Analysis of Mother and Child Health Financing Reform Program in Malaka, East Nusa Tenggara

Febriana Marieta Seran, Serlie K.A. Litik, Hyronimus A. Fernandez


Masters Program in Public Health, Universitas Nusa Cendana, Kupang



Background: In many countries, even the most basic health care is unavailable to the majority of women and children. Investments must target the inequities that prevent the most vulnerable people in society from accessing the health care they require, for example, by removing financial barriers and providing social health protection. The purpose of this study was to analyze mother and child health financing reform program in Malaka, East Nusa Tenggara.

Subjects and Method: This was a descriptive qualitative study. The data were obtained from regional financial document of Malaka district, East Nusa Tenggara. The flow of health expenditure was depicted in the district health account (DHA) instrument using MS Excel program. Data on the source of health cost, budget management, health service provider, type of health activity, health program, level of activity, and beneficiary were calculated by a Pivot table.

Results: East Nusa Tenggara provincial government established governor regulation No. 42/2009 about maternal and child health financing reform program. Total maternal and child health expenditure in Malaka district in 2016 was Rp 26,360,600,664. The highest proportion (63.60%) of health cost for maternal and child health service came from the district government. The highest health budget manager was carried out by the Malaka district government. Government’s health spending was dominated by transfers for sub-national expenditure. Maternal and child health service was delivered by Malaka district health office. Health budget was mostly spent in operational cost.

Conclusion: Malaka district government has shown its commitment in improving the quality of health service for mothers and children by providing sufficient maternal and child health financing. 

Keywords: health financing, maternal and child health, district health account

Correspondence: Febriana Marieta Seran. Masters Program in Public Health, Universitas Nusa Cendana, Kupang, East Nusa Tenggara. Email: Mobile: 081339035522.


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