COMPILATION OF HEALTH BUDGET ANALYSIS

One of the variables to determine the growth of a nation is the Human Development Index (HDI), Maternal and Neonatal Mortality in as one of the benchmarks required to be met. Therefore, in health development in Indonesia, especially in the District Tulungagung decline Maternal and Infant mortality is a priority activity.Accelerated decline in Maternal and Neonatal Mortality Case (maternal deaths 8 people / year and 44 cases of infant death the soul / year; Dinkes 2008) carried out either by improving the quality of planning and budget allocation for KIBBLA from village to district level (including hospitals).  


There is a tendency for changes in policy priorities for Budget Allocation to Education and Health District. It is therefore necessary to analyze the budget allocation of health budgets in districts Tulungagung from all sources including the budget allocation of health development in related sectors and Workshop on Budget Analysis results. It is expected that future activity can improve the quality of healthcare in the county budget preparation Tulungagung, which in turn can improve the quality of care for KIBBLA. 

From Political aspects, Regent Tulungagung commitment to the development of the Health Sector in 2008 - 2013 is very positive. Regent's commitment is to be authorized for medical practitioners, Cross-Sector-related and the whole society, to realize the Vision and Mission Health Development in KabupatenTulungagung in the future, so my heart Motto INGANDAYA with SPIRIT Pillars friendly target will be achieved at a preset time.

Methodology 
The methodology used to develop the report are: data collection, tabulation and data processing, presenting data, discussion, data analysis, workshop the results of data analysis, and preparation, duplication and distribution of reportsAnalysis regarding the 2006 Health Budget ~ 2009di Tulungagung District.
 

Result Analysis: 
From the data collected, tabulated and analyzed, the conclusion:1. Percentage of budget allocation in Public Health with a total budget of sync. Allocation of funds for P2M and KIBBLA down from year to year, even though both of these activities is a priority activity. Allocation of activities will be prioritized for development and procurement Physical Alkes. One source who has not studied the budget is the cost of health services by community self-help and Private Parties.2. Condition of the budget at the General Hospital District Tulungagung: for KIBBLA allocation has increased from year to year along with increased revenue RS functional, however to further accelerate the standardization of facilities and programs pengingkatan prasara KIBBLA still needed assistance beyond the routine program. Implementation and budgeting SIMRS implemented gradually with increasing consideration of HR capability (computer operator and the ability of constituent programs / programmers for each activity).3. Role of UNICEF: UNICEF activities intended more for pilots pryek, model development and demonstration. This activity is not fully developed by the Region, primarily related to KIBBLA (angaran KIBBLA in APBD II tended to decrease).4. The PKK is more passive because it does not have its own allocation of funds, depending on the activities of many supporting sectors. Keiatan SMEs acquire the largest portion compared to other activities, and budget allocation for KIBBLA from 2006 ~ 2009 the trend was rising.5. Cross-Sector Roles involved in the implementation of Health Development is quite prominent. In terms of the health budget has increased but in terms of percentage of budget for SMEs, especially in KIBBLA percentage tends to decline. For physical activity, especially budgets go up to community water supply activities
 

Conclusion: 
1. Proportion of development budget that the Government's attention seems to realize the district health development is a priority in addition to education has been realized.
2. Funds derived from the Declaration was old enough to help the District Government District in the implementation of health programs, although the use of the budget is still dititik beratkan for physical activity (in hospitals) in addition to non-physical in both hospitals and the Health Department.
3. UNICEF assistance in the District Health untukprogram Tulungagung its trend tends to fall near the end of the period of cooperation. 
4. In general, the allocation for various activities, especially KIBBLA and Management (SIK and SIMRS development) is good enough.
 

Recommendation 
As a follow-up of the conclusions above, the recommended things as follows: 
1. Expected budget allocation proportionately APBD II implemented during those years between the sectors of health development program implementers in Tulungagung District.
2. Funds derived from the Declaration to the attention of the Central government to increase the allocation, because not all budget needs can be met by the District Government.
3. Continuing and developing activities that have been pioneered by UNICEF and its success has been felt, at other locations in the district through budget funds Tulungagung II or other possible sources. 
4. Giving higher priority for preventive and promotive activities, (in this case is the Promotion of Health, Maternal and Child Protection against Infectious diseases and KIBBLA) as referred to in policies, strategies and priorities issued by the Health Development Ministry of Health, Government of East Java Province and District Government in accordance Tulungagung Regent commitment.

Bappeda, District Tulungagung

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