Indonesia’s Healthcare Delivery System

The organization of the Health Care system in Indonesia is as follows:

At the city level, there is a City Health Office that is headed by a Medical Professional appointed by and responsible to the Mayor for administrative and operational matters in health policy and medical procedures and which is also responsible to the Department of Health at the national level.

At the community level the Puskesmas (Community Health Center) provides comprehensive health services. The area of the Puskesmas is a subdistrict or a part of the subdistrict. The area covered is determined by the density of population, geographical nature of the area and the state of transport infrastructure. Typically a Puskesmas serves 30,000 people.

In implementing the health program, the Puskesmas is supported by a network including Pustu (Assistant Puskesmas), Pusling (Mobile Puskesmas), and Village Midwives Clinic (BDD).

A Pustu is a simple health service unit under the Puskesmas that covers two to three villages (approx 2000 to 3000 people). A Pustu is an integral part of the Puskesmas.

A Pusling is a mobile health services unit that is equipped with a motorcycle, car or boat, healthcare and communication equipment. In remote areas that can not be reached by the formal health services, a Pusling replaces the function of a Puskesmas or Pustu.

A Village Midwives Clinic (BDD) serves one or more villages which do not have other health services. The midwife is provided with a building with obstetric facilities where she lives and works.

Baniona Puskesmas (Community Health Center)
Baniona Puskesmas (Community Health Center)