PSC Kris 118 Service Yet to Reach Nusa Penida, Health Office Acknowledges HR Challenges

The Public Safety Centre (PSC) Kring Sehat (Kris) 118 service in Klungkung has yet to reach the island regions of Nusa Penida and Lembongan. In addition to medical facilities, limitations in human resources (HR) remain a challenge in expanding services to those areas.

Head of the Klungkung Health Office, I Gusti Ayu Rana Dwijawati, revealed the obstacles still faced in maximising emergency services in Nusa Penida sub-district. Although emergency services are currently handled by the Emergency Unit (UGD) at puskesmas, the response speed does not match that of PSC Kris 118.

“The puskesmas UGD service is already available. Referrals to RSUD Gema Santi are also in place. However, our homework is that we do not yet have a PSC Kris like the one here. Our current PSC Kris service is still only on the mainland,” said Ratna to detikBali on Monday (4/5/2026).

To date, in cases of emergencies or critical conditions, especially those frequently affecting tourists, calls for service are directed to the nearest puskesmas UGD according to the respective areas.

Ratna also explained that RSUD Gema Santi is available as a referral health facility. This is reinforced by standby sea ambulances for referrals to the province if needed.

Nevertheless, emergency services have shortcomings compared to PSC Kris 118.

“Indeed, we are sufficiently assisted by the puskesmas UGD service. However, there is still a response time gap. Because PSC has a dedicated team focused on handling emergencies 24 hours a day,” explained Dr Ratna.

For this reason, her side is continuously striving to provide PSC Kris 118 services in Nusa Penida. In these efforts, besides allocating budgets for equipment, the challenge will also be the availability of HR for the medical team.

“HR is our challenge. But currently, we are continuously working to ensure that PSC Kris 118 service is available there,” she stated.

Regarding local HR, Ratna explained that to date, all health facilities are dominated by health workers who are native sons and daughters of Nusa Penida. All puskesmas heads, as well as the Director of RSUD Gema Santi, are said to be locals.

“So there are already many local sons and daughters who are health workers. For specialists, there are none yet. But some are currently in the education process,” she clarified.