Provincial Government Agencies Research Articles

Can Religiosity Reduce Corruption Intention In Civil Servant?

Aceh Province is an area that has special autonomy and authority in regulating regional policies. One of them is regional financial management based on facts that are vulnerable to corruption. Corruption is a deviant behavior that is manifested from misuse of tasks for personal gain, other people and institutions. Corruption is an act that is prohibited by religion, but corruption behavior still occurs. Religiosity should be an individual defense to not commit corruption. The purpose of this study was to determine the relationship between religiosity and the intention of corruption among civil servants in Aceh provincial government agencies. This research uses quantitative research method with incidental sampling technique. The sample in this study were 350 respondents (n = 350) from eight Aceh provincial government agencies. The results of this study indicate that there is a negative relationship between religiosity and corrupt intentions of civil servants, with the meaning that the higher the religiosity, the lower the intention of corruption.

Implementation of public sector marketing in Indonesia: Internet-based study official provincial government website

The quality of performance and public services in Indonesia still requires significant improvement. One approach that can be used to improve this quality is the application of marketing concepts. This research aims to identify the practice of implementing a marketing approach, especially the 4P1C strategy (product, price, place, promotion, and customer focus and relations) in the public sector in Indonesia. The method used is content analysis, where marketing strategy practices are detected through narratives on the official pages of provincial government agencies in Indonesia. 4,678 pages of text (1,126,018 words) were copied from 34 official Provincial Government websites for analysis. Analysis was carried out on manifest content using an a priori coding approach and hidden content supported by the QDA Miner application. The analysis results show that provincial governments in Indonesia still need to maximize the implementation of the 4P1C marketing strategy fully. The element of "promotion" became the dominant element of the process, with words such as "socialization" and "information" dominating usage. However, it is essential to note that the term "information" is more related to the obligation to disclose information by the law than persuasion efforts for promotional purposes. Apart from that, the provincial government does not use its official website as a marketing tool for its region (marketing place). Only a few provinces use narratives related to "investment," "regional potential," and "regional advantages" as marketing efforts. This research confirms the view of Lee & Kotler (2006) that marketing in the public sector is a field that still needs to be considered and understood by public sector managers. Thus, further efforts are required in order to increase understanding and application of marketing concepts in the context of public services in Indonesia.

Pengaruh Penerapan Akuntansi Pemerintahan Dan Pengawasan Kualitas Laporan Keuangan Terhadap Akuntabilitas Kinerja Instansi Pemerintah Provinsi Sumatera Utara Pada Badan Keuangan Dan Aset Daerah

<p align="justify">This study aims to determine the effect of implementing government accounting and monitoring the quality of financial reports on performance accountability of North Sumatra provincial government agencies in regional financial and asset bodies and to determine the effect partially or simultaneously on the regional financial and asset offices of North Sumatra province. The approach used in this research is a descriptive and associative quantitative approach. The population in this study are all Regional Financial and Asset Agency Work Units within the scope of the North Sumatra Provincial Government. The data collection technique in this study used a questionnaire technique in the form of a Gform. Data processing in this study used the SPSS (Statistics Package for the Social Sciences) software version 29.0. These results indicate that the application of government accounting has a significant effect on the accountability of Government Agency Performance in the regional financial and asset agency offices of North Sumatra Province. the performance of government agencies in the regional financial and asset agency offices of North Sumatra Province, this is due to the higher t-count value than t-table and the application of government accounting and monitoring the quality of financial reports affects the performance accountability of government agencies in the offices of financial and asset bodies of North Sumatra Province as seen from the f-count value which is higher than the f-table.</p><p><strong>Keywords</strong>: Implementation of Government Accounting, Quality Control of Financial Statements, Performance Accountability of Government Agencies.</p>

Lessons learned from implementing a surge capacity support program for COVID-19 contact management in Ontario

SettingIn Ontario, local public health units (PHUs) are responsible for leading case investigations, contact tracing, and follow-up. The workforce capacity and operational requirements needed to maintain this public health strategy during the COVID-19 pandemic were unprecedented.InterventionPublic Health Ontario’s Contact Tracing Initiative (CTI) was established to provide a centralized workforce. This program was unique in leveraging existing human resources from federal and provincial government agencies and its targeted focus on initial and follow-up phone calls to high-risk close contacts of COVID-19 cases. By setting criteria for submissions to the program, standardizing scripts, and simplifying the data management process, the CTI was able to support a high volume of calls.OutcomesDuring its 23 months of operation, the CTI was used by 33 of the 34 PHUs and supported over a million calls to high-risk close contacts. This initiative was able to meet its objectives while adapting to the changing dynamics of the pandemic and the implementation of a new COVID-19 provincial information system. Core strengths of the CTI were timeliness, volume, and efficient use of resources. The CTI was found to be useful for school exposures, providing support when public health measures were lifted, and in supporting PHU’s reallocation of resources during the vaccine roll-out.ImplicationsWhen considering future use of this model, it is important to take note of the program strengths and limitations to ensure alignment with future needs for surge capacity support. Lessons learned from this initiative could provide practice-relevant knowledge for surge capacity planning.

Provincial government agency public services: An analysis of their internal competency, internal and external environment factors

Public services (PS) in modern societies have become increasingly difficult to keep up with, creating a strain on governments with limited budgets. As a result, new ways of delivering public value must be sought. In order to better understand the factors that influence public services of the Thai provincial government agency public services (PGAPS), the authors conducted a stratified random sample survey of 400 individuals in a rural province of Northern Thailand in 2021. The latent variable path analysis used LISREL 9.10, with the results showing that internal competency factors (ICF) were ranked as very strong, external environment factors (EEF) as strong, and internal environment factors (IEF) as weak. All four hypotheses were also supported, with an individual’s personal and educational factors having a significant effect on PGAPS. The authors suggest that gender could be used to limit corruption’s influence and should be explored in greater detail in further studies. Effective PS delivery requires good governance, community stakeholder involvement, and cross-organizational collective leadership. Good governance should also enhance economic, social, and political development values. Additionally, this study provides valuable insights for municipalities to improve their implementation processes, increase transparency, and ensure fiscal responsibility (OECD & ADB, 2019).

Using the Technology Acceptance Model to Analyze Information System Performance

This article analyzes user perceptions of information systems. The DIY provincial government agency conducted the research. The analysis is based on the Technology Acceptance Model (TAM). Information system performance is associated with perceived usefulness (POU) and perceived ease of use (PEU). Based on the technology acceptance model, the user will be able to accept the information system if the user's information system has a perception that the information system is helpful for the user and easy to use. This article analyzes whether user perceptions of the usefulness and ease of use of information systems affect user perceptions of information system performance. The study was conducted on SIPKD users in the DIY provincial government. The regional financial management information system is one of the systems used by the DIY provincial government. SIPKD is a system that all local government work units must use. SIPKD operators are appointed with a regional head decree. The research data was obtained by distributing questionnaires to 100 SIPKD operators. Data were analyzed by moderating regression analysis. Data processing results show that POU and PEU affect user perceptions of information system performance. The proven task complexity variable serves as a moderating variable between POU and PEU with information system performance.

The Necessary Need Assessment to Develop Knowledge and Skill in Innovative Electronics for Laborers According to The Development Strategy in The Southern Region.

This research aimed to study the current and desirable conditions, assess needs and prioritize the need to develop knowledge and skills necessary for workers' intelligent electronics to support the development strategy in the southern region. The research point was to conduct according to the needs assessment. The research tool was a questionnaire for collecting opinions from a sample group, namely administrators of educational institutions under the Office of Vocational Education Commission and heads of provincial government agencies in the southern provinces and the southern border provinces, totaling 291 people specific sample selection method. The statistics for data analysis include mean, standard deviation, and the priority needs index (PNI) value of the updated PNI_modified . The results of the research found that: 1) Overall desirable conditions concerning the need for knowledge and skills development in the field of intelligent electronics of workers to support the development strategy in the southern region. There was a high level of demand (x ̅=4.32, S.D.=0.84), which was much higher than the overall current condition where the practice was at a high level (x ̅=3.40, S.D.=1.07). 2) Knowledge and emerging skills: knowledge and emerging skills: knowledge and skills in electronic technology for an intelligent environment are necessary (PNI_modified) was 0.36, with the desired condition being at a high level (x ̅=4.24, S.D.=0.84) and the need for soft skills needs in the future, quantity and statistics have a need (PNI_modified) was 0.29, with a high level of desirable, desirable condition (x ̅=4.36, S.D.=0.81). 3) Knowledge and emerging skills: it was found that electronic technology for the intelligent environment had the highest need (PNI_modified = 0.36), and emotional skills (Soft Skills) found that the skill of quantitative and statistical analysis at first order.

Forecasting Provincial Government Expenditures in Indonesia using Artificial Neural Network

The purpose of this research is to analyze using artificial neural network techniques in predicting the realization of provincial government spending in Indonesia according to the type of expenditure with Back-Propagation. This research needs to be done because it can be seen from the side of realization of provincial government spending in Indonesia that there can be a surplus and a deficit. Therefore, it is necessary to make predictions as an effort to address this. The data comes from the publication by the Central Statistical Agency of the provincial government of financial statistics (BPS). Financial provincial government data was collected through local government financial surveys from provincial government agencies in Indonesia. The analysis process uses the help of Rapidminer software and is validated with K-Fold values from 2 to 10. The data is divided into training data and testing data. Training data is data from 2016-2018 and testing data is data from 2017-2019. Several architectural models were tested namely '3-2-1; 3-5-1; 3-10-1; 3-5-10-1 'to obtain an accurate prediction by considering the value of Root Mean Square Error (RMSE). The results of the back-propagation analysis state that the 3-5-1 model is the best model with an RMSE value of 0.027 at k-fold = 9 for training data and an RMSE value of 0.035 for testing data. These results confirm that the back-propagation algorithm can be implemented in this case.

The Effect of Budget Participation and Organizational Commitment on Budgetary Slack

This study aims to measure the effect of employee participation in budgeting and organizational commitment to budgetary slack in Bangka Belitung Islands Provincial Government Agencies, in particular the Public Works and Spatial Planning Office of the Bangka Belitung Islands Province. The analytical method used for testing the variables in this study uses PLS (Partial Least Square) using Smart PLS.3 software. The sample used in this study were 50 employees at the Department of Public Works and Spatial Planning of the Bangka Belitung Islands Province. The first hypothesis in this study is accepted, namely budget participation has a positive effect on budgetary slack, but the second hypothesis in this study is rejected, namely organizational commitment has a negative effect on budgetary slack. This identifies that the participation of many parties in a company or scope of work to jointly exchange information in determining and compiling a budget to achieve an organizational goal.

A sustainable development strategy for mining industries in Citatah karst area in Bandung Basin

Citatah karst area is located in the western margin of Bandung Basin, as the only mining area within the basin. However, the pressure from environmentalists to preserve the karst area and change the use of land to become a conservation area or geopark is very high. The study aims to define the strategy to manage karst land in urbanizing areas to support sustainable development. The method of study includes policy and stakeholder analyses. Further analysis will be based on Spatial Multi Criteria Evaluation to apply land suitability analysis to seek the possibility of the Citatah karst area as geotourism and mine tourism. Karst area is an environmental complex system. Broad research to understand human-altered karst landscapes, karst ecosystems, karst disturbance, karst hydrology and also to manage karst lands in urbanizing areas in sustainable manners are needed. The provincial government agency has a master plan to develop the Citatah karst areas like agriculture, tourism, home industry, etc. The research result will support the plan on how to develop an assessment of the geosite and mining site present in Citatah karst area using multi criteria evaluation.

Self Esteem dan Group Cohesiveness Sebagai Pemoderasi Pengaruh Partisipasi Anggaran dan Komitmen Organisasi terhadap Budgetary Slack

This study aims to measure the effect of employee participation in budgeting and organizational commitment to budgetary slack in Bangka Belitung Islands Provincial Government Agencies, in particular the Public Works and Spatial Planning Office of the Bangka Belitung Islands Province. The analytical method used for testing the variables in this study uses PLS (Partial Least Square) using Smart PLS.3 software. The sample used in this study were 50 employees at the Department of Public Works and Spatial Planning of the Bangka Belitung Islands Province. The first hypothesis in this study is accepted, namely budget participation has a positive effect on budgetary slack, but the second hypothesis in this study is rejected, namely organizational commitment has a negative effect on budgetary slack. The third hypothesis of self-esteem weakens the positive influence of budgetary participation on budgetary slack, the fourth hypothesis of self-esteem strengthens the negative effect of organizational commitment on budgetary slack, the fifth hypothesis of Group cohesiveness weakens the positive influence of budgetary participation on budgetary slack, the sixth hypothesis of Group cohesiveness weakens the positive influence of budgetary participation on budgetary slack This identifies that the participation of many parties in a company or scope of work to jointly exchange information in determining and compiling a budget to achieve an organizational goal.

Growing home dialysis: The Ontario Renal Network Home Dialysis Initiative 2012-2019.

The Ontario Renal Network (ORN), a provincial government agency in Ontario, Canada, launched an initiative in 2012 to increase home dialysis use province-wide. The initiative included a new modality-based funding formula, a standard mandatory informatics system, targets for prevalent home dialysis rates, the development of a 'network' of renal programmes with commitment to home dialysis and a culture of accountability with frequent meetings between ORN and each renal programme leadership to review their results. It also included funding of home dialysis coordinators, encouragement and funding of assisted peritoneal dialysis (PD), and support for catheter insertion and urgent start PD. Between 2012 and 2017, home dialysis use rose from 21.9% to 26.5% and then between 2017 and 2019 stabilised at 26% to 26.5%. Over 7 years, the absolute number of people on home dialysis increased 40% from 2222 to 3105, while the number on facility haemodialysis grew 11% from 7935 to 8767. PD prevalence rose from 16.6% to 20.9%, a relative increase of 25%. The initiative showed that a sustained multifaceted approach can increase home dialysis utilisation.

Monitoring, Managing, and Communicating Risk of Harmful Algal Blooms (HABs) in Recreational Resources across Canada.

Globally, harmful algal blooms (HABs) are on the rise, as is evidence of their toxicity. The impacts associated with blooms, however, vary across Nation states, as do the strategies and protocols to assess, monitor, and manage their occurrence. In Canada, water quality guidelines are standardized nationally, but the management strategies for HABs are not. Here, we explore current strategies to understand how to better communicate risks associated with HABs to the public. Our team conducted an environmental scan on provincial and territorial government agency protocols around HABs. Results suggest that there are variations in the monitoring, managing, and communicating of risk to the public: British Columbia, Manitoba, New Brunswick, and Quebec have well-established inter-agency protocols, and most provinces report following federal guidelines for water quality. Notably, 3 northern territories have no HABs monitoring or management protocols in place. More populous provinces use a variety of information venues (websites, social media, on site postings, and radio) to communicate risks associated with HABs, whereas others’ communications are limited. To induce more collaboration on HABs monitoring and management and reduce the associated risks, creating a coherent system with consistent messaging and inter-agency communication is suggested.

Organizational practices that enable and disable knowledge transfer: The case of a public sector project-based organization

Project-based organizations (PBOs) are framed in a dynamic bi-directional interaction between the permanent organization and its temporary units (projects). The study of knowledge transfer in PBOs has focused exclusively on the knowledge transfer practices held at the realm of the temporary units; however, we still need to understand how the permanent organization can enable this knowledge transfer process. Using a deductive-inductive approach and exploring the case of a division managed as PBO in a provincial government agency in Canada, we analyzed how the practices led by the permanent organization enable the actual knowledge transfer across projects. We found that different practices conducted at the level of the permanent organization were enabling or disabling the performance of formal and informal knowledge transfer practices executed at the temporary units. In this work we show how by distorting the goal of the formal knowledge transfer practices the permanent organization pushed the project team members to the use of informal knowledge practices to overcome this flaw. We argue that a balanced deployment of formal and informal knowledge transfer practices not only can boost knowledge transfer but also can reinforce the temporary organizations’ embeddedness within the permanent organization.

Coordinating invasive alien species management in a biodiversity hotspot: The CAPE Invasive Alien Animals Working Group

Background: The effectiveness of invasive alien species management in South Africa, and elsewhere, can be mproved by ensuring there are strong links and feedbacks between science and management. The CAPE Invasive Alien Animals Working Group (CAPE IAAWG) was established in 2008 to enhance cooperation among stakeholders such as implementing agencies and researchers, and thereby improve the management of invasive animals in the Greater Cape Floristic Region.Objectives: In this article we highlight where and how the working group has advanced our understanding of research and the implementation of management objectives and consider the working group’s successes and failures.Methods: We analyse the attendance of meetings by different stakeholders and the frequency of discussion topics on meeting agendas throughout the sequence of meetings from 2008 to 2019. We document insights based on published accounts or the experiences of the authors from eight different management projects.Results: Meetings are attended by stakeholders from NGOs, universities, and local, provincial and national government agencies as well as private individuals. Topics of discussion ranged from details of specific alien animal invasions (e.g. the House Crow in Cape Town), to considering the risks posed by broad groups (e.g. earthworms), to specific management techniques (e.g. guidelines for trapping invasive alien birds). Through the eight projects described here the CAPE IAAWG has: (i) contributed to capacity building through funding and advising on post-graduate research projects; (ii) provided ad hoc support to staff of agencies that implement invasive alien animal control; (iii) acted as a focal point for a community of practice that is supportive of decision making and policy development; and (iv) played a vital role in linking research, management and policy in a manner accessible to a broader range of stakeholders. The projects undertaken by the group reveal several lessons for managing invasive animals: (i) the importance of logistics and contract efficiency, (ii) the need for effective stakeholder engagement by the project team, (iii) the need to effectively address conflicts between role players, and (iv) the importance of including ethical and animal rights considerations in the decision making processes.Conclusion: The CAPE IAAWG has been a valuable forum to improve management effectiveness and support implementation decisions. Due to its small cost and time footprint, the working group has remained viable and retained a core of committed members, ensuring ongoing institutional buy-in. The working group will remain successful so long as the group is supported by its members and their organisations.

KESIAPAN WARGA SEKOLAH DALAM MENGHADAPI BENCANA BANJIR BANDANG DI SMA NEGERI 2 BOGOR

Disaster preparedness in schools is still on the minimum level, whereas schools necessarily are the centers of teaching and learning activities to give proper education for the nation’s better future. The purpose of this research is to analyze the preparedness of SMAN 2 Bogor to face flash flood disaster, and to analyze the impact of its occurrence. This research uses qualitative method, and the locus is Sukaresmi Village, Tanah Sareal Sub-district, Bogor City, West Java. The data is obtained from predetermined informants and analyzed by qualitative analysis technique. The parameters used in the analysis are knowledge and attitude parameters, policies and guidelines, emergency response plans, disaster warning systems, also resource mobilization. The results show that disaster preparedness in SMAN 2 Bogor is held by using various resources of school residents and supporting facilities, yet it has not been maximally done to increase the capacity of students and other elements of SMAN 2 Bogor. In general, schools only focus on the academic achievement, which ultimately leads to the lack of sensitivity toward people’s welfare needs. Awareness of disaster preparedness should not be owned only by the students, but also by educators, officials, and all elements of the school. However, this research analysis focuses more on the students. The unawareness of disaster preparedness planning is the main factor which makes the socialization and capacity improvement can not be done sustainably. Co-ordination and consultation with Provincial Government and Regional Disaster Management Agency is the necessary thing to do for the disaster prepardness planning.

Coordinating invasive plant management among conservation and rural stakeholders

Collective action among conservation and rural land managers is required to protect natural and rural ecosystems from the spread of invasive plants. Achieving such tenure-blind collective action is a considerable policy challenge and social research on this topic is in its infancy, is rural-focused and rarely addresses multiple species concurrently. This study explores the nature and extent of collective action among conservation and rural stakeholders managing multiple invasive plant species in south-west Alberta, Canada. Thirty telephone interviews were conducted with staff of national and provincial parks, non-government organisations and government agencies, as well as ranchers and consultants operating within the Oldman Watershed. The results showed three key types of collective action—participatory, linked and collaborative—occurring across the landscape. Collaborative invasive plant management (IPM) was the most likely to bring rural and conservation land managers together to address multiple species but was highly resource intensive and confined to public lands. A polycentric system of governance may enable landscape-wide IPM to be achieved if it can link existing collaborative efforts as well as establish and maintain new relationships among rural and conservation stakeholders. Organisations that encompass multiple land uses, such as watershed councils and municipal districts, may be best placed to bring diverse stakeholders together to develop a shared plan, facilitate social learning and demonstrate on-ground action at multiple scales across land uses.

Can Jiangsu province achieve the health-related Sustainable Development Goals and Healthy Jiangsu 2030 goals? A systematic analysis on the current situation and projected attainment

BackgroundDespite relative affluence, Jiangsu, China, faces challenges brought by disease burdens, regional disparities, ageing, and migrant workforce, in achieving the health-related Sustainable Development Goals (SDGs) and Healthy Jiangsu 2030 goals. Therefore, we aimed to assess the current situation, gaps, and projection of Jiangsu attaining these goals. MethodsWe did a systematic analysis using a combination of quantitative and qualitative methods. We collected quantitative data from national and provincial health-related government agencies and the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016). We did semi-structured interviews with key stakeholders at provincial and sub-provincial levels. We also included other policy documents and grey literatures. On the basis of the model developed by the SDG Collaborators of GBD 2016, we did projections to assess the attainment of the quantitative health targets in Jiangsu. We also explored the gender disparities. Our study protocol was reviewed and approved by the Institutional Review Board of Duke University. FindingsAt baseline in 2015, Jiangsu performed well in indicators related to child under-nutrition and maternal and child health, meeting targets of the SDGs early. By 2030, Jiangsu is expected to meet targets in mental health, environmental health, and universal health coverage. However, our projections indicate that Jiangsu will not achieve the targets in exclusive breastfeeding, child overweight, infectious diseases, and non-communicable diseases, according to current trajectories. 7–28 day exclusive breastfeeding rate is expected to increase to 25·6%, a huge gap compared with the 6-month 50% target. Child overweight rate (1–4 years) was projected to increase by 2·6% compared with the zero increase target. The incidence of HIV/AIDS were projected to decrease to 0·9 per 100 000 population and tuberculosis to 15·3 per 100 000 population in 2030, suggesting that ending these epidemics would be highly improbable. New cases of hepatitis B virus and hepatitis C virus infections were projected to decrease by 45·3%, which is far from the 90% target. Large gender disparity was seen in non-communicable diseases, such as premature mortality and smoking rates. InterpretationThe provincial Government of Jiangsu needs to take immediate and concerted actions to meet the SDGs and the Healthy Jiangsu 2030 goals. FundingBill & Melinda Gates Foundation (grant number OOP1148464)

The Study of Structural and Managerial Design for the Regional Government Agencies of Cooperative Auditing Department

The objectives of this qualitative study were to analyze the current missions, structures and models, and to design new structures and models for the regional agencies of the Cooperative Auditing Department (CAD) with reference to the existence of provincial government agencies under the management guideline of the Office of the Public Sector Development Commission as stated in Document No. NR 1200/W27, dated November 1, 2017, entitled “Development of Guidelines for Regional Government Agency Management.” According to the findings, the CAD should reorganize its structure by replacing its central administration with the regional administration. The Bangkok Cooperative Auditing Office should be established and operated under the supervision of the director general of the CAD which is the feature of the central administration. For Cooperative Auditing Office 1-10, the main missions should focus on organizational governance and quality control, while the provincial cooperative auditing offices should be under the direct supervision of provincial governors, and divided into four divisions, including the division of general administration, the division of auditing, the division of accounting and financial development, and the division of accounting training and policy. The establishment is worthwhile in terms of internal organizational components, organizational stakeholders, service and operational innovation, and finance.

Variation in Access to Kidney Transplantation Across Renal Programs in Ontario, Canada.

In the United States, kidney transplant rates vary significantly across end-stage renal disease (ESRD) networks. We conducted a population-based cohort study to determine whether there was variability in kidney transplant rates across renal programs in a health care system distinct from the United States. We included incident chronic dialysis patients in Ontario, Canada, from 2003 to 2013 and determined the 1-, 5-, and 10-year cumulative incidence of kidney transplantation in 27 regional renal programs (similar to U.S. ESRD networks). We also assessed the cumulative incidence of kidney transplant for "healthy" dialysis patients (aged 18-50 years without diabetes, coronary disease, or malignancy). We calculated standardized transplant ratios (STRs) using a Cox proportional hazards model, adjusting for patient characteristics (maximum possible follow-up of 11 years). Among 23 022 chronic dialysis patients, the 10-year cumulative incidence of kidney transplantation ranged from 7.4% (95% confidence interval [CI] 4.8-10.7%) to 31.4% (95% CI 16.5-47.5%) across renal programs. Similar variability was observed in our healthy cohort. STRs ranged from 0.3 (95% CI 0.2-0.5) to 1.5 (95% CI 1.4-1.7) across renal programs. There was significant variation in kidney transplant rates across Ontario renal programs despite patients having access to the same publicly funded health care system.