ABSTRACT: This study aims to describe and analyze the supporting factors and inhibiting factors for the
implementation of BLUD financial management policies at Poso Hospital and the implementation model of
BLUD financial management policies at Poso Hospitals. In implementing the vision and mission, it was found
that in improving the quality of health services through the provision of medical personnel (specialist doctors,
special nurses) by building cooperation with universities. Provision of infrastructure for. Improving the welfare
of Poso Hospital employees. However, several problems were found in the form of improving employee welfare
in the form of medical services that do not yet have standard rules in the governance process so that they are
prone to irregularities. In addition, the Poso Hospital infrastructure, especially the availability of rooms and
some medical equipment, is still limited so that patients affect community services.
One of the supporting factors is the availability of the Poso Regional Hospital Development Location and the
availability of pediatric surgeons that are not owned by other hospitals in the Central Sulawesi region. The
inhibiting factor that makes it difficult to implement the BLUD RSUD Poso policy is the weakness of the
budget supervisor, which is proven by the corruption of Medical Devices in the 2013 fiscal year. In addition, the
evaluation of the local government towards the officials managing the BLUD RSUD Poso is very weak, even
especially in the quality assurance of health service activities.
Adjusting the need for medical medical devices that support the implementation of health services so as to
maximize human resources with health infrastructure. Evaluation of service performance (medical personnel)
and officials managing the Poso Regional Hospital on a regular basis so that from the results of the evaluation
by the local government action can be taken to determine budget needs and service quality
KEYWORDS: policy, management, supporters, barriers, hospital
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1) The regional health insurance program Jamkesda continued operating, though some residents enrolled in the national program JKN/Health BPJS. Barriers to JKN implementation included insufficient health workers and their lack of knowledge about the new program.
2) Efforts were made to improve health facilities and transition members from other insurance programs to JKN. Local regulations on health insurance standards and funds were also established.
3) While health worker numbers increased in some areas between 2013-2014, overall the district still lacked specialists, doctors, nurses and midwives compared to
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This document summarizes a study on the decentralization of health care services through the implementation of the Regional Health Insurance (Jamkesda) program in Malang Regency, East Java, Indonesia. The study finds that Jamkesda implementation in Malang Regency was a response to provincial regulations rather than an initiative by the local government. As a result, the local government's commitment and consistency in implementing Jamkesda has been weak. This weak commitment and inconsistency are the main constraints on Jamkesda implementation in Malang Regency. The study aims to describe the decentralization process of Jamkesda in Malang Regency and identify the driving and constraining factors.
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Improving the quality of health services at the primary level is very important to reduce the burden of services which will be covered hospital when the BPJS program applied. The aimed of this study is to describe the implementation of the program of BPJS in Public Health Center (PHC) Martapura. This study was a qualitative research with case study design. The informants are the head of PHC and manager program were taken by purposive sampling. Data were collected through interviews using in-depth interview guide. Result of this study was since the enactment BPJS January 1, 2014, Banjar Regency Health Office only once to disseminate ie in March 2014. This makes the health center to get the barriers in the field of the sustainability of the information obtained from the health department with the information captured on the official website BPJS. Another barriers was the disbursement claims that have not been implemented which should have been right to health centers for services provided. Support from the health department and BPJS needed to inform about the national health insurance program regularly to health centers so that health centers do not confusion in implementing the program.
The implementation of BPJS health program At public health center martapura i...irjes
Improving the quality of health services at the primary level is very important to reduce the burden of services which will be covered hospital when the BPJS program applied. The aimed of this study is to describe the implementation of the program of BPJS in Public Health Center (PHC) Martapura. This study was a qualitative research with case study design. The informants are the head of PHC and manager program were taken by purposive sampling. Data were collected through interviews using in-depth interview guide. Result of this study was since the enactment BPJS January 1, 2014, Banjar Regency Health Office only once to disseminate ie in March 2014. This makes the health center to get the barriers in the field of the sustainability of the information obtained from the health department with the information captured on the official website BPJS. Another barriers was the disbursement claims that have not been implemented which should have been right to health centers for services provided. Support from the health department and BPJS needed to inform about the national health insurance program regularly to health centers so that health centers do not confusion in implementing the program.
This document provides an overview and summary of key findings from a report on local authorities' preparedness to take on new public health responsibilities in 2013. The report assessed how local authorities define public health, which public health issues they have prioritized based on population needs assessments, their existing public health expenditures, partnership arrangements, and preparedness to establish new health and wellbeing boards. The key findings indicate that over half of local authorities have a definition of public health, though priorities and expenditures vary significantly between authorities. Partnership and communication with Primary Care Trusts is widespread but could be strengthened further to support the transition of new responsibilities to local authorities.
Healthcare policies for progress an indian healthcare perspective by Mahboob ...Healthcare consultant
Can India have absolute Affordable and Quality Healthcare in every City and Town?
Healthcare in India is heading towards a major makeover, thanks to the liberalisation and globalisation of the economy. Like every other field, such a change starts from the class room. Involvement of private players in education has set the bar high; now it has to be followed by government institutions as well. Health education in India is comparable to anywhere in the world. Policy change from MCI had ensured relaxation of stringent criteria required for operating medical colleges. Currently there are around 300 medical colleges all over India; around 30,000 to 35,000 students graduate every year. Yet there is room for improvement.
Evaluation Of The National Health Insurance Program In Tabalong District Sout...irjes
This document evaluates the implementation of the national health insurance program in Tabalong District, South Kalimantan, Indonesia in 2014. It finds that:
1) The regional health insurance program Jamkesda continued operating, though some residents enrolled in the national program JKN/Health BPJS. Barriers to JKN implementation included insufficient health workers and their lack of knowledge about the new program.
2) Efforts were made to improve health facilities and transition members from other insurance programs to JKN. Local regulations on health insurance standards and funds were also established.
3) While health worker numbers increased in some areas between 2013-2014, overall the district still lacked specialists, doctors, nurses and midwives compared to
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This document summarizes a study on the decentralization of health care services through the implementation of the Regional Health Insurance (Jamkesda) program in Malang Regency, East Java, Indonesia. The study finds that Jamkesda implementation in Malang Regency was a response to provincial regulations rather than an initiative by the local government. As a result, the local government's commitment and consistency in implementing Jamkesda has been weak. This weak commitment and inconsistency are the main constraints on Jamkesda implementation in Malang Regency. The study aims to describe the decentralization process of Jamkesda in Malang Regency and identify the driving and constraining factors.
HEALTH SECTOR REFORMS- INDIA
Slides contain;
Reforms & Health System
Definition- HSR
Introduction
Financial reforms
Structural re-organization
Communication
Quality Assurance
Convergence
Public Private Partnership
Ways forward for effective HSR
Conclusion and points for Consideration
End
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Improving the quality of health services at the primary level is very important to reduce the burden of services which will be covered hospital when the BPJS program applied. The aimed of this study is to describe the implementation of the program of BPJS in Public Health Center (PHC) Martapura. This study was a qualitative research with case study design. The informants are the head of PHC and manager program were taken by purposive sampling. Data were collected through interviews using in-depth interview guide. Result of this study was since the enactment BPJS January 1, 2014, Banjar Regency Health Office only once to disseminate ie in March 2014. This makes the health center to get the barriers in the field of the sustainability of the information obtained from the health department with the information captured on the official website BPJS. Another barriers was the disbursement claims that have not been implemented which should have been right to health centers for services provided. Support from the health department and BPJS needed to inform about the national health insurance program regularly to health centers so that health centers do not confusion in implementing the program.
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This document provides an overview and summary of key findings from a report on local authorities' preparedness to take on new public health responsibilities in 2013. The report assessed how local authorities define public health, which public health issues they have prioritized based on population needs assessments, their existing public health expenditures, partnership arrangements, and preparedness to establish new health and wellbeing boards. The key findings indicate that over half of local authorities have a definition of public health, though priorities and expenditures vary significantly between authorities. Partnership and communication with Primary Care Trusts is widespread but could be strengthened further to support the transition of new responsibilities to local authorities.
Healthcare policies for progress an indian healthcare perspective by Mahboob ...Healthcare consultant
Can India have absolute Affordable and Quality Healthcare in every City and Town?
Healthcare in India is heading towards a major makeover, thanks to the liberalisation and globalisation of the economy. Like every other field, such a change starts from the class room. Involvement of private players in education has set the bar high; now it has to be followed by government institutions as well. Health education in India is comparable to anywhere in the world. Policy change from MCI had ensured relaxation of stringent criteria required for operating medical colleges. Currently there are around 300 medical colleges all over India; around 30,000 to 35,000 students graduate every year. Yet there is room for improvement.
This document summarizes the Ontario Public Health Standards, which establish requirements for fundamental public health programs and services in Ontario. The standards outline expectations for boards of health, which are responsible for providing services that address determinants of health and the physical, mental, and emotional well-being of Ontarians. Boards of health must assess needs, plan, deliver, manage, and evaluate a variety of population-based programs. The standards cover topics like chronic disease prevention, infectious disease control, environmental health, emergency preparedness, and more.
The document discusses Indonesia's health system and goals for health development. It outlines Indonesia's decentralization policy giving regional autonomy to provinces and districts to manage their own healthcare. It also discusses the country's vision for a national health information system to support reliable health data collection and sharing across regions to help achieve health targets by 2010. Key challenges include fragmented existing health information systems and lack of resources and IT capacity at the regional level.
This document discusses decentralization in health system development. It defines decentralization as the transfer of authority and decision-making from national to sub-national levels. Decentralization aims to improve efficiency, increase local participation, empower local governments, and increase innovation and accountability. There are different approaches to decentralization, including public administration, local fiscal choice, social capital, and principal-agent models. The document also provides case studies of decentralization efforts in Maldives, Myanmar, and Nepal and discusses strengths, weaknesses, and recommendations for effective decentralization.
Decentralization of health systems aims to improve health outcomes by shifting decision-making powers to lower levels of government. This allows for better matching of services to local needs and preferences, increased innovation, accountability, and community participation. There are various approaches to decentralization, including public administration, local fiscal choice, social capital, and principal agent models. Case studies on decentralization in countries like Maldives, Myanmar, and Nepal show efforts to establish local health committees, provide equitable access to primary health care, and involve communities more in health activities through a decentralized approach.
The white paper outlines plans to improve public health in England by:
1) Giving local authorities new responsibilities and funding to improve population health.
2) Establishing Public Health England to work with local authorities on public health.
3) Developing a new public health outcomes framework to monitor progress and provide incentives for health improvement.
Health financing in bangladesh why changes in public financial management rul...HFG Project
Bangladesh has achieved remarkable improvement in health indicators since its independence in 1971, despite poor economic conditions. It achieved Millennium Development Goal 4 on child mortality and progressed substantially toward Goal 5 on maternal mortality, even with health system bottlenecks such as weak governance, insufficient health financing, and limited capacity to address local need. In a country with a history of adopting low-cost strategies with high health impact, focusing on primary health care—even with limited resources—was the single most important factor in these achievements.
Essential Package of Health Services Country Snapshot: IndonesiaHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
Strengthening Primary Care as the Foundation of JKNHFG Project
Central to the vision of JKN and the Government of Indonesia’s commitment to enhancing the health of all of its citizens is strengthening the role of primary care to prevent, treat and manage health conditions. How it is working, what the challenges are, and where might changes to regulations or operationalization of JKN contribute to strengthening the system so that JKN can achieve its goals. This brief focuses on JKN regulations at the primary care level, and shares insights into whether regulations are effective and how they are being implemented in a range of Indonesian contexts.
This document provides the framework for implementation of India's National Health Mission from 2012-2017. It lays out the vision, guiding principles, and core values of the NHM, which include attaining universal access to equitable, affordable, and quality healthcare. The key goals are to enable achievement of the vision, make the system responsive to citizen needs, build partnerships to realize health goals, focus on survival and well-being of women and children, reduce disease burden, and ensure financial protection for households. The strategies to achieve these goals include supporting state health system strengthening, building state and district capacity for decentralized outcome-based planning, enabling integrated facility development, and creating district knowledge centers.
This document provides a public expenditure review of the Kenyan Ministry of Health for 2007. It outlines the overall and specific objectives of the review, which include presenting government health policies and programs, examining public health expenditure distributions, and assessing budget effectiveness and constraints. Key findings are that communicable diseases remain prevalent, but fertility and population growth rates are declining. The multi-tiered health system has issues with capacity, financing, accessibility, and centralized allocation of funds. The National Health Sector Strategic Plan is aligned with the country's Economic Recovery Strategy to improve financing, target the poor, increase cross-sector cooperation and efficiency, and boost government health funding.
This document summarizes a research dissertation on local government and health service delivery in Uganda, specifically in Lira District. The study examines the accessibility and quality of health services provided by Adekokwok Sub-County and ways to improve delivery. Some key points:
1) Decentralization policy aims to provide services like health care locally but allegations of insufficient delivery due to poor management and lack of accountability remain.
2) Accessibility of health services in the sub-county is limited. Services in some rural areas are inaccessible or unequipped. Quality is also poor in many parts of the country.
3) Suggested ways to improve include increasing funding to local governments and ensuring proper accountability
Unit 2 - CHSM - inter-sectoral co-ordination -document-part 3Dipesh Tikhatri
This document discusses inter-sectoral coordination in health care. It defines coordination and differentiates it from related concepts like cooperation and collaboration. It explains the importance of both intra-sectoral coordination within the health sector and inter-sectoral coordination between health and other sectors like education, rural development, and sanitation. Key principles for effective inter-sectoral coordination include recognizing that development is fundamental to health, ensuring equity in access to health care, and enhancing the economic capacities of vulnerable populations. Coordination mechanisms and the benefits of inter-sectoral coordination are also reviewed.
Critical Review of NHSS-IP_Sagar Parajuli.pptxSagarParajuli9
This presentation is prepared as part of the Course assignment of “Public Health Service Management” for the Master's Degree of Public Health (MPH), Pokhara University and can be used as reference materials. The content and facts included in the presentation are as of information available till February 2023 and no conflict of interest is associated with the presentation. The presentation is prepared by Sagar Parajuli.
The document discusses India's Ministry of Health and Family Welfare, which oversees national health programs and policies. It oversees departments on health, Ayurveda, health research, and AIDS control. The ministry works through state health infrastructure like community health centers and aims to improve access through new facilities. Major programs address cancer, mental health, emergencies, and diseases like diabetes. The Central Government Health Scheme provides services to government employees. Other discussed topics include rural health services, food safety policies, and national health policies aiming to improve standards.
CHS Kenya National Communication Strategy for Community Health Services 201...chskenya
The Community health Services Kenya was started by the Ministry of Health in its quest to offer quality health services to all Kenyans. CHS Kenya offers health care services at community level to all Kenyans regardless of their social status.
A new group of healthcare professionals who are not doctors are called community health officers CHOs . As a part of Comprehensive Primary Health Care, CHOs will be vital in providing an increased range of essential services. They are expected to direct the primary care staff at the Sub Centre, Health and Wellness Center, offer ambulatory care and clinical management to the neighborhood, and act as a crucial coordination link to guarantee the continuum of car. Mr. Saneesh CM | Dr. S. Victor Devasirvadam "Community Health Officer (CHO): An Overview" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-1 , February 2023, URL: https://www.ijtsrd.com/papers/ijtsrd53840.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/53840/community-health-officer-cho-an-overview/mr-saneesh-cm
Cambodia Health Researchers Forum 11 Nov 2015 combined presentationsReBUILD for Resilience
Combined presentations given at Cambodia Health Researchers' Forum 11th November 2015, Phnom Penh. Hosted by the National Institute of Public Health. Presentations given by Peter Annear, Barbara McPake, Sreytouch Vong and Ir Por
The district health system of Nepal is transitioning from a centralized system to a federal system organized around the federal, provincial, and local levels of government. This transition has led to confusion over the roles of district health offices and municipalities in managing health services and programs. Under the new system, municipalities have taken over management of many health facilities and programs from district health offices. However, the division of responsibilities between the different levels of government remains unclear, and local municipalities face challenges like limited staff and skills for managing health programs. Proper implementation of the new federal system and clear definition of roles across levels of government are needed to strengthen Nepal's health system during this transition period.
STUDY ON THE DEVELOPMENT STRATEGY OF HUZHOU TOURISMAJHSSR Journal
ABSTRACT: Huzhou has rich tourism resources, as early as a considerable development since the reform and
opening up, especially in recent years, Huzhou tourism has ushered in a new period of development
opportunities. At present, Huzhou tourism has become one of the most characteristic tourist cities on the East
China tourism line. With the development of Huzhou City, the tourism industry has been further improved, and
the tourism degree of the whole city has further increased the transformation and upgrading of the tourism
industry. However, the development of tourism in Huzhou City still lags far behind the tourism development of
major cities in East China. This round of research mainly analyzes the current development of tourism in
Huzhou City, on the basis of analyzing the specific situation, pointed out that the current development of
Huzhou tourism problems, and then analyzes these problems one by one, and put forward some specific
solutions, so as to promote the further rapid development of tourism in Huzhou City.
KEYWORDS:Huzhou; Travel; Development
Enhancing Losari Beach Exploration: Augmented Reality for Immersive Visualiza...AJHSSR Journal
ABSTRACT: South Sulawesi, commonly known as Makassar, boasts rich cultural heritage and customs,
making it a prominent destination for tourism. Among its attractions, Losari beach stands out as a focal point for
visitors seeking to explore the city's natural beauty and cultural offerings. In this context, leveraging modern
technology such as augmented reality presents an innovative approach to showcasing Losari beach to potential
tourists. This research endeavors to introduce tourism assets in a more visually captivating manner through the
use of augmented reality. Utilizing software tools like Unity and Adobe Illustrator, the study focuses on creating
an immersive experience where tourists can interact with virtual representations of Losari beach. By simply
pointing their mobile phone cameras at designated markers or using barcode scanners, tourists can access
augmented reality features embedded within the application. The findings of this research aim to provide
valuable information, particularly for foreign tourists, about Losari beach, positioning it as a compelling
destination within South Sulawesi's diverse array of tourist attractions. Through this technological innovation,
the study seeks to enhance the visibility and appeal of Makassar city's tourism offerings on a global scale.
KEYWORDS: Visualizing, Losari Beach, Augmented Reality
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This document provides the framework for implementation of India's National Health Mission from 2012-2017. It lays out the vision, guiding principles, and core values of the NHM, which include attaining universal access to equitable, affordable, and quality healthcare. The key goals are to enable achievement of the vision, make the system responsive to citizen needs, build partnerships to realize health goals, focus on survival and well-being of women and children, reduce disease burden, and ensure financial protection for households. The strategies to achieve these goals include supporting state health system strengthening, building state and district capacity for decentralized outcome-based planning, enabling integrated facility development, and creating district knowledge centers.
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an immersive experience where tourists can interact with virtual representations of Losari beach. By simply
pointing their mobile phone cameras at designated markers or using barcode scanners, tourists can access
augmented reality features embedded within the application. The findings of this research aim to provide
valuable information, particularly for foreign tourists, about Losari beach, positioning it as a compelling
destination within South Sulawesi's diverse array of tourist attractions. Through this technological innovation,
the study seeks to enhance the visibility and appeal of Makassar city's tourism offerings on a global scale.
KEYWORDS: Visualizing, Losari Beach, Augmented Reality
DEVELOPMENT STATUS AND COUNTERMEASURES OF TMALL DURING THE COVID-19 EPIDEMICAJHSSR Journal
ABSTRACT:China's e-commerce enterprises have developed rapidly, among which Tmall has become one of
the largest retail shopping websites in China.But in the past year, the Covid-19 epidemic has brought a huge
impact to Chinese e-commerce enterprises, and Tmall is no exception.Therefore, the development status of
Tmall in the new crown epidemic situation was analyzed, and the viewpoint was put forward :Tmall1 stabilized
the situation in the face of the epidemic situation and made a very correct countermeasures.The influence of this
epidemic on Tmall was deeply analyzed, and the conclusion was made: the new crown epidemic is both a
challenge and an opportunity forTmall.
KEYWORDS:Tmall; COVID - 19 outbreak ; The electronic commerce
Factors affecting undergraduate students’ motivation at a university in Tra VinhAJHSSR Journal
ABSTRACT: Motivation plays an important role in foreign language learning process. This study aimed to
investigate student’s motivation patterns towards English language learning at a University in Tra Vinh, and factors
affecting their motivation change toward English language learning of non-English-major students in the semester.
The researcher used semi-structured interview at the first phase of choosing the participants and writing reflection
through the instrument called “My English Learning Motivation History” adapted from Sawyer (2007) to collect
qualitative data within 15 weeks. The participants consisted of nine first year non-English-major students who learning
General English at pre-intermediate level. They were chosen and divided into three groups of three members each
(high motivation group; average motivation group; and low motivation group). The results of the present study
identified six visual motivation patterns of three groups of students with different motivation fluctuation, through the
use of cluster analysis. The study also indicated a diversity of factors affecting students’ motivation involving internal
factors as influencing factors (cognitive, psychology, and emotion) and external factors as social factors (instructor,
peers, family, and learning environment) during English language learning in a period of 15 weeks. The findings of
the study helped teacher understand relationship of motivation change and its influential factors. Furthermore, the
findings also inspired next research about motivation development in learning English process.
KEY WORDS: language learning motivation, motivation change, motivation patterns, influential factors, students’
motivation.
The Impact of Work Stress and Digital Literacy on Employee Performance at PT ...AJHSSR Journal
ABSTRACT :This research aims to analyze the correlation between employee work stress and digital literacy
with employee performance at PT Telkom Akses Area Cirebon, both concurrently and partially. Employing a
quantitative approach, the study's objectives are descriptive and causal, adopting a positivist paradigm with a
deductive approach to theory development and a survey research strategy. Findings reveal that work stress
negatively and significantly impacts employee performance, while digital literacy positively and significantly
affects it. Simultaneously, work stress and digital literacy have a positive and significant influence on employee
performance. It is anticipated that company management will devise workload management strategies to
alleviate work stress and assess the implementation of more efficient digital technology to enhance employee
performance.
KEYWORDS -digital literacy, employee performance,job stress, multiple regression analysis, workload
management
The Settlement of Construction Disputes Through Dispute Councils From the Per...AJHSSR Journal
ABSTRACT:This research differs from the practice of business activity in the construction services industry,
which may lead to construction disputes. The settlement of construction disputes is a consensus based on the
basic principle of debate. If the discussions between the parties do not reach an agreement, the parties may take
measures to resolve the dispute through the dispute council. Because the standard governing the disputes
committee was not fully regulated, they did not comply with the principle of legal certainty. Therefore, further
research was needed to establish a theoretical basis for regulating the disputes committee in settling construction
disputes. This research is a standard legal research using a legal regulatory, conceptual, and comparative
approach. The research results show that the ideal concept of resolving construction disputes through a dispute
council based on the value of legal certainty is to establish that the position of the dispute council is a special
court that has the authority to resolve construction disputes under construction services agreements. To realize
the position of the Court of Disputation as a special court, it must be based on the creation of philosophical
values, the creationof legislative regulations, and the creation of the institutional structure of the Court of
Disputation.
KEYWORDS-Construction Disputes, Dispute Council, Special Court
VALUES OF ORAL LITERATURE IN THE SOCIETY: A STUDY OF FOLKTALES OFOGBA IN RIVE...AJHSSR Journal
ABSTRACT : Oral literature is a creative work of art that portends high merit and has the creative use of
imagination in preliterate societies. It adopts the genres of literature: drama, prose and poetry in the oral milieu,
using performance as its hallmark. It thrives on the use of oral data because of its orality. This paper focuses on
the moral values or oral literature in the society using Ogba as a spring board. The study was carried out in
communities ofOgba. The population of the study consists of ten towns and village, in Ogba. The theoretical
framework used is Dell Hyme’s ethno-poetics because the works of oral literature relate to the society. This
paper concludes that oral literature serves to against all odds; communicate ideas, emotions, beliefs and
appreciation of life. The folktales in Ogba for instance, serve similar purpose through their
rendition/performance. Through the stories, the younger generation in Ogba society is familiarised with the
customs, traditions, and rituals prevalent in the society. This paper therefore recommends the use of oral
literature in all its genres to inculcate moral values and lessons to the teenagers and youths. Against this
background, Ogba (African) themselves must cease to regard oral literature as primitive and fetish.
KEYWORDS: Values, Oral Literature, Society, Ogba, Folktales
Pormalistikong Pagdalumat sa mga Tula ni Ron CanimoAJHSSR Journal
ABSTRACT: Nilayon ng pag-aaral na ito na masuri ang dalawampung (20) tula ni Ron Canimo gamit ang
pormalistikong dulog batay sa mga sumusunod na elemento: (a) Sukat at Tugma, (b) Talinghaga at
Simbolismo, (c) Imahen, (d) Tema, at (e) Diksiyon. Layunin din nitong mataya ang antas ng pagtanggap ng
ginawang pagsusuri gamit ang nabuong instrumento sa pagtataya nito. Sinunod dito ang Input-Process-Output
na balangkas ng pag-aaral at ginamitan ng kwantitatib-deskriptib-ebalwatib na pamamaraan. Sa pamamagitan
ng talatanungang ibinatay sa ginamit ni Morales (2014) na naimodipika ayon sa kahingian ng kasalukuyang
pag-aaral, tatlong (3) gurong eksperto ang nagsilbing tagataya dito na siyang tumiyak sa kahusayan ng nabuong
pagsusuri ng mananaliksik. Gamit ang Content Analysis, natuklasan na makabagong pamamaraan ang istilo na
ginamit ni Ron Canimo sa pagsulat ng mga tula. Lahat ng kanyang mga tula ay walang sinusunod na sukat at
tugma, may iba‟t ibang tayutay at simbolismong ginamit, magkaibang pandama ang pinagana dahil sa mga
imahe at paglalarawang ginawa, iba‟t ibang uri ng pag-ibig ang tinalakay at gumamit ng pormal, impormal o
kumbersasyonal na wika at makabagong istilo sa pagsulat ng tula. Gamit ang mean at standard deviation,
lumabas na “Mataas” ang antas ng pagtanggap sa kabuuan ng mga gurong eksperto na tumaya sa nabuong
pagsusuri. Lumabas din na “Mataas” ang antas ng kanilang pagtanggap sa nabuong pagsusuri batay sa mga
sumusunod na elemento: (a) Sukat at Tugma, (b) Talinghaga at Simbolismo, (c) Imahen, (d) Tema, at (e)
Diksiyon. Mula sa natayang pagsusuri at kinalabasan ng antas ng pagtanggap dito, naitala ang mga paksa sa
Junior High School Filipino na maaaring lapatan at gamitan ng nabuong pagsusuri.
KEYWORDS: Kumbensyunal, Pagdalumat, Pormalistiko, Ron Canimo, Tula
SCHOOL CULTURE ADAPTATION AMONG INDIGENOUS PEOPLES COLLEGE STUDENTS AT A PRIV...AJHSSR Journal
ABSTRACT: This qualitative study investigates the adaption experiences of indigenous college students at the
University of Mindanao, Matina-main campus. Eight major themes emerged, including difficulties with language
proficiency, online learning, classroom interaction, examination systems, grading procedures, school regulations,
resource accessibility, coping mechanisms, and future goals. Implications include the requirement for targeted
language proficiency and technology use support, an understanding of adaption processes, interventions to
improve resource accessibility, and equitable public administration policies. The study underlines the importance
of adaptation in various educational contexts, as well as the role of educators and legislators in creating inclusive
learning environments.
KEYWORDS: indigenous college students, adaptation, educational challenges, coping strategies
The effect of Institutional Ownership, Sales Growth and Profitability on Tax ...AJHSSR Journal
ABSTRACT: This research aims to test, analyze and obtain empirical evidence about the influence of
institutional ownership, sales growth and profitability on tax avoidance. The object of this research is
manufacturing companies in the consumer goods industry sector listed on the Indonesia Stock Exchange (BEI)
in 2018-2022. This research used quantitative research methods and causal research design. The sampling
technique in this research used non-probability sampling with purposive sampling as the basis for determining
the sample so that a sample of 55 samples was obtained. The data used is secondary data obtained from the
official website of the Indonesia Stock Exchange (BEI) during the 2018-2022 period. The data analysis method
used was multiple linear regression analysis with several tests such as descriptive statistical tests, classical
assumption tests, and hypothesis testing using SPSS version 26 statistical software. The results showed that the
institutional ownership variable has no effect on tax avoidance, while the sales growth and profitability has a
negative and significant effect on tax avoidance.
KEYWORDS: Institutional Ownership, Sales Growth, Profitability, Tax Avoidance
MGA ESTRATEHIYA SA PAGTUTURO KAUGNAY SA PASALITANG PARTISIPASYON NG MGA MAG-A...AJHSSR Journal
ABSTRAK: Ang mga estratehiya sa pagtuturo ay mahalagang kasangkapan sa paghahatid ng mabisang
pagtuturo sa loob ng silid. Tinukoy sa pag-aaral na ito ang antas ng kagustuhan ng mga mag-aaral sa pagsasadula,
pangkatang talakayan at paggawa ng mga koneksyon sa tunay na karanasan sa buhay bilang mga estratehiya sa
pagtuturo ng panitikan sa Filipino at pasalitang partisipasyon ng mga mag-aaral sa Baitang 7 ng Misamis
University Junior High School, Ozamiz City. Ang ginamit na disenyo sa pananaliksik na ito ay deskriptivcorrelational. Ang mga datos sa pag-aaral ay nagmula sa kabuuang populasyon na 120 na mag-aaral at tatlong
mga guro na tagamasid sa pasalitang partisipasyon ng mga mag-aaral. Ang Talatanungan sa Kagamitan sa
Pagtuturo ng Panitikan at Checklist batay sa Obserbasyon sa Pasalita na Partisipasyon ay ang instrumentong
ginamit sa pagkalap ng datos. Mean, standard deviation, Analysis of Variance at Pearson Product-Moment
Correlation Coefficient ang mga ginamit na estatistiko na sangkap. Inihayag sa naging resulta na ang tatlong piling
estratehiya sa pagtuturo ng panitikan sa Filipino ay may pinakamataas na antas ng kagustuhan ng mga mag-aaral.
Ang antas ng pakilahok ng mga mag-aaral sa paggamit ng tatlong estratehiya sa pagtuturo ng panitikan ay
pinakamataas na nagpapahiwatig na aktibong nakilahok ang mga mag-aaral sa mga gawain. Inihayag din na
walang makabuluhang kaibahan sa antas ng kagustuhan ng mga mag-aaral sa mga estratehiya sa pagtuturo ng
panitikan sa Filipino. Ito ay nangahulugan na gustong-gusto ng mga mag-aaral ang pagkakaroon ng mga
estratehiya sa pagtuturo. Walang makabuluhang kaugnayan ang kagustuhan sa mga estratehiya at antas ng
pakikilahok ng mga mag-aaral. Hindi nakaapekto sa kanilang pakikilahok ang anumang estratehiyang ginamit ng
guro.
KEYWORDS : estratehiya, karanasan, pagsasadula, pagtuturo, pangkatang talakayan
The Role of the Instruction of Reading Comprehension Strategies in Enhancing ...AJHSSR Journal
ABSTRACT :Throughout my studies and teaching English in different language centers and higher studies
institutions, I have come to conclude that students consider Reading comprehension as a nightmare that
frightens them and hinders their language acquisition in the Moroccan EFL Context. This may cause them to
develop an internal psychological obstacle that grows as their lack of the necessary instruments or tools to
overcome are not equipped with. They become lost and unaware about or unfamiliar with the necessary reading
comprehension strategies that could help them to face the problem of misunderstanding or non-understanding
of English texts. Respectively, this article which is only one part of my whole study aims at showing the effect
of teaching reading strategies in enhancing the S1 students‟ familiarity with reading strategies and raising their
frequency use. A sample of 283 University students in EFL context have been chosen randomly and have
attended the usual academic reading classes, yet only 76 are subject to this survey. 38 of them constitute the
experimental group who have attended the treatment regularly in one of the language centers and the other 38
participants are chosen randomly from the whole population to constitute the Control group. They all have
Psychosocial Factors and Deviant Behaviors of Children in Conflict with the L...AJHSSR Journal
ABSTRACT:This study aims to determine the relationship between psychosocialfactors and deviant
behaviors among children in conflict with the law (CICL) inDavao Region. The researchers want to discover the
prevalent factors thatdrive these children to their behaviors. Further, the study sought to determinethe
manifestation of psychosocial factors in terms of life satisfaction, emotionalsupport, self-esteem, and personality
traits. The study's data came from N-83children in conflict with the law (CICL) at the Regional Rehabilitation
Center forYouth (RRCY) in Bago Oshiro, Davao City; all respondents are male. This studyused a total
enumeration sampling technique due to the relatively smallpopulation size. The researchers adapted the
Psychosocial surveyquestionnaires by Zabriskie & Ward (2013) and by John and Srivastava (1999)as well as the
Deviant Behavior Variety Scale (DBVS) by Sanches et al. (2016).Through the use of a validated questionnaire,
the mean and standard deviationare determined. The researchers modified this questionnaire and translated itinto
the respondents' mother tongue (Cebuano) for them to comprehend itbetter. The study discovered no significant
relationship between psychosocialfactors and deviant behaviors of children in conflict with the law (CICL) in
theDavao Region
KEYWORDS :Children in Conflict with the Law (CICL), deviant behaviors, psychosocial factors
Entropy: A Join between Science and Mind-SocietyAJHSSR Journal
ABSTRACT: Entropy is join, intersection and interaction between natural science and human mind-society.
We proposed that if internal interactions exist in isolated systems, entropy decrease will be possible for this
system. Management in system is a typical internal interaction within the isolated system. The purpose of
management is to use regulating the internal interactions within the system, and to decrease the increasing
entropy spontaneously. We propose the principle of social civilization and the developing direction is: freedom
of thought, rule of action. Both combinations should be a peaceful revision and improvement of social rules and
laws. Different countries and nations, different religions and beliefs should coexist peacefully and compete
peacefully. The evolution of human society must be coevolution. Its foundation is the evolution of the human
heart and the human nature.
KEYWORDS: entropy, science, society, management, mind, evolution.
A Model of Disaster Resilience Among Colleges and Universities: A Mixed Metho...AJHSSR Journal
ABSTRACT :This research paper aimed to create a comprehensive framework for measuring disaster
resilience in colleges and universities. The study used a mixed method through Exploratory Factor Analysis
(EFA), which involved analyzing data from a survey questionnaire. The questionnaire was developed based on
in-depth interviews with 12 selected participants from the University of Mindanao, as well as relevant literature
and studies. It was reviewed and validated by 10 experts using a method called Content Validity Ratio (CVR).
This questionnaire was then administered to 400 students from 10 different colleges in University of Mindanao.
After conducting the Exploratory Factor Analysis and performing rotations and iterations, the researchers
identified five main constructs that characterize disaster resilience among colleges (1) disaster preparedness, (2)
disaster awareness, (3) community readiness, and (4) disaster management, (5) disaster resilience. The
researchers aimed to create an organization called “Council of College Disaster Volunteers (CCDV)” which
consist of student volunteers. These factors can be used to develop effective management strategies and
strengthen efforts in preventing and managing disasters and accidents.
KEYWORDS:content validity ratio, criminology, disaster resilience, disaster management, exploratory factor
analysis, and Philippines.
Environmental Struggles and Justice Among Lumad Farmers of Davao CityAJHSSR Journal
ABSTRACT : The study described the various environmental struggles experienced among the participants
and their status in accessing justice. The study followed a qualitative multiple-case study approach; the
participants are the Lumad farmers of Marilog, Davao City selected through a Critical sampling method and
aims to present the environmental violations experienced by the Lumad farmers in Davao City and how it
affected their families and sustenance further, their status in accessing justice is also explored. The study
concluded that the most common struggles the participant experience are Illegal logging and improper waste
disposal, which affect their farms, family, health, and income. Their preferred means to accessing justice is
through barangay settlement; the rigors of accessing courts, such as distance, expenses, fear of ruling, and the
hassle of being called to be present in court, are the most prevalent barriers that hinder the lead farmers from
accessing justice or seeking legal action. Nevertheless, the participants believed that the government would help
them in accessing justice.
KEYWORDS :access to justice, criminology,environmental justice, environmental struggles, lumadfarmers
CYBERBULLYING EXPERIENCES OF UNIVERSITY OF MINDANAO CRIMINOLOGY STUDENTSAJHSSR Journal
ABSTRACT:This paper explores the cyberbullying experiences among Criminology students at the
University of Mindanao. A simple random sampling method was used to distribute the study's online
questionnaire to the respondents and to survey the target population. This study has four hundred (400)
respondents, and the respondents are Criminology students at the University of Mindanao. The findings of this
study revealed that the level of cyberbullying experiences is sometimes manifested. On the other hand, the
cyberbullying experiences of the students indicate a moderate level, which indicates that the cyberbullying
experiences of the respondents are sometimes manifested. Also, the computations showed that among the
indicators presented, the highest mean is obtained in the psychological effect, which implies that there is a
significant effect of cyberbullying experiences of the respondents in terms of the Gender level of the
respondents. Therefore, respondents with a low level of cyberbullying experiences tend to have a moderate level
of cyberbullying experience. However, there is no significant effect in terms of age and year level of the
respondents according to the results regarding the psychological, emotional, and physical impact of
cyberbullying.
KEYWORDS :cyberbullying, emotional, experiences, psychological,physical effect, and simple random
sampling method.
A philosophical ontogenetic standpoint on superego role in human mind formationAJHSSR Journal
ABSTRACT: One of the most significant contributions of psychoanalysis to understand the human being is the
elaboration of a model about the mind from a topical and dynamic perspective. Freud explains the mind by the
constitution of the preconscious, conscious, and subconscious. Later, by three dynamic components: the id, the
ego and the superego. Such an organization of the psychic apparatus supposes not only individual elements, but
social influences along the process of hominization. In this paper, we recover the findings of the renowned
anthropologist Lewis Morgan, trying to link some of them to the psychoanalytic theory. Especially highlighting
the importance of superego in Haidt’s social intuitionism.
Keywords: evolutionism, intuitionism, psychoanalysis, Freud, Haidt, Morgan
Improving Workplace Safety Performance in Malaysian SMEs: The Role of Safety ...AJHSSR Journal
ABSTRACT: In the Malaysian context, small and medium enterprises (SMEs) experience a significant
burden of workplace accidents. A consensus among scholars attributes a substantial portion of these incidents to
human factors, particularly unsafe behaviors. This study, conducted in Malaysia's northern region, specifically
targeted Safety and Health/Human Resource professionals within the manufacturing sector of SMEs. We
gathered a robust dataset comprising 107 responses through a meticulously designed self-administered
questionnaire. Employing advanced partial least squares-structural equation modeling (PLS-SEM) techniques
with SmartPLS 3.2.9, we rigorously analyzed the data to scrutinize the intricate relationship between safety
behavior and safety performance. The research findings unequivocally underscore the palpable and
consequential impact of safety behavior variables, namely safety compliance and safety participation, on
improving safety performance indicators such as accidents, injuries, and property damages. These results
strongly validate research hypotheses. Consequently, this study highlights the pivotal significance of cultivating
safety behavior among employees, particularly in resource-constrained SME settings, as an essential step toward
enhancing workplace safety performance.
KEYWORDS :Safety compliance, safety participation, safety performance, SME
Psychological Empowerment and Empathy as Correlates of ForgivenessAJHSSR Journal
ABSTRACT: The study explores Psychological Empowerment and Empathy as Correlates of Forgiveness.
The two variables are regarded to have influence on the decision one makes to forgive another. The study aimed
at examining the relationships between psychological empowerment and forgiveness, empathy and forgiveness
and to identify which one of the two,Psychological Empowerment or Empathy, is the more powerful predictor of
forgiveness. The study took a survey design with a sample of 350 drawn from a population of university students
using a self-administered questionnaire with four sections: Personal information, Psychological empowerment
scale, Toronto Empathy questionnaire, and the Heartland Forgiveness Scale (HFS). Data analysis employed
Pearson’s product moment correlation and regression analysis to test hypotheses. The results show significant
relationships between psychological empowerment and forgiveness as well as empathy and forgiveness.
Empathy was found to be the more powerful predictor of forgiveness.
KEY WORDS: Psychological empowerment, empathy, forgiveness
This tutorial presentation offers a beginner-friendly guide to using THREADS, Instagram's messaging app. It covers the basics of account setup, privacy settings, and explores the core features such as close friends lists, photo and video sharing, creative tools, and status updates. With practical tips and instructions, this tutorial will empower you to use THREADS effectively and stay connected with your close friends on Instagram in a private and engaging way.
EASY TUTORIAL OF HOW TO USE REMINI BY: FEBLESS HERNANEFebless Hernane
Using Remini is easy and quick for enhancing your photos. Start by downloading the Remini app on your phone. Open the app and sign in or create an account. To improve a photo, tap the "Enhance" button and select the photo you want to edit from your gallery. Remini will automatically enhance the photo, making it clearer and sharper. You can compare the before and after versions by swiping the screen. Once you're happy with the result, tap "Save" to store the enhanced photo in your gallery. Remini makes your photos look amazing with just a few taps!
Your LinkedIn Success Starts Here.......SocioCosmos
In order to make a lasting impression on your sector, SocioCosmos provides customized solutions to improve your LinkedIn profile.
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EASY TUTORIAL OF HOW TO USE G-TEAMS BY: FEBLESS HERNANEFebless Hernane
Using Google Teams (G-Teams) is simple. Start by opening the Google Teams app on your phone or visiting the G-Teams website on your computer. Sign in with your Google account. To join a meeting, click on the link shared by the organizer or enter the meeting code in the "Join a Meeting" section. To start a meeting, click on "New Meeting" and share the link with others. You can use the chat feature to send messages and the video button to turn your camera on or off. G-Teams makes it easy to connect and collaborate with others!
UR BHatti Academy dedicated to providing the finest IT courses training in the world. Under the guidance of experienced trainer Usman Rasheed Bhatti, we have established ourselves as a professional online training firm offering unparalleled courses in Pakistan. Our academy is a trailblazer in Dijkot, being the first institute to officially provide training to all students at their preferred schedules, led by real-world industry professionals and Google certified staff.
This tutorial presentation provides a step-by-step guide on how to use Facebook, the popular social media platform. In simple and easy-to-understand language, this presentation explains how to create a Facebook account, connect with friends and family, post updates, share photos and videos, join groups, and manage privacy settings. Whether you're new to Facebook or just need a refresher, this presentation will help you navigate the features and make the most of your Facebook experience.
Project Serenity is an innovative initiative aimed at transforming urban environments into sustainable, self-sufficient communities. By integrating green architecture, renewable energy, smart technology, sustainable transportation, and urban farming, Project Serenity seeks to minimize the ecological footprint of cities while enhancing residents' quality of life. Key components include energy-efficient buildings, IoT-enabled resource management, electric and autonomous transportation options, green spaces, and robust waste management systems. Emphasizing community engagement and social equity, Project Serenity aspires to serve as a global model for creating eco-friendly, livable urban spaces that harmonize modern conveniences with environmental stewardship.
Lifecycle of a GME Trader: From Newbie to Diamond Handsmediavestfzllc
Your phone buzzes with a Reddit notification. It's the WallStreetBets forum, a cacophony of memes, rocketship emojis, and fervent discussions about Gamestop (GME) stock. A spark ignites within you - a mix of internet bravado, a rebellious urge to topple the hedge funds (remember Mr. Mayo?), and maybe that one late-night YouTube rabbit hole about tendies. You decide to YOLO (you only live once, right?).
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INHIBITING FACTORS AND SUPPORTING FACTORS IN THE IMPLEMENTATION OF FINANCIAL MANAGEMENT POLICY IN POSO REGIONAL GENERAL HOSPITAL BLUD
1. American Journal of Humanities and Social Sciences Research (AJHSSR) 2022
A J H S S R J o u r n a l P a g e | 286
American Journal of Humanities and Social Sciences Research (AJHSSR)
e-ISSN :2378-703X
Volume-06, Issue-07, pp-286-293
www.ajhssr.com
Research Paper Open Access
INHIBITING FACTORS AND SUPPORTING FACTORS IN
THE IMPLEMENTATION OF FINANCIAL MANAGEMENT
POLICY IN POSO REGIONAL GENERAL HOSPITAL BLUD
¹ Yunruth H. Marande, ²Soesilo Zauhar, ³ Bambang Santoso Haryono,
4
Irwan Noor
¹ Student Doctoral Program in Administrative Sciences, Brawijaya University, Malang Indonesia
²’³’
4
Lecturer of Administrative Sciences Faculty, Brawijaya University, Malang Indonesia
ABSTRACT: This study aims to describe and analyze the supporting factors and inhibiting factors for the
implementation of BLUD financial management policies at Poso Hospital and the implementation model of
BLUD financial management policies at Poso Hospitals. In implementing the vision and mission, it was found
that in improving the quality of health services through the provision of medical personnel (specialist doctors,
special nurses) by building cooperation with universities. Provision of infrastructure for. Improving the welfare
of Poso Hospital employees. However, several problems were found in the form of improving employee welfare
in the form of medical services that do not yet have standard rules in the governance process so that they are
prone to irregularities. In addition, the Poso Hospital infrastructure, especially the availability of rooms and
some medical equipment, is still limited so that patients affect community services.
One of the supporting factors is the availability of the Poso Regional Hospital Development Location and the
availability of pediatric surgeons that are not owned by other hospitals in the Central Sulawesi region. The
inhibiting factor that makes it difficult to implement the BLUD RSUD Poso policy is the weakness of the
budget supervisor, which is proven by the corruption of Medical Devices in the 2013 fiscal year. In addition, the
evaluation of the local government towards the officials managing the BLUD RSUD Poso is very weak, even
especially in the quality assurance of health service activities.
Adjusting the need for medical medical devices that support the implementation of health services so as to
maximize human resources with health infrastructure. Evaluation of service performance (medical personnel)
and officials managing the Poso Regional Hospital on a regular basis so that from the results of the evaluation
by the local government action can be taken to determine budget needs and service quality
KEYWORDS: policy, management, supporters, barriers, hospital
I. INTRODUCTION
In providing services to the community, especially in the health sector, the government and local governments
have implemented policies to all levels of society from the center to rural areas. One of the efforts made by the
government of the Unitary State of the Republic of Indonesia is to enact Law Number 23 of 2014 as a
replacement for Law Number 32 of 2004 concerning Regional Government which has been refined 2 (two)
times, namely the issuance of a Government Regulation in lieu of Law No. . 2 of 2014 concerning amendments
to Law 23 of 2014 and the issuance of Law No. 9 of 2015 concerning the second amendment to Law No. 23 of
2014 concerning regional government, has spurred regions to improve regional governance aimed at
accelerating the realization of community welfare through improving services, empowerment, and community
participation, as well as increasing regional competitiveness by taking into account the principles of democracy,
equity, justice, and the uniqueness of a country. regions within the system of the Unitary State of the Republic
of Indonesia; This is because, the direction of the basic policy of implementing a decentralized government
emphasizes more on the realization of community welfare through improving services and empowering the
community.
Changes in health policy, stating that health services are a basic right of a citizen, where this right is stated in the
constitution of the 1945 Constitution article 28 H paragraph 1 and article 34 paragraph 3, which places health
status and health services as a human right. . With these provisions, of course, requires the government to carry
out health service efforts in a structured, comprehensive, and evenly distributed manner to all levels of society.
Health development is an integral part of national development. The purpose of health development is to
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increase awareness, willingness and ability to live a healthy life for everyone in order to realize an optimal level
of public health. Health care is a human right that must be accepted by citizens and health is also one of the
elements of welfare.
In this regional autonomy, there is a paradigm shift from what was previously centralized to
decentralized. Where the central government gives broad authority to local governments to organize governance
and development, including health development. The main objective of implementing decentralization in
development programs is to create conditions that are efficient, effective and fair. The health decentralization
paradigm reflects the transfer of some central administrative powers to the regions and managerial responsibility
for health development to local governments, in order to create effectiveness, efficiency, and justice. Therefore,
it can be said that the effectiveness of health development management is highly dependent on the relevance of
regional policies to national policies. Therefore, there is a need for consistency of national health development
policies with regional health development policies. The success of development in the health sector is strongly
influenced by policies, namely policies related to budget allocation for health and policies for setting minimum
service standards (MSS) in the health sector, therefore, the discussion of policy changes in the context of
institutional reform is focused on these two policies.
Health Sector Budget Allocation Policy, in supporting the health sector development policy, the
government has stipulated Law No. 36 of 2009 on health which states that each region is required to allocate 10
percent of its budget in its APBD for the health sector. This policy is actually quite significant to be able to
support development policies in the health sector. However, in its implementation, not many regions have
actually implemented this policy. The enactment of Law Number 23 of 2014 concerning regional government,
has stipulated that the health sector is a mandatory business that must be carried out by districts/cities. Thus, the
implementation of mandatory regional affairs is a manifestation of responsible autonomy which in essence is the
recognition or granting of regional rights and authorities in the form of duties and obligations that must be
carried out by the regions. However, the central government remains nationally responsible for the successful
implementation of autonomy, even though the operational implementation is left to the government and local
communities. Government Regulation No. 38 of 2008 concerning the division of government affairs between
provincial and district/municipal governments has formulated a government role that is more in the nature of
setting macro policies, norms, standardization, guidelines, criteria, as well as implementing supervision,
monitoring, evaluation, supervision and empowerment to the regions, so that autonomy can run optimally.
To equalize the actualization of mandatory health affairs in regencies/cities in accordance with
government regulation Number 65 of 2005 concerning Guidelines for Compiling and Establishing Minimum
Service Standards (SPM) and Minister of Home Affairs Regulation Number 6 of 2007 concerning Technical
Guidelines for Compiling and Establishing Minimum Service Standards (SPM) ), then in order to provide
guidelines for the implementation of basic services in the health sector, the Decree of the Minister of Health
Number 741/MENKES/PER/VII/2008 concerning Minimum Service Standards (SPM) in the Health sector in
the Regency/City has been stipulated and the Decree of the Minister of Health of the Republic of Indonesia
Number 823/MENKES /SK/IX/2008 concerning Minimum Service Standards Technical Guidelines (SPM) in
the health sector in districts/cities. Basically the determination of Minimum Service Standards (MSS) in the
health sector refers to the decentralization policies and strategies in the health sector, namely; first, the
establishment of a commitment between the government, the legislature, the community and other stakeholders
for the sustainability of health development. Second, the protection of public health, especially the poor,
vulnerable groups, and poor areas. Third, the realization of national and global commitments in health programs.
Minimum Service Standards (MSS) policies in the health sector and their implementation must be
consistent between policies at the national level to the puskesmas level. Besides consistency in the
implementation of Minimum Service Standards (SPM) policies, the health sector at the micro level must be able
to carry out activities in accordance with standard operating procedures (SOPs). As an institution in charge of
providing health services to the community, the Health Office has units that are in direct contact with the
community, which are actually technical implementing units that provide direct health services to the
community. Hospitals or puskesmas are technical service units from the Health Service that are in direct contact
with the general public. Along with the spirit of reform and regional autonomy, there has been a shift in the
health development paradigm to a healthy paradigm.
Meanwhile, the regional autonomy policy with the main target of creating good government or good
public governance has become a central theme in each region in this country. Various ideal concepts in good
government and good public governance are used as basic values to form a new formula and foundation for all
efforts to improve public services. But in reality, the community as stakeholders who must be served by the
government bureaucracy, still gets inadequate services. Public dissatisfaction with this public service is mostly
shown by direct expressions to officers, sending letters of complaint, through mass media such as radio or
newspapers, as well as simply gossiping between them, which eventually spreads to various members of the
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community who feel disappointed by the service model that does not work. in favor of the little people. This
kind of phenomenon can illustrate that public services to the community do not meet public service standards.
Good governance is realizing real performance based on the principles of participation, efficiency and
effectiveness, fairness, accountability, transparency, responsiveness, equality and legal certainty (Dwiyanto,
2003:6). Furthermore, Dwiyanto said that good governance and able to reduce operational costs requires efforts
in various ways, namely: reducing the size and number of government institutions, programs and staff
(downsizing), simplifying procedures (streamlining), structurally reforming institutions. in order to carry out its
mission properly (re-structuring), delegate functions to the private sector (privatizing). All these efforts are
made so that the duties of service and government can be carried out in an effective, efficient, transparent and
accountable manner. Along with developments and dynamics in society, the provision of good services is a
challenge for the government in running a government that does not just provide regular services, but also
serves the community with high quality services. The consequence of the demands of the community is the
emergence of various efforts to improve service performance standards in order to meet or even exceed the
expectations of the community. In addition, to improve the quality of health services to the community more
effectively and efficiently as well as ensure flexibility, it is necessary to implement several public policies which
are important aspects of the entire policy process, which at this level lies in the actualization of the various good
intentions of the government which are focused on dealing with various public problems.
The development of hospital management, both from the management and operational aspects, is
strongly influenced by various demands from the environment, namely that hospitals are required to provide
quality health services, and control health care costs so that it will lead to patient satisfaction. Another demand
is cost control. Cost control is a complex problem because it is influenced by various parties, namely market
mechanisms, economic actions, human resources (professionalism) and no less important is the development of
technology from the hospital itself. Government hospitals located at the central and regional levels cannot be
separated from the influence of the development of these demands. Viewed from the segmentation of
community groups, in general, government hospitals are services that provide services for the lower middle
class, while private hospitals serve the upper middle class community. Health costs tend to continue to rise, and
hospitals are required to independently address these problems. The increase in health costs has caused a
separate phenomenon for government hospitals because government hospitals have a segment of health services
for the lower middle class. As a result, government hospitals are expected to be cheap and quality hospitals.
Public demands in activities to improve the quality of health services are expected to be carried out based on the
principles of efficiency and productivity which of course will have an impact on the quality of health services as
there are opportunities for government hospitals to become public service agencies. However, in reality until
now there are still many hospitals with BLUD status that have not been able to improve the quality of their
services and seem to be still running in place, so many complaints from patients/patient families are found in the
field against the implementation of the policy. Not handled properly and unprofessional hospital management,
can be caused by various factors that influence it as expressed by Edward III (1980) the success or failure of
implementing government policies can be influenced by 4 (four) variables, namely Communication Factors
(Communication), Resource Factors (Resources), Disposition (Disposition), Bureaucratic Structure
(Bureaucratic Structure). To get an actual and factual picture of the phenomena related to the implementation of
the BLUD financial management policy at the Poso Hospital, this can be done through field research.
II. RESEARCH METHODOLOGY
This research is a descriptive research type. A study aims to find, understand, explain and obtain an
overview of the phenomena studied, therefore this study uses a qualitative research approach. According to
Strauss and Corboin (2013:4) "qualitative research cannot be achieved by using statistical procedures or by
other means of quantification (measurement)". Because this research was carried out specifically, in detail and
in depth. Therefore, qualitative research can be used to look at existing phenomena and problems in the
Implementation of Financial Management Policy for the Public Service Agency at the Poso Regional General
Hospital, by obtaining an overview of the phenomena related to the components that affect the health service
strategy in the community. as the fulfillment of the community's right to health.
This type of qualitative research can be used to study organizations, groups and individuals, so that this
type of research is very appropriate to answer problems related to the Implementation of Financial Management
Policies at the Public Service Agency at the Regional General Hospital (RSUD) Poso. Strengthened by the
opinion of Strauss and Corbin (1980) in order to reveal a phenomenon that forms the basis of a qualitative
research approach, there are three main components, namely: 1. Availability of data that can come from various
sources, interviews and observations; 2. Different analysis or procedures to obtain findings or theories, and 3.
Writing verbal reports data. Qualitative research not only reveals real events, but the results can reveal hidden
values. This research provides an overview of the implementation of policy formulation services in the health
sector through the Public Service Agency of the Poso Hospital. And more specifically this research describes
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and analyzes; Inhibiting factors and supporting factors in the implementation of the financial management
policy of the BLUD RSUD Poso.
III. RESULTS AND DISCUSSION
1. Supporting Factors for Implementing the Financial Management Policy of the BLUD RSUD Poso
a. Location of Poso Hospital Development
The hospital is one of the public facilities that are needed by the population. The faster the development of
the population in an area indicates the increasing need for hospitals for each resident. The location of the
hospital must also be in a suitable location in order to meet the needs of the population.The Poso Regional
General Hospital is currently unrepresentative due to various influencing factors, one of which is that there are
several additions to the Poso Regional Hospital which are forced and do not match the material plan resulting in
cramped and chaotic conditions, green open spaces have turned into several buildings, so it is necessary wider
area development. Development of the new RSUD location based on Regional Regulation No. 8/2012
concerning the Regional Spatial Planning of Poso Regency for 2012-2032. This spatial planning development
refers to: 1) Law No. 26 of 2007 concerning spatial planning in Article 26 paragraph 5, it is stated that the
District Spatial Plan can be reviewed 1 (one) time in 5 (five) years. 2). Law Number 11 of 2020 concerning
work creation, article 26. 3) Government regulation Number 21 of 2021 concerning the implementation of
Spatial Planning.
The purpose of the preparation of the Regional Spatial Plan (RTRW) normatively is to create a district
space that meets development needs by always being environmentally friendly, efficient in investment
allocation, synergizing and can be used as a reference in the preparation of development programs to achieve
community welfare. Evaluation and analysis (RTRW) is guided by the Ministerial regulations and legislation
above, the Poso district government reviewed the Poso district RTRW for 2012-2032 through study, evaluation
and assessment. The strategic area development of Poso district from the point of view of economic interests,
areas that have strategic value from the point of view of economic importance consist of: Bada hydropower and
Tuare hydropower development plans and plans for the development of new hospitals in the Lage district area.
in more detail in the revised Regional Regulation No.1/2015-2035 the direction of space utilization for the
development of new hospitals is included in the prioritized part of the Poso urban area. Some facilities such as
incinerators cannot be used because they have not received an operational permit since 2013 from the Ministry
of the Environment, do not meet the requirements to operate because of their narrow location and can disturb the
surrounding environment and various considerations so that the regional government has agreed to move the
location of the Poso Hospital which is in Maliwuko village.
For the development of the new RSUD location requires a wider area of about 7 ha. 3 Ha belongs to the
Central Sulawesi provincial government and 4 Ha belongs to the community which must be released. With the
development of this location, it is expected to provide a health service facility for the community in Poso
district. Health service facilities in the form of inpatient buildings and supporting facilities such as pharmacies,
cafeterias, canteens, ATM centers and physiotherapy as well as green open spaces that can function as waiting
areas for patients' families and outdoor physiotherapy facilities. The development of the Poso Hospital also aims
to increase the number of inpatient beds to meet the needs according to standards, improve hospital services so
that they can reach all levels of society, which is done by expanding the hospital area and adding several
facilities without having to borrow patient beds at the Kodim 1307. poso.
According to Alkadri, (2001) Development is an ability that comes from what can be done based on the
resources you have with the aim of increasing the quality of life, so it can be said that development is a desire to
improve conditions and abilities possessed to achieve a better quality of life. . Departing from the opinion of
Alkadri (2001) that the Poso Hospital has a desire to improve the situation for better quality red, in this case the
development of the Poso Regional Hospital location is expected to improve the quality of health services in a
better direction. With the development of the Poso Regional Hospital location, it is possible that if facilities and
infrastructure can be developed, Poso Regional Hospital can raise the status to a type B hospital. demographic
studies, socio-economic studies, morbidity and mortality studies, policy and regulatory studies, environmental
studies and land, building and resource requirements studies.
Research conducted by Maria Guglielmin, Carles Muntaner, Patricia O'Campo, Ketan Shankardass
(2017) entitled A scoping review of the implementation of health in all policies at the local level. The results of
this study show that there are similarities between this study and the research conducted by Maria Guglielmin et
al, namely a review of the implementation of health in all policies at the regional level. This research
investigates policy (HiAP) is “an approach to public policy in sectors that systematically takes into account
health policy decisions, seeks synergies, and avoids harmful health impacts in order to improve population
health and health equity”. By addressing the main factors affecting health in the non-health and health sectors,
HiAP is a viable option for governments looking to improve health disparities and rising chronic diseases, and
improve population health and health equity, particularly in Canada. The land development of Poso Regional
Hospital when viewed from an economic point of view, is generally oriented towards increasing or decreasing
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regional productivity with the indicators being population, income, employment opportunities, and additional
value from the manufacturing sector. Meanwhile, when viewed from a social point of view, land development
focuses on the goal of making changes from less developed conditions to developing or advanced ones that
occur gradually and are expected to help the development of the surrounding area.
b. Availability of Pediatric Surgeon
Hospital human resources are hospital assets that are very valuable because humans control all activities
in the hospital. The main activity of the hospital, namely health services, is carried out by health workers. Health
workers work in teams consisting of various professions, namely doctors, specialists, nurses, laboratory
assistants, nutritionists, pharmacists or pharmacists and pharmacist assistants and so on. The success of health
services if the patient who has received the service recovers or recovers to be healthy, and is getting healthier,
the patient's understanding of his health increases due to the provision of education during his treatment in the
hospital. Type C hospitals require that they must have medical service facilities and capabilities at least 4 (four)
Basic Specialist Medical Services and 4 (four) Medical Supporting Specialist Services. The criteria, facilities
and capabilities of Class C General Hospital include General Medical Services, Emergency Services, Basic
Specialist Medical Services, Medical Support Specialist Services, Oral Dental Specialist Medical Services,
Nursing and Midwifery Services, Clinical Support Services and Non-Clinical Support Services.General Medical
Services type C general hospital consists of Basic Medical Services, Dental Oral Medical Services and
Maternal/Child/Family Planning Health Services. Emergency Services must be able to provide emergency
services 24 (twenty) hours and 7 (seven) days a week with the ability to carry out initial examinations of
emergency cases, carry out resuscitation and stabilization according to standards.
This is an advantage for the Regional General Hospital (RSUD) of Poso Regency because it currently has
a pediatric surgeon, because other hospitals in the Central Sulawesi Province do not yet have a pediatric
surgeon, even patients from Palu were referred to Poso for treatment. by a pediatric surgeon. In Indonesia,
pediatric surgeons until 2021 only number 149 people with the number of Indonesian people reaching 270
million people. The number of these doctors (SpBA) is certainly not enough to provide health services for the
people of Indonesia. Moreover, the distribution process for pediatric surgeons is also uneven. There are still
many provinces that do not have pediatric surgeons. In addition, institutions that provide education for pediatric
surgeons are only available in Badung, Yogyakarta and Surabaya, which of course affects the ratio of the
number of specialist graduates which is only 4-6 people per year. The lack of pediatric surgeons like this is
actually more appropriate to work in a Type B Hospital, but this pediatric surgeon is a civil servant in the Poso
Regency Government so he has to work at the Poso Regional Hospital even though it is Type C. The Deputy
Regent of Poso TS admits that the pediatric surgeon This Poso has been asked several times by the Governor of
Central Sulawesi to work at the Palu Undata Hospital.
According to Winarno (2007: 181-182) that the most important source in implementing policies is
Human Resources). One thing to remember is that numbers do not always have a positive effect on policy
implementation. This means that a large number of doctors does not automatically encourage successful
implementation. This is due to the lack of skills needed in a government organization, but on the other hand the
lack of human resources will also cause complicated problems regarding the implementation of effective
policies. The superiority of Human Resources owned by RSUD Poso has become a separate strategy for RSUD
Poso, which is better known from the quality of available human resources, especially in the field of handling
pediatric surgical patients, which other hospitals in Central Sulawesi do not have. Furthermore, if this is related
to a previous study conducted by Panchapakesan Padma (2014) entitled "Strategic action grids: a study in Indian
hospitals" which emphasized the strategic importance for Indian hospital administrators to improve service
quality by analyzing the dimensions of performance and the importance of the relationship between patients.
and officers.
The results of this study indicate that patients and staff have different perceptions. Different patients have
different needs and staff must be aware to serve patients better. Enables hospital administrators to develop
appropriate strategies to improve their structure and function by analyzing performance strengths and
weaknesses. This illustrates that this study and previous research conducted by Panchapakesan Padma (2014)
found the same problem in providing health services in hospitals, namely how important human resources are in
supporting health services in hospitals. In this context, it shows that human resources, both health and non-
health workers, are one of the important elements in improving the quality of health services, especially in
hospitals and are expected to have a very significant impact on health services that will be received by people
who use these services. Poso Hospital.
2. Obstacles to the Implementation of the Financial Management Policy of the BLUD RSUD Poso
a. Medical Device Corruption
One of the reasons why health services are not optimal at Poso Hospital is corruption. Corruption according to
the Indonesian Dictionary is the misappropriation or misuse of state money (companies, organizations,
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foundations and so on) for personal gain or others. Completeness of facilities and infrastructure is very
important to support the smooth running of the patient's health service process. There are still many public
complaints about the inadequate facilities and services of the Poso Hospital, so that it affects patient care. The
local government's efforts to improve the facilities of the Poso Regional Hospital continue to be carried out, but
there are several Poso Regional Hospital officials who abuse their authority to corrupt the procurement of
medical equipment, health and motor vehicles for Poso Regional Hospital for Fiscal Year 2013 with a contract
value of Rp. 16,472,819,000.- (Sixteen billion four hundred seventy-two million eight hundred nineteen
thousand rupiah) resulting in a State Financial Loss of Rp. 4,814,232,150,- (four billion eight hundred fourteen
million two hundred thirty-two thousand one hundred and fifty rupiah). Corruption has been described in 13
articles in Law no. 31 of 1999 jo. UU no. 20 of 2001. From a legal point of view, criminal acts of corruption
generally fulfill elements such as unlawful acts, abuse of authority, opportunities, or facilities, enriching oneself,
other people, or corporations, and harming state finances or the state economy.
The causes of corruption can vary, depending on the context. Usually the media often publish cases of
corruption related to power in the government. In fact, corruption has actually occurred from the simplest things
to more complex things. Corruption in the procurement of medical devices in the 2013 budget year greatly
affects current health services because it involves medical devices that are directly needed in patient care,
namely the Procurement Project for Nursing Installations, ICU Installations and Medical Support Installations.
As a result, the service quality of the Poso Hospital did not increase significantly. As for the medical devices
that were corrupted by way of mark-up in the form of 1 ambulance, 1 unit of CT Scan photo equipment, several
medicine cabinets, iron beds for patients, incinerators, etc. Of the several types of medical devices that were
corrupted the most, namely medicine cabinets and iron beds and others.
In the view of Robert Klitgaard (2001) that corruption exists when a person does not have the right to put
personal interests above the interests of the people, and the ideals that according to the oath he will serve.
Furthermore, in the blacks' law dictionary Henry Campbell (in Marwan 2013) positions corruption as "an act
carried out with the intent to provide an advantage that is not in accordance with the official obligations and
rights of other parties wrongly using his position or character to gain an advantage for himself". themselves or
for others, together with their obligations and rights of other parties”. In addition, due to acts of corruption in
Poso Hospital medical devices, the service to patients is not optimal, even such as CT Scan Medical devices not
functioning because they are damaged, this damage can be caused by equipment purchased at low prices
through the 2013 budget which was marked up by hospital officials at the time. that. As a result of this
corruption, the patient had to be referred to the Anuntaloko Hospital in the neighboring district of Parigi
Mautong or to the RSU in Palu, Central Sulawesi Province.Medical devices, blood pressure meters, medicine
cabinets, iron beds for patients, some of which are invisible. Incinerators purchased to treat medical waste
cannot be operated because they do not get a permit from the Ministry of the Environment, this of course causes
state losses because the purchased equipment is just parked at the back of the Poso Hospital, in addition to
causing substantial new costs for the treatment of medical waste. which is done by PT. Calm Jaya Prosperous in
Karawang, West Java.
b. No Local Government
Evaluation is a complicated and complex process, this process involves various interests of the
individuals involved in the evaluation processes. The complexity of the evaluation process is also because it
involves the criteria that are intended to carry out the evaluation. A policy that has been implemented by the
government should be evaluated. Evaluation is carried out because not all public policies can get the results or
impacts desired by policy makers. According to Lester and Stewart (in Winarno (2007: 226) reveal that in
general policy evaluation can be said as an activity involving the estimation or assessment of policies that
include substance, implementation and impact. In this case, policy evaluation is seen as a functional activity.
That is, Policy evaluation is not only carried out at the final stage, but is carried out throughout the policy
process.
Winarno (2007: 226) reveals that "policy evaluation can include the formulation stage of policy
problems, proposed programs to solve policy problems, implementation, and the policy impact stage". Dunn
(1998: 608), suggests that "the term evaluation can be equated with appraisal, rating, and assessment, words that
express efforts to analyze policy outcomes in terms of their unit of value". Furthermore, Dunn (1998: 608)
suggests that in a more specific sense, evaluation is concerned with the production of information about the
value or benefits of policy outcomes. Policy evaluation aims to determine four aspects, as stated by Wibawa
(1994: 9-10), namely: aspects of the policy-making process, aspects of the implementation process, aspects of
policy consequences and aspects of the effectiveness of policy impacts. These four aspects of observation can
encourage an evaluator to specifically evaluate the content of the policy, both in the legal dimension and
especially the logic in achieving the objectives, as well as the policy context, environmental conditions that
affect the entire policy process. Furthermore, evaluation of the second aspect is referred to as implementation
evaluation, while evaluation of the third and fourth aspects is called policy impact evaluation.
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Based on the above definitions regarding public policy evaluation, it can be understood that policy
evaluation is an assessment of programs carried out by the government. Public policy evaluation needs to be
carried out to see whether the program has achieved the desired results and has achieved the stated goals or not.
One of the inhibiting factors for the implementation of the Poso Regional Public Hospital's BLUD
management policy is the absence of an evaluation by the Poso Regency local government, towards the Poso
Regional Public Hospital's BLUD status which has 9 (nine) years of gradual BLUD status. If within that period
the administrative requirements are still not satisfactory, then the BLU/D status will be gradually
revoked/cancelled. On the other hand, if the BLU/D satisfactorily fulfills the administrative requirements, the
BLU/D status will gradually be set to full BLU/D status.Weak local government evaluations of BLUD
management officials, namely BLUD leaders and technical officials, are still identical with the organizational
structure of Poso Hospital. Formally the determination of the financial officer is the secretary of the Poso
Regional Hospital based on the Regent's Decree Number: 188.45/1871/2015. Furthermore, the Supervisory
Board was appointed by the Regent based on Regent Decree No: 188.45/1865/2015 which consisted of the
Regional Secretary of Poso Regency as Chair, Inspector of the Poso Regency Inspectorate as secretary, Head of
Financial and Asset Management of Poso Regency as members, some of whom have retired and some have
even died.
The factors causing the failure of policy implementation according to Triana (2011: 61-63) in general,
failure in an implementation process (Unimplemented Policy & Poorly Implemented Policy) is caused by:
1).Unimplemented Policy
a. Policies are only political and are not really meant to be implemented. Policies like this are generally only to
accommodate the demands of oppositional interest groups; b. Difficulty interpreting policies in the form of
operational activities, whether policy objectives are too utopian, not in accordance with field conditions, or
because of obstacles in the field that limit alternative actions.
2). Poorly Implemented Policy
Weak implementation capacity of its implementation. This can happen because: a. The implementation
structure is not structured effectively; b. Conflicting interpretations of program objectives between actors, both
implementers, field officers, and target groups; c. Conflicts of interest between actors, both administrators, field
officers, and target groups; d. Lack of implementation capacity and capability (the required human resources are
not appropriate/appropriate); e. Lack of organizational capacity and capability of implementing institutions; f.
Weak implementation management; g. Lack of risk (budget, tools, time, etc.)
From what was explained by Triana (2011) above that the implementation structure was not arranged neatly and
management was weak, in this case the weak implementation structure that was not arranged neatly and the
weak management of the Poso district government towards Poso Hospital resulted in the objectives of policy
implementation being difficult to achieve.
III. CONCLUSION
The supporting and inhibiting factors for implementing the BLUD management policy at RSUD Poso are: a.
One of the supporting factors is the availability of the Poso Regional Hospital development location and the
availability of pediatric surgeons that are not owned by other hospitals in the Central Sulawesi region. b. The
inhibiting factor that makes it difficult to implement the BLUD RSUD Poso policy is the weakness of the
budget supervisor, which is proven by the corruption of Medical Devices in the 2013 fiscal year. In addition, the
evaluation of the local government towards the officials managing the BLUD RSUD Poso is very weak, even
especially in the quality assurance of health service activities.
Referring to the findings in the field, this study strengthens the recommendations of Van Meter and Van Horn
(1975) which emphasizes that policy resources are important in policy implementation. This statement is in
accordance with the results of the study that resources in research on the implementation of health service
policies must also be available in order to facilitate the administration of implementing a policy. These resources
consist of funds or other incentives that can facilitate the implementation of policies. Then the success of
implementing a policy is very dependent on the ability to utilize available resources, especially human resources
which are the resources that become the driving force in health services, especially in hospitals. In addition, the
critical success factor is quality control from external parties (NGOs, civil society).
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