Evaluasi kebijakan pembangunan puskesmas pembantu di propinsi Kalimantan Tengah
Date
2013
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID
Abstract
Background: The objective of health development is improving
community health status through increasing public access to
health services. One of strategy is by supporting facilities for
health service by developing auxiliary health center for all
remote district at Central Kalimantan Province. Central
Kalimantan Province with 1,9 million of population, consisted
of 14 district, 1348 villages, 805 auxiliary health center. It means
that only 59% village have facilities for health service such as
auxiliary health center.
Objectives: This research aimed to know how formulation
process and implementation of policy of developing auxiliary
health center by using provincial funds.
Method: It was descriptive case study using mainly method
qualitative designed by semi structured in-depth interview and
document study. Research subject is stakeholder at level
province and chosen district. This research executed in
Province Public Health Service of Central Kalimantan and one
chosen district.
Result: Development of secondary health center in Central
Kalimantan Province is the realization of Central Kalimantan
Province local decree number 12 and 13 year 2005 fulfilment
on RPJPD and RPJMD. Initially, the budgeting concept was
planned by Tugas Pembantuan mechanism, but this mechanism
was not agreed. This scheme was a top down program from
province government. Problems occurred in the implementation
are 1). Bad monitoring, 2). Lack of reporting by developer, 3).
Remote location of, 4). Varieties in cost of production, 5).
Shortage health care workforce, 6). Equipments unmatched
the need of health care provider. Evaluation is executed, but
only concerning physical progress problem. In the meantime,
there was increased allocation of DAK fund in each district.
Conclusion: Development of auxiliary health center in Central
Kalimantan Province which funded by province fund, is not
required by district. There was no agenda surrounding
development of auxiliary health center. The role of stakeholder
in compilation of agenda setting for this policy was only a
normative role.
Description
item.page.type
Journal Article (peer-reviewed)
item.page.format
Text
Keywords
HEALTH FACILITIES, PHYSICAL INFRASTRUCTURE, INDONESIA--KALIMANTAN, DECENTRALIZATION, POLICY MONITORING, BUDGETARY RESOURCES, DECENTRALIZATION, POLITICAL WILL, BUILDINGS
Citation
Winarno, K., Hasanbasri, M., & Kurniadi Sunjaya, D. (2013). Evaluasi kebijakan pembangunan puskesmas pembantu di propinsi Kalimantan Tengah. Jurnal Kebijakan Kesehatan Indonesia, 2(2): 86-94.