e-ISSN 2598-3849       print ISSN 2527-8878

Vol 5, No 2 (2020)

Hubungan Realisasi Alokasi Dana Kesehatan dan Pemanfaatan Pelayanan Kesehatan Ibu di Indonesia

Izzun Nafiah

Abstract


Abstrak

Peningkatan pemanfaatan pelayanan kesehatan ibu merupakan sasaran penting bagi pemerintah Indonesia untuk meningkatkan pencapaian target SDGs. Dana yang dianggarkan untuk bidang kesehatan paling sedikit 5% dari APBN dan 10% dari APBD tidak termasuk gaji. Besaran Ini lebih kecil dibandingkan negara-negara dalam kategori berpenghasilan rendah, sedangkan WHO menunjukkan bahwa peningkatan alokasi dana kesehatan memiliki hubungan positif dengan derajat kesehatan masyarakat. Oleh karena itu, penelitian ini bertujuan untuk mengetahui apakah terdapat hubungan antara realisasi alokasi dana kesehatan dengan pemanfaatan pelayanan kesehatan ibu di Indonesia. Sumber data dari SDKI 2017 dan statistik keuangan pemerintah provinsi. Variabel terikat yang digunakan adalah kunjungan ANC, persalinan di sektor publik, dan PNC dalam waktu dua bulan setelah persalinan. Variabel bebas utama adalah realisasi alokasi dana kesehatan dan karakteristik sosial ekonomi sebagai variabel kontrol. Dengan analisis regresi logistik biner, hasil penelitian ini menunjukkan bahwa semakin tinggi realisasi alokasi dana kesehatan, semakin besar kecenderungan ibu menggunakan layanan kesehatan pada tahap antenatal care dan postnatal care, namun mengurangi kecenderungan ibu untuk memanfaatkan persalinan di sektor publik.

Abstract

Increasing the utilization of maternal health services is an important target for the Indonesian government to increase the achievement of the SDGs targets. Funds budgeted for the health sector are at least 5% of the APBN and 10% of APBD excluding salaries. This is smaller than countries in the low-income category, while WHO shows that an increase in the allocation of health funds has a positive relationship with the degree of public health. Therefore, this study aims to determine whether there is a relationship between the realization of health fund allocation and the utilization of maternal health services in Indonesia. Data source from the 2017 IDHS and provincial government financial statistics. The dependent variables used were the ANC visits, delivery in the public sector, and PNC within two months after delivery. The main independent variable is the realization of health funds and socio-economic characteristics as control variables. With binary logistic regression analysis, the results of this study indicate that the higher the realization of health funds allocation, the more likely the mother is to use maternal health services at the antenatal care and postnatal care stages but reduces the possibility of utilizing childbirth in the public sector.


Keywords


dana kesehatan; pelayanan kesehatan ibu

References


Adewuyi, E. O., Auta, A., Khanal, V., Bamidele, O. D., Akuoko, C. P., Adefemi, K., Tapshak, S. J., & Zhao, Y. (2018). Prevalence and factors associated with underutilization of antenatal care services in Nigeria: A comparative study of rural and urban residences based on the 2013 Nigeria demographic and health survey. PloS one, 13(5), e0197324. https://doi.org/10.1371/journal.pone.0197324

Adhikari, R. P., Shrestha, M. L., Satinsky, E. N., & Upadhaya, N. (2021). Trends in and determinants of visiting private health facilities for maternal and child health care in Nepal: comparison of three Nepal demographic health surveys, 2006, 2011, and 2016. BMC pregnancy and childbirth, 21(1), 1. https://doi.org/10.1186/s12884-020-03485-8

Agbanyo, Richard. (2020). Ghana's national health insurance, free maternal healthcare and facility‐based delivery services. African Development Review. 32. 27-41. 10.1111/1467-8268.12412.

Ali, Balhasan & Chauhan, Shekhar. (2020). Inequalities in the utilisation of maternal health Care in Rural India Evidences from National Family Health Survey III & IV. BMC Public Health. 20. 1-13. 10.1186/s12889-020-08480-4.

Ali, Imtiyaz & Akhtar, Saddaf & Chauhan, Bal & Malik, Manzoor & Singh, Kapil. (2020). Health Insurance Support on Maternal Health Care: Evidence from Survey Data in India. 10.1101/2020.10.20.20216093.

Ali, Pungkas B. (2019). Draft Awal Rancangan RPJMN Teknokratik 2020-2024: Pembangunan Kesehatan. Jakarta: Bappenas

Anindya, K., Lee, J. T., McPake, B., Wilopo, S. A., Millett, C., & Carvalho, N. (2020). Impact of Indonesia's national health insurance scheme on inequality in access to maternal health services: A propensity score matched analysis. Journal of global health, 10(1), 010429. https://doi.org/10.7189/jogh.10.010429

Arthur, Eric. (2012). Wealth and antenatal care Use: implications for maternal health care utiliation in Ghana. Health economics review. 2. 14. 10.1186/2191-1991-2-14.

Badan Penelitian dan Pengembangan Kesehatan. (2018). Laporan Nasional Riskesdas 2018. Jakarta: Kemenkes RI. http://labdata.litbang.kemkes.go.id/images/download/laporan/ RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf

Bappenas. (2018). Roadmap of SDG’s Indonesia: A Highlight. Jakarta: Bappenas

Barman, B., Jay Saha, Pradip Chouhan. (2020). Impact of Education On the Utilization Of Maternal Health Care Services: An Investigation From National Family Health Survey (2015-16) In India. Children and Youth Services Review. Vol. 108 https://doi.org/10.1016/j.childyouth.2019.104642

Biswas, Raaj & Rahman, Nusma & Islam, Humayera & Senserrick, Teresa & Bhowmik, Jahar. (2020). Exposure of mobile phones and mass media in maternal health services use in developing nations: evidence from Urban Health Survey 2013 of Bangladesh. Contemporary South Asia. 1-14. 10.1080/09584935.2020.1770698.

Das, Sushmita & Alcock, Glyn & Azad, Kishwar & Kuddus, Abdul & Manandhar, Dharma & Shrestha, Bhim & Nair, Nirmala & Rath, Shibanand & Shah More, Neena & Saville, Naomi & Houweling, Tanja & Osrin, David. (2016). Institutional delivery in public and private sectors in South Asia: A comparative analysis of prospective data from four demographic surveillance sites. BMC pregnancy and childbirth. 16. 273. 10.1186/s12884-016-1069-7.

Dominirsep Ovidus Dodo. (2012). Analisis pembiayaan program kesehatan ibu dan anak bersumber pemerintah dengan pendekatan health account di Kabupaten Sabu Raijua Provinsi Nusa Tenggara Timur. March, 1–79. https://doi.org/10.22146/jkki.v1i1.3071

Fatema, Kaniz & Lariscy, Joseph. (2020). Mass media exposure and maternal healthcare utilization in South Asia. SSM - Population Health. 11. 100614. 10.1016/j.ssmph.2020.100614.

Igbinoba, A.O., Soola, E., Omojola, O., Odukoya, J., Adekeye, O., & Salau, O. (2020). Women’s mass media exposure and maternal health awareness in Ota, Nigeria. Cogent Social Sciences, 6.

Iqbal, W., Basri, M. H., & Budiwibowo, L. (2017). Pengeluaran Rumah Tangga untuk Biaya Kesehatan di Pulau Jawa Dibandingkan dengan Luar Pulau Jawa. Jurnal Kesehatan Masyarakat Andalas, 11(1), 19–25

Islam, M. M., & Masud, M. S. (2018). Health care seeking behaviour during pregnancy, delivery and the postnatal period in Bangladesh: Assessing the compliance with WHO recommendations. Midwifery, 63, 8–16. https://doi.org/10.1016/j.midw.2018.04.021

Katz, E., Blumler, J., & Gurevitch, M. (1973). Uses and Gratifications Research. The Public Opinion Quarterly, 37(4), 509-523. Retrieved March 10, 2021, from http://www.jstor.org/stable/2747854

Kemenkes RI. (2011). Rencana Strategis Kementerian Kesehatan Republik Indonesia Tahun 2015-2019. Jakarta: Kemenkes RI

Kemenkes RI. (2015). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK. 02.02/MENKES/66/2015 Tentang Alokasi Anggaran Dana Dekonsentrasi Dan Tugas Pembantuan Pelaksanaan Program Pembangunan Kesehatan DI Provinsi Dan Kabupaten/Kota Tahun 2015. http://www.hukor.depkes.go.id/uploads/produk_hukum/KMK_No._HK_.02_.02-MENKES-66-2015_ttg_Alokasi_Dana_DEKON_Kabupaten_Kota_2015_.pdf

Kemenkes RI. (2018). Peraturan Menteri Kesehatan Republik Indonesia Nomor 59 tahun 2017 tentang Petunjuk Teknis Penggunaan Dana Dekonsentrasi Kementrian Kesehatan tahun Anggaran 2018.

Kesuma, Zurnila M. & Virasakdi C. (2014). Utilization of the Local Government Health Insurance Scheme (JKA) for Maternal Health Services Among Woman Living in Underdeveloped Areas of Aceh Province, Indonesia. Asia-Pacific Journal of Public Health. 27 (3): 348-359

Kibusi, S. M., Sunguya, B. F., Kimunai, E., & Hines, C. S. (2018). Health insurance is important in improving maternal health service utilization in Tanzania-analysis of the 2011/2012 Tanzania HIV/AIDS and malaria indicator survey. BMC health services research, 18(1), 112. https://doi.org/10.1186/s12913-018-2924-1

Kim, Soojin & Kim, Sun-Young. (2019). Exploring factors associated with maternal health care utilization in Chad. Journal of Global Health Science. 1. 10.35500/jghs.2019.1.e31.

Kruk, Margaret E, Sandro Galea, Marta Prescott & Lynn P Freedman. (2007). Health Care Financing and Utilization of Maternal Health Services in Developing Countries. Health Policy and Planning. (22): 303-310 doi:10.1093/heapol/czm027

Kusuma D, Cohen J, McConnell M, Berman P. (2016). Can Cash Transfers Improve Determinants of Maternal Mortality? Evidence from The Household and Community Programs in Indonesia. Soc Sci Med (163): 10-20. Doi:10.1016/j.socscimed.2016.06.020

Mumtaz S, Bahk J, Khang Y-H (2019) Current status and determinants of maternal healthcare utilization in Afghanistan: Analysis from Afghanistan Demographic and Health Survey 2015. PLoS ONE 14(6): e0217827. https://doi.org/ 10.1371/journal.pone.0217827

Nababan, Herfina Y, Md Hasan, Tiara M., Rolina D., Aminur R. & Iqbal A. (2017). Trends and Inequities in Use of Maternal Health Care Services in Indonesia 1986-2012. 2018. International Journal of Women’s Health (10): 11-24

Pomeroy, A.M., Koblinsky, M., & Alva, S. (2010). Private Delivery Care in Developing Countries: Trends and Determinants.

Riset Kesehatan Dasar (Riskesdas). 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementerian RI

Rout, Sarit & Sundar Sahu, Kirti & Mahapatra, Sandeep. (2019). Utilization of health care services in public and private healthcare in India: Causes and determinants. International Journal of Healthcare Management. 1-8. 10.1080/20479700.2019.1665882.

Sanogo, N.A., & Yaya, S. (2020). Wealth Status, Health Insurance, and Maternal Health Care Utilization in Africa: Evidence from Gabon. BioMed Research International, 2020. doi:10.1155/2020/4036830

Sekretaris Jenderal Kementerian Kesehatan RI. (2019). Evaluasi Anggaran Kesehatan. Jakarta: Kementerian Kesehatan RI

Survei Demografi dan Kesehatan Indonesia (SDKI). (2017). Jakarta: BKKBN, BPS, Kementerian Kesehatan dan ICF International

Wang, W., Temsah, G., & Mallick, L. (2017). The impact of health insurance on maternal health care utilization: evidence from Ghana, Indonesia and Rwanda. Health policy and planning, 32(3), 366–375. https://doi.org/10.1093/heapol/czw135

World Health Organization. (2010). WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience. Switzerland: WHO

World Health Organization. (2010). Health Systems Financing the Path to Universal Coverage. Switzerland: WHO

World Health Organization. (2010). WHO Global Health Expenditure Atlas. Switzerland: WHO

World Health Organization. (2014). WHO Global Health Expenditure Atlas. Switzerland: WHO

Yusman, M., Basri, M. H., & Lazuardi, L. (2012). Analisis Anggaran Program Prioritas KIA di Dinkes Kab. Lingga Prov. Kepri Tahun 2009 -2010. Kki Ugm, 01(04), 224–234.

Zhao, P., Han, X., You, L., Zhao, Y., Yang, L., & Liu, Y. (2020). Maternal health services utilization and maternal mortality in China: a longitudinal study from 2009 to 2016. BMC pregnancy and childbirth, 20(1), 220. https://doi.org/10.1186/s12884-020-02900-4


Full Text: PDF

DOI: 10.7454/eki.v5i2.3980

Refbacks

  • There are currently no refbacks.