Basic Health Services and Special Autonomy in North Aceh District

DOI

10.2991/assehr.k.220302.005How to use a DOI?

Keywords

Services; Basic Health; Special Autonomy

Abstract

“Health is a fundamental human right”, which contains an obligation to heal the sick and maintain the healthy. This statement underlies the idea that health is a basic human right and health is an investment. Health services have an important role in improving the health status of the community. Law of the Republic of Indonesia Number 36 of 2009 concerning Health, article 17 paragraph 1 states that the government is responsible for the availability of access to information, education and health service facilities to improve and maintain the highest level of health. North Aceh is still plagued with various health problems that must be addressed immediately, for example, there are 54 cases of severe malnutrition. Where children under five years old (toddlers) experienced severe malnutrition throughout 2019. Human Immunodeficiency Virus (HIV) cases in 2018 were 110 cases and the possibility continues to grow. The issue of maternal mortality rate (MMR) and infant mortality rate (IMR) also has quite complicated problems, even in recent years in the five regions with the highest mortality rates in Aceh. Tuberculosis in 2017 also experienced a significant increase. In 2014 tuberculosis reached 485 cases and there was a continuous decline in 2014 to 2016. This study looks at how the public’s perception of the implementation of basic health services has been implemented in accordance with Permendagri No. 100 of 2018. This research was conducted at health centers in North Aceh Regency, using a quantitative approach, through the distribution of questionnaires, interviews, observation and document review. The results of the study indicate that basic health services have a positive and significant impact on the implementation of special autonomy in North Aceh Regency, although there are still problems commonly encountered in the implementation of regional autonomy, namely the use of resources without regard to sustainability, environmental carrying capacity, balance and impact on the region. Others, and the structure of broader functional hierarchical relationships. Development coordination is not yet optimal, both in planning, implementation and financing, there are still isolated and remote areas so that people live in a relatively low quality of life; the ineffectiveness of spatial planning as a tool for regional development that can accommodate the interests of the community across all aspects; The lack of a clear division of authority and spatial planning tasks between various levels and between agencies is another thing found in this research.

Copyright

© 2022 The Authors. Published by Atlantis Press SARL.

Open Access

This is an open access article under the CC BY-NC license.

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TY  - CONF
AU  - Cut Sukmawati
AU  - Murniati
AU  - Maisyura
AU  - Maryam
AU  - Misra Feri
PY  - 2022
DA  - 2022/03/24
TI  - Basic Health Services and Special Autonomy in North Aceh District
BT  - Proceedings of the 2nd International Conference on Social Science, Political Science, and Humanities (ICoSPOLHUM 2021)
PB  - Atlantis Press
SP  - 21
EP  - 31
SN  - 2352-5398
UR  - https://doi.org/10.2991/assehr.k.220302.005
DO  - 10.2991/assehr.k.220302.005
ID  - Sukmawati2022
ER  -