KOORDINASI PELAKSANAAN PEMBIAYAAN PROGRAM KESEHATAN IBU DAN ANAK DI KABUPATEN LOMBOK TENGAH PROVINSI NUSA TENGGARA BARAT TAHUN 2011

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 suc...

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Bibliographic Details
Main Authors: , Lalu Najmul Erpan, , Prof. dr. Laksono Trisnantoro,M.Sc.,PhD
Format: Thesis
Published: [Yogyakarta] : Universitas Gadjah Mada 2012
Subjects:
ETD
Description
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.