Banjar municipality's in given public health service still depend on to the balance financial policy, this is because of the limitation of the resource belong to to the city regency it can be seen through the implementation of the balance financial policy hasn't been optimally with the indication of the limitation of the human resources capability,according to the policy. The limitation of the ability in organizing of the natural resources and also human resources depend on the capability of financial statement of the regency it self in carrying out of the local autonomy. The methods of the research used the eksplanation method with the sample selection use the cluster sampling, the sample taken step by step lies on the administration district we can find the public health centre with the simple random sampling. The data is tasted by the Structure Equation Model (SEM) based on the procedure in the methods of successive interval. The proceeds of the research shows that the implementation of the balance financial policy in execution of the dimension local autonomy depend on communication, resource, attitude of the executor and the bureaucracy structure hand by hand or individually can be influence toward the development of public health service followed by the structure of bureaucracy, resource and communication.