PELAKSANAAN KEBIJAKAN BANTUAN OPERASIONAL KESEHATAN DI KABUPATEN OGAN ILIR, SUMATERA SELATAN
ABSTRACT: The Ministry of
Health of Indonesia Republic has issued a policy on health operational fund
(BOK) to increase the access of service in health centers based on a decree of the Minister of Health Number
494/Menkes/SK/IV/2010 updated through the regulation of the Minister of Health
Number 210/ Menkes/Per/I/2011 dated 31st January 2011 on the technical guidelines
for BOK. Ogan Ilir District has supported that policy through a decree issued
by the head of health office Number 440/337/DKES/III/2011
and 440/22/DKES/III/2011, which each regulates the forming of the management of
Jamkesmas, Jampersal, and BOK as well as budget managers. This study aimed to
analyze the implementation of BOK policy in Ogan Ilir District.
Methods: This study was an analysis of policy. The primary data were
obtained through direct observation and in-depth interviews to 4 informants:
Head of Ogan Ilir Health Office, management staff at Ogan Ilir Health Office,
Head of Indralaya Health Center and management staff at Indralaya Health
Center. The secondary data were obtained through review of BOK documents.
Results: BOK in Ogan Ilir had been implemented in 2010 through the social
assistance and in April 2011 by co-administration by the health office. The organizing
of BOK referred to the technical guideline from the Ministry of Health.
Financial management referred to the financial management guideline from the
Directorate General of Nutrition and Maternal and Child Health. Disbursement of
BOK began from proposing Plan of Actions (POA) from health centers to health
office to verify the funds and then proposing disbursement to KPPN. The fund for
implementing program could be taken from BOK treasurer. The allocation of BOK
at health centers was adjusted for the number of working areas, population,
program coverage and geographical conditions. BOK was prioritized for health promotion
such as: maternal and child health, nutrition, body mass index measurement, and
communicable diseases. Per April-June 2011, the fund for secretariat had been
disbursed about 40% used for dissemination, training and transport for health
center treasurer. Reporting of BOK conducted from health center to health
office was on every date 5 then forwarded to the province and to the Ministry
of Health every month via online, as well as a written report to KPPN.
Conclusion: The implementation of BOK in Ogan Ilir referred to the policy
of the Ministry of Health and was followed up with the policy of district
health office. POA proposal is decisive in the disbursement of BOK so it is
recommended to the head of Ogan Ilir District Health Office to routinely ensure
dissemination about BOK and guide all health centers in preparation of POA for
implementing policy effectively.
Penulis: Asmaripa Ainy
Kode Jurnal: jpkesmasdd120240
