Abstract

Health is one of the important factors in the success of the economic development in a country. The Government has managed the health budgets of at least ten percent of the total of the available local government budget. However, the amount of health budget has not been balanced yet by the optimal achievement of health status. This research aims at analyzing the technical efficiency level of the expenditure cost and the health service system and the target of improvement in order to achieve the efficiency in Central Java province in 2012-2014. This research uses Data Envelopment Analysis (DEA) method that will yield a relative efficiency value. The research uses health budget as the input variable, uses facilities and health services as the intermediate output variable, and uses the health status as the outcome variable. The assumption used is: Variable Return to Scale (VRS) and the output oriented model. The results of research that use the DEA method show that with the cost technical efficiency there are only five regencies/cities (14.3%) that have achieved an efficiency of 100 percent. While with the system technical efficiency there are only eleven regencies/cities (31.4%) that have achieved an efficient condition. This means, most regencies/cities in Central Java Province have not still efficient yet in the use of expenditure of health sector budget.

Highlights

  • Economic development is increasing not least 10% of the state budget outside of salary.only seen from the aspect of quantity, and Central Java Province has an increase in health rather far more important from the aspect of expenditure annually during 2012-2014.quality

  • This research aims at analyzing the technical efficiency level of the expenditure cost and the health service system and the target of improvement in order to achieve the efficiency in Central Java province in 2012-2014

  • The level of achievement of the public health status indicators seen from Infant Mortality Rate (IMR), Maternal Mortality Rate (MMR) and Life Expectancy Rate (LER) in Central Java Province in 2012-2014 should still be improved

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Summary

INTRODUCTION

Economic development is increasing not least 10% of the state budget outside of salary. Atmawikarta under the general service expenditure amounted (2005) stated that one factor that affects the high Rp 9,234 billion rupiah (66%) This means that low level of achievement of public health status the Central Java Provincial Government has is how much financing is for the health sector. The data from the Health Office in Central Java Province shows that the average IMR of 35 regencies/cities in 2012-2014 amounted 10.78 per 1000 live births. Most regencies/cities in Central Java Province still experience the high maternal and infant mortality rates, which can be seen from the amount of regencies/ cities that still have the mortality rates above the provincial average. The level of achievement of the public health status indicators seen from IMR, MMR and LER in Central Java Province in 2012-2014 should still be improved. Based on the above problems, this research aims at analyzing the technical efficiency of the cost and the expenditure system of the health sector and services and how the improvement targets can be taken by the regencies/cities to achieve the efficiency

RESEARCH METHOD
Not Efficient
Average of Efficiency
Potential Improvement
Based on the calculation result of REFERENCES
Findings
This research is similar to the research
Full Text
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