This cross sectional study was conducted in Banyuasin District, South Sumatera Province. The general objective of the study is to assess the community perceptions on the health system responsiveness, access to services and quality of health care in Puskesmas. Data collection was conducting by exit interviews using structured instruments on 242 outpatients in selected Puskesmas and Focus Group Discussion in Petaling village. Interview was carried out to assess respondent perception in 4 dimensions: Good Public Image; Access to Health Services; Personnel Performance; and Client Preference. In general, most of Respondent's were not satisfied with the health services in Puskesmas. The aspects which assessed not good were on physical performance of Puskesmas building and personnel performance. The effort to improve and maintain patient 's satisfaction is should be continuously programmed in order to achieve good quality of health care in Puskesmas.