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    Clinic is Able to Expand Public Health Service Access


    INDRAMAYU-Health is the main investment and capital so that we can live productively, happily, and prosperous. Therefore, the existence of the Health Facility Facility is very important to expand access to health services to the community.
    This was stated by Vice Governor of West Java Deddy Mizwar, when inaugurated Al Hikmah Main Clinic, Jl. Major Dasuki No. 168 Jatibarang, Indramayu District, Saturday (23/12/17). Therefore, it highly appreciates the existence of this Main Clinic because it can expand access to health services for the community
    "The presence of Al Hikmah Main Clinic is a must for our appreciation, because it can open wider access to health services, not only for Pondok Pesantren or also for the surrounding community," said Vice Governor in his speech before inaugurating the clinic.
    "Therefore, the Main Clinic is very strategic and can help the community as well as possible," he added.
    Al Hikmah Main Clinic is originally a Maternity Home. However, because it wants to provide general health services then changed to the Main Clinic in collaboration with Pondok Pesantren Miftahul Huda Segeran, Juntinyua, Indramayu District.
    Facilities and human resources available in the clinic is quite complete. In this clinic there are five General Practitioners five and three Doctors Specialists. There are ten rooms. Selan it, other facilities such as 24-hour General Practitioner, 24-hour ER, General Treatment, Labor, Ultrasound, 24-hour pharmacy. This clinic is also expected to help improve HDI in Kabupten Indramayu.
    "With the construction of this Main Clinic we hope to help improve the HDI Indramayu District," said one of the leaders of Al Hikmah Main Clinic Jatibarang, Indramayu District.
    Furthermore, Vice Governor also reminded on this occasion that there are 4 (four) main factors that determine the degree or level of public health. First, the Environment affects 45% the degree of human health. Sanitation facilities one of the things that can be an indicator of healthy or not the environment. Secondly, the Lifestyle or Behavior. As the sports and eating culture affects 30%. For example fast food or fast food that can adversely affect health and can cause diseases, such as Diabetes, Cholesterol.
    "These lifestyle diseases are all that," Demiz said in the medical practitioner's hapadapan, invited guests, and the public who attended the inauguration of the clinic.
    The third thing that affects the degree of human health, the Health Facility that affects 20%. And fourth, other things that are genetic other affect 5% level of degree of human health.
    To that end, Vice Governor considered clinic attendance is also important as the main key of health development from curative aspect and to support referral system in stages, so that can reduce the number of patient to RSUD.
    "Therefore, the presence of Clinic is expected not only to provide treatment to the sick (curative), but also can be the spearhead of healthy living behavior campaign to the community (Preventive and Promotive)," concluded Vice Governor.
    This is also in line with the Government's efforts through the Healthy Living Community Movement with the Family Approach. The goal is to reduce people's pain from infectious diseases as well as non-communicable diseases.
    The number of Health Facilities Facility in West Java Province is reported to be approximately 33,702 Units, including 277 units of hospitals. However, the distribution of hospitals in West Java is still uneven, so there are areas that have more than 30 hospitals, but there are also only 1 or 2 hospitals.
    In addition, West Java also still needs an additional 13,334 beds, to meet WHO standards on the availability of health care beds, ie 1 (one) bed is prepared for 1,000 residents.
    There are several health indicators that require extra attention from all health stakeholders in West Java, especially in Indramayu District. First, the maternal mortality rate. In the period of 2011-2016 the trend of maternal mortality in West Java tended to fluctuate, ie from 850 cases in 2011, fell to 748 cases in 2014, then rose again to 797 cases in 2016.
    In terms of distribution, there are 7 (seven) districts with the highest number of maternal deaths and the seventh of these regions contributing up to 50% to maternal mortality rate in West Java. The seven districts with the highest maternal mortality cases in 2016, namely Garut (74 cases), Karawang (61 cases), Indramayu (60 cases), Bogor (58 cases), Sukabumi (51 cases), Cirebon (47 cases), and Bandung ( 46 cases). Second, infant mortality rate. In the period 2011-2016 the trend of infant mortality in West Java continues to decline, ie from 5,142 cases in 2011 to 3,041 cases in 2016. Seen from the spread, 7 (seven) districts with the highest infant mortality rate and contribute up to 50% of infant mortality rate in West Java, namely Garut (312 cases), Indramayu (282 cases), Sukabumi (232 cases), Tasikmalaya and Cirebon (197 cases respectively), Bandung (193 cases), and Karawang (169 cases). Third, the behavior of living clean and healthy. Based on the Basic Health Research of 2013, the Public Health Development Index (IPKM) of West Java Province has reached 0.5458 points (ranking 10 national). Indramayu also has good IPKM achievement, that is 0,5673 points (above the average of West Java). Nevertheless, West Java is still weak in the aspect of public health behavior with the achievement of 0.3457 points (below the national average of 0.3652 points). Similarly, Indramayu Regency Health Behavior of 0.3304 points (below the average of West Java)

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