Professional Documents
Culture Documents
Many hope that the decentralization in Indonesia, that has lasted for 16 years, will result in
improvements on the quality of public services and the use of public budget for the benefits
of society. Rooms of creativity will give regional government (Pemda) opportunities to
innovate the open public services. Sometimes it has to be started from societys response that
controls the management of public services. However, generally people need to be reminded
of their rights to receive these services.
Improvement on health services is one of many important issues that require peoples
awareness massively, especially in the level of communities from the second half of the first
decade of the 2000s. The two main objectives of the health programs are: (1) strengthening
societys awareness, whether it is in the level of communities, media and universities, to
understand more about their rights to health services and the responsibility of the government
as the administrator; (2) bolstering the enhancement of regional governments capacity to
develop mechanisms and service programs to be better in quality, and easier to access.
PATTIROs several important achievements are as follow:
1. Improving the civil societys knowledge and capacity in participating in the planning,
budgeting, administration, and monitoring of health programs. Civil society is able to
convey demands/suggestions/complaints to government and local district parliament
(DPRD) so that health policies may solve the existing imbalance. Enhancement is carried
out through training, health budget analysis workshops, surveys and joint researches with
society on health services, discussions on the enhancement of Integrated Services Post
(Posyandu), public hearings and audiences on policy and budget making, promotion of
rights for health services through mass media, the writing of a book about the
achievements of health quality, and many more.
2. More government administrators act accountably by publishing various policies to meet
societys needs and demands regarding the imbalance of health services. This effort is
executed through workshop of composing the Health Service Standards, giving
recommendations on health service system to the government (Puskesmas or community
health centers; Dinas Kesehatan or Local Health Agency; Bappeda or Regional
Development Agency; and local parliamentarians or DPRD), suggesting budget allocation
to improve health services and many more.
3. Increasing budget allocations and improvements on health service infrastructures. PATTIRO
ensures that the budget is sufficient for delivering the services through joint identification
the society, analyzing the APBD, public campaigns, dialogue with policy makers, and
advocacy to influence the process of budget policy making.
Description of
Result
Region/
1.
2.
3.
Intervention
Health Budget Advocacy
Together with Members
of Posyandu
Communication Forum
(FKKP) advocating an
increase in budget
allocation for Posyandu.
Year
Budget allocation for Posyandu in APBD started to
increase since 2008. Before (2005-2007), only IDR
600.000 for each Posyandu. Since 2008 it became IDR
900.000; IDR 1,2 million (2009 - 2010); IDR 1,8
million (2011 - 2012); IDR 2 million (2013); and IDR
2,5 million (2014)
Surakarta
City,
2008 2014
Pekalong
an
Regency,
20092010
Advocacy to increase
budget allocation for
Social Health Insurance
in Semarang City
Semarang
City,
2010 now
Advocation on Banda
Aceh City Health
Program Planning and
Budgeting
Banda
Aceh
City,
2014
PATTIRO encourages
policies about Health
Insurance in Pekalongan
City. The practices of
assisting society in
accessing health services
are suggested to be
sustainable through
policies.
Pekalong
an City,
2010
Surakarta
City,
20132014
2010 2014
Facilitating the
establishment initiation
of Members of Posyandu
Communication Forum
(FKKP) in Surakarta City
since 2008.
Pekalong
an City,
2008 now
Surakarta,
2008
Pekalong
an City,
2012 now
Jeneponto
Regency,
2012
1 Access
2 Access
Phase II
Jeneponto
Regency,
2013
Lebak
Regency,
2008
Magelang
Regency,
2008
Lebak
Regency,
2008
Facilitating the
establishment of
Community Centers in 82
villages and the Tunatea
Crisis Center (LPM) in
Jeneponto Regency.
Jeneponto
regency,
2012 until
now.
NTB
Province,
Maternal immortality rate along 2013 in Banten Province was as much as 216 individuals per
100.000 births, or in other words in every 100.000 births there were at least 216 mothers died due
to complication and the process of giving birth (33 cases in Lebak Regency, 35 in Pandeglang
Regency, 57 in Serang Regency, 39 in Tangerang Regency, 12 in the Cilegon, 17 in the Serang, 9 in
Tangerang and 9 in South Tangerang (Tangsel). Around 60 percent from 35.000 babies that were
born in Lebak Regency, had their process of birth helped by Paraji, because there were not many
midwives in this area. Source: Harian Pelita edition 24 November 2014. Link:
http://www.pelita.or.id/baca.php?id=30105.
communities.
20122013
Semarang
City,
20102011
Facilitating Knowledge,
Attitude and Practice
(KAP) researches on
Surakarta Citys Public
Service User Society
Surakarta
City,
2012
Surakarta
City,
2012
PATTIRO Facilitated
Trainings on Voluntary
Counseling and Testing
(VCT) Contagious Sexual
Infection (IMS) in
Jeneponto Regency.
Jeneponto
Regency,
2014
Activities
are
funded by
APBD
Facilitating the
Formulation of Minimum
Service Standards (SPM)
for Health Services.
Surakarta
City,
2008
Surakarta
City,
2013
Surakarta
City,
2013
Reflection. Huge imbalance still exists between efforts performed by regional government
with the hopes/needs of the society regarding health services. One of the reasons is that the
policy of decentralization that shifted the responsibilities for health affairs from central
government to regional government was not followed by the balance of its budget
management.