Pengalaman Pengembangan Puskesmas Swakelola di Kabupaten Lombok Barat dan Kota Balikpapan ( Suatu Pengalaman Advokasi Kebijakan)  

Oleh:

Siswanto ; Sulistyawati

Jenis: Article from Journal - ilmiah nasional - tidak terakreditasi DIKTI - atma jaya
Dalam koleksi: Majalah Kesehatan Perkotaan vol. 13 no. 01 (Jun. 2006), page 9-22.
Topik: Autonomous Health Center; Decentralization; Public-Private Mix
Fulltext: Siswanto_Sulistyawanti.pdf (1.32MB)

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: MM49 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada	Lihat Detail Induk
Perpustakaan PKPM Nomor Panggil: M49 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada	Lihat Detail Induk
Perpustakaan FK Nomor Panggil: M20.K.01, M20.K.1996-2006.01 Non-tandon: 2 (dapat dipinjam: 0) Tandon: tidak ada	Lihat Detail Induk

Isi artikel

In order to improve health services in Health Centre which be better quality, efficiency, and equity to fulfill community demand in decentralization era, so it has been reformed. Design of the study, is operational research and the objective of the study is developing an Autonomous Health Center (Public-Private Mix Health Center Model) in decentralization era. The study was divided into 3 steps, as follow; I). Situation analysis and model development (2002); 2) model implementation (2003); 3)model evaluation (2004) Through a situation analysis andfollowedby a workshop with important stakeholders in provincial level, there has been developed a basic model of an Autonomous Health Center with a number of principle characteristics: (1) the discretion to determine innovative programs, (2) the compulsory programs covered six basics, (3) the privatization of personal health services for those who has better ability to pay, (4) the use of Health Center c revenues for improving service quality andstaff incentive. During the process of advocacy, Lombok Barat Regency and Balikpapan Municipal performed an adaptation of the model to become “semi-private health services “. Consequently, there have been two models of different semi-private services in Health Center, 1. e. “Lombok Barat Model” and “Balikpapan Model “. In Lombok Barat Regency, semi-private services have been conducted in the afternoon with a special tariff (more expensive than morning services), completed with a legal umbrella of Perda. Meanwhile, in Balikpapan Municipal it has been developed a typology of A, B and C Health Center with d~fJerent Iar~fJ (adjusted with local community c ability to pay) and it has been introduced with “drug revolvingfund” as the privatization of drug services for wealthy people. Evaluation in the third step revealed the improvement of client satisfaction by the model, even though the community should pay more for services. Also, there was better satisfaction of Health Center’s doctor and staff due to better incentives. Because ofthe model can improve the quality ofservices as well as doctor’s and s:aff’sperformance, the study recommended afurther inquiry for finding the best model of Public-Private Mix Health Center by taking into consideration of community income and of local government fiscal capacity.

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