The behavior of people who lack support in living a clean and healthy environment Low health conditions : Info Yr 2002 the percentage of people that access to clean water around 50 % of households and basic sanitation approximately 63.5 % . Environmental health is a cross-program and cross kgiatan sector has not managed in a regional health system
Until now environmentally based disease remains a public health problem , such as Dengue Hemorrhagic Fever around 0,019 / 1,000 population , mortality in extraordinary events ( KLB ) 3/1.000 population . Pulmonary TB disease , diperkirkan by WHO ( of 1999 ) in Indonesia each year 583,000 new cases occur , the death of approximately 140,000 people , meaning every 100,000 people there were 130 patients with smear- positive pulmonary TB .
The proportion of patients with pneumonia toddler who went to health centers around 3/10.000 Toddlers ( th.2002 ) . Diarrhea according to survey results and the Sub-Directorate Diarrhea Diarrhea Digestive Diseases found 374/1.000 incident population ( TH.2003 ) , Malaria with Annual Malaria Incidence ( AMI ) approximately 22.27 / 1,000 pddk , ie without laboratory confirmation of malaria morbidity and Annual Parasite Incidence ( API ) that malaria morbidity with laboratory confirmation of approximately 0.47 / 1,000 pddk ( 2002 ) .
This problem is known , most are in the working area of the health center and most diseases are related to environmental health . Similarly, efforts and efforts to improve the treatment of disease and the improvement of the quality of the environment is done separately , not integrated with other related efforts .
Medical and paramedical officers or implement recovery efforts and treatment regardless of the environmental conditions of the housing / settlement of the patient . On the other hand the environmental health officers to make efforts without regard to environmental health problems or diseases and public health at the location / region.
Integration of environmental health efforts and efforts to eradicate the disease environment based paradigm is increasingly relevant to the implementation of Health for health efforts in the future ( Results of Working Meeting with the Minister of Health, Commission VI of the House of Representatives , dated 15 September 1998 ) . With this paradigm it is more focused on the development of health promotion and prevention efforts rather than curative and rehabilitative efforts .
1 . Environmental Health Services / Independent Environmental Sanitation ( Sanitation Clinic )
Through Sanitation Clinic expected health care effort promotive, preventive and curative implemented in an integrated manner through the eradication of disease -based health care environment outside and inside the health center building .
Health center 's mission is to organize the quality of essential health efforts , equitable , and affordable in accordance with needs of the community , to improve the health status of people in the working area . For it is done by fostering participation , innovative health efforts , and the use of appropriate technology .
Based on the above matters , then was born the concept of the Clinic Sanitation as a groundbreaking effort that combines all three types of health care efforts in order to improve community health status in an integrated , effective and sustainable . This concept was first introduced and developed by PHC Wanasaba District / City of East Lombok, West Nusa Tenggara province since November 1995 and the subsequent activity was followed by several health centers in East Java , Southeast Sulawesi , South Sulawesi , South Sumatra and South Kalimantan . Currently ( Th. 2003) Sanitation Clinic has been developed more than 1,000 health centers in all provinces in Indonesia . With the growing activities of the Sanitation Clinic to students , especially in the field of environment and health or sanitation , development needs to be socialized so much better and more developed towards positive and beneficial to all parties .
Until now environmentally based disease remains a public health problem , such as Dengue Hemorrhagic Fever around 0,019 / 1,000 population , mortality in extraordinary events ( KLB ) 3/1.000 population . Pulmonary TB disease , diperkirkan by WHO ( of 1999 ) in Indonesia each year 583,000 new cases occur , the death of approximately 140,000 people , meaning every 100,000 people there were 130 patients with smear- positive pulmonary TB .
The proportion of patients with pneumonia toddler who went to health centers around 3/10.000 Toddlers ( th.2002 ) . Diarrhea according to survey results and the Sub-Directorate Diarrhea Diarrhea Digestive Diseases found 374/1.000 incident population ( TH.2003 ) , Malaria with Annual Malaria Incidence ( AMI ) approximately 22.27 / 1,000 pddk , ie without laboratory confirmation of malaria morbidity and Annual Parasite Incidence ( API ) that malaria morbidity with laboratory confirmation of approximately 0.47 / 1,000 pddk ( 2002 ) .
This problem is known , most are in the working area of the health center and most diseases are related to environmental health . Similarly, efforts and efforts to improve the treatment of disease and the improvement of the quality of the environment is done separately , not integrated with other related efforts .
Medical and paramedical officers or implement recovery efforts and treatment regardless of the environmental conditions of the housing / settlement of the patient . On the other hand the environmental health officers to make efforts without regard to environmental health problems or diseases and public health at the location / region.
Integration of environmental health efforts and efforts to eradicate the disease environment based paradigm is increasingly relevant to the implementation of Health for health efforts in the future ( Results of Working Meeting with the Minister of Health, Commission VI of the House of Representatives , dated 15 September 1998 ) . With this paradigm it is more focused on the development of health promotion and prevention efforts rather than curative and rehabilitative efforts .
1 . Environmental Health Services / Independent Environmental Sanitation ( Sanitation Clinic )
Through Sanitation Clinic expected health care effort promotive, preventive and curative implemented in an integrated manner through the eradication of disease -based health care environment outside and inside the health center building .
Health center 's mission is to organize the quality of essential health efforts , equitable , and affordable in accordance with needs of the community , to improve the health status of people in the working area . For it is done by fostering participation , innovative health efforts , and the use of appropriate technology .
Based on the above matters , then was born the concept of the Clinic Sanitation as a groundbreaking effort that combines all three types of health care efforts in order to improve community health status in an integrated , effective and sustainable . This concept was first introduced and developed by PHC Wanasaba District / City of East Lombok, West Nusa Tenggara province since November 1995 and the subsequent activity was followed by several health centers in East Java , Southeast Sulawesi , South Sulawesi , South Sumatra and South Kalimantan . Currently ( Th. 2003) Sanitation Clinic has been developed more than 1,000 health centers in all provinces in Indonesia . With the growing activities of the Sanitation Clinic to students , especially in the field of environment and health or sanitation , development needs to be socialized so much better and more developed towards positive and beneficial to all parties .
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