SUMMARY
The physical, biological and social environment give a big influence on health status (wellbeing). The good and healthy environment and health are the basic rights. However, in implementing those as rights and the importance of environmental health, there is a problem. The problem is the inappropriateness between th decide policy and implementation on the field. The environmental health seems to be separated from the business process of health services. The infrastructure of environmental health is not yet adequates. The objectives of study are to know (1) environmental health's pesrspektive in health efforts, (2) shifting of environmental health perspective and (3) perspectives and efforts implemented in improving life quality. This study is a qualitative research and using the method and analysis through literature study, documents and phenomenon and be completed by the information from six informants related to the policy formulation, endorsement and implementation. The research reveals that first from the historical perspective, human life cannot be separated from the environmental condition. From the past, it is realized that there is a relation between nature and environment and the incidence of disease. Second, from the health perspective basic change happens which is the alteration of health view. Initially health oriented to disease, disability and weakness then changes to the view of productive physically, mentally and socially healthy. This change is equivalent with the paradigm change which is from sick paradigm to healthy paradigm and the perspective change of the role of environment and environmental health. The environment is initially considered limited to its relation with the incidence of disease. The conducted effort is aimed to prevent and break the chain of disease occurrence. Third, as a conceptual changed, but in the field implemented efforts have not been shifted conforming to paradigm change and still in a marginal. Based on this study, it is recommended to place the environmental health as a mainstream in the policy field and in its implementation as a value, socio-cultural and ecological system in the health, education and environment sector. Keyword: health,environmental ltealtlz and mainstream