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DAFTAR ISI

SAMBUTAN ....................................................................................................................
BAB I. PENDAHULUAN
A. LATAR BELAKANG ........................................................................................
B. MAKSUD DAN TUJUAN ................................................................................
C. PENGERTIAN ...................................................................................................
D. LANDASAN HUKUM ......................................................................................
BAB II. URUSAN WAJIB DAN STANDAR PELAYANAN MINIMAL
A. DESENTRALISASI BIDANG KESEHATAN ..................................................
B. URUSAN WAJIB DAN STANDAR PELAYANAN MINIMAL ......................
BAB III. DEFINISI OPERASIONAL STANDAR PELAYANAN MINIMAL
A. STANDAR PELAYANAN MINIMAL BIDANG KESEHATAN
I. Pelayanan Kesehatan Ibu dan Anak ..............................................................
1. Cakupan kunjungan Ibu Hamil K- 4 ........................................................
2. Cakupan pertolongan persalinan oleh tenaga kesehatan yang memiliki
kompetensi kebidanan ..............................................................................
3. Cakupan komplikasi kebidanan yang ditangani ......................................
4. Cakupan Pelayanan Nifas .........................................................................
5. Cakupan Neonatus dengan komplikasi yang ditangani .............................
6. Cakupan Kunjungan Bayi ..........................................................................
7. Cakupan Desa/ Kelurahan Universal Child Immunization (UCI) ...........
8. Cakupan pelayanan anak balita ...............................................................
9. Cakupan pemberian makanan pendamping ASI pada anak usia 6 - 24
bulan keluarga miskin .............................................................................
10. Cakupan balita gizi buruk mendapat perawatan ........................................
11. Cakupan penjaringan kesehatan siswa SD dan setingkat .........................
12. Cakupan peserta KB aktif .......................................................................

Pengendalian penyakit .....................................................................................


13. Cakupan penemuan dan penanganan penderita penyakit ...................
Cakupan pelayanan kesehatan dasar pasien masyarakat miskin .............

Penyelidikan Epidemiologi dan Penanggulangan KLB ..................................


Cakupan Desa/kelurahan mengalami KLB yang dilakukan penyelidikan
epidemiologi < 24 jam ...............................................................................
Promosi Kesehatan dan Pemberdayaan Masyarakat .....................................
Cakupan Desa Siaga Aktif .........................................................................

B. INDIKATOR CAPAIAN PROGRAM DAN PELAYANAN KESEHATAN


I. Bidang Kesehatan Keluarga
A. Kesehatan Ibu dan Anak
...................................................................................................................
1. Cakupan penemuan dan penjaringan Pasangan Usia Subur resiko
tinggi yang mengalami ALKI (Anemia/Lila<23.5cm/Penyakit
Kronis/IMS HIV/AIDS dan 4 Terlalu (Terlalu muda, terlalu tua,
terlalu banyak anak, terlalu dekat jarak persalinan)
............................................................................................................

2. Cakupan PUS dengan penyakit kronis


............................................................................................................

3. Cakupan PUS dengan 4T ber-KB


............................................................................................................

4. Pelayanan Poli KIA


............................................................................................................

5. Pelayanan balita sakit di MTBS


............................................................................................................

6. Pelayanan Balita di SDIDTK


............................................................................................................

7. Cak Penemuan Deteksi Resti & komplikasi Kebidanan pada Ibu


hamil, persalinan, Nifas
............................................................................................................

B. Pembinaan Gizi Masyarakat


...................................................................................................................
8. Cakupan pemberian Vitamin A pada Ibu Nifas, Bayi umur 6-11
bulan,Balita umur 12-59 bulan
............................................................................................................

9. Cakupan pemberian Zat besi pada Ibu hamil


............................................................................................................

C. Kesehatan Remaja dan Lansia


...................................................................................................................
10. Cakupan Pemeriksaan Kesehatan siswa SD dan setingkat
............................................................................................................

11. Cakupan Penjaringan kesehatan siswa SMP dan setingkat


............................................................................................................

12. Cakupan Penjaringan kesehatan siswa SMA dan setingkat


............................................................................................................

13. Cakupan Penjaringan kesehatan Anak TK/ RA


............................................................................................................

14. Cakupan Pelayanan Klinik PKPR


............................................................................................................

15. Cakupan sekolah yang melaksanakan UKS


............................................................................................................

II. Bidang Pengendalian Penyakit


Angka Kesakitan
1. CNR Kasus baru BTA +
............................................................................................................
2. CNR seluruh kasus TB
............................................................................................................
3. CDR seluruh kasus TB BTA +
............................................................................................................
4. Proporsi kasus TB anak 0 14 tahun
............................................................................................................
5. Angka Keberhasilan Pengobatan Penderita TB Paru BTA+
............................................................................................................
6. Persentase Balita dengan Pneumonia Ditangani
............................................................................................................
7. Jumlah Kasus HIV / AIDS
............................................................................................................
8. Angka penemuan kasus baru Kusta per 100.000 penduduk
............................................................................................................
9. Persentase kasus baru kusta anak usia 0 14 th
............................................................................................................
10. Persentase cacat tingkat 2 penderita kusta
............................................................................................................
11. Angka cacat tingkat 2 penderita kusta per 100.000 penduduk
............................................................................................................
12. Angka prevalensi kusta per 10.000 penduduk
............................................................................................................
13. Persentase penderita kusta selesai berobat
............................................................................................................
14. Cakupan penemuan dan penanganan penderita penyakit Acute
flaccid paralysis (AFP) per 100.000 penduduk < 15 th
............................................................................................................
15. Jumlah kasus Penyakit Menular yang Dapat Dicegah dengan
Imunisasi (PD3I)
............................................................................................................
16. Angka Kesakitan Demam Berdarah Dengue (DBD) per-100.000
Penduduk
17. Angka Kematian Demam Berdarah Dengue (DBD)
............................................................................................................
18. Angka Kesakitan Malaria per-1.000 Penduduk
............................................................................................................
19. Angka Kematian Malaria
............................................................................................................
20. Cakupan Desa/Kel. terkena KLB ditangani < 24 jam
............................................................................................................
Pelayanan Imunisasi
21. Cakupan desa/ kelurahan UCI
............................................................................................................
22. Cakupan imunisasi campak bayi
............................................................................................................
23. Drop out imunisasi DPT1-Campak
............................................................................................................
24. Imunisasi dasar lengkap pada bayi
............................................................................................................
Pelayanan Kesehatan Lingkungan
25. Persentase rumah sehat
............................................................................................................
26. Persentase penduduk yang memiliki akses air minum layak
............................................................................................................
27. Penyelenggara air minum memenuhi syarat kesehatan
............................................................................................................
28. Penduduk yang memiliki akses sanitasi layak
............................................................................................................
29. Desa yang melaksanakan STBM
............................................................................................................
30. Tempat-tempat umum memenuhi syarat
............................................................................................................
31. Tempat pengelolaan makanan memenuhi syarat
............................................................................................................

III. Bidang Pelayanan Kesehatan, Farmasi dan Perbekalan Kesehatan


A. Pelayanan Gawat Darurat
...............................................................................................................
1. Kemampuan menangani lifesaving anak dan dewasa
............................................................................................................
2. Jam buka pelayanan gawat darurat
............................................................................................................
3. Pemberi pelayanan kegawat daruratan yang bersertifikat
BLS/PPGD/GELS/ALS
............................................................................................................
4. Ketersediaan tim penanggulangan bencana
............................................................................................................
5. Waktu tanggap Pelayanan Dokter di Gawat Darurat
............................................................................................................
6. Kematian Pasien 24 jam di Gawat Darurat
............................................................................................................
B. Pelayanan Rawat Jalan
1. Jam Buka pelayanan sesuai ketentuan
............................................................................................................
2. Waktu tunggu di Rawat Jalan
............................................................................................................
3. Pasien rawat jalan tuberkulosis yang ditangani dengan strategi
DOTS
............................................................................................................
C. Pelayanan PONED
1. Pemberi pelayanan PONED
............................................................................................................
2. Dokter penanggung jawab pasien PONED
............................................................................................................
3. Ketersediaan pelayanan PONED
............................................................................................................
4. Jam visite dokter
............................................................................................................
5. Angka kejadian infeksi nosokomial
............................................................................................................
6. Tidak adanya kejadian pasien jatuh yang berakibat
kecacatan/kematian
............................................................................................................
7. Kematian Pasien > 48 Jam
............................................................................................................
8. Kejadian pulang paksa
............................................................................................................
D. Persalinan dan Perinatologi
1. Kejadian kematian ibu karena persalinan
............................................................................................................
2. Pemberi pelayanan persalinan normal
............................................................................................................
E. Laboratorium Klinik
...............................................................................................................
F. Farmasi
...............................................................................................................
G. Gizi
...............................................................................................................
H. Pelayanan Gakin
...............................................................................................................
I. Rekam Medis
...............................................................................................................
J. Pengolahan Limbah
...............................................................................................................
K. Ambulance
...............................................................................................................
L. Pelayanan Pemeliharaan Sarana Puskesmas
...............................................................................................................
M. Pelayanan laundry
...............................................................................................................
N. Pencegahan Pengendalian Infeksi
...............................................................................................................
IV. Bidang Promosi Kesehatan
A. Pembinaan dan Pengembangan UKBM
.................................................................................................................
B. Pembinaan dan Pengembangan Desa Siaga
.................................................................................................................
C. Gerakan Masyarakat Siaga DBD
.................................................................................................................
D. Program PHBS
.................................................................................................................
E. Penyebarluasan Informasi Kesehatan
.................................................................................................................

F. Jaminan Kesehatan
.................................................................................................................
BAB IV. STANDAR PELAYANAN MINIMAL BIDANG KESEHATAN DI
PUSKESMAS KALIORI
I. Standar Pelayanan Minimal bidang kesehatan PERMENKES RI No. 741/
MENKES/ PER/ VII/ 2008 ttg. Standar Pelayanan Minimal Bidang Kesehatan
di Kabupaten / Kota

II. Indikator Capaian Program dan Pelayanan Kesehatan di Puskesmas


A. Bidang Kesehatan Keluarga
1. Kesehatan Ibu dan Anak
.................................................................................................................
2. Kesehatan Remaja dan Lansia
.................................................................................................................
3. Gizi
.................................................................................................................
B. Bidang Pengendalian Penyakit
1. Angka Kesakitan
.................................................................................................................
2. Pelayanan Imunisasi
.................................................................................................................
3. Keadaan Lingkungan
.................................................................................................................
C. Bidang Pelayanan Kesehatan, Farmasi dan Perbekalan Kesehatan
1. Gawat Darurat
...............................................................................................................
2. Rawat jalan
...............................................................................................................
3. PONED
...............................................................................................................
4. Persalinan
...............................................................................................................
5. Laboratorium Klinik
...............................................................................................................
6. Farmasi
...............................................................................................................
7. Gizi
...............................................................................................................
8. Pelayanan Gakin
...............................................................................................................
9. Rekam Medik
...............................................................................................................
10. Pengelolaan Limbah
...............................................................................................................
11. Administrasi dan Manajemen
...............................................................................................................
12. Ambulance
...............................................................................................................
13. Pelayanan Pemeliharaan Sarana Puskesmas
...............................................................................................................
14. Peralatan Laundry
.................................................................................................................
15. Pencegahan dan Pengendalian Infeksi
.................................................................................................................
D. Bidang Promosi Kesehatan
1. Pembinaan dan Pengembangan UKBM
.................................................................................................................
2. Pembinaan Pengembangan Desa Siaga
.................................................................................................................
3. Gerakan Masyarakat Siaga DBD
.................................................................................................................
4. Program PHBS
.................................................................................................................
5. Penyebarluasan Informasi Kesehatan
.................................................................................................................
6. Jaminan Kesehatan
.................................................................................................................

BAB V. PENUTUP
..........................................................................................................................