Evaluasi kebijakan pembangunan puskesmas pembantu di Propinsi Kalimantan Tengah

https://doi.org/10.22146/jkki.v2i2.3219

Kus Winarno(1*), Mubasysyir Hasanbasri(2), Deni Kurniadi Sunjaya(3)

(1) 
(2) 
(3) 
(*) Corresponding Author

Abstract


Background: The objective of health development is improving community health status through increasing public access to health services. One of strategy is by supporting facilities for
health service by developing auxiliary health center for all remote district at Central Kalimantan Province. Central Kalimantan Province with 1,9 million of population, consisted of 14 district, 1348 villages, 805 auxiliary health center. It means that only 59% village have facilities for health service such as auxiliary health center.

Objectives: This research aimed to know how formulation process and implementation of policy of developing auxiliary health center by using provincial funds.

Method: It was descriptive case study using mainly method qualitative designed by semi structured in-depth interview and document study. Research subject is stakeholder at level
province and chosen district. This research executed in Province Public Health Service of Central Kalimantan and one chosen district.

Result: Development of secondary health center in Central Kalimantan Province is the realization of Central Kalimantan Province local decree number 12 and 13 year 2005 fulfilment
on RPJPD and RPJMD. Initially, the budgeting concept was planned by Tugas Pembantuan mechanism, but this mechanism was not agreed. This scheme was a top down program from
province government. Problems occurred in the implementation are 1). Bad monitoring, 2). Lack of reporting by developer, 3). Remote location of, 4). Varieties in cost of production, 5). Shortage health care workforce, 6). Equipments unmatched the need of health care provider. Evaluation is executed, but only concerning physical progress problem. In the meantime, there was increased allocation of DAK fund in each district.

Conclusion: Development of auxiliary health center in Central Kalimantan Province which funded by province fund, is not required by district. There was no agenda surrounding development of auxiliary health center. The role of stakeholder in compilation of agenda setting for this policy was only a normative role.




Keywords


health care politics; corruption; bribery; health bureaucracy; Indonesia; kickback money

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References

1. Dinas Kesehatan Propinsi Kalimantan Tengah, Profil Kesehatan Propinsi Kalimantan Tengah Tahun 2007, Kalimantan Tengah, 2007.

2. Karim AG, Kompleksitas Persoalan Otonomi Daerah di Indonesia, Jurusan Ilmu Pemerintahan, Fakultas Ilmu Sosial dan Ilmu Politik, Universitas Gadjah Mada, Yogyakarta, 2003.

3. Widjaja HAW, Otonomi Daerah dan Daerah Otonom, Rajagrafindo Persada, Jakarta, 2007.

4. Trisnantoro L, Desentralisasi Kesehatan di Indonesia dan Perubahan Fungsi Pemerintah 2001-2003 Apakah Merupakan Periode Uji Coba, Gadjah Mada University Press, Yogyakarta, 2005.

5. Gani A, Alternatif Pembiayaan Kesehatan Dalam Otonomi Daerah, Makalah di Presentasikan pada Seminar Nasional Kebijakan Pembiayaan Pembangunan sektor Kesehatan di Tingkat Kabupaten/Kota dalam Era Otonomi Daerah, Kampus UI Depok, Jakarta, 2001.

6. Widodo D, Analisis Kebijakan Publik, Konsep dan Aplikasi Analisis Proses Kebijakan Publik, Bayu Media, Malang, 2007.

7. Suharto E, Analisis Kebijakan Publik, Panduan Praktis Mengkaji Masalah Dan Kebijakan Sosial, Alfabeta, Bandung, 2005.

8. Parsons W, Public Policy, Pengantar Teori dan Praktik Analisis Kebjakan, Kencana Prenada Media Group, Jakarta, 2005.

9. Wahab SA, Pengantar, Analisis Kebijakan Publik, Unit Pelaksanan Tehnis, Penerbitan Universitas Muhammadiyah Malang, Malang, 2008.

10. Dunn WN, Pengantar Analisis Kebijakan Publik, Gadjah Mada University Press, Yogyakarta, 2000.

11. Atkinson AA, John H, Waterhause, Robert B, Well A, Stakeholder Aproach to Strategic Performance Measurment, Sloan Management Review/ Spring, New York, 1997.

12. Trisnantoro L, Kebutuhan Akan Reformasi Pelayanan Kesehatan dalam Perspekstif Sejarah, Jurnal Manajemen Pelayanan Kesehatan, 1998; 01(02):59-63.

13. Trisnantoro L, (2001), Perubahan Sistem Kesehatan Wilayah Akibat Kebijakan Desentralisasi, Jurnal Manajemen Pelayanan Kesehatan, 2001; 04(02):93-100

14. Lester JP, Stewart JJr, Public Policy, An Evolutionary Approach, Wadsworth/Thomson Learning, Belmont USA, 2002.

15. Dwiyanto A, Reformasi Birokrasi Publik di Indonesia, Pusat Studi Kependudukan dan Kebijakan, Universitas Gadjah Mada, Yogyakarta, 2003.



DOI: https://doi.org/10.22146/jkki.v2i2.3219

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