Determinant Factors in Remote Regional Health Services in the Wondiboy Health Center in Teluk Wondama District (Case Study in Sendrawoi District Health Center)

Background; Health Centre or Puskesmas as the primary service provider that is the mainstay of service for the community, has not been able to provide services to remote areas, border areas and islands. The working area of the Puskesmas is quite extensive, geographically it is difficult to reach, a small population, scattered in small groups far apart. The transportation is very limited with expensive fees both land, sea and air. Public health status and health service coverage in remote border areas are still low.
Methods: The purpose of this study is to identify the factors that influence the affordability of Wondiboy health center services (Case Study in Sendrawoi Pustu) which are included in remote areas of Wondama Bay Regency. This study uses a descriptive method with a qualitative research approach. Starting from some of the opinions of the experts above, the type of this research is descriptive in the form of qualitative research methods, namely obtaining an overview of energy, facilities, health problems, community access in puskesmas services, service factors, traditional factors, community behavior factors is a determinant that influences the affordability of health services in remote areas in Sendrawoi Pustu, Wondama Bay Regency.
Results: There is insufficient coverage according to existing needs because more personnel are employed in cities than in remote areas, the security of officers is not guaranteed live in pustu.Means for Health Services in Remote Areas in Wondiboi Health Center Teluk Wondama Regency (Case Study in Sendrawoi District Health Center), lack of health equipment and health support facilities (laboratories) in the puskesmas often disappoints people who eventually have to travel far and difficult. This situation is strengthening the interest of the community not to go to the puskesmas. Therefore, it is necessary to complete medical devices and consumables that support health services, especially for cases of diseases that occur in many auxiliary health centers. Funds in Health Services in Remote Areas Wondiboi Health Center, Teluk Wondama Regency (Case Study in Sendrawoi District Health Center) is available but not sufficient to carry out health services in all remote areas and tourism in Wondama Bay in general.