Public health center as the &ont line in health development must increase management execution so that in conduct health service can in an optimal fashion. Not yet activity program achievement pickings the maximal at public health center exist in Tasikmalaya regency, show that utilization public health center as according to the fimction by society not yet optimal, mean that performance public health center in this case concem management execution public health center at Tasikmalaya regency still necessary increased again, because function and good management execution very influential towards success a program or well~being efforts that done public health center. Central figure in management execution that is head public health center, there education background medical scholar, society health scholar, and general scholar/nurse. This research aims to detect description management process execution at public health center and factors that connected management process public health center that lead by head public health center that background education differ at Tasikmalaya regency in year 2006, with system approaching consist of input variable (human resource : official total, leadership, erudition, motivation, double function, work load, repaymenthncentive, limd, and infrastnicnue tools), process (planning, activation and execution, monitoring, controlling, constmction, and evaluation) and output variable (perfomiance public health center). This research is done with qualitative approach with analytic plan passes in-depth interview, observation, and document study in six public health center that canvassed, and research time in April and May 2007. From result research inferential that in carry out management function at public health center, each public health center both for led by education medical scholar, society health scholar, and general scholar/nurse, in apply strategy, integrate and coordinating, motivating, overcome conflict, ascertain activity execution, and evaluate activity result, very various, but in principle that all can done in the effort subsidize management iiinction execution at public health center. As to lixctors that management execution public health center, with deficit existence or energy limitedness or human resource either through also quality, directly also not direct influence management function execution at public health center, also operational fund public health center that felled less, for infrastructure tool, physical building Karangjaya public health center improper wear, construction under communication from regcncy health senrice. also not yet optimal. in management function execution, begin from planning/PZKT, activation and execution that is workshop monthly at public health center, supervision, control, constmction, and evaluation, each public health center carry out, but in the case of the execution not yet optimal, especially in planning/P2l

Cakupan Peran Serta Masyarakat di Kabupaten Subang masih rendah, salah satu penyebab dari permasalahan tersebut berhubungan dengan kemampuan manajerial kepala Puskesmas. Berkaitan dengan hal tersebut maka dilakukan penelitian yang bertujuan untuk mendapatkan gambaran mengenai faktor-faktor yang berhubungan dengan kemampuan manajerial kepala Puskesmas dalam penggerakan masyarakat di Kabupaten Subang pada Tahun 2006. Dengan mempelajari hubungan antara kemampuan manajerial kepala Puskesmas tersebut dengan faktor internal yang terdiri dari Umur, Pendidikan dan Lama kerja serta faktor eksternal yang terdiri dari Supervisi, Pelatihan, Umpan balik dan Sarana kerja. Dalarn penelitian ini pendekatan yang digunakan adalah pendekatan kualitatif, dimana data yang dikumpulkan berupa data primer yang didapat melalui kegiatan wawancara mend alam dan Focus Group Discussion dengan informan dari Dinas Kesehatan, Kepala Puskesmas dan Tokoh Masyarakat, sedangkan data sekunder diperoleh melalui kegiatan penelusuran dokumen baik di tingkat Dinas Kesehatan maupun Puskesmas yang menjadi lokasi penelitian. Dari wawancara mendalam dapat diketahui bahwa rendahnya cakupan peran serta masyarakat dipicu oleh beberapa permasalahan mendasar, selain karena kualitas dan kuantitas tenaga kesehatan yang ada masih sangat terbatas, kemampuan manajerial kepala Puskesmas sebagai pimpinan tertinggi di wilayah kerjanya juga rata-rata masih kurang, mereka belum mampu memaksimalkan potensi yang ada untuk membantu pelaksanaan program Puskesmas. Hasil penelitian menunjukan bahwa dari ketiga faktor internal yang diteliti ternyata faktor yang tampak cenderung berhubungan dengan kemampuan manajerial kepala Puskesmas dalam penggerakan masyarakat adalah faktor lama kerja. Sedangkan dari keempat faktor eksternal temyata tidak ada satupun yang mempengaruhi kemampuan manajerial kepala Puskesmas dalam penggerakan masyarakat. Saran yang dapat disampaikan berdasarkan hasil penelitian ini ditujukan kepada pihak Dinas Kesehatan sebaiknya mempertimbangkan faktor-faktor tersebut diatas terutama lama kerja pegawai dalam pengangkatan Kepala Puskesmas di wilayah kerjanya. Disamping itu sebaiknya pihak Dinas lebih menyeimbangkan porsi pelatihan antara pelatihan teknis medis dengan pelatihan manajemen, khususnya mengenai manajemen dalam peningkatan peran serta masyarakat.

Public Cooperation in health sector in Subang distric still far from adequate, one of the causes from those problems related with Puskesmas chief managerial ability. Related with those cases then done research that aim to get the view about related factors related with Puskesmas chief managerial ability in moving society Subang distric in year 2006. By learn the relation between Puskesmas chief managerial ability along with internal factor that consist of Age, Education, and Working Length and also external factor that consist of Supervision, Training, Feedback and Working tools. In this research, approach that used is qualitative approach, where collected data is primary data that got from deep interview activity and Focus Group Discussion with informant from Health Agency, Puskesmas Chief and Public Figure, while secondary data got from document study activity whether in Health Agency or Puskesmas that become research location. From deep interview also known that public cooperation in health sector still far from adequate those cases triggered by some basic problems, besides quality and quantity of health source that still limited, Puskesmas chief managerial ability as highest leader in his working area even still low, they not yet can maximize available potency to help in conduct Puskesmas program. Research result be known that from three researched internal factor obviously factor that affect Puskesmas chief managerial ability in moving society is working length. While from four external factors obviously no one that affect Puskesmas chief managerial ability in moving society. Suggestion that can be submitted based on this research result showed to Public Health office is better considering those factors especially employee working length in giving position of Puskesmas Chief in his working area. Besides, Agency should balance training portion between medical techniques with management training, especially about management in improving public role.

Visi Indonesia sehat 2010 mengharapkan masyarakat Indonesia dimasa depan melalui pembangunan kesehatan adalah penduduknya hidup dalam lingkungan dan perilaku yang sehat, memiliki kemampuan untuk menjangkau pelayanan kesehatan yang bermutu secara adil dan merata serta memiliki derajat kesehatan yang setinggi-tingginya. Dengan adanya UU Nomor 22 tahun 1999 tentang Pemerintahan Daerah dan UU Nomor 25 tahun 1999 tentang Dana Perimbangan antara Pemerintah Pusat dan Pemerintahan Daerah, diharapkan Pemerintah Daerah Kabupaten lebih aktif melaksanakan pembangunan di bidang kesehatan mulai dari perencanaan, pelaksanaan maupun pengawasan. Puskesmas sebagai ujung tombak pelayanan kesehatan kepada masyarakat lebih meningkatkan perannya sebagai pusat pembangunan kesehatan, pusat pembinaan peran serta masyarakat serta pusat pelayanan kesehatan tingkat pertama dengan cara meningkatkan sistim manajemen sumberdaya, khususnya manajemen peralatan Puskesmas. Penelitian ini bertujuan untuk mendapatkan secara rinci proses manajemen peralatan di Puskesmas Inderalaya, Puskesmas Tanjung Raja dan Puskesmas Tanjung Lubuk Kabupaten Ogan Komering Ilir. Dalam mendeskripsikan proses manajemen peralatan Puskesmas yang digunakan dalam penelitian ini adalah pendekatan evaluasi dimensi kesesuaian (appropriateness) dan dimensi kecukupan (adequateness). Penelitian ini dirancang dengan pendekatan kualitatif dilakukan pada bulan April sampai Mei 2002 dengan subjek penelitian adalah Pimpinan Puskesmas, Bendaharawan barang dan koordinator program, masing-masing 1 (satu) orang untuk tiap Puskesmas. Dari hasil penelitian dapat disimpulkan bahwa kesesuaian dan kecukupan faktor dalam kajian manajemen peralatan di 3 (tiga) Puskesmas telah sesuai dan cukup. Sedangkan faktor pemanfaatan dan pemeliharaan hanya Puskesmas Inderalaya yang sesuai dan cukup. Demikian juga Pimpinan Puskesmas diharapkan membina stafnya terus menerus, meningkatkan keterampilan petugas pengelola peralatan Puskesmas dengan cara mengirim petugas tersebut untuk mengikuti pelatihan baik di kabupaten maupun propinsi, sehingga nantinya diharapkan manajemen peralatan Puskesmas sebagai bagian dari sistim manajemen sumberdaya Puskesmas tujuannya akan betul-betul tercapai.

Evaluation of Equipment Management System in Community Health Center of Indralaya, Tanjung Raja and Tanjung Lubuk, at the District of Ogan Komering Ilir Year 2001The vision of "Healthy Indonesia Year 2010" expects that the health development of the future Indonesia will construct healthy community and nation which are indicated by people living in healthy environment, applying healthy behavior, and able to access to health services equitably. The Law No. 22, 1999 about Local Government and the Law No. 25, 1999 about the Fiscal Balance of Central and Local Government outlined that Local Government at the district level to be more active on undertaking health development including planning, implementing, and controlling. Community Health Center (PUSKESMAS) as the main community health services should play more important role as the center of health development, the community participation and center of primary health services by improving its management system of resources especially the management of PUSKESMAS equipment. This research aims to get the detail information about management system of equipment in PUSKESMAS of Indralaya, Tanjung Raja, and Tanjung Lubuk at the District of Ogan Komering Ilir. To describe the process of PUSKESMAS equipment management, this research used the appropriateness and adequateness dimension evaluation approaches. This research was designed with qualitative approach that conducted during April and May 2002. Subject of this research were the head of PUSKESMAS, commodities treasurer, and program coordinator, and respectively one person in each PUSKESMAS. The result of the research concluded that the appropriateness and adequateness of input factors of equipment management in the three PUSKESMAS has been appropriate and adequate, while the process factor, especially the utilization and maintenance, only PUSKESMAS of Indralaya which is appropriate and adequate. It is gratefully hoped that the head of PUSKESMAS could guide his staff continuously and increase the skills of the worker who uses and maintains the PUSKESMAS equipment by sending him to get such training either in district or provincial level. Thus, the purpose of PUSKESMAS equipment management as the part of resources management system of PUSKESMAS will be reached.