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Analisis Kebijakan Pembiayaan Kesehatan di Kabupaten Kepulauan Aru (Policy Analysis: Health Financing in Aru Island)
The calculation of Community Health Development Index (IPKM) of Aru Islands is in rank 352, of all districts/cities in Indonesia. This low in IPKM rank was suspected to be the result of the ineffectivity and in efficiency on health budgeting. Various problems can be detected and identi
fied through the implementation of the District Health Accounts (DHA) in the district/city level. The objectives of this research is mapping district health account, which consist of resources, organizer, activity and program.
This method applied was cross sectional design, and was conducted in 2012.
The analysis unit was health district of fi ce and a cross-sector health agencies ho had health funding allocation (Hospital, Department of Population and Family Planning, Regional Development Planning Board, Social Services).
The results showed that the largest source of funding comes from the Aru Islands government is 91.95% (81.60% APBD and APBN 9.31%). Most budget management is dominated by the government (94.42%). Most of the archipelagic Aru District budgets are used for activities that 54.67% indirect and direct activities amounted to 45.33%. Besides, financing mapping
results also indicate that public health programs Aru district absorb 11.25% of the total budget, 18.36% for individual health program efforts and the remaining 70.39% for program support.
Health budget in District Aru largely sourced from the government (central, provincial and district levels). Indirect activities absorb more budget than Important government programs such as HIV / AIDS, tuberculosis, malaria, etc.
The government should provide more funds to implement important programs of the government. Health District of fice should also be able to allocate substantial funds for essential government programs.
Key words: health financing, policy analysis, district health account
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