Program Indonesia Sehat dengan pendekatan keluarga: analisis kesiapan biaya untuk hipertensi, diabetes melitus, dan gangguan jiwa di Kota Depok 2018-2020

Abstract

Purpose: Healthy Indonesia Program with Family Approach (PIS PK) is a way to expand Puskesmas’ reach and coverage and providing closer access to health services through family home visitations. Overcoming non-communicable diseases i.e., hypertension, diabetes mellitus and mental disorder is a national priority in achieving Healthy Indonesia (Indonesia Sehat). One of the goals of PIS PK is to support the Minimum Service Standards (SPM) assuring everyone receives the minimum requirements of type and quality of services in accordance with the range of age and health. The prevalence of non-communicable diseases continues to increase, even though communicable diseases remain at high rates. Managing non-communicable diseases specifically hypertension, Diabetes Mellitus and mental disorders are among the indicators of healthy families in achieving SPM in PIS PK.

Method: This research uses the qualitative method through in-depth interviews and related document study. Analysis of readiness of financing for hypertension, Diabetes Mellitus and mental is calculated using costing methode of SPM.

Results: The results indicated health spending for PIS PK activities were utilized for socialization, education and data collection. Referring to SPM costing calculation, the City of Depok was able to implement SPM for hypertension, Diabetes Mellitus and Mental Disorder with using only 1.38% of the total APBD (non-salary APBD).

Conclusion: Depok City Health Office is not ready in implementing PIS PK, specifically in terms of commitment, human resources, and budget. Though already familiar with PIS PK, Depok City Health Office states due to its limited resources, PIS PK implementation depends on the availability of funding from DAK Non-Physical disbursement that tends to have a lengthy lag time between the proposal process and the realization of the disbursement. The preparation of financing PIS PK requires amore optimal planning process and allocation of human resources as needed.