Author:
Nensi Kristin Ningsih
Affiliation:
Public Health Faculty and Universitas Airlangga, Indonesia
Keyword(s):
DHA, Strengthening Health System, Sustainability.
Abstract:
In 2000, the flow of national funds in Indonesia became increasingly complex, and so the nation needed to develop a tool (account) to make the measurements of the health expenditures easier. However, DHA development is often unsustainable, because there’s no government decision or term from government to make a team consisting of a cross-sector of disciplines. In Sampang, the referral system team was formed together with a DHA team and HR team in 2013. The problem that Sampang faced was about the culture of the community where self-referrals were high at 30%. The objective of this paper is to identify the sustainability of DHA implementation in Sampang. The data collection techniques in this paper have used secondary data. This paper give results, that Sampang already had DHA team, various data from SKPD/vertical institutions, and there is interaction between policy makers and DHA team. DHA has provided benefits for district, such as advocacy when additional health funding is needed,
and better health financing allocations, which will contribute to strengthening the health system in Sampang according to the specific needs there. The expected result is a recommendation for the government of Sampang to help them make DHA in Sampang sustainable.
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