The implementation of health operational cost management in reducing stunting in the Kalisat Community Health Centre, Jember Regency

Masilatul Khikmah, Yennike Tri Herawati, Ni'mal Baroya

Abstract


Background : BOK Funds are used to finance ten activities that promote and prevent health, including community health centre management and malnutrition reduction. Other sources of funding for stunting include the State Budget, the Local government budget, village funds, and the BOK. According to the 2018 Jember Regency BOK budget realization report, the average utilization of BOK funds by Jember Regency community health centres was 89.99%. This typical rate of absorption is regarded as satisfactory. This is not consistent with the increase in stunting, particularly at the Kalisat Community Health Centre, which increased by 25.07 % in 2019.

Objectives : The objectives of the study were: a) to evaluate the planning; b) to evaluate the mobilization and implementation; and c) to evaluate the supervision, control, and performance evaluation of BOK in reducing stunting.

Methods : Therefore, this study employed a qualitative methodology and case study research design. Informants involved in this research were the head of the community health center a person in charge of the BOK, secretary and a member of the BOK management, the head of administration, nutritionist at the community health center, and regional midwife. Completed research conducted in August of 2020. An interview guide, in-depth interviews were utilized to collect data.

Results : According to the study's found that the series of management activities were in accordance with the guidelines. Planning is carried out from the bottom up, Mobilization and Implementation are carried out through Lokmin, but Lokmin participants are often absent due to multiple tasks (e.g., there were several activities that did not go according to plan, particularly during the pandemic era, there were double jobs, and workshop participants were frequently late.) BOK is used to finance the operational costs of stunting prevention program activities.

Conclusions: Planning, mobilization, implementation and use of BOK funds are in accordance with guidelines and budget allocation. Mini workshops should be held at agreed times and take into account officers who have double jobs


Keywords


management of BOK;stunting;community health centre

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References


Indra J, Khoirunurrofik K. Understanding the role of village fund and administrative capacity in stunting reduction: Empirical evidence from Indonesia. PLoS One [Internet]. 2022;17(1 January):1–12. Available from: http://dx.doi.org/10.1371/journal.pone.0262743

Pusat Data dan Informasi Kemenkes RI. (2018). Situasi Balita Pendek (Stunting) di Indonesia. Buletin Jendela Data Dan Informasi Kesehatan, 53(9), 1689–1699

Darmawan ES, Sjaaf AC. Administrasi Kesehatan Masyarakat. Jakarta: Rajawali Press; 2016.

Saleh H, Ismail N, Adamy A. Hubungan Realisasi Anggaran Bantuan Operasional Kesehatan (BOK) dengan Cakupan Indikator Kesehatan Ibu di Aceh Periode 2013-2015.JUKEMA (Jurnal Kesehatan Masyarakat Aceh). 2018;4(2):339–48. DOI: https://doi.org/10.37598/jukema.v4i2

Dwijayanthi NMA, Subanda IN. Implementasi Kebijakan Bantuan Operasional Kesehatan dalam Prespektif Good Governance di Kabupaten Bangli. Jurnal Ilmu administrasi. 2017;9(1):28–45. DOI https://doi.org/10.31113/jia.v13i1.75

TNP2K RI. 100 Kabupaten/Kota Prioritas Untuk Intervensi Anak Kerdil (Stunting). Jakarta: Sekertariat Wakil Presiden RI; 2017.

TNP2K RI. Panduan Konvergensi Program/Kegiatan Percepatan Pencegahan stunting. TNP2K Sekr wakil Pres Republik Indones [Internet]. 2018;96. Available from: http://tnp2k.go.id/filemanager/files/Rakornis 2018/Panduan Konvergensi Program Kegiatan Percepatan Pencegahan Stunting.pdf

Susianti, Lisnawaty, Nurzalmariah WOS. Studi Tentang Pengelolaan Program Bantuan Operasional Kesehatan (BOK) Di Puskesmas Kulisusu Kabupaten Buton Utara Tahun 2017.JIMKESMAS Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat 2017;2(7):1–10.DOI 10.37887/jimkesmas.v2i7.3419

Kurniati DN, Ridwan, Kasim MY. Analisis Pengelolaan Dana Bantuan Operasional Kesehatan di Puskesmas Wilayah Kerja Dinas Kesehatan Kabupaten Sigi.eJurnal Katalogis 2019;6(3):139–50.

Otondi L, Aloo N, Kagwe P, Matekwa A, Miriti K, Njoki L, et al. Sustainable financing of AYSRH programs by local governments through the TCI model. Front Glob Women’s Heal. 2023;4(March):1–6.

Balgis, Muslimin, Yusnita N. Analisis Proses Pelaksanaan Anggaran Dana Bantuan Operasional Kesehatan ( BOK ) Pada Dinas Kesehatan Kabupaten Buol. e J Katalogis. 2018;6(3):20–9.

Naftalin F, Ayuningtyas D. Pemanfaatan Dana Bantuan Operasional Kesehatan Pada Puskesmas Kranji Di Kota Bekasi. Jurnal Bidang Kesehatan. 2020;10(1):95–103.DOI https://doi.org/10.52643/jbik.v10i1.823

Sserwanja Q, Adam OO, Mohamed EH, Adam MB, Mutisya LM. Implementation of community-based management of severe acute malnutrition in conflict affected regions: a case of South Kordofan, Sudan. Archives of Public Health. 2023;81(1):1–4.

Tiku S, Supodo T, Sunarsih. Hubungan Pemanfaatan Dana Bantauan Operasional Kesehatan dengan Cakupan Program Kesehatan Ibu di Kabupaten Konawe Selatan. Jurnal Ilmu Kebidanan (Scientific J Midwifery). 2020;6(1):75–84.

Renzaho AMN, Dachi G, Ategbo E, Chitekwe S, Doh D. Pathways and approaches for scaling-up of community-based management of acute malnutrition programs through the lens of complex adaptive systems in South Sudan. Arch Public Heal [Internet]. 2022;80(1):1–21. Available from: https://doi.org/10.1186/s13690-022-00934-y

Kementerian Kesehatan RI. Petunjuk Teknis Bantuan Operasional Kesehatan Tahun 2015. In Jakarta: Kementerian Kesehatan RI; 2015.

Putri DUP, Arisandi W. Studi Pemanfaatan Dana Bntuan Operasional Kesehatan ( BOK ) Terhadap Penurunan AKI / AKB Di Kota Bandar Lampung Tahun 2019. 2020;1(1):1–7.

Indrayani S, Sakka A, Paridah. Studi Pengelolaan Dana Bantuan Operasional Kesehatan (BOK) di Puskesmas Mokoau Kota Kendari Tahun 2017. JIMKESMAS (Jurnal Ilm Mhs Kesehat Masyarakat) [Internet]. 2017;2(7):1–11. Available from: http://ojs.uho.ac.id/index.php/JIMKESMAS/article/view/3420

Laeliyah SN, Nadjib M. Hubungan Pemanfaatan Dana Bantuan Operasional Kesehatan (BOK) dengan Peningkatan Cakupan Kunjungan Antenatal K4 di Puskesmas Kota Serang Tahun 2014-2016. Jurnal Kebijakan Kesehatan Indonesia. 2017;6(3):115.DOI https://doi.org/10.22146/jkki.v6i3.29666

Taufiqi SSP, Jati SP, Fatmasari EY. Analisis Pemanfaataan Dana Bantuan Operasional Kesehatan (Bok) Di Puskesmas Jetak Kabupaten Semarang. Jurnal Kesehatan Masyarakat 2020;8(1):9–15. DOI https://doi.org/10.14710/jkm.v8i1.25195

Zaidi S, Das JK, Khan GN, Najmi R, Shah MM, Soofi SB. Food supplements to reduce stunting in Pakistan: A process evaluation of community dynamics shaping uptake. BMC Public Health. 2020;20(1):1–11.




DOI: http://dx.doi.org/10.21927/jnki.2023.11(4).335-348

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