Summary: | Background: Health financing provided by the government greatly helps
the running of health system in the decentralized era. General Allocation
Fund and Local Revenue and Expenditure Budget are apparently
inadequate to finance health service. Some efforts have been made to
finance health service such as Community Health Insurance
(Jamkesmas), Childbirth Insurance (Jampersal), and Health Operational
Aids (Bantuan Operasional Kesehatan/BOK). These are meant to reach
Millennium Development Goals 2015. The practice of coordination from
planning to implementation and commitment of stakeholders can affect the
process of mother and child health service. Coordination is definitely
needed to run the program policy and prevent redundancies in financing in
order that the objective of the program can be achieved.
Objective: To evaluate coordination of planning and implementation as
well as commitment of stakeholders in relation to mother and child health
service at District of Lombok Tengah.
Method: The study was descriptive analytical. It used qualitative approach
and case study design. Samples were taken purposively. Data were
obtained through in-depth interview, observation and documentation study.
Result: Coordination of planning of health financing at mother and child
health has not been optimally, eventhough the accros sector and program
were involved but the organizations of health professionals were not
involved in program planning. Coordination of the implementation of health
financing was also has not been optimally. Eventhough as indicated from
absence of redundancies in financing from some different financial
sources, however in the policy implementation there was cost sharing for
referral and drugs. Private sectors were not involved in the implementation
of Jampersal. Commitment of stakeholders was relatively optimum as
reflected from the policy and action in health development acceleration
particularly mother and child health. The process of mother and child
health service either at primary and secondary level operated as well.
Conclusion: Coordination of mother and child health financing
implementation at District of Lombok Tengah funded through BOK,
Jampersal, Jamkesmas, Community Empowerment National Program of
Healthy and Smart Generation and Local Revenue and Expenditure
Budget has not been optimally, that it need to be improved to eliminate
cost sharing. Professional organizations and private health providers were
not yet involved in the planning and implementation of the program.
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