Didimus Adiwijaya, Eri Witcahyo, Abu Khoiri

Gambaran Pengelolaan Program Bantuan Operasional Kesehatan (BOK) di Dinas Kesehatan Kabupaten Jember

Introduction

Gambaran pengelolaan program bantuan operasional kesehatan (bok) di dinas kesehatan kabupaten jember. Evaluasi pengelolaan program Bantuan Operasional Kesehatan (BOK) di Dinas Kesehatan Jember. Analisis penyerapan anggaran rendah, kendala implementasi, & rekomendasi.

Abstract

Health Operational Assistance (HOA) is a program aimed at funding promotive and preventive activities of national priority health programs. The absorption of the HOA budget for the 2021-2024 fiscal years was 24.21%, 69.43%, 80.81%, and 85.7%, respectively. This absorption isn’t yet considered good, with a percentage of <90% and impacting the reduction in the proposed allocation for the following fiscal year. This study used descriptive research. The respondents were the Head of the Public Health Division, the Head of the Planning and Finance Subdivision, and Public Health staff. Primary data for this study were obtained through interviews, while secondary data included the HOA Realization Report, the Decree of the Head of the Health Office concerning the HOA Management Team, and the Technical Guidelines for the Use of HOA Funds for 2021-2024. Data analysis used descriptive analysis. The results showed that the planning process used a bottom-up proposal method. The Health Office used the Decree of the Head of the Health Office concerning the Health Office's HOA Management Team in 2023. Implementation obstacles included the late determination of the Budget Implementation Document (BID) in March, which delayed activity implementation. Supervision was carried out by the Health Office, the Supreme Audit Agency (SAA), and the Regional Financial and Asset Management Agency (RFAM), as well as reviews by the Ministry of Health's Inspectorate General. This research suggests that the Health Office can further optimize program implementation, particularly for activities with low budget absorption, by improving cross-sectoral coordination and building harmonization with the legislature.

Review

This descriptive study investigates the management of the Health Operational Assistance (HOA/BOK) program within the Jember Regency Health Office, a crucial initiative for funding promotive and preventive health activities. The abstract highlights a concerning trend of sub-optimal budget absorption for HOA funds between 2021 and 2024, consistently remaining below the 90% target and leading to subsequent reductions in proposed allocations. Utilizing a descriptive research approach, the study gathered primary data through interviews with key personnel including the Head of the Public Health Division, Head of Planning and Finance, and Public Health staff, complemented by secondary data such as realization reports and technical guidelines. This foundational work aims to delineate the current state of HOA program management. The research provides valuable insights into several aspects of HOA program management. It details that the planning process employs a bottom-up proposal method, and formal governance is established through a Health Office Decree for the HOA Management Team. Crucially, the study identifies a significant implementation hurdle: the late determination of the Budget Implementation Document (BID) in March, which directly impedes timely activity execution. Furthermore, the abstract outlines a robust multi-layered supervision framework involving the Health Office, the Supreme Audit Agency (SAA), the Regional Financial and Asset Management Agency (RFAM), and reviews by the Ministry of Health's Inspectorate General. These findings offer a clear picture of the operational landscape, pinpointing specific areas of concern. While the descriptive nature of the study effectively maps out the current management practices and challenges, its primary strength lies in identifying tangible bottlenecks, particularly the recurring delay in BID determination. The observed sub-optimal budget absorption figures underscore the urgency of addressing these identified issues. The authors' suggestions, focusing on optimizing program implementation for low-absorption activities, enhancing cross-sectoral coordination, and fostering harmonization with the legislature, are directly relevant and well-aligned with the presented findings. Future research could build upon this foundation by exploring the root causes behind the late BID determination and evaluating the impact of implementing the suggested improvements, potentially employing qualitative or mixed-methods approaches to delve deeper into the systemic or political factors at play. This study serves as an important diagnostic tool for improving public health funding efficacy.

Full Text

Comments

You need to be logged in to post a comment.