The Analysis of Regional Expenditure on the Provision of Health Workers in the Community Health Center (Puskesmas)
DOI:
https://doi.org/10.53013/bestuurskunde.3.1.71-80Keywords:
regional expenditure, health worker, PuskesmasAbstract
Health workers are a key factor in determining the quality of health development. Puskesmas (Community Health Center), as the first line of health care facility (FKTP), has an important role in providing health care services. However, the provision of health workers for Puskesmas is not optimal despite the receiving stimulation received in the form of from financial support and regional authority. This study aimed to present the process of regional expenditure for the provision of health workers and to explore the potential factors in the financing policy in of Puskesmas. The study uses used a qualitative approach with a meta-analysis method based on the results of a literature study. The results of the study indicated 3 contributing factors, including: 1) Disproportionality inaccuracy of the health worker plan curement; 2) The dominance of personnel expenditure; and 3) Refocussed Reallocation of health budget due to the COVID-19 pandemic.
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Ali, P. B., Solikha, D. A., Arifi, M. D., Siahaan, R. G. M., Firdaus, M. Z., Ariteja, S., Wikanestri, I., Nurlita, A. N., Ikrima, I. R., & Taqiyah, H. (2022). Buku Putih Reformasi Sistem Kesehatan Nasional (P. B. Ali, Ed.). Direktorat Kesehatan dan Gizi Masyarakat-Kedeputian Pembangunan Manusia, Masyarakat, dan Kebudayaan-Kementerian Perencanaan Pembangunan Nasional/Badan Perencanaan Pembangunan Nasional (Bappenas).
Bhakti, A. P., Soeratin, H. Z., Satyaka, P. H., Adriyanto, Widyajala, B., Widiadi, A., Syahrir, K. R., Yusroni, A., Hadian, Y., Simbolon, J., Mulyono, Kurnia, Purbo, R. K., Chalamsa, M., Pratama, A. K., Santoso, P., Huda, A. M., Agustino, M., Arisyanto, E., … Sanati, N. A. D. (2021). Laporan Perkembangan Ekonomi dan Fiskal Daerah.
Garrard, J. (2022). Health Sciences Literature Review Made Easy: The Matrix Method (6th ed.). Jones & Bartlett Learning.
Haakenstad, A., Irvine, C. M. S., Knight, M., Bintz, C., Aravkin, A. Y., Zheng, P., Gupta, V., Abrigo, M. R. M., Abushouk, A. I., Adebayo, O. M., Agarwal, G., Alahdab, F., Al-Aly, Z., Alam, K., Alanzi, T. M., Alcalde-Rabanal, J. E., Alipour, V., Alvis-Guzman, N., Amit, A. M. L., … Lozano, R. (2022). Measuring the Availability of Human Resources for Health and Its Relationship to Universal Health Coverage for 204 Countries and Territories From 1990 to 2019: A Systematic Analysis for the Global Burden of Disease Study 2019. The Lancet, 399(10341), 2129–2154. https://doi.org/10.1016/S0140-6736(22)00532-3
Hajriati, I., Arman, & Muchlis, N. (2021). Analisis Sistem Perencanaan Tenaga Kesehatan di Wilayah Kerja Dinas Kesehatan Kabupaten Barru. Journal of Muslim Community Health (JMCH), 2(4), 103–116. https://doi.org/10.52103/JMCH.V2I4.700
Hardani, Abadi, H., Auliya, N. H., Andriani, H., Fardani, R. A., Ustiawaty, J., Utami, E. F., Sukmana, D. J., & Istiqomah, R. R. (2020). Metode Penelitian Kualitatif & Kuantitatif (H. Abadi, Ed.). Pustaka Ilmu.
Hidayanti, H. (2018). Pemerataan Tenaga Kesehatan di Kabupaten Lamongan. Cakrawala: Jurnal Litbang Keb?akan, 12(2), 162–177. https://doi.org/10.32781/cakrawala.v12i2.272
Izhar, M. (2022). Optimalisasi Alokasi Anggaran Belanja Bidang Kesehatan dalam Upaya Penanganan COVID-19 di Kota Pontianak Provinsi Kalimantan Barat [Diploma Thesis, Institut Pemerintahan Dalam Negeri]. http://eprints.ipdn.ac.id/7507/
Kabia, E., Mbau, R., Oyando, R., Oduor, C., Bigogo, G., Khagayi, S., & Barasa, E. (2019). “We are called the et cetera”: experiences of the poor with health financing reforms that target them in Kenya. International Journal for Equity in Health, 18(1), 98. https://doi.org/10.1186/s12939-019-1006-2
Lestari, T. R. P. (2016). Analisis Ketersediaan Tenaga Kesehatan di Puskesmas Kota Mamuju Provinsi Sulawesi Barat Tahun 2014. Kajian: Menjembatani Teori dan Persoalan Masyarakat dalam Perumusan Keb?akan, 21(1), 75–88. https://doi.org/10.22212/KAJIAN.V21I1.768
Lestari, T. R. P. (2018). Upaya Peningkatan Mutu Pelayanan di Puskesmas Melalui Pendekatan Manajemen Sumberdaya Manusia Kesehatan. Kajian: Menjembatani Teori dan Persoalan Masyarakat dalam Perumusan Keb?akan, 23(3), 157–174. https://doi.org/10.22212/KAJIAN.V23I3.1880
Mekarisce, A. A. (2020). Teknik Pemeriksaan Keabsahan Data pada Penelitian Kualitatif di Bidang Kesehatan Masyarakat. Jurnal Ilmiah Kesehatan Masyarakat: Media Komunikasi Komunitas Kesehatan Masyarakat, 12(3), 145–151. https://doi.org/10.52022/jikm.v12i3.102
Nurlinawati, I., & Putranto, R. H. (2020). Faktor-Faktor Terkait Penempatan Tenaga Kesehatan di Fasilitas Pelayanan Kesehatan Tingkat Pertama Daerah Terpencil/Sangat Terpencil. Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan, 4(1), 31–38. https://doi.org/10.22435/jpppk.v4i1.3312
Rehatalanit, M. Z. R., & Nurwahyuni, A. (2021). Analisis Input dalam Proses Penyelenggaraan UKM UKP pada Puskesmas X Kota Semarang. Jurnal Medika Hutama, 3(1), 1435–1441. https://jurnalmedikahutama.com/index.php/JMH/article/view/292
Revinadewi, T., Hakim, D. B., & Falatehan, A. F. (2021). Budget Allocation Strategy of Bogor City Health Department in the COVID-19 Era. Jurnal Manajemen Agribisnis, 9(2), 463–476. https://repository.ipb.ac.id/handle/123456789/109312
Rinaldi, A., Marselina, & Suparta, I.W. (2018). Pengaruh Belanja Pegawai, Mandatory Spending, dan Pertumbuhan Ekonomi Terhadap Fiscal Space Seluruh Provinsi di Sumatera. Jurnal Ekonomi Pembangunan, 7(2), 169–182. http://jurnal.feb.unila.ac.id/index.php/jep/article/view/15
Saenong, M. T., Sukarta, A., & Kassaming, K. (2022). Pelatihan dan Pendampingan Penyusunan Perencanaan Tingkat Puskesmas. Journal of Community Engagement in Health, 5(2), 226–230. https://doi.org/10.30994/jceh.v5i2.411
Schmid, C. H., St?nen, T., & White, I. R. (2020). Handbook of Meta-Analysis (C. H. Schmid, T. St?nen, & I. White, Eds.). Chapman and Hall/CRC. https://doi.org/10.1201/9781315119403
Shofiah, R., Prihatini, D., & Viphindrartin, S. (2019). Perencanaan Sumber Daya Manusia Kesehatan (SDMK) Puskesmas di Kabupaten Jember. Bisma: Jurnal Bisnis dan Manajemen, 13(3), 181–188. https://doi.org/10.19184/bisma.v13i3.11633
Wahyuni, E., & Ardini, L. (2018). Pengaruh Kinerja Pendapatan Asli Daerah Belanja Modal dan Belanja Pegawai Terhadap Tingkat Kemandirian Keuangan Daerah. Jurnal Ilmu dan Riset Akuntansi, 7(6), 1–16. http://jurnalmahasiswa.stiesia.ac.id/index.php/jira/article/view/203
Warta Pemeriksa. (2020, October 14). Jumlah Refocusing Anggaran Pemda. Warta Pemeriksa. https://wartapemeriksa.bpk.go.id/?p=21743
World Health Organization. (2021, October 20). Health and Care Worker Deaths during COVID-19. World Health Organization. https://www.who.int/news/item/20-10-2021-health-and-care-worker-deaths-duringcovid-19
Yulianti, A., Utoyo, B., & Atika, D. B. (2022). Kinerja Program Nusantara Sehat di Daerah Terpencil Perbatasan dan Kepulauan. Administrativa: Jurnal Birokrasi, Keb?akan dan Pelayanan Publik, 4(1), 141–156. https://doi.org/10.23960/ADMINISTRATIVA.V4I1.122
Zakumumpa, H., Rujumba, J., Amde, W., Damian, R. S., Maniple, E., & Ssengooba, F. (2021). Transitioning Health Workers From PEPFAR Contracts to the Uganda Government Payroll. Health Policy and Planning, 36(9), 1397–1407. https://doi.org/10.1093/heapol/czab077
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