| Summary: | Background:The degree of Maternal and Child Health (MCH) is still a
major problem in health development in Indonesia. One factor that may be
an obstacle in solving this problem is the limited of cost. In this context,
planning and utilization cost are essential for repaired, so that can produce
a great impact for the improvement of maternal and child health.
Therefore, the required in-depth information about the financing situation
of MCH in area as an input to develops efficient activities in improving the
maternal and child health status.
Objectives:Analyze health financing situation of MCH program in the year
2010 which sourced from government and make policy recommendations
related to it in SabuRaijua District, East Nusa Tenggara Province.
Situation in question is the availability, budget planning process, accuracy
of expenditure, and fund flow velocity.
Method: This research is a descriptive research by using case study
strategy.
Result:The total cost of MCH program is Rp 450,787,500. It is not
sufficient to provide basic health services for pregnant women from early
pregnancy until puerperium. Financing of MCH program by the central
government amounting to 79.63%, 3.56% of the provincial government
and district government of 16.78%. Cost allocation of the district budget
0.80%. Planning activities of MCH program of district budget made
through the development planning meeting (Musrenbang). Proposed
activities in Musrenbang are dominated by physical activity. The cost of
MCH program is more spent on direct activities for operational cost in
villages and sub districts. Implementation activities are not supported by
facilities and adequate human resources. Disbursement fund of central
government was conducted in October-November while the local
government districts and provinces in the month of July to August.
Conclusion: Government's commitment is still low in the financing of
MCH program as a priority program. Decentralization of the budget has
been happen in the MCH program. Musrenbang activities have not
demonstrated significant effects towards quality activities improvement
and budget allocations from the district budget. Availability of personnel
and health facilities greatly affect the performance of MCH program.
Delays in disbursement of funds disrupt the implementation of activities
and provide opportunities occur of abuse/corruption, so that the function of
supervision must be improved both internal and external.
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