Primary Health Care Strengthening

A long-standing global commitment to the importance of primary health care has been agreed upon. One milestone was the Alma-Ata Declaration in 1978, which affirmed that primary health care is the cornerstone of a fair and equitable health system. However, many countries, including Indonesia, still face challenges translating this commitment into policies, practices, and tangible achievements. This is despite decades of evidence from around the world demonstrating the superiority of primary health care.

In Indonesia, more than 10,000 community health centres (puskesmas) are at the forefront of primary health care, with a mandate to carry out promotive, preventive, curative, rehabilitative and palliative functions. However, implementation is often hindered by various challenges, both technical—such as limited resources and infrastructure—and adaptive—such as weak inter-sectoral coordination and leadership capacity at the local level. CISDI is stepping in with innovation and a spirit of collaboration to address these gaps.