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Pelayanan Kesehatan di Daerah Terpencil Kepulauan (Studi Kasus di Pulau Sapudi Kabupaten Sumenep, Tahun 2009) (Health Services at Remote Islands Area in Sumenep District)
Health services in remote islands are still poor. This study aims to assess the health services in health centers and its network in Sapudi island, Sumenep district.
This study is a descriptive study that was conducted at puskesmas Gayam and puskesmas Nonggunong, in Sapudi island. The primary data were collected through Focus Group
Discussion (FGD) with health workers and community leaders composed of 10 persons in each health centers. The data were also collected by doing In-depth interview with head of health centers and interview with 30 heads of households in the sub-district Gayam and Nonggunong The secondary data were from health center reports and profiles. The data were
analyzed descriptively.
The number of nurses and midwives in health centers is insufficient, because the areas
are quite extensive while the publictransportation is very limited. So, it is diffi cult for people to reach the health centers. Tradisional water transportasions in Nonggunong health centers are not appropriate to the area in Sapudi island. The people’s residential area is far, so only on market day people could visit the health centers because of the scheduleof the public transportation. Traditional doctors are commonly the first choice when they get health problems.
The availability of health workers in Sapudi island is still insufficient. The available water transportation must be suited to the condition of each areas. People who want to visit health center are so influenced by the availability of public transportation on marketdays. Traditional doctors are the first choice for the people when they get health problems.
It is suggested to increase the frequency of health workers to do field visit.
Key words: health services, remote area, islands, seeking behavior
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