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Pembangunan di bidang kesehatan terlihat belum merupakan prioritas utama dalam pembangunan daerah Kabupaten Batanghari, hal ini dapat diketahui dari rendahnya alokasi pembiayaan bidang kesehatan dalam APBD Kabupaten Batanghari Tahun 2006 sebesar 6,50 % dan 08111111 2007 sebesar 6,22 % dari total APBD, dan mempakan urutan ke lima dalam alokasi anggaran sedangkan dalam dokumen perencanaan prioritas nomor dua dalam pcmbangunan daerah. Hal ini menunjukkan masih klmmgnya kesadaran para (aktor/Stakeholders) yang terlibat dalam penentuan alokasi anggaran kesehatan akan pentingnya ani pembangunan bidang kesehatan sedangkan masalah-masalah kesehatan di Kabupaten Batanghari masih sangat kompleks terlihat dari rcndahnya indikator derajat kesehatan masyarakat. Tujuan dalam penclitian ini adalah diketahuinya tahapan proses penyusunan anggaran pembangunan bidang kcsehatan serta faktor-faktor yang mempengaruhi menetapkan alokasi anggazan bidang kesehatan yang bersumber dari APBD Kabupaten Batanghari. Pcnclitian dilakukan dengan menggunakan desain peneljtian kualitatif yang bertujuan untuk menggambarkan atau menguraikan tahapan proses penyusunan anggaran pembangunan bidang kesehatan dalam APBD dan mengetahui faktor-faktor yang mempengaruhinya. Dari hasil penelitian dikeiahui bahwa proscs pcnyusunan dan penetnpan APBD di Kabupaten Batanghari, proses perencanaan yang bersifat politik, teknokratik dan top-down lebih besar pcngamhnya dibanding proses partisipaiif dan bottom-up. Faktor-faktor aktor yang mempengaruhi adalah peran, komitmen, kekuatan/kekuasaan dan kepentingan. Tugas pokok dan iimgsi para aktor dalam proscs penyusunan anggaran ini kemudian rncrupakan dasar untuk mengetahui kekuatan dan kekuasaan dai alctor dalam mempengaruhi kebijakan alokasi anggaran kesehatan. Para aktor yang terlibat ini kcmudian dikelompokkan menjadi 3 kriteria, yakni sebagai penanggung jawab/ketua, sebagai anggota nm yang menglcoordinasikan, merumuskan dan mengevaluasi usulan kegiatan/program serta sebagai penyuslm perencanaan dan menyampaikan usulan rencana. Komitmen para aktor yang terlibat dalam proses pcnyusunan anggaran terhadap sektor masih rendah. Pam aktor memiliki kepentingan dalam pembangunan kesehatan karena pembangunan kesehatan mcmiliki kerterkaitan yang erat dimana keberhasilan pcmbangzman keschatan adalnh juga merupakan keberhasilan program pembangunan lainnya. Diharapkan nantinya dalam pelaksanaan proses penyusunan anggaran pembangunan kesehatan oleh dinas kesehatan selalu memperhaiikan kaidah-kaidah penyusunan perencanaan yang baik, perlunya peningkatan kualitas dan kuantitas para petugas perencanaan. Mengingat besarnya pengaruh para aktor dalam menentukan kebij akan alokasi biaya pembangunan kesehatan dalam APBD, malca perlu dilakukan advokasi secara intensif dan berkelanjutan kepada para aktor serta melakukan koordinasi yang baik dengan unit instansi yang terkait. Mengingat APBD adalah mempakan penjabamn dari upaya-upaya program pembangunan yang sasarannya adalah kesejahteraan rakyat, untuk ilu dalam penyusunan anggaran agar selalu melibatkan unsur dad masyarakat. Pembangunan kcschatan adalah hak azasi manusia dan sekaligus investasi untuk keberhasilan pembangunan bangsa, untuk itu diharapkan Pemerintah Daerah memberi porsi yang lebih besar untuk pendanaan bidang kesehatan dalam APBD.
Development in the health field seems not to be the tirst priority in Batanghari Regency Development. It can be seen from the low budget allocation for the health field in Regional Budget of Batanghari Regency in 2006 6,50%, 2007 6,22% of Regional Budget. This is an indicator of low awareness of stakeholders on the importance of health sector, whereas health problems in Batanghari Regency are still complicated because of low quality of health service. The objective of this research is to know the process stages of making planning and development budgeting in the health field and any factor that influence stakeholders to decide budget allocation for health tield in Regional Budget of Batanghari Regency. This research uses qualitative method design. This method objective is to describe or to explain the process stages of making planning and development budgeting in the health field in Regional Budget of Batanghari Regency and any influencing factors. In this research found that the process stages of making planning and development budgeting in the health field in Regional Budget of Batanghari Regency do not yet meet standardized rules. Stakeholders who involved in making planning and development budgeting in the health in Regional Budget of Batanghari Regency are still dominated by the government (local government). The main task of tirnction of stakeholders in making and development budgeting in the health field can be classiiied into three groups. The understanding about health of stakeholders who involved in making planning and budgeting is still general; stakeholders in the health field because health development has interweave relation, that is the success of health field is the success of other fields as well; most of the stakeholders point of view in the health field are neutral. They said that health building is the priority, but in other side, they said that other fields out of health field also became the priority. Hopefully, in the coming future in making planning and development budgeting in the health field always consider standardized rules, quality and quantity improvement of planning makers, supporting of fund, facility, and means to support planning implementation. Because of the strong influence of stakeholders in deciding budget allocation for health development in Regional Budget, intensive and survival advocate is quite necessary for stakeholders and good coordination with other related institutions. Regional Budgets is the breakdown of development planning and social welfare is the target. For that reason, in making planning and budgeting should involve society. Health development is as human rights and investment for the success of development. Thus, local govemment should allocation more budget for the health in Regional Budget.
Background: Stunting is a condition of failure to thrive in children under five due to chronic malnutrition, especially in the first 1,000 days of life (HPK). Health financing including stunting, commitment by regional policy makers. Objective: To find an overview of the realization of health spending from the government for stunting at the Serang District Health Office in 2018-2019. Methods: This study used a non-experimental research design with a Distric Health Account (DHA) approach. Results: The analysis shows that the 2018 health budget states IDR 3,296,445,655,287 (10.73%) and an increase in 2019 may be IDR 3,429,111,553,700 (11.48%). Allocated costs for this type of stunting activity are mostly used for direct activities, in 2018 the portion reached 58.29% and in 2019 the portion was up to 100%. Viewed from the line item budget, the realization is mostly used for operational costs. In 2018 it was 91.63% and in 2019 it reached 100%. The type of stunting intervention shows that the Serang District Health Office has implemented but has not implemented stunting reduction instructions in 2018 and 2019. Conclusion: This study provides information that the adequacy of stunting financing in the Serang District Health Office in 2018 and 2019 is performance-based, but not all activities have been carried out according to new and commitment of policy makers in 2019
This thesis discusses the implementation of Family Planning Program in Lebak Regency during Regional Autonomy Era after the publication of PP No. 38/2007 and PP No. 41/2007 from the perspective of bureaucratic structure, human resources, and budget allocation accuracy. This research is a qualitative research with analytic descriptive research design. The research found that bureaucratic structure in the implementation of family planning program in the regency is not yet well managed, organization structure has not yet covers the important aspect of the family planning program, the SOP has not yet been formed and there is lack of coordination between the organizations. There is also qualitatively and quantitatively decreasing of human resources. The budget allocation for family planning program in Lebak was not adequate. The result of this research shows that the three variables are the main reasons of the failure of the targets achievement. Therefore, it is important for Lebak government to have strong commitment to make family planning program in this regency as a priority.