ANALISIS PEMBIAYAAN PROGRAM KESEHATAN IBU DAN ANAK BERSUMBER PEMERINTAH DENGAN PENDEKATAN HEALTH ACCOUNT DI KABUPATEN SABU RAIJUA PROVINSI NUSA TENGGARA TIMUR

Background:The degree of Maternal and Child Health (MCH) is still a major problem in health development in Indonesia. One factor that may be an obstacle in solving this problem is the limited of cost. In this context, planning and utilization cost are essential for repaired, so that can produce a great impact for the improvement of maternal and child health. Therefore, the required in-depth information about the financing situation of MCH in area as an input to develops efficient activities in improving the maternal and child health status. Objectives:Analyze health financing situation of MCH program in the year 2010 which sourced from government and make policy recommendations related to it in SabuRaijua District, East Nusa Tenggara Province. Situation in question is the availability, budget planning process, accuracy of expenditure, and fund flow velocity. Method: This research is a descriptive research by using case study strategy. Result:The total cost of MCH program is Rp 450,787,500. It is not sufficient to provide basic health services for pregnant women from early pregnancy until puerperium. Financing of MCH program by the central government amounting to 79.63%, 3.56% of the provincial government and district government of 16.78%. Cost allocation of the district budget 0.80%. Planning activities of MCH program of district budget made through the development planning meeting (Musrenbang). Proposed activities in Musrenbang are dominated by physical activity. The cost of MCH program is more spent on direct activities for operational cost in villages and sub districts. Implementation activities are not supported by facilities and adequate human resources. Disbursement fund of central government was conducted in October-November while the local government districts and provinces in the month of July to August. Conclusion: Government's commitment is still low in the financing of MCH program as a priority program. Decentralization of the budget has been happen in the MCH program. Musrenbang activities have not demonstrated significant effects towards quality activities improvement and budget allocations from the district budget. Availability of personnel and health facilities greatly affect the performance of MCH program. Delays in disbursement of funds disrupt the implementation of activities and provide opportunities occur of abuse/corruption, so that the function of supervision must be improved both internal and external