Ideally, each district-level health center should have a doctor, dentist, nurses, midwives and pharmacist assistant to provide comprehensive and integrative primary healthcare, including activities of awareness. However, the performance of health centers is relatively low because most local governments have little experience in providing health facilities with trained health workers. Some health centers in remote areas, especially in eastern Indonesia, have no general practitioners, nurses or midwives. A report showed that 31% of 1,165 health centers were located in remote areas, about half of the 31% health centers had no family doctors, 18% were without nurses and 12% had no midwives, compared to areas urban areas where only 5% of health centers lacked doctors (Ferry Efendi et al., 2012). Most healthcare workers are reluctant to work in remote areas and tend to work in cities for economic reasons. Furthermore, living in remote areas with limited access to transportation and electricity is quite difficult for most healthcare workers. Therefore, such conditions could