Commemorate national health day to synergy to healthy environment

Minister of health, Dr Endang Rahayu Sedyaningsih, MPH, RD. PH. invite the range of health, community, business sector and the components of the nation to create a synergy between them in the improvement of the quality of environmental health. This Minister of health, in a speech before the whole of the Department of health in the Apple of the health of the national day of commemoration of 45 (12/11), this year bearing the motto "People healthy for the environment healthy". According to the Minister of health, environmental health is characterized by the availability and access to drinking water, access to sanitation, pollution of air and clean and healthy life behavior control, remains a significant challenge in the field of health. And environmental health is closely linked to maternal and child health nutritional status and the prevention of communicable diseases, which is a determinant of health status and the impact on the quality of the nation.

Citing the results of basic research health made in 2007 Ministry of health, Ministry of Health indicates that 24.8 % of all households do not even use health services, and 32.5 % did not leak wastewater. While it is very positive is 57.7 % of households in Indonesia have access to drinking water and 63.3 per cent of households have access to a good sanitation.

"The momentum of the national day of health in the MS 45 in 2009, we must continually seek to make improvements and fixes to improve the healthy environment as it has been the target of the 100-day health sector programme." A performance indicator is the Ministry of health in January 2010 should reach as drinking water facilities and improving many of 1,379 localities in 61 places of sanitation. While indicators of performance in the year 2014 environmental achieve clean water that reach 67 per cent of the population and the increase in basic sanitation quality to 75 % of the population programs health field. Thus, diseases that can be caused by unhealthy environments, such as diarrhoea, respiratory infections, tuberculosis, malaria, frambusia, dengue fever and influenza avian are expected to decrease. Minister, said.

Added that efforts to improve the quality and the provision of environmental health include the need for the availability of water and hygiene improvement sanitation districts of healthy development control of hazardous substances and heavy metals, handling of domestic, industrial waste and the institutions of health, such as the hospital and health centres and the management of environmental emergencies in disaster situations. These efforts and attempts to make that healthy people, the Minister of health, information cannot be executed by the health sector that requires support and synergy of the community, health, private sector and business personnel, as well as various components of the nation.

For the public, Health Minister requested the importance of healthy behaviors. Health Minister announced that a healthy environment is a mirror of healthy behaviour, which shows people in the maintenance of the independence and the improvement of the quality of health, with the support of quality health services can improve the optimal health of Indonesian society.

For health staff, Minister of health recommends that all staff of health in the area of the principles of community empowerment. "We must develop a new paradigm in health, staff if society as an object placed ahead of the health services, now must be encouraged and trained to be able to in the subject and able to guarantee the independence of the ongoing health needs." Health workers also expected the development of a variety of initiatives in the construction of a healthy environment through the participation of the community, such as community-based activities total sanitation and development in the region / area of health. "

For society, the private sector and the business world, Health Minister emphasized the need for partnerships to prevent and resolve the problems of health, and the participation of health providers and in all sectors. Several components of the nation are expected partnerships of healthy communities movement to take an active role in prevention and the overcoming of various health problems, and ready to become the vanguard of the strength of the capital of the country to maintain and improve the health of the community and make quality a worthy nation.

Subdistrict Tapian Dolok Health Profile

A. Overview

1. Geographically, administration, border areas and climate Sub Tapian Dolok has 114,90 km2 area, with a height of 220 m above sea level.
Limits in the following way:
-North side is bordered by Serdang Bedagai.
-South side borders Siantar city.
-District West side borders Raya.
-East side borders Dolok Batu Nanggar district.

Sub Tapian Dolok have a workspace and nine festivals Nagori. Population Tapian district people numbering Dolok 33.731 and the majority of Muslims remaining 88,01 % Protestant, Catholic, Buddhist and Hindu. The livelihood of the farming population (12.13 %), HNS / TNI / police (8.25 %), but the work is not generally known by the term mocok mocok or fixed (31.10 %).

To see the great Tapian Dolok area health centre work and travel great distances to Tapian Dolok health centre has a number of health as an extension of your hand centers jobs health of the people and Polindes in several villages in the improvement of Pustu. Distance to the center of health Tapian Dolok Simalungun Distrito Capital, Pamatang Raya ± 42 km.

Map of Tapian Dolok's District

B. vision and mission health Tapian Dolok

Vision Center: implementation of the Sub Tapian Dolok healthy towards the realization of healthy Indonesia 2010.

Mission:
1. mobilization of health in the Tapian Dolok district-oriented development.
2. To promote the independence of healthy life for families and communities in Tapian Dolok district.
3. Maintaining and improving the quality, equity and access to health care is organized health centre Tapian Dolok district community.
4 Maintain and improve the health of individuals, families and communities and the environment inTapian Dolok district.

Tapian Dolok Health Center have 6 (six) the main programmes, namely:
1. health promotion.
2. Environmental health.
3. Maternal and child health and family planning
4. Nutrition.
5. Prevention and eradication of communicable diseases.
6 Treatment.

im1. Tapian Dolok Health Care's building

im2.information posted on the Tapian Dolok's Health Care

im3.Training boxes and community leaders in the face of the village of preparation as a means of promoting health and education, information and communication technology development efforts.

im4.Information tables are box, suggestion and votes, and books about health is available in the Centre of healthTapian Dolok an effort to improve health and information centre services for health visitors.

2. Environmental health programme.

Survey of environmental health at the families Tapian Dolok Health Center have access to drinking water and family who have basic sanitation facilities in each of villages. This activity is also associated with other programs in an effort to create clean and healthy behavior for the community. Families who have access to drinking water is defined as a family which has the ease of obtaining drinking water in sufficient quantities as necessary. Access to water cleans year 2008 had 10.445 families who are there and are reviewed until 9815 families (93,96 %), which consists of water from the tap, seamless tubes. See annex table 1.

While basic sanitation coverage includes families with healthy amounts of water drinking 535 (43,30 %) of the amount of check property (1236), families that manage waste examined 535 (43,30 %) and families with 535 water management (43,30 %). See appendix table 2.

3. Programme of maternal and child health and family planning

to antenatal services is the mother during pregnancy, according to existing antenatal services health workers health service with an emphasis on prevention and promotion activities. The coverage of prenatal services is an indicator that can describe the level of effort and the level of the MCH pregnant women behavior. This coverage may be monitored by the K1 is the number of the first (new) visit to the establishment of health for antenatal, while K4 services is pregnant in accordance with the standards of at least 4 times distribution once in the first quarter, once in the second quarter services and twice in the third quarter. This number can be used to see the quality of health in pregnant women. K4Tapian Dolok district in 2008 to 765 persons service coverage or 80,30 % of all 1634 people some pregnant women. See table 3.

Number of infertile couples age (EFA) in the district Tapian Dolok 2008 year for 4349 acceptor, while those who participated in new methods of planning family 662 (10,19 %) and as active participant of 4349 aceptantes (66.97 %). See appendix table 4.

im5.Visible services in clinics maternal and child health, health centres have been equipped with Tapian Dolok Consultores ultrasound Johan dr.Bachder, Sp.OG in antenatal care as a service of health improvement efforts and your baby.

im6.Family planning services look at the installation of a health centre of implants in an attempt to Tapian Dolok by pressing the birth rate.

4. Nutritional

Status of the nutrition programme can be measured by several indicators, including the State child nutrition, infant low weight (BBLR). Young children with malnutrition was a child that has a Western under the healthy red line (KMS), body on the card to as shown in the appendix to the year 2008 babies less than the red line (BMG) for 1 child, or 0.04 % of children that have / weight (1812) and weight by 1611 babies or 88,90 % gain. See appendix table 5.

im7.MP milk distribution looks like people who do agent of nutrition. This ASI Member giving priority to families with infants less weight.

im8.The activities of baby weighed Posyandu Purbasari II, a child and registered with the KMS system growth monitoring activities.

im9.A success in the management of Tapian Dolok health centre malnutrition . Given in 1 case of malnutrition in Tapian Dolok district, a girl named Hijratul 1 year 1 month weighing only about 4 kg months in August 2008, the health of children under the strict supervision of Tapian Dolok Center. Give Oralit (body fluids), milk and cookies of parliamentary control of child nutrition continues by dr.Togy, nutrition officer, Supiaty Tanjung and Bidan Windariani. From observations of May 6, 2009 (in the space of nine months), finally reaching Hijratul weight was 8.5 kg and can support to learn to walk.

5 Field of prevention and eradication of communicable diseases.

Service of universal child immunization (UCI) is primarily a description of the children who have received full immunization coverage. If coverage limitations associated with an area UCI in particular, the means of the region can be described as the size of the level of immunity against infectious diseases can be prevented through vaccination (PD31). A town reached the UCI objective if the baby in the village are fully immunized which consists 1 dose of BCG, 3 doses of PTD, 3 doses of polio, 3 doses of Hepatitis B and I-sarampión dose before the age of 1 year. Immunization coverage services can be seen in table 6.

Besides immunization, health centre also works for Tapian Dolok suppress the development of disease or pest prevention, promotion, cure efforts. Infectious diseases are handled can be seen in table 7 and the year 2008 cases of pulmonary tuberculosis were symptoms 468 cases with positive results with tuberculosis pulmonary and 53 51 patients clinical recovered. See table 8.

im10.One of the activities of health integrated vaccination as a disease prevention efforts. Activities in Posyandu Purbasari II in Nagori Purbasari

im11.One of the activities in an effort to eradicate fever dengue hemorrhagic fever in Sub-Distrito Sinaksak. Shipping: Orientation to the community to implement DH nest of mosquitoes, 3M. medium . eradication: Surveilen track cluster larvae of dengue in the residents of the House. Right: The application of appropriate criteria focus foging

6 Treatment.

Health Center also serves Tapian Dolok treatment community. Not only for citizens of the district Tapian Dolok only, but anyone can use existing health facilities. Treatment services is not only performed in the building itself, but medical services out of the planned building activities to be applied in the business community close to consult with a physician health problems. In 2008, the judgment of the high infection of the tract diseases (ISPA) is the largest of the disease in the treatment of the patient requests, i.e. 11.086 cases of 1742. Followed by 1482 cases of disease of the skin and until 1427 cases of bronchitis.

im12.Tapian Dolok Health Center services also received regular visits child medical specialists, as efforts to improve medical services to the community. Photo: dr.Bangun Lubis, sp.a

im13.The situation of health in the construction of Outer scheduled services to bring medical and paramedical in an effort to enjoy ease of treatment in the Community Center of health to nowhere.

The efforts of health Tapian Dolok Centre health development is determined on the basis of the efforts of the problems of health in society and in accordance with the capacities of health centres. Development of health measures selected from the list of existing basic health centre health measures is:
a. School of health efforts.
b. sports health efforts.
c. community health care activities.
d. health effort.
e oral efforts and health.
f. efforts of mental health.
g. The eyes of health efforts.
h. age continue health efforts.
i. medicine traditional development efforts.