The Indonesian Ministry of Health (Kemenkes) reported that the number of community health centers (puskesmas) in Indonesia reached 10,292 units in 2021. This figure comprises 4,201 inpatient puskesmas and 6,091 outpatient puskesmas.
The number of puskesmas in 2021 increased by 89 units from the previous year. In 2020, the number of puskesmas in Indonesia was 10,203 units.
Over the past five years, the number of puskesmas has steadily increased. In 2016, the number of puskesmas in the country was only 9,767 units.
"The increase in the number of puskesmas reflects the government's efforts to improve access to primary healthcare services," wrote the Kemenkes in its report titled *Profil Kesehatan 2021* (Health Profile 2021).
This is in line with the Minister of Health Regulation Number 43 of 2019 concerning Puskesmas, which states that a puskesmas is a healthcare facility that provides community health services and first-level individual health services, prioritizing promotive and preventive efforts in its operational area.
The fulfillment of primary healthcare service needs can be generally seen from the ratio of puskesmas to sub-districts (kecamatan). The ratio of puskesmas to sub-districts in 2021 was recorded at 1.4. This means the ideal ratio of puskesmas to sub-districts is at least one puskesmas per sub-district.
According to Kemenkes, the national puskesmas ratio has been met. However, the distribution of puskesmas across all sub-districts still needs attention.
Based on the report, the distribution of puskesmas is still uneven in Indonesia. One province still has puskesmas that are not accessible to all residents in its area.
West Papua (Papua Barat) is recorded as having the lowest national ratio of puskesmas per sub-district, at only 0.29. A ratio below 1 indicates that not all sub-districts in that province have a puskesmas.
In contrast, Jakarta (DKI Jakarta) has the highest national ratio of puskesmas per sub-district, reaching 7.16. Bali and Papua follow with ratios of 2.11 and 2, respectively.