UNDER-UTILIZATION OF COMMUNITY HEALTH CENTERS IN PURWOREJO REGENCY, CENTRAL JAVA
Abstract: The basic strategy
of the Ministry of Health to achieve Health For All In Indonesia 2010 is through
health paradigm, decentralization, professionalism and health service
management. Community health centers
play an important role to achieve the goal. Unfortunately, underutilization of
community health centers is still a problem in Purworejo. The purpose of this
study was to know the utilization of community health centers using a
sociological health approach. Qualitative research by observation, in-depth
interview and focus group discussion were done among different types of group.
The study was done in Purworejo District on February and March 2000. The main
problems related to under-utilization of community health centers are mostly on
administration (less quality services, un-efficient, long hours waiting),
strong bureaucratic system (physician has a dominant power, overlapping
programs, poor coordination and integration with other divisions) and cultural
behavior of the community (labeling/stigma, self-care dominant, lack of community
participation). To overcome under-utilization of community health centers the
administration and bureaucracy should be changed into more efficient, not
bureaucratic management. In addition social changes of the community culture is
needed. As a consequence through these changes the staff of the health centers
will be more efficient and effective.
Author: Atik Triratnawati
Journal Code: jpkedokterangg060007
