Konsep Dasar Perkesmas

KONSEP DASAR PERAWATAN KESEHATAN MASYARAKAT (PERKESMAS)

OLEH:  AGIANTO,  AGIANTO, S.Kep., Ns

PENDAHULUAN Deklaras  ALMA ATA (!"#$)

PH%

H&A ' ***

Heal/ Ore0/e+  Appr1a2

Kemandirian Dalam bidang kesehatan

Para+-a Sea/

3

Keperawatan Komunitas

INDONESIA SEHAT *!*

3 3 3 3

Ya0kes Ya0kes 'er41k5s 1ra0 sak/ /+k e4ek/4  K10sep s/ '65'a (pr1+5k/4  Se2 s1sal7ek101-) Tra0ss ep+e-1l1 Tra0ss +e-1ra4 Mak0 8elas09a 4ak/1r 9 -p S/a/5s kes pe0++k (Lal10+e, !"#;
De40s K1-50/as 

K1-50/as a+ala sek5-p5la0 1ra0 9 sal0 'er/5kar pkra0 pe0ala-a0 pe0/0 +l- +5p09a (Spra+le9, !"$=)



Sekel1-p1k 0++5 9 /0al pa+a >la9a /er/e0/5 9 -e-lk 0la ke9ak0a0 +a0 -0a/ 9 rela/4 sa-a ser/a a+a09a 0/eraks sa/5 sa-a la0 5/k -e02apa /585a0 (WHO)

PARADIGMA Perkes-as MANUSIA (Individu, keluarga, Kelompok, masy

K$%$&A'AAN (k) %en*egahan

K$S$+AAN (Sehat  sakit

!IN"KUN"AN (#isik, bio, psiko, Sosio, spiritual, Kultural

MANUSIA 

I0++5, kel5ara, kel1-p1k 7 -as9araka/



Karak/ers/k se2ara e1ra4s: 5r'a0 area, s5' 5r'a0 area, r5ral area

SI&AT KLIEN DI MASYARAKAT S/a/5s kesea/a0 kle0

!.

  SEHATSAKIT (Kes. 1p/-al)

(Pe09 /er-0al)

se0a perl5 /k pe0e/ pera>a/ +l- al: pr1-1/4, pree0/4, k5ra/4 +a0 rea'l/a/4 

O/101- kle0

. 3

R5-a (l0k 9 +ke0al kle0)

3

T+k -e-0/a /are/ p+ pela9a0a0 kep

%10/ ? @. T585a0 Ke ara pe02eaa0 . S4a/ as5a0 kepera>a/a0   Ker8asa-a (partnership) a0/ara: a. Par/spas pas4 (s' s5-'er +a/a 7  pe0er-a 0/ere>) '. Par/spas ak/4: 'ersa-a3sa-a -elal5 se-5a pr1ses

KARAKTERISTIK PARTNERSHIP 

INFORMED : -as0 sa+ar pera0, ak, / 8a>a' 7 /e-a0 ker8a09a

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FLEXIBLE : -as0 -e0+s/r'5ska0 ses5a ke-a-p5a009a

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NEGOTIATED: /8+ 0e1sas pa+a se/ap /0ka/ per5'aa0

KONSEP SEHAT3SAKIT 

De40s Sea/   







WHO UU N1 @ /0 !"" HLOW (H leel 14 >ell0ess), sea/ a+ala -e02apa /0ka/ kese8a/eraa0 se/009a OLO& (Op/-5- leel 14 4502/10), sea/ a+ala -e02apa 450s 9 1p/-al 'a /ap 1ra0

I0+ka/1r sea/ -as9  IMR, <
KEPERAWATAN 

Per'e+aa0 pela9a0a0 r5-a sak/ 7 -as9araka/



Upa9a 'ers4a/ pr1-1/43pree0/4 /a0pa -e0esa-p0ka0 aspek k5ra/4 7 rea'l/a/4 

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T0ka/ pe09ak/ 7 pe02eaa0

LINGKUNGAN 

&sk,



<1l1s



S1sal



Spr/5al



K5l/5ral



Tra0el ep+e-1l1s

PER
K3MUNIAS  #okus- keluarga, komunitas, kelompok (tmsuk kelompok berisiko  Mberikan pelay kep yg terdistribusi  0eker/a pd semua kondisi sehat sakit pd berbagai tatanan pelay kes  0eker/a dg semua institusi yg terkait kom 2 hasil kes  Koordinasi pelay dg berbagai tenaga kom (medik 2 non mdk

%10/ ? RUMAH SAKIT  O's 9 /er'a/as p+ 0/eraks kla 7 0+ka/1r kes 9 la0  H5' 9 41r-l -e02p/aka0 l0k /er'a/as 5/k pase0 + pakaa0 RS  Ter'a/as 5'50a0

KOMUNITAS  Mere02a0aka0 7 -e-'er pela9 pera>a/a0 9 'er41k5s p+ kel5ara  Me0+1r10 1/101- 7 k10/r1l kel5ara ke25al 5/k kas5s pe09 -e05lar   Me01'seras 'er'aa 4ak/ 9 -p kes  Me-'0a 5' 0/- + kle0 9 /+k ke/a/  Me-a04aa/ 4asl/as 5'

 ASUMSI DASAR 

Ss/e- pela9a0a0 a+ala k1-pleks

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Pelkes (pr-er, sek50+er, /er/er) -er5p k1-p10e0 +ar ss/e- 9a0kes

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Kepr>/ s' s5' ss/e- 9a0kes -erpk asl pr1+5k pe0++k 7 rse/ 9 +la0+as prak/ek

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&1k5s 5/a-a prak/ek kep -as9 a+ala “primary care” 



Perkes-as /er5/a-a /8+ + /a/a0a0 pelkes 5/a-a

PANDANGANKEYAKINAN 

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  

Ya0kes se'ak09a /erse+a 7 +p/ +8a0ka5+/er-a se-5a 1ra0 Pe095s50a0 ke'8aksa0aa0 kes sear5s09a -el'a/ka0 pe0er-a 9a0kes Pera>a/ s' pr1+er 7 kle0 s' k10s5-er +p/ -'e0/5k 5' ker8asa-a 5/k -+1r10 7 -p per5' +l- ke'8aka0 7 9a0kes L0k 'pe0ar5 /+ 0++5, kel5ara, kel1-p1k, k1-50/as Pe02eaa0 sa0a/ +perl5ka0 5/k pe00ka/a0 kes Kle0 -er5pk0 a01/a /- kes I0++5 +l- k1-50/as '/a050 8>' 5/k kes se0+r 7 ar5s ++1r10 ser/a +++k 5/k 'erpera0 +l- 9a0kes

PRINSIP KEP KES KOMUNITAS Ke-a04aa/a0: 0/ere0s 9 +lak5ka0 ar5s -e-'er -a04aa/ 9 se'esar09a 'a k1-50/as (ar/09a a+a kese-'a0a0 a0/ara -a04aa/ 7 ker5a0)  A5/101-: k1-50/as +'er ke'e'asa0 5/k -elak5ka0 a/a5 -e-l al/er0a/4 9 /er'ak 9 +se+aka0 5/k k1-50/as  Kea+la0: -elak5ka0 5pa9a a/a5 /0+aka0 ses5a + ke-a-p5a0 a/a5 kapas/as k1-50/as 

PENGERTIAN PERKESMAS 



Mer5paka0 s0/esa +ar prak/ek kep 7 kes -as9 9 -e0erapka0 pe00ka/a0 7 pe-elaraa0 kes The ie!" # n$rsin% in &hich the ami!y an" c#mm$nity are patient a!th#$%h it is c#ncern &ith t#ta! hea!th i!!ness spectr$m' its primary #c$s #n preenti#n # "isease an" the pr#m#ti#n an" maintenance # the hi%hest !ee! # hea!th an" &e!! *ein% (Tin+ham , ##thies)

%10/ ? 

S5a/5 '+a0 +l- kep 9 -er5paka0 perpa+5a0 a0/ara kep 7 kes -as9 +0 +5k50a0 pera0 ser/a ak/4 -as9 ser/a -e05/a-aka0 pela9 pr1-1/4 7 pree0/4 se2 'erkes0a-'50a0 /a0pa -e0a'aka0 pela9 k5ra/4 7 rea'l/a/4, se2 -e09el5r5 7 /erpa+5 +/585ka0 kp+ 0++5, kla, kel1-p1k 7 -as9 s' s5a/5 kesa/5a0 9 5/5 -elal5 pr1ses kep 5/k k5/ -e00ka/ka0 450s ke+5pa0 -a05sa se2 1p/-al s -a0+r +l- 5pa9a kes09a (asl raker perkes-as, %'5la0 3B Aprl !"$")

%10/ ? 

-#mm$nity hea!th n$rsin% is the specia!ty area that *!en"s n$rsin% an" p$*!ic hea!th the#ry int# a p#p$!ati#n #c$se" practice "esi%ne" t#  pr#m#te an" presere the hea!th # c#mm$nities. The #c$s # c#mm$nity hea!th n$rsin% practice is the c#mm$nity as a &h#!e &ith n$rsin% care #n in"ii"$a!s/ ami!ies an" %r#$ps *ein% pr#i"e" &ithin the c#nte0t # pr#m#tin% an" preserin% the hea!th # c#mm$nity as a &h#!e (Ass#ciati#n # -#mm$nity 1ea!th N$rsin% E"$cat#rs/ 2334)

SASARAN PERKESMAS (Kel5ara ra>a0 kesea/a0) Kel5ara 9 'el5- /er8a0ka5 Ya0kes

!.

a. '. 2. +. e. 4. .

I'5 a-l /// 9 'el5- AN% I'5 04as 9 persal0a009a +/1l10 +5k50
%10/ ? . Kel5ara +0 rsk1 /0 a. I'5 a-l +0 -asala C (a0e-, k5ra0 e0er kr10s) '. I'5 a-l +0 rsk1 (per+araa0, 04eks, per/e0s) 2.
%10/ ? @. Kel5ara +0 kas5s /0+ak la085/ kep: a. Dr#p #$t /// ('5 a-l, 'a9, 'al/a + ke/erla-'a/a0 /5-'a0, pe09 kr10s e0+e-s ///) '. Kas5s pas2a pera>a/a0  kas5s pas2a kep r585ka0, kas5s ka/arak 9 +1peras + PKM, persal0a0 + /0+aka0, kas5s psk1/k, kas5s 9 sear5s09a +r585k /ap /+k -elaksa0aka0 r585ka009a

SASARAN PERKESMAS KELOMPOK KHUSUS 

Terka/ +ala- 0s//5s: pa0/, r5/a0lapas, p10+1k pesa0/re0, l1kalsas WTS

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T+ak /erka/ +l- 0s//5s: kara0 >er+a, p1s9a0+5, KP KIA, kel1-p1k peker8a 041r-al, perk5-p5la0 pe09 ///, kel1-p1k re-a8a

SASARAN PERKESMAS (DesaMas9 'er-asala) !. . @. .

=.

Mas9 + +aera e0+e-s s5a/5 pe09: e0+e-s -alara, 4larass, DH&, +are Mas9 +0 kea+aa0 l0k '5r5k: +aera k5-5 perk1/aa0 Mas9 + +aera 9 -e-p509a -asala kes -e01081l; AK< /0 Mas9 9 -e-p509a kese08a0a0 pela9a0a0 kes 9 le' /0, 2ak5pa0 -50sas re0+a,  AN% re0+a Mas9 pe-5k-a0 'ar5, 9 +perkraka0 aka0 -e0ala- a-'a/a0 +l- a+ap/as: /ra0s-ra0, s5k5 /eras0

TENAGA PELAKSANA    

Te0aa kepera>a/a0 (pera>a/ 7 '+a0) Te0aa kesea/a0 la0 Ka+er 9 /ela +la/ Kel5ara pe0+er/a  kle0

Se'aa s5a/5 /- 9 /erk11r+0r  +a0 /erpa+5

PELAKSANA PERKESMAS Se-5a /e0aa kepera>a/a0 P5skes-as (Pera>a/7 '+a0) -el'a/ka0

Te0aa P5skes-as la009a7 -as9 (ka+er, +5k50 'a9, a01/a kela, /1k1 -as9) -elal5

 Al pe0e/a5a0 7 ke/era-pla0 kep +asar 

PENDEKATAN PROSES KEP Me/1+e l-a 9 sekal5s -er5paka0 pa0+5a0 +l- -e-'erka0 as5a0 kep 9 'erk5al/as +l- ra0ka -e-'a0/5 pase0 -e0a/as -asala kes09a  T585a0 akr: 

Tera/as09a -asala kes  Me00ka/09a ke-a-p5a0 sasara0 5/k -e0a/as -asala09a se2 -a0+r 

PENDEKATAN PROSES KEP Upa9a -e0alka0 pera0 pela9a0a0 kep "ari  Te0aa pelaksa0a kepera>a/a0 +epa"a I0++5, kel5ara, kel1-p1k, -as9araka/ Se'a/as ke>e0a0a0 9a0 +per'1leka0