Desentralisasi dan pengambilan keputusan kebijakan peningkatan gizi balita di kota Depok dan kota Bogor propinsi Jawa Barat
Date
2014
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID
Abstract
Background: Heywood and Choi ( 2010) found that there is
only a slight increase of health system performance post
decentralization. Low performance in decentralization of the
health sector can be inferred from the high incidence of poor
nutrition for U5 (under five) in the city of Bogor in West Java.
However the city of Depok has a different situation in which
they have successfully reduced poor U5 nutrient to 0% .
Performance in a decentralized health system is affected by
policy decisions that are influenced by decison space,
institutional capacity and accountability of local government .
Objective: This study aims to describe the decision-making
processes for U5 nutrition based on decision space, capacity
and accountability of local government institutions in the city of
Depok and city of Bogor in West Java Province .
Methods: This study is a qualitative case study design . Indepth
understanding of the decision-making on health policy in
the era of decentralization will be traced by means of in-depth
interviews . Informants in this study include the Head of
Department , Mayor , Chief Health Center and Head of Nutrition
at the Provincial Health Office , Head of Bappeda.
Results: Post Decentralization, nutrition policy decision-making
process at the level of the city of Bogor and Depok conducted
by larger decision space, the accountability of policy decisions
in both regions showed an increase , but the capacity of
public institutions and the level of participation of nongovernment
actors as well as the institutional capacity is higher
in the city of Depok than in the city of Bogor .
Conclusion: Decentralization increases the decision space
and accountability in health policy decision-making process.
Increased institutional capacity, especially the capacity of
human resources and increased levels of participation and
non-government actors are needed to produce a more
responsive policy decisions.
Description
item.page.type
Journal Article (peer-reviewed)
item.page.format
Text
Keywords
DECENTRALIZATION, CHILD HEALTH, NUTRITION, BIRTH WEIGHT, INDONESIA--DEPOK, INTEGRATED PLANNING, INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS, COOPERATION BETWEEN ORGANIZATIONS, INTERSECTORAL COOPERATION, LOCAL GOVERNMENT
Citation
Dewi Purnamasari, C., Ayuningtyas, D., & Kusumawhardani, R. (2014). Desentralisasi dan pengambilan keputusan kebijakan peningkatan gizi balita di kota Depok dan kota Bogor propinsi Jawa Barat. Jurnal Kebijakan Kesehatan Indonesia, 3(3): 146-156.