PELAKSANAAN KEBIJAKAN BANTUAN OPERASIONAL KESEHATAN DI KABUPATEN OGAN ILIR, SUMATERA SELATAN

Abstract

ABSTRACT
Introduction: The Ministry of Health of Indonesia Republic
has issued a policy on health operational fund (BOK) to increase
the access of service in health centers based on a decree of
the Minister of Health Number 494/Menkes/SK/IV/2010 updated
through the regulation of the Minister of Health Number 210/
Menkes/Per/I/2011 dated 31st January 2011 on the technical
guidelines for BOK. Ogan Ilir District has supported that policy
through a decree issued by the head of health office Number
440/337/DKES/III/2011 and 440/22/DKES/III/2011, which each
regulates the forming of the management of Jamkesmas,
Jampersal, and BOK as well as budget managers. This study
aimed to analyze the implementation of BOK policy in Ogan Ilir
District.
Methods: This study was an analysis of policy. The primary
data were obtained through direct observation and in-depth
interviews to 4 informants: Head of Ogan Ilir Health Office,
management staff at Ogan Ilir Health Office, Head of Indralaya
Health Center and management staff at Indralaya Health Center.
The secondary data were obtained through review of BOK
documents.
Results: BOK in Ogan Ilir had been implemented in 2010 through
the social assistance and in April 2011 by co-administration by
the health office. The organizing of BOK referred to the
technical guideline from the Ministry of Health. Financial
management referred to the financial management guideline
from the Directorate General of Nutrition and Maternal and
Child Health. Disbursement of BOK began from proposing Plan
of Actions (POA) from health centers to health office to verify
the funds and then proposing disbursement to KPPN. The fund
for implementing program could be taken from BOK treasurer.
The allocation of BOK at health centers was adjusted for the
number of working areas, population, program coverage and
geographical conditions. BOK was prioritized for health
promotion such as: maternal and child health, nutrition, body
mass index measurement, and communicable diseases. Per
April-June 2011, the fund for secretariat had been disbursed
about 40% used for dissemination, training and transport for
health center treasurer. Reporting of BOK conducted from
health center to health office was on every date 5 then
forwarded to the province and to the Ministry of Health every
month via online, as well as a written report to KPPN.
Conclusion: The implementation of BOK in Ogan Ilir referred
to the policy of the Ministry of Health and was followed up
with the policy of district health office. POA proposal is decisived
in the disbursement of BOK so it is recommended to the head
of Ogan Ilir District Health Office to routinely ensure
dissemination about BOK and guide all health centers in
preparation of POA for implementing policy effectively.
Keywords: financing policy, health operational fund, health
center