ANALISIS PEMBIAYAAN PROGRAM KESEHATAN IBU DAN ANAK BERSUMBER PEMERINTAH DENGAN PENDEKATAN HEALTH ACCOUNT
Abstrak: 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 todevelop 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 budgetallocations 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.
Penulis: Dominirsep Dodo,
LaksonoTrisnantoro, Sigit Riyarto
Kode Jurnal: jpkesmasdd120241
