Peran pengelola kesehatan dalam berinovasi program kesehatan masyarakat tingkat kabupaten di Provinsi Yogyakarta

Febria Rahmi(1), Yodi Mahendradata(2), Mubasysyir Hasanbasri(3*)

(1) Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Universitas Gadjah Mada
(2) Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Universitas Gadjah Mada
(3) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi, Fakultas Kedokteran, Universitas Gadjah Mada
(*) Corresponding Author


Role of local health managers in innovating district level public health programs in Yogyakarta Province

Purpose: The study aimed to describe the strategic decision making by the heads of the DIY health departments concerning the issue of maternal and child health and nutrition.

Methods: This qualitative research was an exploratory study.

Results: The district health office for Yogyakarta city in the Special Region of Yogyakarta does not have many strategic decisions to solve problems about maternal and child health and nutrition. However, the decisions are always hampered by human resources. Only the Gunung Kidul District Health Office stated that there was no political involvement in decisions by the head of the health department.

Conclusions: The decisions made by heads of health department are still limited to the strategic plan and local medium term development plan (RPJMD). Not many innovations are developed to overcome the problems of maternal and child health and nutrition.


strategic decision making; head of health department; maternal and child health; nutrition


  1. Negulescu O. Using a Decision-Making Process Model. Rev Gen Manag. 2014;19(1):111–23. 
  2. Matters MC, Multiple TA. Management Certainly Matters, and There Are Multiple Ways to Conceptualize the Process. Int J Heal Policy Manag. 2015;4(11):777–80. 
  3. Mpembeni RNM, Killewo JZ, Leshabari MT, Massawe SN, Jahn A, Mushi D, et al. Use pattern of maternal health services and determinants of skilled care during delivery in Southern Tanzania : implications for achievement of MDG-5 targets. BMC Pregnancy Childbirth. 2007;7:1–7. 
  4. Matee AK, Al-Jawadi AA. Assessment of nutritional statu s indicators in children under five at Al-Hamdaniya District, North of Iraq. Ann Coll Med Mosul. 2011;37(1&2):71–9. 
  5. Patrick A, Laschinger H. The effect of structural empowerment and perceived organizational support on middle level nurse managers’ role satisfaction. J Nurs Manag. 2006;14(1):13–22. 
  6. Brownson RC, Brownson RC, Gurney JG, Gurney JG, Land GH, Land GH. Evidence-based decision making in public health. J Public Health Manag Pract [Internet]. 1999;5(5):86–97. Available from:
  7. Musa TH, Musa HH, Ali EA, Musa NE. Prevalence of malnutrition among children under fi ve years old in Khartoum State , Sudan. Polish Ann Med [Internet]. Polish Pediatric Society.; 2014;21(1):1–7. Available from:
  8. Sharfman MP. Does Decision Process Matter ? A Study of Strategic Decision-Making Effectiveness. Acad Manag J. 2006;39(2):368–96. 
  9. Allen RW, Madison DL, Porter LW, Renwick P a, Mayes BT. Organizational Politics-Tactics and Characteristics of Its Actors. Calif Manage Rev. 1979;22(1):77. 
  10. Bacharach, S B, Lawler, E J. Power and politics in organizations. San Francisco: Jossey-Bass; 1980. 
  11. Palutturi S. Public Health Leadership. Pustaka Pelajar; 2013.


Article Metrics

Abstract views : 701 | views : 506


  • There are currently no refbacks.

Copyright (c) 2017 Berita Kedokteran Masyarakat

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).

Indexed by:

Analytics Visitor Counter