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Kementerian Kesehatan RI
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BUKU SAKU PERMENKES NO. 75 TAHUN TAHUN 2014 Useful
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KATA PENGANTAR
Puji syukur kami panjatkan pada Tuhan Yang Maha Esa karena berkat rahmat- Nya, Permenkes No. 75 2014 tentang Puskesmas dan buku sakunya dapat diterbitkan, sebagai salah satu sumber informasi Sign up to vote on this title penyelenggaraan Puskesmas. Not useful merupakan Puskesmas merupakan fasyankes tingkat pertama yang sangat istimewa.Puskesmas Useful satunya fasyankes yang menyelenggarakan upaya kesehatan masyarakat dan upaya kesehatan perseor Implementasi fungsi-fungsi Puskesmas dengan mengedepankan upaya promotif dan preventif yang diikut
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KATA PENGANTAR
Puji syukur kami panjatkan pada Tuhan Yang Maha Esa karena berkat rahmat- Nya, Permenkes No. 75 2014 tentang Puskesmas dan buku sakunya dapat diterbitkan, sebagai salah satu sumber informasi Sign up to vote on this title penyelenggaraan Puskesmas. Not useful merupakan Puskesmas merupakan fasyankes tingkat pertama yang sangat istimewa.Puskesmas Useful satunya fasyankes yang menyelenggarakan upaya kesehatan masyarakat dan upaya kesehatan perseor Implementasi fungsi-fungsi Puskesmas dengan mengedepankan upaya promotif dan preventif yang diikut
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SAMBUTAN
Tujuan nasional pembangunan kesehatan adalah untuk meningkatkan kesadaran, kemauan dan kemam sehat bagi setiap orang agar terwujud kesehatan yang optimal melalui terciptanya masyarakat, bangsa d Sign up to vote on this title Indonesia yang sehat sejahtera. Puskesmas sebagai ujung tombak pelayanan kesehatan memiliki arti ya dalam mendukung pembangunan kesehatan. Saat ini implementasi Useful Puskesmas Not useful sangat berag pelayanan kebijakan dan komitmen Pemerintah Daerah. Diperlukan suatu upaya untuk meningkatkan mutu pe Puskesmas sebagai gatekeeper, terlebih dalam mendukung pelaksanaan Jaminan Kesehatan Nasional.
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KEMENTERIAN KESEHATAN RI
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DAFTAR ISI I II.. II
LATAR BELAKANG POKO PO KOK K YAN ANG G DIA DIATU TUR R
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KEMENTERIAN KESEHATAN RI
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KEMENTERIAN KESEHATAN RI
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SISTEM PELAYANAN KESEHATAN YANG DIHARAPKAN Yankes Tersier
SKN 2012 PERPRES 72 Sign up to vote on this title
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TAHUN 2012
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KEMENTERIAN KESEHATAN RI
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PILAR I: Reformasi Cakupan Semesta JKN
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PILAR II:
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Reformasi Yankes PHC PILAR III:
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KEMENTERIAN KESEHATAN RI
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MENGAPA PELAYANAN KESEHATAN PRIMER ? 1. Tulang punggung pelayanan kesehatan
2. Titik berat pelayanan kesehatan primer adalah dan yang Signpromosi up to vote on this prevensi title mendorong meningkatnya peran serta dankemandirian dalam Useful Notmasyarat useful mengatasi berbagai faktor risiko kesehatan
3. Keberhasilan pelayanan kesehatan primer akan mendukung pelaksanaan
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KEMENTERIAN KESEHATAN RI
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PERAN PELAYANAN KESEHATAN PRIMER Mendukung peningkatan AKSES dan Sign up to vote on this title Useful Not useful kesehatan MUTU pelayanan pada masyarakat
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KEMENTERIAN KESEHATAN RI
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Useful Not useful JENIS FASKES TINGKAT PERTAMA
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STRATEGI PENGUATAN PELAYANAN KESEHATAN PRIMER Sign up to vote on this title
1
Peningkatan Akses
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KEMENTERIAN KESEHATAN RI
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MENGAPA PERMENKES NO. 75 TAHUN 2014 TENTANG PUSKESMAS MENJADI SANGAT PENTING ? □ Puskesmas merupakan FKTP milik pemerintah yang ada di setiap kecamatan.
□
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Puskesmas FKTP istimewa yang menyelenggarakan UKM dan UKP dan memiliki wilayah kerja.
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KEMENTERIAN KESEHATAN RI
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KONSEP DASAR PENYELENGGARAAN YANKES DI PUSKESMAS Sign up to vote on this title
•
Useful STANDAR PELAYANAN MINIMAL
•
STANDAR SDM KESEHATAN MINIMAL
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KEMENTERIAN KESEHATAN RI
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POKOK YANG DIATUR DALAM
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KEMENTERIAN KESEHATAN RI
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No
HAL YANG DIATUR
KEPMENKES NO. 128/2004 TENTANG KEBIJAKAN DASAR PUSKESMAS
1
Tujuan
+
2
Prinsip
+ (dlm bentuk azas)
3
Tugas
-
PERMENKES NO. 75/ 2014 TENTANG PUSKESMAS
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KETERANG
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KEMENTERIAN KESEHATAN RI
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DEFINISI PUSKESMAS Useful Not useful Fasyankes
yang
menyelenggarakan
upaya
kesehata
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KEMENTERIAN KESEHATAN RI
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TUJUAN PUSKESMAS Sign up to vote on this title
Pembangunan kesehatan yang diselenggarakan bertu Not useful Useful diPuskesmas untuk mewujudkan masyarakat yang: a. Memiliki perilaku sehat yang meliputi kesadaran, kemauan
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PRINSIP PENYELENGGARAAN Sign up to vote on this title
1. PARADIGMA SEHAT
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PARADIGMA SEHAT : Mengutamakan promotif -preventif Sign up to vote on this title Sehat (70%)
Useful Not useful Mengeluh Sakit (30%)
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MASYARAKAT DI WILAYAH KERJA PUSKESMAS
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PERAN PUSKESMAS Sign up to vote on this title
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TUGAS DAN FUNGSI PUSKESMAS •
TUGAS
Melaksanakan kebijakan kesehatan untuk mencapai tujuan Sign up to vote on this title pembangunan kesehatan di wilayah kerjanya dalam rangka Useful Not useful mendukung terwujudnya kecamatan sehat.
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KEWENANGAN PUSKESMAS TERKAIT FUNGSI PENYELENGGARAAN UKM TINGKAT PERTAMA Sign up to vote on this title
• melaksanakan perencanaan berdasarkan analisis masalah kesehatan masy •
Useful Not useful dan analisis kebutuhan pelayanan yang diperlukan; melaksanakan advokasi dan sosialisasi kebijakan kesehatan;
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KEWENANGAN PUSKESMAS TERKAIT FUNGSI PENYELENGGARAAN UKP TINGKAT PERTAMA
pelayanan kesehatan dasar secara komprehen Sign up to vote on this title berkesinambungan dan bermutu; Useful Not useful menyelenggarakan pelayanan kesehatan yang mengutamakan upaya promotif preventif;
• menyelenggarakan •
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PERSYARATAN PENDIRIAN PUSKESMAS Sign up to vote on this title
• Lokasi • Bangunan
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RUANG PELAYANAN DAN ALKES DI PUSKESMAS NON RAWAT INAP No
NAMA RUANG
1
Ruangan pemeriksaan umum
2
Ruangan tindakan
3
Ruangan kesehatan ibu & KB
ALKES Sign up to vote on this title Set Pemeriksaan Umum Useful Not useful Set Tindakan Medis/ Gawat Darurat a. Set Pemeriksaan Kesehatan Ibu b. Set Pemeriksaan Kesehatan Anak
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RUANG PELAYANAN DAN ALKES DI PUSKESMAS RAWAT INAP No
NAMA RUANG
ALKES
1
Ruangan pemeriksaan umum
Set Pemeriksaan Umum
2
Ruangan gawat darurat
3
Ruangan kesehatan anak & imunisasi
Useful Kesehatan Not useful a. Set Pemeriksaan Anak b. Set Imunisasi
4
Ruangan kesehatan ibu & KB
a. Set Pemeriksaan Kesehatan Ibu
up to vote on this title Set Gawat Sign Darurat
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STANDAR TENAGA MINIMAL PUSKESMAS NO
Jenis Tenaga
Puskesmas di kawasan Perkotaan Non Rawat Inap
Rawat Inap
Puskesmas di kawasan Pedesaan
Puskesmas di kaw Terpencil dan Sa Terpencil
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Non Rawat Useful Inap
Rawat
Non Rawat
Not useful Inap Inap
1
Dokter atau dokter layanan primer
1
2
1
2
1
2
Dokter gigi
1
1
1
1
1
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KEMENTERIAN KESEHATAN RI
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KATEGORI PUSKESMAS KARAKTERISTIK WILAYAH KERJA
Sign up to vote on this title KEMAMPUAN Useful Not useful PENYELENGGARAAN
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KEMENTERIAN KESEHATAN RI
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KATEGORI PUSKESMAS BERDASARKAN KARAKTERISTIK WILAYAH KERJA PUSKESMAS DI KAWASAN PERKOTAAN Puskesmas yang wilayah kerjanya meliputi kawasan yang memenuhi paling sedikit 3 dari 4
PUSKESMAS DI KAWASA PUSKESMAS DI KAWASAN T/ST PEDESAAN Sign up to vote on this title Puskesmas yang wilayah yang wilayah UsefulPuskesmas Not useful kerjanya meliputi kawasan yang kerjanya meliputi kawasan memenuhi paling sedikit 3 dari 4 dengan karakteristik sbb:
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KEMENTERIAN KESEHATAN RI
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Tujuan Pembagian Puskesmas atas kategori Sign up tokerja vote on this title karakteristik wilayah
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• Pendekatan pelayanan kesehatan yang diberikan sesuai karakt
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KEMENTERIAN KESEHATAN RI
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Izin PenyelenggaraanPuskesmas Useful Not useful
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KEMENTERIAN KESEHATAN RI
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Alur Izin Penyelenggaraan Puskesmas Kadinkes Kab/Kota
1
Bupati/Walikota, melalui BPPT
KETERANGAN: tertulis 1. Kadinkes Kab/Kota mengajukan Sign up to vote on thispermohonan title melampirkan dokumen: Useful Not useful a. FC serti fikat tanah b. FC IMB c. Dokumen pengelolaan lingkungan d. SK Bupati/Walikota terkait kategori Puskesmas
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KEMENTERIAN KESEHATAN RI
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Registrasi Puskesmas Sign up to vote on this title
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• Setiap Puskesmas yang telah memiliki izin wajib melakukan registras Registrasi sebagaimana dimaksud pada ay
(1) diajukan oleh kepa
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KEMENTERIAN KESEHATAN RI
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Alur Registrasi Puskesmas Kadinkes Kab/Kota
1
Dinas Kesehatan Provinsi
KETERANGAN: 1. Kadinkes Kab/Kota mengajukan surat permohonan rekomendasi Sign upregistrasi to vote Puskesmas, on this title dengan melam a. zin Puskesmas Useful Not useful Bupati/Walikota b. SK terkait kategori Puskesmas 2. Dinkes Provinsi melakukan verifikasi dan penilaian Puskesmas dalam jangka waktu 14 hari setelah sur
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KEMENTERIAN KESEHATAN RI
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ORGANISASI PUSKESMAS Sign up to vote on this title
• •
Puskesmas merupakan UPT Dinkes Kab/Kota Useful Not useful Organisasi Puskesmas disusun oleh Dinkes Kab/Kota, berdasarkan kategori, upa kesehatan dan beban kerja Puskesmas.
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KEMENTERIAN KESEHATAN RI
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KRITERIA KEPALA PUSKESMAS Sign up to vote on this title
Kepala Puskesmas merupakan seorang
nakes kriteria: Useful Not useful dengan
a. Tingkat pendidikan paling rendah sarjana dan punya kompetensi mana
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KEMENTERIAN KESEHATAN RI
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Upaya Puskesmas UKM Tingkat Pertama UKM Esensial
➢
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KEMENTERIAN KESEHATAN RI
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UKM TINGKAT PERTAMA DI PUSKESMAS Sign up to vote on this title A. UPAYA KESEHATAN MASYARAKAT ESENSIAL meliputi:
• • •
Pelayanan Promosi Kesehatan; Pelayanan Kesehatan Lingkungan; Pelayanan KIA-KB;
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KEMENTERIAN KESEHATAN RI
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UKP TINGKAT PERTAMA DISignPUSKESMAS up to vote on this title
dilaksanakan dalam bentuk:
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KEMENTERIAN KESEHATAN RI
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KEMENTERIAN KESEHATAN RI
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DASAR AKREDITASI PUSKESMAS Permenkes 71/2013 Sign up to vote on this title
Pasal 6 (2) Useful Not useful Selain persyaratan sebagaimana dimaksud pada ayat (1), Fasilitas Kesehatan tingkat pertama juga harus telah terakreditasi.
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KEMENTERIAN KESEHATAN RI
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useful Useful NotPuskesmas Pasal 39 Permenkes No 75/ 2014 tentang
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KEMENTERIAN KESEHATAN RI
Sheet Music 1. Terbitnya Permenkes Akreditasi FKTP 2. Terbitnya SK Menkes tentang penetapan LAFPI 3. Terbitnya SK Menkes tentang penetapan personalia LAFPI 4. Terbitnya SK Dirjen BUK tentang penetapan pedoman Akreditasi Puskesmas dan Klinik 5. Terlaksananya Uji coba implement asi akreditasi Puskesmas dan Klinik di 3 Provinsi 6. Terbentuknya tim surveior di 15 Provinsi terpilih
AKREDITASI PUSKESMAS Sign up to vote on this title
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5600 Puskesmas
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Bentuk Hexagonal (segi enam), melambangkan: (1). keterpaduan & kesinambungan terintegrasi dari 6 prinsip Puskesmas; (2). pemerataan pelayanan kesehatan yang mud Sign up to vote on this title akses masyarakat; (3). pergerakan & pertanggung jawaban Puskesmas di wilayah kerja
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Irisan dua buah bentuk lingkaran melambangkan dua unsur upaya kesehatan, UKM dan U
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KEMENTERIAN KESEHATAN RI
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OPTIMALISASI
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KEMENTERIAN KESEHATAN RI
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No
DUKUNGAN KEGIATAN
WAKTU PELAKSANAAN (THN) Sign up to vote on this title 2014 2015
1
Sosialisasi Permenkes Puskesmas
√ Useful
2
Sistem pencatatan & pelaporan (SP2TP)
√
PJ
√Not usefulBUK, Biro Hu √
Pusdatin, BU
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KEMENTERIAN KESEHATAN RI
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PERATURAN PENDUKUNG
UU No. 23 tahun 2014 tentang Pemerintahan Daerah Sign up to vote on this title
Useful Not useful UU No. 36 tahun 2014 tentang Tenaga Kesehatan
Peraturan Pemerintah Pengganti Undang-Undang No. 2 tahun
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KEMENTERIAN KESEHATAN RI
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NARAHUBUNG DIREKTORAT BINA UPAYA KESEHATAN DASAR NAMA
JABATAN
NO. TELEPON EMAI Sign up to vote on this title 08161181553 kartinirustandi@ya Useful Not useful
drg. Kartini Rustandi, M.Kes
Direktur Bina Upaya Kesehatan Dasar
dr. H. K.M. Taufiq, MMR
Kasubdit Bina Yankes Dasar 081281733399
yankesdas@gma
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NARAHUBUNG DIREKTORAT BINA UPAYA KESEHATAN DASAR NAMA
JABATAN
NO. TELEPON Sign up to vote on this title EMAIL
dr. Laode MH Dony
Not useful Kasie Standarisasi Subdit Bina 081219120233 Useful
[email protected] Yankes di DTPK
dr. Dewi Irawati, MKM
Kasie Bimbingan & Evaluasi
08159869860
[email protected]
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NARAHUBUNG DIREKTORAT BINA UPAYA KESEHATAN DASAR NAMA dr. Kamal Amiruddin, MARS
JABATAN
NO.up TELEPON Sign to vote on this title
EMA
Useful Notgadardepkes@yah useful Kasie Bimbingan & Evaluasi 081213231181 Subdit Bina Yan Khusus, Usila, dan Yan Darah
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