Abstract

ABSTRACT Introduction: The Ministry of Health of Indonesia Republic has issued a policy on health operational fund (BOK) to increase the access of service in health centers based on a decree of the Minister of Health Number 494/Menkes/SK/IV/2010 updated through the regulation of the Minister of Health Number 210/ Menkes/Per/I/2011 dated 31st January 2011 on the technical guidelines for BOK. Ogan Ilir District has supported that policy through a decree issued by the head of health office Number 440/337/DKES/III/2011 and 440/22/DKES/III/2011, which each regulates the forming of the management of Jamkesmas, Jampersal, and BOK as well as budget managers. This study aimed to analyze the implementation of BOK policy in Ogan Ilir District. Methods: This study was an analysis of policy. The primary data were obtained through direct observation and in-depth interviews to 4 informants: Head of Ogan Ilir Health Office, management staff at Ogan Ilir Health Office, Head of Indralaya Health Center and management staff at Indralaya Health Center. The secondary data were obtained through review of BOK documents. Results: BOK in Ogan Ilir had been implemented in 2010 through the social assistance and in April 2011 by co-administration by the health office. The organizing of BOK referred to the technical guideline from the Ministry of Health. Financial management referred to the financial management guideline from the Directorate General of Nutrition and Maternal and Child Health. Disbursement of BOK began from proposing Plan of Actions (POA) from health centers to health office to verify the funds and then proposing disbursement to KPPN. The fund for implementing program could be taken from BOK treasurer. The allocation of BOK at health centers was adjusted for the number of working areas, population, program coverage and geographical conditions. BOK was prioritized for health promotion such as: maternal and child health, nutrition, body mass index measurement, and communicable diseases. Per April-June 2011, the fund for secretariat had been disbursed about 40% used for dissemination, training and transport for health center treasurer. Reporting of BOK conducted from health center to health office was on every date 5 then forwarded to the province and to the Ministry of Health every month via online, as well as a written report to KPPN. Conclusion: The implementation of BOK in Ogan Ilir referred to the policy of the Ministry of Health and was followed up with the policy of district health office. POA proposal is decisived in the disbursement of BOK so it is recommended to the head of Ogan Ilir District Health Office to routinely ensure dissemination about BOK and guide all health centers in preparation of POA for implementing policy effectively. Keywords: financing policy, health operational fund, health center

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