KOORDINASI PELAKSANAAN PEMBIAYAAN PROGRAM KESEHATAN IBU DAN ANAK DI KABUPATEN LOMBOK TENGAH PROVINSI NUSA TENGGARA BARAT TAHUN 2011
Abstrak: Health financing
provided by the government greatly helps the implementation of health system in
the decentralizedera. General Allocation Fund and Local Revenue and Expenditure
Budget are apparently inadequate to financehealth service. Some efforts have
been made to finance health service such as Community Health Insurance
(Jamkesmas), Childbirth Insurance (Jampersal), and Health Operational Fund (Bantuan
Operasional Kesehatan/BOK). These are meant to achieve Millennium Development
Goals in 2015. The practice of coordination from planning to implementation and
stakeholders’ commitment can affect the process of maternal and child health
service. Coordination is definitely needed to run the program policy and
prevent the overlapping financing in order that the objective of the program
can be achieved.
Objective: To evaluate coordination of planning, implementation and
stakeholders’ commitment in relation to maternal and child health (MCH) service
in Lombok Tengah District.
Method: This was a descriptive-analytical study with a qualitative approach
and a case-study design. Samples were taken purposively. The data were obtained
through in-depth interview, observation and documentation analysis.
Result: The planning coordination of MCH health financing had not been
optimal, even despite the involvement of cross sector and program. However, the
organizations of health professionals were not involved in program planning.
The coordination of health financing implementation had not been optimal as
well. Even though there was no overlapping financing from some different
sources, in the policy implementation there was cost sharing for referral and
drugs. Private sectors were not involved in the implementation of Jampersal.
Stakeholders’ commitment was relatively optimum as reflected from the policy and
action in health development acceleration particularly MCH. The process of MCH
service at both primary and secondary level could run well.
Conclusion: Coordination of MCH financing implementation in Lombok Tengah
District through BOK, Jampersal, Jamkesmas, Community Empowerment National
Program of Healthy and Smart Generation and Local Revenue and Expenditure
Budget had not been optimal; therefore, it needed to be improved to eliminate
cost sharing. Professional organizations and private health providers were not
yet involved in the program planning and implementation.
Keywords: coordination,
stakeholders’ commitment, health financing, maternal and child health, program
evaluation
Penulis: Lalu Najmul Erpan,
Laksono Trisnantoro, Tudiono
Kode Jurnal: jpkesmasdd120244
