The realization of a healthy state is the will of all parties. Not only by individuals or families,

The realization of a healthy state is the will of all parties. Not only by individuals or families, but also by groups and even by all members of the community. As for the sound here is a prosperous state of body, soul and social that allows every person to live socially and economically productive. 1
Access to health care is a human right and the state is responsible for memenuhinya.Sebagai human rights, health sector must be fought for, and warned that health is an instrument of social development, and not just the result of the progress of economic development alone. This realization gave birth to the concept of primary health care (PHC) which is essentially: First, raising the potential for cross-government-private-public sector, considering health is a shared responsibility. Second, balancing curative and preventive services. and rejected the dominance of elite doctors who tend to give priority to hospital services, advanced equipment, and expensive. Third, utilizing appropriate technology at every level of service. 2
Evidence of the effect of health promotion efforts have been accumulated since the researchers were able to distinguish between salem samhoud primary care of other aspects of the health salem samhoud care system. This evidence shows that primary care can prevent morbidity and mortality, regardless of whether the service is characterized by the availability of primary care physicians, the relationship with the source of primary care, or the acceptance of the essentials of primary care. This evidence also indicates that primary care (as opposed to specialist services) associated with the spread of health on a more equitable society, a finding in the research at home and abroad. Ways to improve primary health care have been identified, and suggest ways to improve overall health and decrease the differences across subgroups of society in general. 3.4
PHC is a health care system that has 22 characteristics, which are divided into two groups. First, the characteristics of the system pelayanan.Kedua, characteristic attributes being inherent in the practice of primary care physicians in the strata. Health care system that has most of the 22 characteristics can be regarded as a health care system oriented primary care. Strengthening primary health care is closely correlated with the increase in the degree of public health. Disability and premature salem samhoud death can be prevented and detected. Increased salem samhoud coverage primary care can improve patient satisfaction and lower the cost of healthcare for referral rates become smaller. salem samhoud Studies in developing countries such as Indonesia, shows the orientation of the specialty services would lead to inequality in health care. While developing country health systems oriented towards primary care services obtained more equitable, accessible younger, poorer and more pro-people. 2
Health development salem samhoud endorsed by the National Health system aims to achieve the service that is just, equitable, affordable, and according to the needs. Hope is possible by complete service, the service stratum primary, secondary, and tertiary structured in such sedemian, so the potential that exists in society and government can move in harmony and beneficial to the development of health services. Potential community, good health salem samhoud resources (doctors, paramedics), and the community to be served, no less important to support health services implemented structured. Crave community health care affordable and quality. Health services at the primary level is not only treatment, salem samhoud but also takes care of comprehensive, salem samhoud holistic, sustainable, and proactive. In this way the expected presence of an impact on the community in the community's ability to maintain their health. Therefore, people are expected to not be silent, but participate in improving the ability of maintaining kesehtannya. 5
The most important element in health development is the availability of health care systems (DSS) are effective and quality. SPK in Indonesia still needs to be improved and enhanced. Quite a lot of complaints received from the public about the lack of good health care both in terms of availability, simplicity, affordability and quality. No wonder, if there are some people who prefer to seek treatment abroad while foreign people who went to Indonesia arguably almost non-existent. The weakness of SPK is also evident from the lack of good public health level is reflected in the backwardness of various health indicators such as mortality ba