EVALUASI IMPLEMENTASI KEBIJAKAN BANTUAN OPERASIONAL KESEHATAN (BOK) DI 3 PUSKESMAS KABUPATEN ENDE PROVINSI NUSA TENGGARA TIMUR TAHUN 2011
Background: Health Operational Assistance (BOK) policy is given by the government based on the consideration that operational cost from local government is relatively small and widely used for curative and rehabilitative activities as well as less emphasis on promotive and preventive efforts. BOK fu...
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| Format: | Thesis |
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[Yogyakarta] : Universitas Gadjah Mada
2012
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| Summary: | Background: Health Operational Assistance (BOK) policy is given by the
government based on the consideration that operational cost from local
government is relatively small and widely used for curative and
rehabilitative activities as well as less emphasis on promotive and
preventive efforts. BOK fund distribution to Primary Health Care often had
administrative obstacles and delays in liquefaction.
The purpose of the study: To evaluate the implementation of BOK policy
in 3 Primary Health Cares of Ende district.
Research Methods: The study used a qualitative design with a
descriptive case study approach.
Results: The BOK funds used in Primary Health Care was utilized based
on BOK guidelines that is promotive and preventive in which the utilization
is based on the needs in the field with accountability guidelines according
to BOK guidelines. The fund was often received late and yet the activity of
Primary Health Care was still implemented by using loan or debt system.
The role of the head of Primary Health Care in socialization and
monitoring as well as the role of staff in the implementation of BOK policy
was not yet optimal in Primary Health Care. The coverage program funded
by BOK did not showed significant improvement due to limited human
resources and lack of oversight in the implementation of BOK policy.
Conclusion: The implementation of BOK policy in Primary Health Care
was adapted with BOK guidelines for administration purposes, and for the
completeness of SPJ without paying attention on the impact toward
community. The delayed funds in Primary Health Care due to the fund
was given late to the district level and delay in submitting POA so that the
activity of Primary Health Care was implemented with credit system. The
role of the head of Primary Health Care was not yet optimum in the
socialization and monitoring of BOK policy implementation in Primary
Health Care. BOK policy has no impact on the program improvement due
to the lack of human resources and oversight in the implementation of
BOK. |
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