<![CDATA[Puskesmas is an important part of the community health service center. Where many people are waiting in line to seek treatment at the puskesmas, so the puskesmas have difficulty handling the community who are waiting in line to seek treatment. So the puskesmas proposed to the community to be a cadre of the puskesmas to handle the health services from the community, especially for the surrounding puskesmas. However, for the selection of cadres who were initially open to the public, the selection of the cadres was known to the public around the puskesmas, only conducted unilaterally or the closest person, so fraud in the election often occurs. Then the solution in the selection of cadres requires a decision support system and applying the Oreste method is a method of development of MADM based on a ranking of each criterion and alternative. As well as the unit can adopt the Besson Rank, the Besson Rank itself is an average approach where each criterion is the same. So that in the selection of cadres it can be seen who is entitled to become a cadre as expected and the provisions. With the existence of a decision support system (SPK) and this method is expected to help the puskesmas in making a decision in choosing the right cadre of the Mandala puskesmas health district Medan Tembung, efficiency and objective]]>
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