Criterion 1.2.1 The organizational structure The Community Health Center (Puskesmas)

 2. Standard 1.2 Organizational governance.

The governance of the Puskesmas organization is carried out in accordance with the provisions of statutory regulations.

Puskesmas organizational governance includes organizational structure, document control, management of service networks and networks, as well as data and information management.

a. Criterion 1.2.1

The organizational structure is determined with clarity of duties, authority, responsibilities, work relationship arrangements and position requirements.

1) Main Thoughts:

a) In order to be able to carry out the main tasks and functions of the organization, it is necessary to prepare an organizational structure for the Community Health Center which is determined in accordance with the provisions of laws and regulations.

b) For each position in the established organizational structure, there needs to be clarity on duties, authority, responsibilities and position requirements.

c) It is necessary to regulate work relations within the established organizational structure.

d) Filling of positions in the organizational structure is carried out based on the position requirements by the head of the Community Health Center by determining the person responsible for each effort.

e) The effectiveness of the structure and filling of positions needs to be reviewed periodically by the Community Health Center to improve the existing structure and organizational effectiveness to suit developments and needs.

f) Puskesmas, in carrying out its main duties and functions, must follow a code of conduct that applies to all employees working at the Puskesmas and is determined by the head of the Puskesmas. The established code of ethical behavior reflects the vision, mission, goals and values of the Community Health Center as well as the safety culture. The code of ethical behavior must be socialized to all Puskesmas employees. Evaluation of the implementation of the code of ethics is carried out at least once a year. Evaluation can be carried out using the performance assessment method, including assessing employee behavior based on both behavior that is in accordance with values and behavior that is in accordance with the code of ethics. The results of this evaluation are followed up with steps to ensure that the implementation of the employee code of ethics becomes more optimal.

g) As a form of accountability in providing services at the Community Health Center, it is necessary to establish policies and procedures for delegating authority from the head of the Community Health Center to the person in charge of the effort, from the person in charge of the effort to the service coordinator, and from the service coordinator to the activity implementer to the activity implementer if they leave their duties or there is a vacancy filling positions determined by the head of the Puskesmas in accordance with statutory regulations. The delegation of authority referred to is managerial delegation.

2) Assessment Elements:

a) The Head of the Puskesmas determines the person in charge and coordinator of the Puskesmas services according to the established organizational structure (R).

b) A code of ethical behavior is established that applies to all employees working at the Community Health Center and its implementation is evaluated and follow-up is carried out (R, D, W).

c) There are clear policies and procedures for delegating managerial authority from the head of the Community Health Center to the person in charge of the effort, from the person in charge of the effort to the service coordinator, and from the service coordinator to the activity implementer (R,D).