Health Budget Refocusing Policy and its Implication for Achieving Minimum Service Standards: A Case Study in East Nusa Tenggara

Serlie Kristin Adriani Littik, Dominirsep Ovidius Dodo, Stefanus Pieter Manongga

Faculty of Public Health, Universitas Nusa Cendana, Kupang, East Nusa Tenggara, Indonesia



Background: Evidence shows that for countries to make progress towards UHC their health system needs to rely predominantly on public revenue sources. Budget allocations to health reflect political commitment, but effectively spending those funds the strength of the health system. In many countries, governments do not fully execute budget allocations for a variety of reasons, including deficiencies in public financial manage- ment. This study aimed to explore health budget refocusing policy and its implication for achieving minimum service standards.

Subjects and Method: This was a qualitative study with a phenomenological design. The study was conducted in Sumba District Health Office, Central Sumba, East Nusa Tenggara, Indonesia, from October 2020 to March 2021. Data was collected through semi-structured in-depth interview and focus group discussion, document review, and observation. Triangulation is done by comparing the results of interviews and focus group discussion. The data were analyzed using thematic analysis.

Results: The concept of budget refocusing was interpreted in various ways. Lack of instruction and coordination both internally and across sectors make planners do refocus according to their own perspective knowledge and abilities. Refocusing causes changes in activities, methods, time, budget, and personnel, and minimal standard service goals. Implementation of budget refocusing policy potentially creates new long and short terms problems within the health sector.

Kesimpulan: Arahan, komunikasi, dan koordinasi internal dan eksternal diperlukan untuk meningkatkan pencapaian target SPM.

Conclusion: Directions, communication, and internal and external coordination are needed to increase the achievement of minimal standard service targets.

Keywords: budget refocusing, minimum standards service, remote area

Correspondence: Serlie K.A. Littik. Public Health Faculty, University of Nusa Cendana. Jl. Adisucipto Penfui Kupang, East Nusa Tenggara, Indonesia. Email: Mobile: 081339100780.




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