| Summary: | Background: The implementation of special autonomy of Papua is
expected to improve quality of health service at District of Kepulauan
Yapen. The reality shows that autonomy that has last for 10 years cannot
yet be implemented effectively and there is gap. This is due to the fact that
local government policy makers (stakeholders) have not priority on the use
of special autonomy budget for immunization program at District of
Kepulauan Yapen.
Objective: To identify perception of stakeholders aboout the utilization of
special autonomy budget of Papua for immunization program at District of
Kepulauan Yapen.
Method: This was a case study that used qualitative method. Informant
consisted of the regent, local government secretary, head of local
parliament, head of commission 3 of local parliament, head of local
planning council, head of health office, head of Health Problem
Management section, head of disease control section, head of health
center, immunization staff. Secondary data were obtained from documents
of plans and decisions of Kepulauan Yapen District Health Office.
Result: Perception of stakeholders about the utilization of special
autonomy budget for immunization program was extremely low. Decision
making and implementation were made absolutely by Kepulauan Yapen
District Health Office. Monitoring and evaluation of immunization program
were carried out at minimum frequency and irrelevant with technical
guideline because it was related with the local revenue and expenditure
budget (APBD) that was always decided far behind the time scheduled by
the local government every year. Head of health office still considered
immunization as a non priority program.
Conclusion: Kepulauan Yapen District Government needed to make
regulation on the allocation of special autonomy budget for health office.
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