UNIVERSITAS AIRLANGGA



Detail Article

The Indonesian Journal of Public Health

ISSN 1829-7005

Vol. 1 / No. 1 / Published : 2004-07

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Original Article :

Health sector reforma case study on decentralization of health care management in the east java province

Author :

  1. Stefanus Supriyanto*1
  2. Tjipto Suwandi*2
  3. Rika Subarniati*3
  1. Public Health Administration Departmen, Faculty of Public Health Airlangga University
  2. Occupational Health Departmen, Faculty of Public Health Airlangga University
  3. Health Behavior Departmen, Faculty of Public Health Universitas Airlangga

Abstract :

The objective of the study is to identify app ropriate commitment among Ministry of Health and P rovincial Health Office, the local healthauthorities (Municipal/District Health Office), and Community (NGO, Health Professionals, and Local Legislative Board-DPRD) concerningthe coming decentralized health care services management in the East Java Province.Design of this study is a case study utilizing both qualitative and quantitative approaches. The qualitative approach uses In-depth Interview,Focus Group Discussion (FGD) and workshop. The quantitative approach uses survey and study documents. Respondents for the qualitativeapproach are key officials at Kanwil Kesehatan (Provincial Health Office) and Kandep Kesehatan and its implementing units, and key officialsfrom Dinkes Tk.I (Provincial Health Office), Dinkes Kabupaten (Municipal/District Health Office) and their implementing Units ( CityHospitals, Health Centers, Nursing School, etc.). Respondents for survey are those responsibility for data management in each administrativelevels Kanwil Kesehatan and Kandep Kesehatan and its Implementing Units and key of ficials from District Health Office , Dinkes Kabupaten(Municipal/District Health Office) and their implementing Units (City Hospitals, Health Centers, Nursing School, etc).The result revealed that : 1. Decentralization on Health in Indonesia is a right policy and a must to be done in the year 2001, unless thedevelopment of Indonesia will be left behind among other countries in the world.; 2. There are still a couple Health Programs should be handledby Ministry of Health (MOH) namely : Public goods ( Immunization, Chronic diseases, Hospital). The health programs should be decentralizedare primarily private goods; 3. .Community participation in health will be increased gradually in accordance with Local capability (Resources:man, money, material, industry, technology, information etc).; 4. The implementation of decentralization in health, in each District or MunicipalHealth Office should be different and varied. It should be due to their authority, and the local competencies, i.e. economic competence, healthfacility availability and so on.; 5. The Health organization Structure is sub-system or Sub-ordinate of Government Home Affair. It needs tocreate a new Sub-ordinate below the Chief of DHO or MHO, to anticipate the decentralized authority

Keyword :

health reform, decentralization, authority of health municipal/district,


References :





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