Evaluasi besaran alokasi dak bidang kesehatan subbidang pelayanan kefarmasian tahun 2011 – 2012
Date
2014
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID
Abstract
Background: In this era of decentralization , access and
provision of drugs for people in the local area is the responsibility
of local governments. Because the limitations of the local
budget, the central government is obliged to guarantee the
availability of drugs in the area. Financing sources of drugs
from central and local government have not reached the standard
of WHO i.e. 2 dollars per capita. To cover demand of
financing drug, a Specific Allocation Fund (DAK) proposed
state budget that funds given to certain areas to fund special
activities that are regional affairs and in accordance with national
priorities. General criteria to consider certain areas (regional
fiscal capacity), specific criteria (regional characteristics)
and technical criteria (policy formulation from Ministry of
Health). Since drug financing is allocated in DAK in 2010, there
is a need to evaluate the drug financing at the local level.
The purpose: to evaluate the amount of DAK for Pharmaceutical
services in 2011 and 2012.
Methods: The study used secondary data from 2010 and
2011 consist of 6 (six) factors: fiscal capacity, character of
the area, population number, proportion of poverty , local budget
for drugs and prediction for the remaining stock of the
drug. The analysis statistics uses chi-square and multiple
regression. Qualitative interviews is conducted with managers
of pharmacy in 2 districts with high financial capability.
Results: Result from multiple regression test of the 6 factors
used in the allocation of SAF 2011 and 2012 shows only 3
factors that really affects the allocation which are the number
of population, the poor and the prediction of the remaining
stock of the drug . However, the highest factor is the population.
Result for qualitative with 2 respondents shows that since
they got DAK they reduced local budget for drugs, because
the drug financing is sufficient from DAK.
Conclusion: local sense of ownership towards the health
budget in the area is low resulting in reliance on the central
health budget. The effeciency of the central budget causes
reduction of health budget both in central and local level.
Description
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Journal Article (peer-reviewed)
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Keywords
ESSENTIAL DRUGS, GOVERNMENT ROLE, HEALTH FINANCING, PRIMARY HEALTH CARE, COMMUNITY PHARMACY SERVICES, COMMUNITY HEALTH, LOCAL GOVERNMENT, RESOURCE ALLOCATION
Citation
Ardhyaningtyas, R., Trisnantoro, L., & Siwi Padmawati, R. (2014). Evaluasi besaran alokasi dak bidang kesehatan subbidang pelayanan kefarmasian tahun 2011 – 2012. Jurnal Kebijakan Kesehatan Indonesia, 3(3): 157-163.