| Summary: | Background: In developing countries, approximately 30-70% of workers are in
the informal sector where the majority are economically weak. Data from BPS of
Riau Islands Province, informal sector workers in February 2013 was 280.951
people (31.62 %). One of Problem still faced by informal sector workers today is
the difficulty of getting health care. Puskesmas as the first level of health care
facilities in Indonesia need to provide a solution to the health and safety needs of
the informal sector.
Objectives: This study aims to determine the role of puskesmas in development
of occupational health program at Tanjungpinang, which include the
implementation of the program, support factors, constraint factors, and the need of
occupational health and safety workers in informal sectors, also the need of
national health insurance.
Methods: This is a descriptive qualitative research with case study approach.
Location of this study at Puskesmas Sei. Jang in Tanjungpinang. The research
was conducted in February until May 2014. The subjects of the study were leader
of puskesmas, coordinator of occupational health in informal sector, and
traditional fisherman. Data collection was conducted by interview, focus group
discussion, and observation.
Results: Implementation of occupational health program in Puskesmas Sei. Jang
which includes coaching, service, and sustainability. Supporting and inhibiting
factors in implementation of occupational health in informal sector are influenced
by internal and external factors, such as the human resources, budget,
commitment, and community conditions. Traditional fisherman needs
occupational health and safety program because lack of knowledge and
awareness for the use of personal protective equipment while working. Therefore,
the traditional fisherman need the national health insurance to be able get health
care service. Most of traditional fisherman do not understand about national health
insurance and refuse to pay independently, because of their income is not settled
Conclusion: Overall, occupational health and safety program in informal sector
has been running well. The role of puskesmas in development of occupational
health and safety program in informal sector is still running, although there are
several inhibiting factors that need to be addressed.
Keywords: The role of puskesmas, health service, informal workers
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