KOORDINASI PELAKSANAAN PEMBIAYAAN PROGRAM KESEHATAN IBU DAN ANAK DI KABUPATEN LOMBOK TENGAH PROVINSI NUSA TENGGARA BARAT TAHUN 2011

Abstract

Background: Health financing provided by the government
greatly helps the implementation of health system in the decentralized
era. General Allocation Fund and Local Revenue
and Expenditure Budget are apparently inadequate to finance
health 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