In a broadcast here on Friday, he remarked that the first four volumes of the guidebook were issued in 1974, and the revisions were made in either 1990 or 1991. Since then, numerous changes in Indonesia's state necessitated such an adjustment.
"It was designed 50 years ago, in 1974. Back then, there were (a lot of members) of (the) young population. Now, (members of) our population are getting old. This is why the public health center (puskesmas) work guidance and primary healthcare integration needs to be adjusted," he explained.
The minister pointed out that more toddlers were brought to puskesmas back then, though nowadays, elderly people predominantly come for services.
The minister drew attention to several puskesmas programs aimed at toddlers and pregnant women, though he observed that initiatives for older people are lacking.
Some examples of programs that should be conducted for the elderly are screenings, free hypertension medications, and diabetes prevention through regular exercise, all in a bid to ensure a healthier life and prevent sickness.
Sadikin expected that such initiatives could crank up life expectancy, from 72 to 80 years.
On the occasion, the minister also noted that the adjustment to the guides shows the development of technology and the shift towards a promotive and preventive approach to health. He cited the example of anthropometry and USG used for better screening.
Sadikin noted that the adjustment aligned with the intent of past health authorities who highlighted the importance of such an approach. He remarked that Indonesia already had puskesmas to promote such measures in 1968, and the world followed a decade later through the Declaration of Alma-Ata.
The minister remarked that currently, there are six volumes of the Puskesmas work guidance outlining aspects, such as management, mother and child health, adult and elderly health, cross-cluster management, and a guide for assisting puskesmas (pustu).
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Reporter: Mecca Yumna Ning Prisie
Editor: Rahmad Nasution
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