The concept was designed by Johannes Leimena, the third Indonesian Minister of Health, and was realized by G. A. Siwabessy in New Order era.
[4] Community health services in Indonesia were organized in a three-tier system with Puskesmas at the top.
This centre is usually staffed by a Bidan (Midwife) and a general practitioner who provide preventive and curative services related to 18 different health programmes including Antenatal care and family planning program.
[5] The Puskesmas with beds are mostly located in more remote areas and ideally should be staffed and equipped to provide Basic Emergency Obstetric Care/Pelayanan Obstetri Neonatus Emergensi Dasar (BEOC/PONED) twenty-four hours per day.
UNICEF has funded BEOC/PONED/LSS training of some Puskesmas staff in three provinces early in the life of the project.