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Jurnal Kebijakan Kesehatan Indonesia

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Published by Universitas Gadjah Mada

ISSN : 2089 2624 EISSN : 2620 4703 DOI : -

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Public Health

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Articles 8 Documents

Search results for , issue "Vol 1, No 1 (2012)" : 8 Documents clear

EFEKTIFITAS DAN EFISIENSI PEMANFAATAN DANA BANTUAN OPERASIONAL KESEHATAN DENGAN PENERAPAN METODE ANALYTIC HIERARCHY PROCESS Kasman Makkasau
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 1 (2012)
Publisher : Center for Health Policy and Management

Background: Millennium Development Goals (MDGs) is a globalcommitment that must be realized by all countries by 2015,to accelerate the goal then the health ministries of BantuanOperasional Kesehatan (BOK) in helping the distric implementappropriate health services by improving the performance ofSPM Puskesmas and networks as well as Upaya KesehatanBersumber Masyarakat (UKBM) in carrying out preventive andpromotive health services. Utilization of funds is an authorityof the BOK clinic, it is necessary for an effective method indetermining program priorities. Along with the progress of scienceand technology in the field of public health and medicine,has provided a wide range of alternatives that can be used tosolve the health problems that occur in the community today.Objective: to determine the utilization of funds BOK interventionis most effective, with metodogi analitic using a modelsystem of decision makers using AHP.Methods: Analytic Hierarchy Process (AHP) is a model approachthat provides an opportunity for planners and programmanagers in health to be able to build the ideas or the ideasand define problems that exist in a way to make assumptionsand then get the desired solution.Results: Based on the analysis by using the AHP model, it canproduce an alternative to the use of program funds BOK highlyeffective in community health centers. By using the AHP modelthen any program that will be implemented with clearly definedpriorities, compared to using Hanlon, Delbeq and PEARL whichhas been used by the manager of health programs in ProvinceWest Sulawesi in Indonesia.Conclusion: It is recommended to use the AHP method indetermining the intervention/program BOK utilization of fundsand benefit the most effective and acceptable to all stakeholders.Keywords: Analytic Hierarchy Process, Program BOK

EVALUASI PROGRAM SKRINING STATUS TETANUS TOXOID WANITA USIA SUBUR DI JEMBER TAHUN 2010 Abu Khoiri, Dewi Rokhmah, Ahmad Falih
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 1 (2012)
Publisher : Center for Health Policy and Management

Background: Cases and deaths due to Tetanus Neonatorum(TN) in Jember District within the period of 2005 to 2009 with aCase Fatality Rate (CFR) were greater than 50%. CFR with arate of more than or equal to 50% indicates a high share ofdeaths. Jember District Health Office implemented a screeningprogram for childbearing women’s TT status in early 2010.However, not until the end of 2010 there were already 6 casesand 3 deaths due to TN (CFR = 50%). This suggested that theimplementation of the screening program had already beenrunning but not optimal; thus, an evaluation for this programneeded conducting.Objective: To evaluate the screening program for childbearingwomen’s TT status by describing the capacity and motivationof personnel, implementation and results of the screeningprogram in Jember District in 2010.Method: This was a descriptive-evaluation study. It wasconducted in January-February 2011 in five health centers ofJember District. The population was midwives as persons incharge of implementing the screening program.Result: Most respondents (59%) had a moderate level ofcapacity. Most respondents had a high level of intrinsic andextrinsic motivation, namely 71% and 53%, respectively. Thescreening implementation for childbearing women’s TT statusby the respondents had not been in accordance with the twooperational procedures. The results of the screening programshowed that five health centers were still experiencing thesame problem, i.e., not identified TT status of all women andunmet target coverage of T5 childbearing women and T2 pluspregnant women.Conclusion: Technically, some obstacles in the implementationof the screening program are still present; therefore, there is aneed for conducting training procedures for the personnel ofthe screening program for childbearing women’s TT statusand conducting an evaluation for the program periodically andcontinuously.Keywords: evaluation, tetanus toxoid, childbearing women

KOORDINASI PELAKSANAAN PEMBIAYAAN PROGRAM KESEHATAN IBU DAN ANAK DI KABUPATEN LOMBOK TENGAH PROVINSI NUSA TENGGARA BARAT TAHUN 2011 Lalu Najmul Erpan, Laksono Trisnantoro, Tudiono
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 1 (2012)
Publisher : Center for Health Policy and Management

Background: Health financing provided by the governmentgreatly helps the implementation of health system in the decentralizedera. General Allocation Fund and Local Revenueand Expenditure Budget are apparently inadequate to financehealth service. Some efforts have been made to finance healthservice such as Community Health Insurance (Jamkesmas),Childbirth Insurance (Jampersal), and Health Operational Fund(Bantuan Operasional Kesehatan/BOK). These are meant toachieve Millennium Development Goals in 2015. The practiceof coordination from planning to implementation and stakeholders’commitment can affect the process of maternal and childhealth service. Coordination is definitely needed to run theprogram policy and prevent the overlapping financing in orderthat the objective of the program can be achieved.Objective: To evaluate coordination of planning, implementationand stakeholders’ commitment in relation to maternal andchild health (MCH) service in Lombok Tengah District.Method: This was a descriptive-analytical study with a qualitativeapproach and a case-study design. Samples were takenpurposively. The data were obtained through in-depth interview,observation and documentation analysis.Result: The planning coordination of MCH health financinghad not been optimal, even despite the involvement of crosssector and program. However, the organizations of healthprofessionals were not involved in program planning. The coordinationof health financing implementation had not been optimalas well. Even though there was no overlapping financingfrom some different sources, in the policy implementation therewas cost sharing for referral and drugs. Private sectors werenot involved in the implementation of Jampersal. Stakeholders’commitment was relatively optimum as reflected from the policyand action in health development acceleration particularly MCH.The process of MCH service at both primary and secondarylevel could run well.Conclusion: Coordination of MCH financing implementation inLombok Tengah District through BOK, Jampersal, Jamkesmas,Community Empowerment National Program of Healthy andSmart Generation and Local Revenue and Expenditure Budgethad not been optimal; therefore, it needed to be improved toeliminate cost sharing. Professional organizations and privatehealth providers were not yet involved in the program planningand implementation.Keywords: coordination, stakeholders’ commitment, healthfinancing, maternal and child health, program evaluation

PELAKSANAAN KEBIJAKAN BANTUAN OPERASIONAL KESEHATAN DI KABUPATEN OGAN ILIR, SUMATERA SELATAN Asmaripa Ainy
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 1 (2012)
Publisher : Center for Health Policy and Management

ABSTRACTIntroduction: The Ministry of Health of Indonesia Republichas issued a policy on health operational fund (BOK) to increasethe access of service in health centers based on a decree ofthe Minister of Health Number 494/Menkes/SK/IV/2010 updatedthrough the regulation of the Minister of Health Number 210/Menkes/Per/I/2011 dated 31st January 2011 on the technicalguidelines for BOK. Ogan Ilir District has supported that policythrough a decree issued by the head of health office Number440/337/DKES/III/2011 and 440/22/DKES/III/2011, which eachregulates the forming of the management of Jamkesmas,Jampersal, and BOK as well as budget managers. This studyaimed to analyze the implementation of BOK policy in Ogan IlirDistrict.Methods: This study was an analysis of policy. The primarydata were obtained through direct observation and in-depthinterviews to 4 informants: Head of Ogan Ilir Health Office,management staff at Ogan Ilir Health Office, Head of IndralayaHealth Center and management staff at Indralaya Health Center.The secondary data were obtained through review of BOKdocuments.Results: BOK in Ogan Ilir had been implemented in 2010 throughthe social assistance and in April 2011 by co-administration bythe health office. The organizing of BOK referred to thetechnical guideline from the Ministry of Health. Financialmanagement referred to the financial management guidelinefrom the Directorate General of Nutrition and Maternal andChild Health. Disbursement of BOK began from proposing Planof Actions (POA) from health centers to health office to verifythe funds and then proposing disbursement to KPPN. The fundfor implementing program could be taken from BOK treasurer.The allocation of BOK at health centers was adjusted for thenumber of working areas, population, program coverage andgeographical conditions. BOK was prioritized for healthpromotion such as: maternal and child health, nutrition, bodymass index measurement, and communicable diseases. PerApril-June 2011, the fund for secretariat had been disbursedabout 40% used for dissemination, training and transport forhealth center treasurer. Reporting of BOK conducted fromhealth center to health office was on every date 5 thenforwarded to the province and to the Ministry of Health everymonth via online, as well as a written report to KPPN.Conclusion: The implementation of BOK in Ogan Ilir referredto the policy of the Ministry of Health and was followed upwith the policy of district health office. POA proposal is decisivedin the disbursement of BOK so it is recommended to the headof Ogan Ilir District Health Office to routinely ensuredissemination about BOK and guide all health centers inpreparation of POA for implementing policy effectively.Keywords: financing policy, health operational fund, healthcenter

KEBIJAKAN DAN IMPLEMENTASI BANTUAN LUAR NEGERI AUSAID DI TIMOR LESTE: EVALUASI TERHADAP PROYEK DUKUNGAN RENCANA STRATEGIK SEKTOR KESEHATAN Manuela Pereira, Yodi Mahendradhata, Retna Siwi Padmawati
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 1 (2012)
Publisher : Center for Health Policy and Management

Background: The Ministry of Health of Timor-Leste has realizedthat they should work together with other stakeholders toachieve their vision and mission due to insufficient humanresources and budget. Therefore, the Ministry of Health hasestablished collaboration with AusAid and other developmentpartners through mechanism of coordination. However, themechanism is not yet implemented fully.Objective: To evaluate foreign aid policy in coordinating AusAiddonor and development partners to fund human resource developmentprogram (in the HSSP-SP project) through the mechanismof coordination in the Ministry of Health of Timor-Leste.Method: This was a qualitative study with a case-study design.The respondents were 16 people, consisting of 13 personsfrom the Ministry of Health and 3 persons from AusAid,World Bank and development partners.Result and Discussion: The Department of Partnership Managementhad not been optimum in managing and controlling theproject/program and activities of the donors and working partners.The approved action plan and budget were relevantwith the proposal made by the Ministry of Health but planningfor human resource development was unclear and was notbased on the work force gap faced and priority in humanresource development. The project had impact on human resourcedevelopment but the process of staff re-placementwas not in line with the principle of the right man on the rightplace. Regular consultative meeting could facilitate the approvalof action plan and budget for human resource development.However, the mechanism of coordination was less effectivebecause there was no specific instrument or mechanismto do alignment and harmonization and it only focused oncollective gain and there was too much pressure and demandto staff from both the Ministry of Health and partners. Constraintsand challenges from political aspect and human resourcecapacity had hampered the process of coordinatingAusAid and working partners.Conclusion: The implementation of foreign aid policy to coordinateAusAid and development partners to fund human resourcedevelopment (in HSSP-SP project) following the mechanismof coordination in the Ministry of Health of Timor-Lestehad run well enough but still received lack of support fromhuman resource development planning based on institutionaldevelopment.Keywords: policy evaluation, mechanism of coordination,human resource development, donor agency

ANALISIS PEMBIAYAAN PROGRAM KESEHATAN IBU DAN ANAK BERSUMBER PEMERINTAH DENGAN PENDEKATAN HEALTH ACCOUNT Dominirsep Dodo, LaksonoTrisnantoro, Sigit Riyarto
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 1 (2012)
Publisher : Center for Health Policy and Management

Background: The degree of Maternal and Child Health (MCH)is still a major problem in health development in Indonesia. Onefactor that may be an obstacle in solving this problem is thelimited cost. In this context, planning and cost utilization areessential to improve so that they can produce a great impactfor the improvement of MCH. Therefore, in-depth informationabout the MCH financing situation in regions as an input todevelop efficient activities in improving MCH status is needed.Objective: To analyze health financing situation of MCH programin 2010 which sourced from government and to make policyrecommendations related to the program in Sabu Raijua District,East Nusa Tenggara Province. The situation in question isavailability, budget planning process, expenditure accuracy,and fund flow rate.Method: This was a descriptive research with a case studystrategy.Result: The total cost of MCH program was IDR 450,787,500.It was not sufficient to provide basic health services forpregnant women from early pregnancy until postpartum period.The budget proportion from the central, provincial, and districtgovernments 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 budgetthrough the development planning meeting (Musrenbang).Proposed activities in Musrenbang were dominated by physicalactivities. The cost of MCH program was spent more on directactivities and operational cost in villages and sub districts. Theimplementation of the activities was not supported by facilitiesand adequate human resources. The MCH fund disbursementfrom the central government was conducted in October-November while from the provincial and district governmentswere in July to August.Conclusion: The government’s commitment was still low infinancing MCH program as a priority program due to budgetdecentralization. Musrenbang activities had not demonstratedsignificant impacts on quality activities improvement and budgetallocations from the district budget. Availability of personneland health facilities greatly affected the performance of MCHprogram. Delays in funds disbursement disrupted theimplementation of activities and provided opportunities forcorruption. Therefore, the supervision function must beimproved both internal and external.Keywords: financing, maternal and child health program,health account, budget, government.

KEBIJAKAN PEMERINTAH DAERAH DALAM MENINGKATKAN SISTEM RUJUKAN KESEHATAN DAERAH KEPULAUAN DI KABUPATEN LINGGA PROVINSI KEPULAUAN RIAU Ignasius Luti; Mubasysyir Hasanbasri; Lutfan Lazuardi
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 1 (2012)
Publisher : Center for Health Policy and Management

Ignasius Luti1, Mubasysyir Hasanbasri2, Lutfan Lazuardi21 Dinas Kesehatan Kabupaten Lingga, Kepulauan Riau2 Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran,Universitas Gadjah Mada, YogyakartaABSRACTBackground: One of the critical issues in the development ofnational health care is the limited accessibility to health services.Such problems also occur in Linga District of KepulauanRiau Province. It is caused by many factors, such as geographicallocation, cost, number of health personnel and conditionof health care facilities, such as health centers and theirnetworks which are not accessible to the public. Several attemptshave been made, for example, by improving the statusof sub-health centers to be health centers, health centers tobe treatment centers, assinging health workers both medicaland paramedical, improving health financing and making budgetpolicies. However, its implementation has not been maximal.In accordance with the above background, it would requirea study on the role of local government policy in improvingthe referral system which is useful to know the problemsin the field, so that in the future a variety of improvement canbe done.Objective: To determine the referral system in the islandsarea of Linga District.Methods: This was a case-study research. The researchsubjects were head of health centers / health center doctors,nurses/midwife assistants, ambulance drivers/sea ambulancedrivers, patient families, community figures, jamkesmas/Jamkesda managers, head of health care section/head ofhealth office, director of local hospital/mobile hospital and emergencyroom nurses. The variables in this study were independentvariable (referral system) and dependent variable (ambulanceservice). The research location was in Linga Districtof Kepualauan Riau Province.Results: The results showed that policy efforts of the LingaGovernment District in improving the referral system had existed.The existing financing policy had encompassed twoaspects both from the demand side (medical expenses) andfrom the supply side (a system that supported health care).The process of referral from primary care to advanced serviceshad been going well although there was still lack as theunavailability and completeness of services. Most of the healthworkers had received training; there were also specialist doctors(in collaboration with the faculty of medicine), but networkingin the referral process was done partially and notintegrated.Conclusion: The health referral system in Linga District hadrun pretty well, but did not fully involve community participationin an integrated service system. The local government in thiscase Linga District Health Office needs to revitalize as well asaccelerate the development of Desa Siaga (alert villages) readinessto increase community participation in the developmentof a referral system.Keywords: policy, referral systems, islands, ambulance service

EDISI PERTAMA JURNAL KEBIJAKAN KESEHATAN INDONESIA Laksono Trisnantoro
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 1 (2012)
Publisher : Center for Health Policy and Management

Edisi ini merupakan penerbitan pertama JurnalKebijakan Kesehatan Indonesia yang berdiri tahun2012. Mengapa diperlukan jurnal ini? Pada pertemuannasional II Jaringan Kebijakan Kesehatan Indonesiadi Makassar tahun 2011, telah disepakatipenerbitan Jurnal Kebijakan Kesehatan Indonesia.Jurnal yang mengambil bentuk e-journal dan cetak(dua versi) akan dikelola oleh Jaringan KebijakanKesehatan Indonesia, bekerja sama dengan ProgramStudi Ilmu Kesehatan Masyarakat, Minat Kebijakandan Manajemen Pelayanan Kesehatan UniversitasGadjah Mada. Pertemuan di Makassar memandangperlu adanya sebuah jurnal yang fokus pada pengembangankebijakan kesehatan di Indonesia.Apa materi jurnal ini? Dengan berfokus padakebijakan kesehatan maka materi akan berada padaproses penyusunan kebijakan, mulai dari penyusunanide dan agenda sampai ke evaluasi pelaksanaankebijakan. Terkait dengan penyusunan kebijakan,ada dua kelompok topik yang dapat dicermati. Pertamaadalah kelompok topik yang sudah mempunyaikebijakan publik. Kebijakan publik tersebut dapatberada di level pusat dalam bentuk Undang-Undang,Peraturan Pemerintah, Peraturan Presiden, PeraturanMenteri Kesehatan, dan sebagainya. Di level propinsiadalah Peraturan Daerah, Peraturan Gubernurdan sebagainya. Demikian pula di level kabupaten/kota. Contoh topik kebijakan di kelompok ini adalahUU SJSN di tahun 2004 dan UU BPJS di tahun 2011.Kelompok kedua, adalah berbagai topik kesehatanyang belum mempunyai kebijakan. Sebagai gambaranadalah topik “medical-tourism” yang belummempunyai kebijakan publik sama sekali. Kelompokini juga studi mengenai persiapan penyusunankebijakan publik di level Peraturan Pemerintahsebagai perintah dari sebuah UU.Berbagai kebijakan di level internasional yangperlu dicermati ada kebijakan yang mengikat sepertiTreaty, namun juga ada berbagai kebijakan di levelinternasional yang lebih banyak menghimbau.Kebijakan formal yang dapat dilihat berdasarkan tatahukum nasional dan internasional, dikenal pulaberbagai kebijakan lokal yang informal. Gambarankebijakan informal diberbagai kelompok masyarakatyang menolak vaksinasi merupakan hal menarikuntuk ditulis dalam jurnal ini. Kecocokan, dan ketidakcocokan antara kebijakan kesehatan formal dan informaldi berbagai tempat merupakan isu penelitianyang menarik.Pertanyaan yang sering muncul adalah siapayang akan membaca jurnal ini? Pertanyaanberikutnya adalah: siapa yang akan menulis di jurnalini? Diperkirakan pembaca jurnal ini adalahpengambil kebijakan kesehatan di Indonesia yangberada di Kementerian Kesehatan dan berbagaikementerian terkait kesehatan. Adanya kebijakandesentralisasi, tentunya ada ribuan pengambilkebijakan di propinsi dan kabupaten yang diharapkanmembaca jurnal ini. Dengan mengambil kriteriapembaca adalah level kepala bidang ke atas, makadiperkirakan akan ada 2500 pembaca di daerah dansekitar 300 di pusat. Ada pengajar dan penelitikebijakan kesehatan di berbagai universitas danlembaga penelitian yang akan membaca dansekaligus menulis artikel-artikel penelitian. Edisipertama ini kami menghimbau para calon penulisuntuk mengirimkan naskah ke Jurnal KebijakanKesehatan Indonesia. Topik-topik naskah tersebuttentunya terkait dengan proses kebijakan yang sudahdi bahas di atas. Kami tunggu naskahnya. (LaksonoTrisnantoro, )

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