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Table 4 Definitions of health facilities*

From: Human resources for health at the district level in Indonesia: the smoke and mirrors of decentralization

Health facility

Description

Public/Private

Public hospital (Rumah Sakit Umum Daerah (RSUD))

Public hospital located at the district level.

Public

Private hospital (Rumah Sakit Umum Swasta (RSUS))

Private hospital located at the district level, national and provincial government enterprises, police, defense forces.

Private

Private hospital for women and children (Rumah Sakit Ibu dan Anak (RSIA))

Private hospital for women and children located in the district.

Private

Rumah Sakit Bersalin (RSB)

Private women's hospital located in the district.

Private

Private maternity clinic (Rumah Bersalin (RB))

Private maternity clinics with more than two beds.

Private

Health Centre (Pusat Kesehatan Masyarakat)

Public health centre. In general they are located at the subdistrict level.

Public

Auxiliary health centre (Pustu)

Public health subcentre – in general they are located at the subdistrict level, usually in a village.

Public

Village midwife (Bidan di desa (BDD)/Pondok Bersalin Desa (Polindes))

BDD is a village midwife who receives a government salary and also may charge for the services she provides and retain the feef. Although the village midwife theoretically lives in the village (desa), there are reports that in many villages she lives elsewhere, maybe in a nearby urban area. The services provided by the BDD may be offered in a room in her house or in a structure in that is the property of, and was built by, the village government (polindes). In the polindes the services are provided by the village midwife, who charges for the services and retains the fees.

Private

Treatment clinic (Balai pengobatan (BP))

Treatment clinic. Before the advent of the health centre, there were private and public treatment clinics. As the health centre was developed, the public treatment clinics were incorporated into the health centres, with the result that only the private balai pengobatan remained. Although they have been ignored by the government and donors, they remain a significant source of treatment, especially in urban areas. They are licensed by the local government and must have a doctor as the supervisor. In practice, most of the doctors named as the supervisor seldom visit and nurses, and some midwives, provide most of the health care unsupervised.

Private

Doctor, private practice (Dokter praktek swasta (DPS) murni)

Doctor whose primary professional activity is private practice and who does not receive a salary from the government.

Private

Nurse, private practice (Perawat praktek swasta (PPS) murni)

Nurse whose primary professional activity is private practice and who does not receive a salary from the government.

Private

Midwife, private practice (Bidan praktek swasta (BPS) murni)

Midwife whose primary professional activity is private practice and who does not receive a salary from the government.

Private

  1. *A health facility is defined as a physical structure that varies from a large complex of buildings to a single room in a house from which health services are offered by a doctor, nurse or midwife.