Analisis pembiayaan program kesehatan ibu dan anak bersumber pemerintah dengan pendekatan health account

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dc.contributor.authorDodo, Dominirsep
dc.contributor.authorTrisnantoro, Laksono
dc.contributor.authorRiyarto, Sigit
dc.date.accessioned2015-04-22T14:59:53Z
dc.date.available2015-04-22T14:59:53Z
dc.date.issued2012
dc.description.abstractBackground: 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 cost. In this context, planning and cost utilization are essential to improve so that they can produce a great impact for the improvement of MCH. Therefore, in-depth information about the MCH financing situation in regions as an input to develop efficient activities in improving MCH status is needed. Objective: To analyze health financing situation of MCH program in 2010 which sourced from government and to make policy recommendations related to the program in Sabu Raijua District, East Nusa Tenggara Province. The situation in question is availability, budget planning process, expenditure accuracy, and fund flow rate. Method: This was a descriptive research with a case study strategy. Result: The total cost of MCH program was IDR 450,787,500. It was not sufficient to provide basic health services for pregnant women from early pregnancy until postpartum period. The budget proportion from the central, provincial, and district governments amounted to 79.63%, 3.56%, and 16.78%, respectively. Cost allocation of the district budget was 0.80%. Planning activities of MCH program was from the district budget through the development planning meeting (Musrenbang). Proposed activities in Musrenbang were dominated by physical activities. The cost of MCH program was spent more on direct activities and operational cost in villages and sub districts. The implementation of the activities was not supported by facilities and adequate human resources. The MCH fund disbursement from the central government was conducted in October- November while from the provincial and district governments were in July to August. Conclusion: The government’s commitment was still low in financing MCH program as a priority program due to budget decentralization. Musrenbang activities had not demonstrated significant impacts on quality activities improvement and budget allocations from the district budget. Availability of personnel and health facilities greatly affected the performance of MCH program. Delays in funds disbursement disrupted the implementation of activities and provided opportunities for corruption. Therefore, the supervision function must be improved both internal and external.en
dc.formatTexten
dc.format.extent1 digital file (p. 13-23)en
dc.format.mimetypeApplication/pdf
dc.identifier.citationDodo, D., Trisnantoro, L., & Riyarto, S. (2012). Analisis pembiayaan program kesehatan ibu dan anak bersumber pemerintah dengan pendekatan health account. Jurnal Kebijakan Kesehatan Indonesia, 1(1): 13-23.en
dc.identifier.issn2089-2624
dc.identifier.urihttp://hdl.handle.net/10625/54004
dc.identifier.urihttp://jurnal.kebijakankesehatanindonesia.net/index.php/petunjuk-bagi-penulis/17-link-terbit-sejak/88-2012
dc.language.isoid
dc.publisherPusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, IDen
dc.subjectINDONESIAen
dc.subjectMATERNAL AND CHILD HEALTHen
dc.subjectHEALTH FINANCINGen
dc.subjectFINANCIAL MANAGEMENTen
dc.subjectPOLICY MONITORINGen
dc.subjectRESOURCE ALLOCATIONen
dc.subjectHEALTH-CARE DELIVERYen
dc.subjectHEALTH PRIORITIESen
dc.subjectCORRUPTIONen
dc.subjectHEALTH ADMINISTRATIONen
dc.subjectDATA COLLECTIONen
dc.titleAnalisis pembiayaan program kesehatan ibu dan anak bersumber pemerintah dengan pendekatan health accounten
dc.title.alternativeAnalysis of financing of maternal and child health program from government with health account approachen
dc.typeJournal Article (peer-reviewed)en
idrc.dspace.accessIDRC Onlyen
idrc.project.componentnumber106920001
idrc.project.number106920
idrc.project.titleStrengthening the Indonesia's Health Policy Network to Promote Equity and Social Protectionen
idrc.recordsserver.bcsnumberIC01-10814-3
idrc.rims.adhocgroupIDRC SUPPORTEDen

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