Persiapan Puskesmas Bandarjaya Menjadi Unit Swadana

Abstract

Health Center is one of health organization in district level that have compre­hensive and holistic health care system in the society, as a point to improving health status program. Because of that, improving quality ofservices is very important. Many perspectives of quality, two of them are about improving quality of manpower and financing. Swadana conceps may give the answer for the many problems in the health centers. This study was a cross sectional study in Puskesmas Bandarjaya, Lampung. The study had 3 steps analysis, they were; (1) situation analysis before to be Swadana Units, (2) Cost Analysis. and (3) Tariff Simulation. The study showed that human resources in Puskesmas Bandarjaya was very limited, visite rate in many services was high, equipment and building in Puskesmas Bandarjaya were in good condition, the population around Puskesmas Bandarjaya area and the government gave a positive support for the Swadana program. Cost analysis showed that the actual tariff for all services was very lower or under the unit cost and the CRR of all services in Puskesmas Bandarjaya was very low or under 100% for 3 scenarios (excepcion Laboratory Unit). The tariff stimulation showed that Puskesmas Bandarjaya had profit financing if the tariff would be taken about Rp. 2.500,00-Rp.3.000,00. All facts showed that Swadana concept would be necessary to accepted for Puskesmas Bandarjaya to get improving performance and quality. The study recommends that Puskesmas Bandarjaya must regulate the administration to be the holistic pay system, improving quality and quantity of human resources, regulate financing report and system and to adjust the old tariff with the new one after cost analysis in actual scenario