[en]_Pengalaman PATTIRO Bidang Kesehatan
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Transcript of [en]_Pengalaman PATTIRO Bidang Kesehatan
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7/21/2019 [en]_Pengalaman PATTIRO Bidang Kesehatan
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PATTIROs Experience in Health Program
Many hope that the decentralization in Indonesia, that has lasted for 16 years, will result in
improvements on the quality of public services and the use of public budget for the benefits
of society. Rooms of creativity will give regional government !emda" opportunities to
innovate the open public services. #ometimes it has to be started from society$s response that
controls the management of public services. %owever, generally people need to be reminded
of their rights to receive these services.
Improvement on health services is one of many important issues that require people$s
awareness massively, especially in the level of communities from the second half of the first
decade of the &'''s. (he two main ob)ectives of the health programs are* 1" strengthening
society$s awareness, whether it is in the level of communities, media and universities, to
understand more about their rights to health services and the responsibility of the government
as the administrator+ &" bolstering the enhancement of regional government$s capacity to
develop mechanisms and service programs to be better in quality, and easier to access.
!((IR-$s several important achievements are as follow*
1. Improving the civil society$s nowledge and capacity in participating in the planning,
budgeting, administration, and monitoring of health programs. /ivil society is able to
convey demands0suggestions0complaints to government and local district parliament
!R" so that health policies may solve the e2isting imbalance. 3nhancement is carried
out through training, health budget analysis worshops, surveys and )oint researches with
society on health services, discussions on the enhancement of Integrated #ervices !ost
!osyandu", public hearings and audiences on policy and budget maing, promotion of
rights for health services through mass media, the writing of a boo about the
achievements of health quality, and many more.
&. More government administrators act accountably by publishing various policies to meet
society$s needs and demands regarding the imbalance of health services. (his effort is
e2ecuted through worshop of composing the %ealth #ervice #tandards, giving
recommendations on health service system to the government !usesmas or community
health centers+ inas 4esehatan or 5ocal %ealth gency+ appeda or Regional
evelopment gency+ and local parliamentarians or
!R", suggesting budget allocation
to improve health services and many more.
7. Increasing budget allocations and improvements on health service infrastructures. !((IR-
ensures that the budget is sufficient for delivering the services through )oint identification
the society, analyzing the !, public campaigns, dialogue with policy maers, and
advocacy to influence the process of budget policy maing.
(he istribution of !((IR- 8etwor$s %ealth !rogram 32periences
8o. escription of Result Region0
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Intervention 9ear
1. Health Budget Advocac
(ogether with Membersof !osyandu
/ommunication :orum
:44!" advocating anincrease in budgetallocation for !osyandu.
udget allocation for !osyandu in ! started toincrease since &'';. efore &''", only IR
6''.''' for each !osyandu. #ince &''; it became IR
?''.'''+ IR 1,& million &''? = &'1'"+ IR 1,;million &'11 = &'1&"+ IR & million &'17"+ and IR&,< million &'1@"
#uraarta/ity,
&''; =
&'1@
Initiating and enhancingAender wareness :orumin #antri /ity :!A4#",in !ealongan Regency.
(his forum tracs the program suggested by the societyin the process of policy maing.
llocation for Maternal and 8eonatal #urvival!rogram were increased from IR >< million in &''?"to IR 1'' million in &'1'"
!ealonganRegency,&''?=
&'1'
dvocacy to increase
budget allocation for#ocial %ealth Insurance
in #emarang /ity
udget allocation for Bamesos #ocial #ecurity" in
#emarang /ity was increased, IR 1< billion &'1'",IR &< billion &'11", IR @' billion &'1&", IR @, sub=districts.
!ealongan /ity,
&''; =now
:acilitating the
establishment initiationof Members of !osyandu
/ommunication :orum:44!" in #uraarta /ity
since &'';.
:44! is capable of advocating the needs of
!-#98D to give a proposal about supplementaryfood program for the children under five years
old!M(" budget.
:44! is able to administer learning practices among
!osyandus, especially about participations in programrecommendation and discussion on !osyandu$sprogram planning, administration, and reporting.
!osyandu in the level of sub=village Ruun Earga =RE", !osyandu for -lder !eople.
#uraarta,
&'';
/ampaigning healthy lifebehaviors through the
enactment of Regionalregulation 8o. 1?0&'1&
about reas Eithout/igarette.
(en /ommunity /enters in !ealongan /abeah#elatan, l=4hoiriyah Eomen 8etwor, Areen eans,
:emale :isherman 5abor /ommittee, !ealongan!eople :orum, :ormal 5aborer, Areen #tudent,
actively voice the campaign of not smoing in anyplace, and use the provided spaces.
!ealongan /ity,
&'1& =now
#urvey on the #ociety
#atisfaction Inde2(oward the #ervices fromBeneponto Regency$s
!usesmas.1
Recommendations based on the findings of this survey
are being followed up by the Aovernment. (he followups are as follow*
1. !reviously, mbulances were often
monopolized by the %ead of !usesmas andwere not available when they were needed.
8ow, ambulances are ready all the time with aclear branding and completed with call center11
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Dser ased #urveyD#" in 5eba Regency
!usesmas /isalamRangas itung and
!usesmas o)ong
Mani" by assistedsociety group.
1. !riority findings* the number of doctors was notbalanced yet, lac in the number of midwives,
!usesmas were not being taen care of, noqueuing number, limited supply of medicine,
and service hours did not follow the rules.
&. Ehat !usesmas did as a follow up for thesurvey* the procurement of toilets for patients,queuing number, information board, and a bo2
of complaints0suggestions in !usesmaso)ong Mani. -ne additional doctor in
!usesmas /isalam, improvement on the levelof hygiene withJumat Bersih/lean :riday"
movement.
5ebaRegency,
&'';
Dser ased #urveyD#" on #ervices in!usesmas in Magelang
Regency !usesmas#alam and !usesmas
(empuran"
(he main problem in !usesmas (empuran with ruralcharacteristics" was the need of building improvement.-n the other hand, the problem in !usesmas #alam
with urban characteristics and already possessed I#-?''' certificate" was the services. (he level of
society$s satisfaction toward the services from!usesmas #alam was low.
MagelangRegency,&'';
/itizen Report /ard/R/" of %ealth #ector in5eba Regency
:indings* #ervices coverage of Cillage Midwives isonly >> G+ Dp to &7G of the villages have not beencovered. (he service rate of village midwives couldnot be afforded by the society. (he result is that the
rate of using the midwives$ service for giving births isonly 1?G+ meanwhile, >>G respondents chooseparaji
shaman" to help them, @G choose both shamans andmidwives".
(he rate of maternal and infant mortality 4I and4" is still high until &'[email protected]
5ebaRegency,&'';
:acilitating theestablishment of/ommunity /enters in ;&villages and the (unatea
/risis /enter 5!M" inBeneponto Regency.
(he society intensively performs monitoring andparticipates in the improvements of health services.
(unatea // functions as a medium for the society tomonitor public services, especially in the field of
health.
Benepontoregency,&'1& untilnow.
/itizen %ealth udgetevelopment with the
/omic boos about an easy way to read health budgetwere distributed widely to the community as well as
8(!rovince,
7 Maternal immortality rate along &'17 in anten !rovince was as much as &16 individuals per
1''.''' births, or in other words in every 1''.''' births there were at least &16 mothers died due
to complication and the process of giving birth 77 cases in 5eba Regency, 7< in !andeglang
Regency, in #erang Regency, 7? in (angerang Regency, 1& in the /ilegon, 1> in the #erang, ? in
(angerang and ? in #outh (angerang (angsel". round 6' percent from 7
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communities. boos about health budget in ompu Regency, Eest5ombo, 8orth 5ombo, and ima
&'1&=&'17
Eomen Report /ard#urvey ER/" of %ealth
#ector in the /ity of#emarang
@@,7G of the respondents stated that they people reallyneeded infrastructures+ &&,>G respondents stated that
posyandu members needed incentives. MunicipalAovernment in #emarang followed up by increasingthe effectiveness of !-#98D$s -perationalEoring Aroup and allocating IR &
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:acilitating the:ormulation of Minimum
#ervice #tandards #!M"for %ealth #ervices.
Minimum #ervice #tandards #!M" in #uraarta /itywas set and used as a standard in the planning,
budgeting, and development of health in #uraarta/ity.
#uraarta/ity,
&'';
(echnical ssistance forthe:ormulation of#tandard -perating!rocedure #-!" for the
#ervices from 5ocal%ealth gency
(he result was < #-!s that had already been approved.(hose < #-!s are as followed* %ealth Information#ervice, %ealth !romotion !rogram Reporting+Aeneral Aovernment, Aeneral dministration, and
#tudy (as in #uraarta 5ocal %ealth gency.
#uraarta/ity,&'17
(echnical ssistance forthe :ormulation of Dnit/ost on %ealth Minimum#ervice #tandards
(he result was Dnit /ost for services in relation to thehealth of mother and child. It was then used in &'17 informulating ! &'1@ for 5ocal %ealth gency.
#uraarta/ity,&'17
Reflection. %uge imbalance still e2ists between efforts performed by regional government
with the hopes0needs of the society regarding health services. -ne of the reasons is that the
policy of decentralization that shifted the responsibilities for health affairs from central
government to regional government was not followed by the balance of its budget
management.