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The World Health Organization (WHO) states that there are three dimensions, that must absolutely be considered, to improve the public health, namely (1) what the percentage of the population is guaranteed, (2) how complete the services are guaranteed, and (3) how much the direct costs are borne to the population. Meeting the need for health services must be supported by various health facilities and institutions. Procurement of health facilities is carried out jointly by the government and the private sectors by taking into account the factors of effectiveness and achievement for the poor and special groups such as infants, toddlers and pregnant women. The higher the demand of the people for the quality of health services and facilities, the harder the government must strive to meet them to gain the excellent service. The quality service must be implemented in all facilities of government and private health centers. Through the better quality of health service, it is highly epected that the people will be more interested in utilizing the health care facilities such as primary health cares, hospitals and others. It is expected that the greater authority of the regional goernment in the era of autonomy can accelerate the bureaucratic reform encouraging the realization of the excellent service in the health sector. In order to be able to provide satisfactory services to the people, some various systematic and comprehensive efforts are necessary to carry out related to the development of technology in the health sector and the better treatment of the diseases. Improving excellent service is compulsory to serve the people satisfactorily.

Improvement of Public Health Services in the Era of Regional Autonomy in Sidoarjo Regency, Indonesia