Criterion 2.6.3 Family Health

Criterion 2.6.3

Coverage and implementation of Essential Family Health UKM.

1) Main Thoughts:

a) Coverage of Essential Family Health UKM is measured by 6 (six) main service performance indicators, as follows.

(1) percentage of pregnant women receiving integrated antenatal care;

(2) the percentage of toddlers receiving services in accordance with minimum standards,

(3) percentage of school-aged children and adolescents included in health screening;

(4) the percentage of prospective brides and grooms who receive health screening;

(5) percentage of couples of childbearing age (PUS) who receive contraceptive services; And

(6) presentation of elderly people receiving health services.

b) Determination of main performance indicators for family health services integrated with the determination of Puskesmas performance indicators.

c) Integrated antenatal care is comprehensive and quality antenatal care provided to all pregnant women and integrated with other programs that require intervention during pregnancy.

d) The target of antenatal services is all pregnant women in the Puskesmas work area.

e) Health services for toddlers who receive services in accordance with minimum standards include:

(1) weighing,

(2) measurement of body length/height,

(3) monitoring progress, (4) immunization,

(5) administration of vitamin A, and

(6) services for sick toddlers

f) The target of healthy toddler services is all toddlers in the Puskesmas work area

g) Health services for school age children and adolescents are health services for school age children and adolescents which are carried out through health screening with a youth friendly service approach or known as Youth Care Health Services (PKPR). A health center can be categorized as capable of providing PKPR services if:

(1) Have personnel who have been trained/oriented to PKPR. The energy in question is:

(a) health workers consisting of:

1. doctor/dentist,

2. midwife,

3. nurse,

4. nutrition,

5. public health workers b) non-health workers who are trained or have certain qualifications:

1. teacher,

2. health cadres/ minor doctors/ peer counselors

(2) counseling services are available for teenagers

(3) building at least one youth Posyandu

h) Health screening includes:

(1) health screening is carried out on students in grades 1, 7 and 10, namely:

(a) assessment of nutritional status

(b) assessment of vital signs

(c) assessment of dental and oral health (d) assessment of sensory acuity

(e) assessment of anemia status in adolescent girls in grades 7 and 10

(2) follow-up on health screening results.

(a) provide feedback on health screening results

(b) make referrals if necessary

(c) provide health education

i) Health screening of prospective brides and grooms is a reproductive health examination which includes:

(1) Anamnesis,

(2) physical examination,

(3) nutritional status examination (4) blood examination (HB, blood type),

(5) TT immunization screening,

(6) IEC kesprocatin.

The target is all prospective brides and grooms in the Puskesmas work area.

j) Contraceptive services are contraceptive services using modern methods including counseling services, installation, handling of side effects and referrals.

k) Elderly health services include: health screening (blood pressure checks, plenary assessment of geriatric service users, simple lab tests: blood sugar, cholesterol, uric acid), risk behavior history, physical examination, BMI, medication, referrals and provision of books Elderly Health. The target is all elderly people in the Puskesmas work area

l) To achieve the performance of Essential Family Health UKM, the following promotive and preventive efforts are carried out.

(1) For the implementation of classes for pregnant women and classes for mothers of toddlers, at least 50% of villages already have classes for pregnant women and classes for mothers of toddlers;

(2) The Community Health Center has conducted P4K orientation;

(3) Puskesmas carries out facilitative supervision at least twice a year;

(4) Increasing the role of the community in the use of MCH books through the implementation of classes for mothers of toddlers, socialization/orientation of health cadres, PAUD/KB/TK/RA teachers and BKB groups;

(5) PKPR Community Health Center reaches target teenagers outside the building through UKS both in public schools and special schools, Islamic boarding schools, youth posyandu, scouts, services to orphanages/LKSA and children's detention centers/LPKA;

(6) Puskesmas collaborates with the Office of Religious Affairs (KUA), other religious institutions and cross-sectors (LS), other related parties in encouraging prospective brides (catin) to obtain reproductive health services;

(7) Puskesmas collaborates with PLKB in providing alokon and increasing public interest in contraceptive services.

(8) Puskesmas provides quality reproductive health services for catin by providing human resources and infrastructure to carry out IEC and health screening;

(9) Utilization of reproductive age cohorts in monitoring services for catin, EFA and family planning services;

(10) Elderly services at the Community Health Center are polite to the elderly