)er%taDaera (erea! "t"k )e!at"r 'a )e!"r"$ $e'%r%"r"$a Pe)er%taa

)e"r"t aa$ &t&&)% 'a t"!a$ 3e)(at"a4 "t"k )e)3er+e3at ter"#"'*ake$e#ateraa )a$*arakat )elal"% 3e%!kata 3ela*aa4 3e)(er'a*aa 'a3era $erta )a$*arakat $erta 3e%!kata 'a*a $a%! 'aera 'e!a)e)3erat%ka 3r%$%3 'e)&kra$%4 3e)erataa4 kea'%la 'ala) $%$te) Ne!araKe$at"a Re3"(l%k I'&e$%a.

Se(a!a% t%'akla#"t


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3elak$aaa U'a!5"'a!N&)&r 2 Ta" 200teta! Pe)er%taa Daera4 )e)(aa k&$ek"e$% 3er"(aa tera'a3

Perat"ra Pe)er%ta ,PP- N&)&r8 Ta" 200 teta! Pera!kat Daera.Se(a!a%)aa '%keta"% PP N&)&r 8 Ta" 200 )er"3aka 3e'&)a (a!%Pe)er%ta Daera 'ala) )eata&r!a%$a$% 3era!kat 'aera4 "t"k)e+%3taka &r!a%$a$% *a! e9%$%e4e9ekt%94 'a ra$%&al $e$"a% 'e!ake("t"a4 'a ke)a)3"a 'aera )a$%!5)a$%!. Na)"(er'a$arkae:al"a$% $ela)a %%4 ter*ata )a$% '%te)"ka 3er)a$alaa atara la% ; a-Se(a!%a (e$ar Pr&:%$% 'a Ka("3ate/K&ta (el") )elak$aaka*a< (-Pe)(ata$a #")la< +- N&)eklat"r *a! t%'ak $era!a)< '- Pera)3%!a *a!

+"k"3 (e$ar< '- Pe!at"ra 3era!kat la% (el") #ela$.Me!at%$%3a$% 3er)a$alaa ter$e("t4'ala) 3e*ele!!araa Pe)er%taaDaera )e'ata!4 3erl" '%t%!katka e9%$%e$% 'a e9ekt%:%ta$*a 'e!a le(%)e)3erat%ka a$3ek5a$3ek "("!a atar $"$"a Pe)er%taa 'a atarPe)er%taa Daera4 3&te$% 'a keaekara!a)a 'aera4 3el"a! 'a

tata!a 3er$a%!a !l&(al 'e!a )e)(er%ka keea!a *a! $el"a$5l"a$*a ke3a'a 'aera '%$erta%'e!a 3e)(er%a ak 'a kea#%(a)e*ele!!araka &t&&)% 'aera 'ala) ke$at"a $%$te)3e*ele!!araa

3e)er%taa e!ara.Pe)(a!"a ke$eata )er"3aka (a!%a


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%te!ral 'ar% 3e)(a!"aa$%&al. Ut"k %t" 'ala) 3e!&r!a%$a$%a*a #"!a ar"$ )e)3erat%ka "3a*a3e)(a!"a *a! '%lak$aaka &le $ekt&r la%. Pa'a

akekat*a ke$el"r"a"3a*a 3e)(a!"a *a! a'a '%t"#"ka ke3a'a "3a*a "t"k )e$e#ateraka9

rak*at. Pe%!kata 'era#at )a$*arakat)er"3aka $ala $at" "3a*a '%)ak$"'4*a! tet"*a )e)erl"ka 3e!&r!a%$a$%a*a! le(% terara4 e9%$%e 'ae9ekt%9 $erta )e'a3at '"k"!a l%ta$ $ekt&r.

A3ala!% I'%kat&r ke$e#ateraa )a$*arakat '%"k"r )elal"% H")a De:el&3)etI'e= ,HDI- ata" I'ek Pe)(a!"a Ma"$%a ,IPM- *a! $a!at '%3e!ar"%&le k&'%$% 'era#at ke$eata43e'%'%ka 'a $%t"a$% ek&&)%.Se(a!a% e!ara *a! )e!a"t $%$te) e!ara ke$at

"a ,"%tar%$)e-4 )aka3e)(a!"a ke$eata 'aera )er"3aka $at" $"( $%$te) 'ar% Pe)(a!"aKe$eata Na$%&al. Ole karea %t" 'ala) 3e)(et"kaOr!a%$a$%Ke$eataDaera$e*&!*a*a )e)3erat%ka 3"la a$3ek5a$3ek "("!a

'ala) 3e)(a!"a ke$eata atar $"$"a 3e)er%taa.D% $a)3%!a a$3ek &r!a%$a$%4 a$3ek $")(er 'a*a )a"$%a $e(a!a% a3arat"r /3e)e!a! #a(ata #"!a )er"3aka 9akt&r *a! )eet"ka 'ala) )e+a3a% :%$%'a )%$% &r!a%$a$%.Ut"k )e#a)% &(*ekt%:%ta$4 kea'%l

a4 'a tra$3ara$% 3e!a!kata PNS'ala) #a(ata $tr"kt"ral 3era!kat 'aer


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a (%'a! ke$eata 'a !"a )e#a)%ke(era$%la t"!a$ 'a 9"!$% &r!a%$a$%4 3erl" '%teta3kaPer$*arata >a(ataPera!kat Daera B%'a! Ke$eata

.S*arat #a(ata a'ala $e$"at" 3er$*arata *a! ar"$ '%)%l%k% "t"k )e)e"%

#a(ata tertet" $e$"a% ke)a)3"a 'ak&)3ete$%*a! ar"$ '%)%l%k% &le$e&ra! PNS4 (er"3a '%klat 3e#e#a!a 'a3er%lak"*a! '%3erl"ka 'ala))elak$aaka t"!a$ #a(ata $tr"kt"ral *a! '%3a!k"*a.Per$*arata #a(ata $e(a!a%)aa '%)ak$"' )er"3aka 'a$ar 3e)(%aa 3&lakar%r4 "t"k )e#a)% ke3a$t%a ara3e!e)(a!a kar%er PNS $e(a!a%)aatert"a! 'ala) PP N&. Ta" 2002 t

eta! Pe!a!kata Pe!aa% Ne!er%S%3%l Dala) >a(ata Str"kt"ralPerl" '%$a'ar% (aa "3a*a3e%!kata 'era#at ke$eata )a$*arakat aka)er"3aka %:e$ta$% #a!ka 3a#a! *a! ter"$ )eer"$ ar"$ )e#a'%3erat%a "ta)a4 karea 'a)3ak tera'a3 3er(a%ka k"

al%ta$ $")(er 'a*a)a"$%a '%%k"t% 'e!a3e'%'%ka 'a 3elat%a4aka (er%)3l%ka$% 3a'a3er(a%ka ek&&)% 'a ke)a#"a IPTEK )e"#" I'&e$%a $e#atera4

A!ar 3e*ele!!araa 3e)(a!"a ke$eata '% 'aer

a 'a3at '%lak$aaka$e#ala 'e!a t"#"a *a! e'ak '%+a3a


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%4 3erl" a'a*a Pe'&)a Tek%$Pe!&r!a%$a$%a D%a$ Ke$eata Daera4 a!ar 'a3at )e#a'% 3a'"a 'ala)3eataa D%a$ Ke$eata Daera.

B. Mak$"' 'a T"#"aPe'&)a Tek%$ Pe!&r!a%$a$%a D%a$ Ke$eata Daera %% '%)ak$"'ka!"a )e)(er%ka 3a'"a/a+"a ke3a'aDaera 'ala) 3eataakele)(a!aa &r!a%$a$% 'a tatalak$aa '%l%!k"!a D%a$ Ke$eata Daera.Pe'&)a Tek%$ 3e!&r!a%$a$%a D%a$Ke$eata Daera %% (ert"#"a "t"k)e*a)aka 3e)aa)a/3er$e3$% '% $et%a3le:el 3e)er%taa 'ala) 3eataakele)(a!aa &r!a%$a$% 'a tatalak$aa '%l%!k"!a D%a$ Ke$eata Daera.10

?. R"a! L%!k"3R"a! l%!k"3 Pe'&)a Tek%$ Pe!&r!a%$a$%a D%a$ Ke$eata Daera

)el%3"t% ;. Peataa kele)(a!aa D%a$ Ke$eata Pr&:%$% 'a D%a$ Ke$eataKa("3ate/K&ta.2. Peataa 3e#a(at '%l%!k"!a D%a$ Ke$eata Pr&:%$% 'a D%a$Ke$eata Ka("3ate/K&ta.D. Pe!ert%a. Pe)er%ta P"$at4 $ela#"t*a '%$e("t

Pe)er%ta4 a'alaPre$%'e Re3"(l%kI'&e$%a *a! )e)e!a! kek"a$aa 3e)er%taa e!ara Re3"(l%kI'&e$%a $e(a!a%)aa '%)ak$"' 'ala) U'a!5U'a! Da$ar Ne!araRe3"(l%k I'&e$%a Ta" 1<2. Pe)er%taa Daera a'ala 3e*

ele!!araa "r"$a3e)er%taa &le


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Pe)er%ta Daera 'a Dea Perak%la Rak*at Daera )e"r"t a$a$&t&&)% 'a t"!a$ 3e)(at"a 'e!a 3r%$%3 &t&&)%

$el"a$5l"a$*a 'ala)$%$te) 'a 3r%$%3 Ne!ara Ke$at"a Re3"(l%k I'&e$%a$e(a!a%)aa'%)ak$"' 'ala) U'a!5U'a! Da$arNe!ara Re3"(l%k I'&e$%a Ta"1<. Pe)er%ta Daera a'ala G"(er"r4B"3at%4 ata" @al%k&ta4 'a 3era!kat'aera $e(a!a% "$"r 3e*ele!!ara 3e)er%taa 'aera<. Dea Perak%la Rak*at Daera *a! $ela#"t*a '%$e("t DPRD a'alale)(a!a 3erak%la rak*at 'aera$e(a!a% "$"r 3e*ele!!ara3e)er%taa 'aera<1. Pera!kat Daera a'ala

le)(a!a *a! )e)(at" ke3ala 'aera 'ala)3e*ele!!araa 3e)er%taa 'aera<6. E$el& a'ala t%!kata #a(ata $tr"kt"ral<7. K&)3ete$% a'ala ke)a)3"a 'a karakter%$t%k *a! '%)%l%k% &le $e&ra!Pe!aa%Ne!er% S%3%l (er "3a 3e!eta"a4 ketera)3%l

a4 'a $%ka3 3er%lak"*a! '%3erl"ka 'ala) 3elak$aaa t"!a$ #a(ata*a4 $e%!!a Pe!aa%Ne!er% S%3%l ter$e("t 'a3at )elak$aaka t"!a$*a $e+ara 3r&9e$$%&al4e9ekt%9 'a e9%$%e<8. >a(ata Str"kt"ral a'ala ke'"'"ka *a! )e"#"kka t"!a$4 ta!!"!

#aa(4eea! 'a ak $e$e&ra! Pe!aa% Ne!er% S%3%l 'ala) ra!ka


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)e)%)3% $"at" $at"a &r!a%$a$% Ne!ara<. Pe#a(at Str"kt"ral *a! '%)ak$"''ala) 3e'&)a %%a'ala "t"k #a(ata

E$el& II4 III4 'a E$el& I<0. K&)3ete$% Da$ar a'ala k&)3ete$% *a! a#%( '%)%l%k% &le$et%a3 3e#a(at$tr"kt"ral<. K&)3ete$% B%'a! a'ala k&)3ete$% *a! '%3erl"ka &le $et%a3 3e#a(at$tr"kt"ral $e$"a% 'e!a (%'a! 3eker#aa *a! )e#a'% ta!!"!

#aa(*a<11

Ke$eata a'ala )er"3aka $ala $at" 'ar% ak a$a$% )a"$%a4 $e3ert% ter)akt"('ala) UUD 1. Dala) UUD 1 #"!a '%*ataka (aa $et%a3

&ra! (erak%'"3 $e#atera la%r 'a (at%4 (erte)3at t%!!al 'a )e'a3atka l%!k"!a%'"3 *a! (a%k 'a $eat $erta(erak )e)3er&le 3ela*aa ke$eata.Ke$eata $e(a!a% ak a$a$% )a"$%a4 )e!a'"! $"at" kea#%(a "t"k)e*eatka *a! $ak%t 'a (er"3a*a )e)3ertaaka *a!

$eat "t"k teta3$eat. Ke$eata a'ala kea'aa $e#atera 'ar% (a'a4 #%a 'a$&$%al *a!)e)"!k%a $et%a3 &ra! %'"3 3r&'"kt%9 $e+ara $&$%al 'a ek&&)%$. Hal %%)ela'a$% 3e)%k%ra (aa$eat a'ala %:e$ta$%.Ke$eata $e(a!a% %:e$ta$% $a!at(erka%ta 'e!a I'ek$ Pe)(a!"a


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Ma"$%a ,IPM- ata"H")a De:el&3)et I'e=,HDI-. Saat %% k"al%ta$3ert")("a 3e)(a!"a (a!$a

I'&e$%a (el") )e!!e)(%raka. La3&raUNDP 2001 )ee)3atka I'&e$%a (era'a 3a'a "r"ta ke0 'ar% 77 e!ara4 '%)aa a*a $at" t%!kat '% ata$ U(ek%$ta 'a '"a t%!kat '% (aa %eta).D% $ekt&r ke$eata4 :ar%a(el *a! '%!"aka 'ala) )e!%t"! IPM a'ala U)"rHara3a H%'"3 ,UHH-. Pe)er%ta )e)(er%ka 3erat%a *a! $er%"$ 'a )e)a'a%'ala) "3a*a )e%!katka ")"r ara3a %'"3 ,UHH- %%.Hal %% #ela$ ter+at")'ala) Re+aa Pe)(a!"a >a!ka Mee!aNa$%&al ,RP>MN-4 '% )aa $ala$at" $a$ara 3e)(a!"a ke$eata a'ala

)e%!kat*a ")"r ara3a %'"3'ar% 6642 ta" )e#a'%7046 ta" 3a'a ta" 200Ma$ala la% *a! 3erl" '%3erat%ka a'ala)a$ala ke)%$k%a '% I'&e$%a.B%la k%ta )e)3erat%ka 'ata terak%r 'ar% BPS4 (erart% )a$% ter'a3at $ek%tar76.00.000 3e'"'"k )%$k% '% I

'&e$%a. Se3ert% '%keta"%k"al%ta$ 3ert")("a3e)(a!"a $"at" (a!$a 'a3at'%l%at #"!a 'ar% I'ek$ Ke)%$k%a Ma"$%a,IKM-. Me"r"t UNDP %la% IKM I'&e$%a'ea$a %% a'ala 74 *a! )e'"'"k%3er%!kat ke5 'ar%

e!ara *a! '%%la%.13


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De!a 'e)%k%a )a$ala 3e)(a!"a '% I'&e$%a )a$%$a!at k&)3lek$. IPMI'&e$%a )a$% re'a 'a IKM I'&e$%a #

"!a )a$% t%!!%. Dera#at ke$eata)a$*arakat $a!at )e)3e!ar"% IPM)a"3" IKM. Me$k%3" 3e)(a!"ake$eata *a! tela k%ta lak$aaka $e+ara (ertaa3 'a (erke$%a)("!a4 tela(era$%l )e%!katka $tat"$ ke$eata )a$*arakat 'e!a +"k"3 (er)aka4a)" k%ta )a$% )e!a'a3% (er(a!a% )a$ala 'ala)3e)(a!"a ke$eata.Ma$ala 3&k&k *a! '%a'a3% 'ea$a %% 'a ke 'e3a a'ala ;

Stat"$ ke$eata )a$*arakat )a$% re'a4 ter"ta)a 3a'a )a$*arakatla3%$a (aa ata" )a$*arakat )%$k%.Dar% 'ata *a! a'a 'a3at '%ke)"kaka(aa ke)at%a (a*% 3a'a kel&)3&k )a$*arakat ter)%$k% a'ala

$ek%tar 41 kal%l%3at le(% t%!!% 'ar% ke)at%a (a*% 3a'akel&)3&k )a$*arakat terka*a. Bel")la!%'%$3ar%ta$ $tat"$ ke$eataatar %la*a4 *a%t" atar atar 3er'e$aa 'a3erk&taa4 atar 'aera )a#"'e!a 'aera tert%!!al/ter3e+%l.

A!ka ke$ak%ta 'a ke)at%a karea 3e*ak%t %9ek$% ata" )e"lar )a$% t%!!%.D% la% 3%ak a!ka ke$ak%ta 3e*ak%t'e!eerat%9 )"la% )e%!kat. D% $a)3%!%t" k%ta #"!a )e!a'a3% (er(a!a% )a$ala ke$eata ak%(at (e+aa. Olekarea %t" k%ta )e!a'a3%(e(a !a'aata"

'&"(le ("r'e4


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(akaC)"lt%3le ("r'e'ala) 3e)(a!"a ke$eata.

Se)etara %t" 3er%lak" )a$*arakat (el") $e3e"*a )e'"k"! "3a*a3e)(a!"a ke$eata 'a 3er%lak"%'"3 (er$% 'a $eat,PHBS-.

Ma$ala 3&k&k la%*a 'ala) 3e)(a!"a ke$eata a'ala 3e)erataa4

keter#a!ka"a ata"ak$e$ 3ela*aa ke$eata*a! (er)"t"/(erk"al%ta$)a$% re'a. Ma$ala ak$e$ 3ela*aa ke$eata &le)a$*arakat4 'a3at'%$e(a(ka karea !e&!ra9%4 ek&&)%4 'a ket%'akta"a)a$*arakat.

Berka%ta 'e!a )a$ala ak$e$ 'a )"t" 3ela*aa ke$eata4)a$alak"ra!*a tea!a ke$eata'a 3e*e(ara*a *a!t%'ak $e$"a% 'e!ake("t"a '% la3a!a #"!a )er"3aka)a$ala *a! 3el%k. Pela*aake$eata '% 'aera tert%!!al4 'aera ter3e+%l4 'a 'aera 3er(ata$a )a$%

k"ra! 'a3at '%la*a% &le tea!a ke$eata *a! )e)a'a%4 (a%k #")la )a"3")"t"*a.

K"ra!*a tea!a ke$eata4 a3ala!% *a! (er k"al%ta$ $e3ert% *a! '%ara3ka4$a!at (erka%ta 'e!a 3er)a$alaa *a! le(% "l" la!%4 *a%t")a$ala

3e'%'%ka tea!a ke$eata. K&'%$% terak%r )e"#"kka 3e'%'%ka tea!a


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'&kter ter)a$"k '&kter $3e$%al%$ )e!a'a3%)a$ala *a! $a!at $er%"$4 *a%t"k"ra!*a tea!a 3e'%'%k. Ma$ala $er%"$ %% a*a 'a3at '%ata$% 'e!a

ker#a$a)a l%ta$ $ekt&r *a! $%er!%$.Ma$ala *a! 'a3at k%ta kate!&r%ka $e(a!a% tata!a a'ala(erka%ta 'e!ake(%#aka'e$etral%$a$% 'a &t&&)% 'aera. Me$k%3" UU N&)&r 22 ta" tela '%3er(aar"% 'e!a UU N&)&r 2ta" 200 teta! Pe)er%ta Daera4a)" 3elak$aaa*a (el") 'a3at '%ra$aka4 ter)a$"k 'ala) 3e*ele!!araa3e)(a!"a ke$eata '% 'aera. Ber(a!a%3er)a$alaa *a! '%a'a3% atarala% ;Pe)(a!%a "r"$a atara (er(a!a% #

e#a! 3e)er%taa (el") '%lak$aaka$e+ara k&$ek"e.Ber(e'a*a 3er$e3$% 3ara 3elak" 3e)(a!"a tera'a3ke(%#aka'e$etral%$a$% 'a &t&&)% 'aera.14

Ma$% re'a*a ker#a$a)a atar Pe)er%ta Daera4 ter"ta)a

'ala)3e*e'%aa 3ela*aa )a$*arakat '%%la*a ter3e+%l4 3er(ata$a atar'aera4 'a %la*a 'e!a t%!kat "r(a%$a$% 'a 3ert")("aek&&)% *a!t%!!%.Bel") e9ekt%9 'a e9%$%e*a 3e*ele!

!araa kele)(a!aa 3e)er%ta 'aera.Str"kt"r &r!a%$a$% 3e)er%ta 'aer


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a ")")*a )a$% (e$ar 'a $al%!t")3a! t%'%. Sela% %t" 3ra$araa'a $araa 3e)er%taa )a$% )%%) 'a3elak$aaa $ta'ar 3ela*aa

)%%)") (el") )ata3.>"!a 'ala) "("!a ker#a atar le)(a!a ter)a$"k atara 3e)er%ta 'aera4DPRD4 )a$*arakat 'a &r!a%$a$%3e)er%ta (el") &3t%)al.Ma$% ter(ata$*a 'a )a$% re'a*a ka3a$%ta$ a3arat"r3e)er%ta 'aera.Hal %% '%t"#"kka )a$% ter(ata$*aketer$e'%aa a3arat"r 3e)er%ta 'aera4(a%k 'ar% $e!% #")la4 )a"3" $e!% 3r&9e$%&al%$)e4 'ater(ata$*ake$e#ateraa a3arat 3e)er%ta 'aera. Serta t%'ak3r&3&r$%&al*a '%$tr%("$%)e*e(a(ka t%!kat 3ela*aa 3"(l%k t%

'ak &3t%)al *a! '%ta'a% 'e!ala)(at*a k%er#a 3ela*aa4 t%'ak a'a*a ke3a$t%a akt"4t%'ak tra$3ara4 'ak"ra! re$3&$%9*a tera'a3 3er)a$alaa *a! (erke)(a! '%'aera*a.Sela% %t" (el") ter(a!"*a $%$te)'a re!"la$% *a! )e)a'a% '% 'ala)3erekr"ta 'a 3&la kar%r a3arat"r 3e)er %ta 'aera )e*e(a(ka re'a*a

$")(er'a*a )a"$%a (erk"al%ta$ )e#a'% a3arat"r 3e)er%ta 'aera.Me#aa( tata!a 'a3er)a$alaa 3e*ele!!ar aa 'e$etral%$a$% 'a&t&&)% 'aera %%4 ara ke(%#aka 'e$etral%$a$% 'a &t&&)% 'aera ke'e3a

e'ak*a )e)3r%&r%ta$ka al5al ;


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Meata kele)(a!aa 3e)er%ta 'aera a!ar le(% 3r &3&r$%&al (er'a$arkake("t"a *ata 'aera4 ra)3%!4

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a3arat"r 3e)er%ta 'aera'e!a (e(a ker#a '% $et%a3 le)(a!a/$at"a ker#a3era!kat 'aera4 $erta )e%!katka k"al%ta$ a3arat"r 3e)er%ta 'aera)elal"% 3e!el&laa $")(er 'a*a )a"$%a 3e)er%ta'aera (er'a$arka

$ta'ar k&)3ete$%.De!a )e)3erat%ka (er(a!a% 3er)a$alaa *a! '%a'a3%4 'a a)(ata4 $ertaketer(ata$a $")(er'a*a *a! k%ta )%l%k%4 )aka $a!at '%$a'ar% (aa 3e+a3a%a%'%kat&r5%'%kat&r M%lle%") De:el&3)et G&al$ ,MDG$- '% (%'a!ke$eata4'ala) taa3 $ekara! )a$% re'a. Pe+a3a%a tar!et MDG$ '%

(%'a! ke$eata4"ta)a*a 'ala) "3a*a k%ta )e"r"k


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a a!ka ke)at%a %(" ,MMR- )e#a'%$e3ere)3at*a 'ar% kea'aa ta" 04 )e)erl"ka 'a*a '&r&! ata" +r%t%+al'r%:%! 9&r+e *a! )e)a'a%.

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ke$eata. Ole karea*a k"+% $"k$e$ 3e)(a!"a ke$eata *a! ke'"aa'ala k%ta ar"$ )e)3r%&r%ta$ka (%'a!5(%'a! 3e)(a!"a ke$eata.Sa)3a% ta" 200 )e'ata!3r%&r%ta$ 3e)(a!"a ke$eata aka '%araka3a'a ;

Pela*aa Ke$eata I(" 'a Aak.

A!ka ke)at%a (a*% '% I'&e$%a )a$%t%!!% 'a 'ala) $e3"l" ta" terak%r %% 3e"r"a*a )ela'a%. A!kake)at%a %(" #"!a )a$% t%!!%4 'a "3a*a 3e"r"a*a '%ra$aka$a!at $"l%t.

Pela*aa ke$eata (a!% kel"ar!a )%$k%

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Pea!!"la!a )a$ala ke$eata ak%(at (e+aa. I'&e$%a $a!at akra(

'e!a (e+aa4 ter"ta)a (e+aa ala)


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. Dar% 3e)etaa (e+aa ala) '%I'&e$%a4 t%'ak a'a $at" 3r&:%$%3" '% I'&e$%a *a! ter(e(a$ 'ar%ke)"!k%a )e!ala)% (e+a

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Me!%!at (aa 3ela*aa ke$eata )er"3aka ak k&$t%t"$%&al $e(a!a%)aaa)aat A)a'e)e Ke'"a UUD1 Pa$al 28 a*at ,- "r"9 'a Pa$al a*at,-4 'a )e)3"*a% $a$ara $el"r"3e'"'"k e!er% ta3a terke+"al% $e#akk&$e3$% %!!a la#"t "$%a $erta$e(a!a% 3eet" k"al%ta$ $")(er 'a*a )a"$%a4

$e3at"t*a 3ea!aa "3a*a ke$eata (a%k'% Ka("3ate/K&ta )a"3" Pr&:%$%'a3at '%&r!a%$a$%ka $e(a!a%3era!kat Daera ter$e'%r%.III. PENATAAN KELEMBAGAAN DINASKESEHATAN DAERAHBERDASARKANUNDANG UNDANG NO. 2 TAHUN 200

TENTANG PEMERINTAHAN DAERAHU'a! U'a! N&. 2 Ta" 200 tet


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a! Pe)er%taa Daera 'ala)%)3le)eta$% 3e!&r!a%$a$%a 3era!kat 'aera tela )e)(er%ka araa

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A. Ur"$a (%'a! ke$eata *a! '%)%l%k% 'aeraMer"#"k UU N&. 2 Ta"200 Pa$al 'a Pa$al 3ea!aake$eata )er"3aka"r"$a *a! a#%('%lak$aaka &le Pe)er%taDaera (a%k Pr&:%$% )a"3" Ka("3ate/K&ta4 )aka Pe)er%ta Daera (a%kPr&:%$% )a"3" Ka("3ate/K&taar"$ 'a3at )e)e"% ak5akk&$t%t"$%&al (a!% $el"r" ar!a )a

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+e!aa 'a 3ea!!"la!a3e*ak%t )e"lar


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rea!e$%a 'a :ak$% la%*a.2- Pee)3ata tea!a ke$eata $trate!%$4 3e)%'aa tea!a tertet"atar Ka("3ate/K&ta $kala Pr&:%$%.- Re!%$tra$%4 akre'%ta$%4 $ert%9%ka$% $araa ke$eata $e$"a% 3erat"ra3er"'a!5"'a!a.- Re!%$tra$%4 akre'%ta$%4 $ert%9%ka$% $araa ke$eata $e$"a% 3erat"ra

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8- Pe)(er%a %% $araa ke$eata)el%3"t% RS Pe)er%ta Kla$ B &


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3e*ak%t )e"lar.- Pe*ele!!araa 3e+e!aa


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'a 3ea!!"la!a 3e+e)aral%!k"!a $kala Ka("3ate/K&ta.1- Pe*ele!!araa 3ea!!"la!a !%% ("r"k.

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k$% 'a '%$tr%("$% $e'%aa 9ar)a$%7- Pe!aa$a 'a re!%$tra$% )akaa )%")a 3r&'"k$% r")a ta!!a8- Sert%9%ka$% alat ke$eata 'a PKRT kla$ I- Pe)(er%a %% Prakt%k tea!a ke$eata tertet"20- Pe)(er%a rek&)e'a$% %% $ar aa ke$eata tertet" *a! '%(er%ka

&le Pe)er%ta P"$at 'a Pr&:%$%2- Pe)(er%a %% $araa ke$eata )e


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l%3"t% RS Pe)er%ta kla$ ?4 kla$ D4RS Sa$ta *a! $etara4 3rakt%k (erkel&)3&k4 kl%%k")")/$3e$%al%$4R")a Ber$al%4 Kl%%k D&kter

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#aka Ka("3ate/K&ta.21- Pe!el&laa $"r:e% ke$eata 'aera $kala Ka("3ate/K&ta.26- I)3le)eta$% 3ea3%$a IPTEK'% (%'a! 3ela*aa ke$eata.

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B.PERKEMBANGAN DAN MASALAHPENGEMBANGAN TENAGAKESEHATAN..

Kea'aa tea!a ke$eata.


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Pe!e)(a!a$")(er 'a*a )a"$%a )er"3aka $ala $at" 3r%&r%ta$ 'ar%8,'ela3a- 9&k"$ 3r%&r%ta$

3e)(a!"a ke$eata 'ala) k"r" akt" 200 20. Peeta3a 3e!e)(a!a $")(er 'a*a )a"$%a ke$eata$e(a!a% $ala $at"3r%&r%ta$ a'ala karea I'&e$%a )a$% )e!a'a3%)a$ala tea!a ke$eata4 (a%k #")la4 #e%$4 k"al%ta$ )a"3"'%$tr%("$%*a.Ra$%& tea!a ke$eata 3er 00.000 3e'"'"k (el") )e)e"%tar!et*a! '%teta3ka $a)3a% 'e!a ta" 200. Sa)3a% 'e!a ta" 20084ra$%& tea!a ke$eata "t"k '&kter $3e$%al%$ 3er 00.0003e'"'"k a'ala$e(e$ar 747 '%(a'%! tar!et < '&kter ")") 264 '%(a'%!

tar!et 0<'&kter !%!% 747 '%(a'%! tar!et < 3eraat 17471 '%(a'%! tar!et18<'a(%'a 471 '%(a'%! tar!et 71.Dar%3e'ataa tea!a ke$eata 3a'a ta" 2004 keter$e'%aatea!ake$eata '% r")a $ak%t )%l%k 3e)er%ta ,Ke)eter%a Ke$eata

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tea!ake$eata


22/26

)a$*arakat4 .22 $a%tar%a4 2.70 tea!a !%%4 .18tea!aketera3%a9%$%k4 'a 6.680

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r !%!%46.677 3eraat/(%'a4 8 &ra! S5 Far)a$%/A3&teker4 7 a$%$te a3&teker4tea!ake$eata )a$*arakat4 2 $a%tar%a4 tea!a !%%4 800tea!aketera3%a 9%$%k4 'a 2.61

tea!aketek%$%a)e'%$. De!a

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(%la '%%t"! ke("t"a tea!a ke$eata '% RS )%l%k ke)eter%atek%$la%*a4 R")a Sak%t/Le)(a!a Ke$eata

TNI'aPOLRI$ertaR")aSak%t Sa$ta.Se'a!ka '% P"$ke)a$ 3a'a ta" 200 tela ter$e'%a .80'&kter ")")4 6.21 '&kter !%!%4 78.671 3eraat4 7.70 3eraat !%!%48.000 (%'a46.1 &ra! S5 Far)a$%/A3&teker4 8.60 a$%$te a3&teker4 .16tea!ake$eata )a$*arakat4 6.0 $a%tar%a4 7.17 tea!a !%%4 'a2.60tea!a

ketek%$%a)e'%$. Pa'a ta" *a! $a)a4 '% P"$ke$)a$ '% 'aerater3e+%l4 3er(ata$a 'a ke3"la"a ,DTPK- tela ter$e'%a tea!a

ke$eata $e(a*ak 0 '&kter ")")4 2 '&kter !%!%4 113eraat4 13eraat !%!%4 6 (%'a4 60 a$%$te a3&teker4 1tea!ake$eata)a$*arakat4 76 $a%tar%a4 67 tea!a !%%4 'a 1tea!a

ketek%$%


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.De!a )e)3er at%ka $ta'ar' ketea!aa P"$ke$)a$ *a! (erlak"4)aka 3a'a ta" 200 )a$% ter'a3at kek"ra!a tea!ake$eata '%P"$ke$)a$4 $e#")la '&kter ")")4 2.0 '&kter !%!%4 2803eraat!%!%4 2.77 (%'a4 1.01 a$%$te a3&teker4 .0tea!ake$eata)a$*arakat4 72 $a%tar%a4 0 tea!a !%%4 'a 1.77tea!aketek%$%a

)e'%$. Se'a!ka "t"k P"$ke$)a$ DTPK #"!a )a$% '%a'a3%kek"ra!a tea!a ke$eata $e#")la 6 '&kter ")")4 1 '&kter !%!%4 83eraat !%!%4 1 a$%$te a3&teker4 2tea!ake$eata )a$*arakat4 21$a%tar%a4 tea!a !%%4 'a 7

tea!aketek%$%a)e'%$.Pe)e"a ke("t"a tea!a ke$eata "t"k 'aera tert%!!al4ter3e+%l4

3er(ata$a 'a ke3"la"a ta" 'e)% ta" '%"3a*aka "t"k'%t%!katka4


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a)" (el") 'a3at)e+a3a% ara3a.2.Pe!a'aa/

Pe'%'%kaTea!a Ke$eata.Pe!e)(a!a $%$te) 3e'%'%ka tea!a ke$eata a'ala "t"k)e)(et"k keal%a 'a ketera)3%la tea!a ke$eata '% (%'a!5(%'a!tek&l&!% *a! $trate!%$ $erta )e!at%$%3a$% t%)("l*a ke$e#a!akeal%a $e(a!a% ak%(at ke)a#"a tek&l&!%. Pe!e)(a!a$%$te)3e'%'%katea!a ke$eatat%'ak terle3a$ 'ar% $%$te) 3e'%'%ka a$%&al.Pe!e)(a!a $%$te) 3e'%'%ka a$%&al )er"3akata!!"! #aa(Ke)eter%a Pe'%'%ka Na$%&al4

a)" 3e)(%aa tek%$ 3e'%'%katea!a ke$eata)er"3akakeea!a Ke)eter%a Ke$eata. Dala)"3a*a 3e!e)(a!a $%$te) 3e'%'%ka tea!a ke$eata4 )aka3erl"3er3a'"a a

tara Ke)eter%a Pe'%'%ka Na$%&al'a Ke)eter%aKe$eata. Pa'a era &t&&)% 'aera '%ter(%tka (e(era3a ke3"t"$a

5ke3"t"$a atara la%4


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Ke3"t"$a Me'%ka$N&.

2Ta" 2000 teta!Pe'&)a Pe'%'%ka T%!!%'aPerat"ra Meke$ N&. 2 Ta" 200

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