Proceedings of the 5th International Conference on Indonesian Social and Political Enquiries, ICISPE 2020, 9-10 October 2020, Semarang, Indonesia

Research Article

Healthcare Deconcentration Program in the Karo District of Sumatra Utara Province

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  • @INPROCEEDINGS{10.4108/eai.9-10-2020.2304724,
        author={Februati  Trimurni and Erika  Revida and Dayana  Dayana},
        title={Healthcare Deconcentration Program in the Karo District of Sumatra Utara Province},
        proceedings={Proceedings of the 5th International Conference on Indonesian Social and Political Enquiries, ICISPE 2020, 9-10 October 2020, Semarang, Indonesia},
        publisher={EAI},
        proceedings_a={ICISPE},
        year={2021},
        month={3},
        keywords={regional autonomy deconcentration local government regional finance healthcare sector},
        doi={10.4108/eai.9-10-2020.2304724}
    }
    
  • Februati Trimurni
    Erika Revida
    Dayana Dayana
    Year: 2021
    Healthcare Deconcentration Program in the Karo District of Sumatra Utara Province
    ICISPE
    EAI
    DOI: 10.4108/eai.9-10-2020.2304724
Februati Trimurni1,*, Erika Revida1, Dayana Dayana1
  • 1: Universitas Sumatera Utara
*Contact email: februati@usu.ac.id

Abstract

This article aims to discuss the roles and urgency of the deconcentrated healthcare program at the district level. In order to discuss those issues, the decentralization perspective of Smith [1] is applied as the main theory. This study analyzes three themes, which are (1) how self-reliant is the region in healthcare sector financing, (2) responses of local governments regarding the role of the deconcentration programs, and (3) how is the contribution of the program to regional healthcare services. This research is a qualitative study using secondary data and in-depth interviews as the main data sources. The data analysis is conducted qualitatively by applying the triangulation method of data sources and applying data validation through credibility and conformity standards. This study finds that regional independence in healthcare sector financing is still low, the role of the program is still crucial for the region as well as the contribution of the programs can fill the gap of the local efforts on human resource development for medical and non-medical personnel. This study further recommends the need for the central government to plan and coordinate deconcentration programs with the regions so that future programs can better accommodate regional needs.