Analisis Proses Perencanaan dan Penganggaran Program Kesehatan Ibu dan Anak (KIA) di Dinas Kesehatan Kabupaten Deli Serdang Tahun 2014
ABSTRAK
Peningkatan Kesehatan Ibu dan Anak (KIA) merupakan salah satu agenda
penting dalam Millenium Development Goals (MDGs) yaitu pada tujuan keempat dan
kelima. Program KIA secara nasional merupakan salah satu prioritas program dalam
pembangunan kesehatan di Indonesia, demikian juga di Kabupaten Deli Serdang.
Adanya fenomena fluktuasi masalah KIA yang disinergiskan dengan terbatasnya
porsi anggaran, serta masih lemahnya proses perencanaan dan penganggaran program
KIA di Kabupaten Deli Serdang
Penelitian ini merupakan penelitian kualitatif bertujuan menganalisis
perencanaan dan penganggaran program KIA di Dinas Kesehatan Kabupaten Deli
Serdang. Informan dalam penelitian ini adalah seluruh unsur yang terlibat dalam
proses perencanaan dan penganggaran program KIA terdiri dari: (1) unsur pemerintah
desa/kelurahan, (2) pemerintah kecamatan, (3) Tim Anggaran Pemerintah Daerah
(Bappeda, Dinas Pengelolaan Keuangan dan Badan Administrasi Pembangunan) (4)
DPRD Kabupaten Deli Serdang Komisi D, (5) Kepala Puskesmas dan (6) Dinas
Kesehatan Kabupaten Deli Serdang. Analisis data dilakukan secara kualitatif dengan
teknik analisa Spradley
Hasil penelitian menunjukkan
proses perencanaan dan penganggaran
program KIA di Dinas Kesehatan Kabupaten Deli Serdang belum menggunakan
pedoman P2KT bidang kesehatan dan belum sepenuhnya menerapkan perencanaan
dan anggaran berbasis kinerja. Analisa situasi, perumusan masalah dan penetapan
tujuan program belum menggunakan metode yang dapat mengakomodir kebutuhan
sebenarnya, dan alokasi anggaran program KIA masih belum prioritas dibandingkan
bidang lain
Disarankan agar sepenuhnya menerapkan perencanaan dan penganggaran
berbasis kinerja, peningkatan peran aktif kader dan desa siaga aktif, analisa situasi
dan perumusan masalah menggunakan metode yang dapat mengakomodir kebutuhan
yang sebenarnya, dan perlu ada pendidikan dan pelatihan teknis penyusunan program
KIA serta perlunya peran aktif pengelola program KIA dalam mempertahankan
usulan program.
Kata Kunci : Perencanaan, Penganggaran, Program KIA
ABSTRACT
The improvement in KIA (Health of Maternal and Child) is one of the
important agendas in the Millenium Development Goals (MGDs); that is, the fourth
and the fifth goals. Nationally, KIA program is one of the program priorities in
developing health in Indonesia, as it is in Deli Serdang District. The phenomena of
the fluctuation in KIA problem is synergized by the limitation of budget and the
weakness in the planning and budgeting process of KIA program in Deli Serdang
District.
The research used qualitative method which was aimed to analyze the
planning and budgeting of KIA program at the Health Service of Deli Serdang
District. The informants were all personnel that were involved in the planning and
budgeting process of KIA program. They consisted of I) Members of Village
Administration, 2) Subdistrict Administration, 3) Budget Team of Local
Administration (Bappeda, Financial Management Service, and Development
Administrative Board, 4) DPRD Commission D of Deli Serdang District, 5) Heads of
Puskesmas, 6) and the Health Service of Deli Serdang District. The data were
analyzed qualitatively with Spradley analysis technique.
The result of the research showed that the planning and budgeting process of
KIA program in the Health Service of Deli Serdang District did not use the guidelines
recomended by P2KT in health field. Situation analysis, problem formulation, and
determination of the objective of the program in the planning process of KIA
program was not done in scientific approach and was not based on people 's need.
Besides that, objective data and budget allocation for KIA program was not
proportional with budget allocation for other fields because of the budget limit
allocated by the Health Service of Deli Serdang District.
It recomended that could be all apllying the planning and budgetting for
performance's based, increasing the active participation of cadres and active
standbyvillage, situation analysis and problem formulation of KIA program should be
based on scientific and objective formulas by using the method which can
accommodate the real need for KIA program. Education and technical traning in
organizing KIA program for KIA and need for an active role the KM Programs
Managers, and could be maintaining the proposed program.
Keyword: Planning, Budgeting, KM Program
Peningkatan Kesehatan Ibu dan Anak (KIA) merupakan salah satu agenda
penting dalam Millenium Development Goals (MDGs) yaitu pada tujuan keempat dan
kelima. Program KIA secara nasional merupakan salah satu prioritas program dalam
pembangunan kesehatan di Indonesia, demikian juga di Kabupaten Deli Serdang.
Adanya fenomena fluktuasi masalah KIA yang disinergiskan dengan terbatasnya
porsi anggaran, serta masih lemahnya proses perencanaan dan penganggaran program
KIA di Kabupaten Deli Serdang
Penelitian ini merupakan penelitian kualitatif bertujuan menganalisis
perencanaan dan penganggaran program KIA di Dinas Kesehatan Kabupaten Deli
Serdang. Informan dalam penelitian ini adalah seluruh unsur yang terlibat dalam
proses perencanaan dan penganggaran program KIA terdiri dari: (1) unsur pemerintah
desa/kelurahan, (2) pemerintah kecamatan, (3) Tim Anggaran Pemerintah Daerah
(Bappeda, Dinas Pengelolaan Keuangan dan Badan Administrasi Pembangunan) (4)
DPRD Kabupaten Deli Serdang Komisi D, (5) Kepala Puskesmas dan (6) Dinas
Kesehatan Kabupaten Deli Serdang. Analisis data dilakukan secara kualitatif dengan
teknik analisa Spradley
Hasil penelitian menunjukkan
proses perencanaan dan penganggaran
program KIA di Dinas Kesehatan Kabupaten Deli Serdang belum menggunakan
pedoman P2KT bidang kesehatan dan belum sepenuhnya menerapkan perencanaan
dan anggaran berbasis kinerja. Analisa situasi, perumusan masalah dan penetapan
tujuan program belum menggunakan metode yang dapat mengakomodir kebutuhan
sebenarnya, dan alokasi anggaran program KIA masih belum prioritas dibandingkan
bidang lain
Disarankan agar sepenuhnya menerapkan perencanaan dan penganggaran
berbasis kinerja, peningkatan peran aktif kader dan desa siaga aktif, analisa situasi
dan perumusan masalah menggunakan metode yang dapat mengakomodir kebutuhan
yang sebenarnya, dan perlu ada pendidikan dan pelatihan teknis penyusunan program
KIA serta perlunya peran aktif pengelola program KIA dalam mempertahankan
usulan program.
Kata Kunci : Perencanaan, Penganggaran, Program KIA
ABSTRACT
The improvement in KIA (Health of Maternal and Child) is one of the
important agendas in the Millenium Development Goals (MGDs); that is, the fourth
and the fifth goals. Nationally, KIA program is one of the program priorities in
developing health in Indonesia, as it is in Deli Serdang District. The phenomena of
the fluctuation in KIA problem is synergized by the limitation of budget and the
weakness in the planning and budgeting process of KIA program in Deli Serdang
District.
The research used qualitative method which was aimed to analyze the
planning and budgeting of KIA program at the Health Service of Deli Serdang
District. The informants were all personnel that were involved in the planning and
budgeting process of KIA program. They consisted of I) Members of Village
Administration, 2) Subdistrict Administration, 3) Budget Team of Local
Administration (Bappeda, Financial Management Service, and Development
Administrative Board, 4) DPRD Commission D of Deli Serdang District, 5) Heads of
Puskesmas, 6) and the Health Service of Deli Serdang District. The data were
analyzed qualitatively with Spradley analysis technique.
The result of the research showed that the planning and budgeting process of
KIA program in the Health Service of Deli Serdang District did not use the guidelines
recomended by P2KT in health field. Situation analysis, problem formulation, and
determination of the objective of the program in the planning process of KIA
program was not done in scientific approach and was not based on people 's need.
Besides that, objective data and budget allocation for KIA program was not
proportional with budget allocation for other fields because of the budget limit
allocated by the Health Service of Deli Serdang District.
It recomended that could be all apllying the planning and budgetting for
performance's based, increasing the active participation of cadres and active
standbyvillage, situation analysis and problem formulation of KIA program should be
based on scientific and objective formulas by using the method which can
accommodate the real need for KIA program. Education and technical traning in
organizing KIA program for KIA and need for an active role the KM Programs
Managers, and could be maintaining the proposed program.
Keyword: Planning, Budgeting, KM Program