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"Program BOK di Kabupaten Kuningan meningkatan dana operasional Puskesmas tahun 2011 dan 2012 menjadi 2 kali lipat, tetapi hal tersebut tidak berbanding positif dengan pencapaian cakupan indikator SPM bidang kesehatan. Ini mengindikasikan bahwa implementasi program BOK di Puskesmas Kabupaten Kuningan belum berjalan sesuai harapan. Tujuan penelitian ini untuk menganalisis faktor-faktor yang mempengaruhi implementasi kebijakan BOK di Puskesmas Kabupaten Kuningan berdasarkan variabel kondisi lingkungan, hubungan antar organisasi, sumber daya organisasi, serta karakteristik dan kapabilitas instansi pelaksana. Penelitian ini menggunakan metode kualitatif dan dilakukan antara Bulan Maret-April 2013 berlokasi di 4 Puskesmas dan Dinas Kesehatan dengan jumlah informan 23 orang. Pelaksanaan BOK di Kabupaten Kuningan tahun 2011?2012 memberikan banyak manfaat kepada Puskesmas khususnya operasional kegiatan preventif dan promotif. Tetapi ini tidak berpengaruh positif terhadap pencapaian SPM bidang kesehatan. SPM cenderung menurun dan item tidak mencapai target cenderung meningkat.

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BOK programs in Kuningan District to improve operational funds of public health centers in 2011 and 2012 to 2-fold, but it is not comparable positive with the achievement coverage of health SPM indicators. This indicates that the implementation of BOK programs in public health centers of Kuningan District has not run as expected. The purpose of this study to analyze the factors that influence implementation of the BOK policy in public health centers of Kuningan District, based on variable environmental conditions, inter-organizational relationships, organizational resources, as well as the characteristics and capabilities of executing agencies. This study uses a qualitative method and conducted between March-April 2013 and is located at 4 public health centers with the Health Department informant number 23. Implementation of BOK programs in Kuningan district in 2011-2012 provides many benefits to the public health center especially operational to preventive and to promotive activities. But this is not a positive influence on the achievement in health SPM. SPM tends to decrease and the item does not reach the target is likely to increase."

"Program Bantuan Operasional Kesehatan atau BOK melalui mekanisme DAK Non Fisik merupakan upaya penyalurkan dana operasional untuk kegiatan Puskesmas. Dana tersebut merupakan yang digunakan untuk kegiatan UKM di Puskesmas. Namun masih banyak kendala yang yang menyebabkan efektifitas dana ini menjadi belum maksimal. Tujuan penelitian ini adalah untuk melihat efektifitas implementasi dana BOK melalui mekanisme DAK Non fisik untuk menunjang kegiatan UKM di Puskesmas dilihat dari waktu pencairan, anggaran, sumber daya manusia, sarana, beban kerja serta proses pengelolaan dana tersebut. Penelitian dilakukan dengan metode kualitatif dandilakukan di antara bulan Januari sampai Mei 2019. Dana BOK ini sangat membantu kegiatan operasional puskesmas, namun cakupan SPM di kabupaten Bogor belum begitusignifikan. Hal ini dikarenakan masih banyak faktor yang membuat jalannya dana tersebut belum efektif dan efisien.

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The Health Operational Assistance Program or BOK through the Non-Physical DAK mechanism is an effort to channel operational funds to Public Health Centre activities.The fund is used for the activities of UKM in the Public Health Centre. But there are still many obstacles that have caused the effectiveness of these funds to be not optimal. The purpose of this study was to see the effectiveness of the implementation of BOK fundsthrough the non-physical DAK mechanism to support UKM activities in Public Health Centre viewed from the time of disbursement, budget, human resources, facilities,workload and the process of managing the funds. The research was conducted with qualitative methods and was carried out between January and May 2019. This BOK fundgreatly helped the operational activities of the Public Health Centre, but the SPM coverage in Bogor district was not so significant. This is because there are still manyfactors that make the way the funds have not been effective and efficient."

"Tujuan dari penelitian ini adalah untuk mengetahui (1) implementasi program bantuan operasional kesehatan (BOK) di Puskesmas Kota Bekasi, (2) ukuran dan tujuan kebijakan, (3) pelaksanaan program cakupan penanganan komplikasi kebidanan, (4) ketersediaan SDM, (5) disposisi pelaksana dan (6) lingkungan sosial, ekonomi dan politik yang mempengaruhi implementasi bantuan operasional kesehatan (BOK) dengan cakupan penanganan komplikasi kebidanan di puskesmas kota bekasi tahun 2019. Variabel penelitian meliputi sumber daya manusia, anggaran, pedoman, fasilitas, perencanaan, pelaksanaan, monitoring dan evaluasi. Sampel yang terlibat dalam pelaksanaan program bantuan operasional kesehatan di Puskesmas Kota Bekasi terdiri dari 9 responden. Hasil penelitian mengungkapkan bahwa perencanaan anggaran sudah sesuai dengan juknis, kebijakan sumber daya manusia belum memadai, jumlah dana sudah mencukupi dan proses akuntabilitasnya memerlukan pengawasan dan penyederhanaan pelaporan. Pada tingkat capaian program penanganan komplikasi kebidanan, cakupan layanan ada yang telah meningkat, tetapi ada beberapa layanan yang tidak memenuhi target Standar Pelayanan Minimal (SPM).

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The aims of the research are to find out (1) the implementation of health operational assistance (BOK) at Bekasi City Health Center, (2) the size and objectives of the policy, (3) implementation of coverage programs for obstetric complications management, (4) the availability of human resources, (5) implementation disposition and (6) social, economic and political environment that affect the implementation of health operational assistance (BOK) with coverage of obstetric complications management in the Bekasi City Health Center in 2019. Research variables include human resources, budget, guidelines, facilities, planning, implementation, monitoring and evaluation. The sample involved in implemention of health operational assistance (BOK) with coverage of obstetric complications management in the Bekasi City Health Center consisted of 9 respondents. The results of the research revealed that budget planning was in accordance with technical guidelines, human resource policies were inadequate, the amount of funds was sufficient and the accountability process needed supervision and simplification of reporting. At the level of achievement of the obstetric complications management program, service coverage has increased, but there are some services that do not meet the Minimum Service Standards (MSS) targets."

"ABSTRAKBantuan Operasional Kesehatan (BOK) bertujuan untuk membantu meningkatkan kinerja Puskesmas dan jaringannya dalam menyelenggarakan pelayanan kesehatan promotif dan preventif. Tahun 2010, Kabupaten Bandung Barat mendapatkan alokasi untuk BOK sebesar Rp. 1.132.000.000,- yang terdistribusi di 31 Puskesmas. Penelitian ini menggunakan pendekatan kuantitatif dan kualitatif dengan tujuan untuk mengetahui nilai realisasi penyerapan BOK untuk pelayanan kesehatan reproduksi di 31 Puskesmas Kabupaten Bandung Barat. Variabel bebas dari penelitian ini adalah jenis Puskesmas, ketenagaan, manajemen internal Puskesmas, sumber dana dan kebijakan daerah mengenai peningkatan kapasitas Puskesmas. Hasil penelitian menunjukan realisasi yang dicapai tahun 2010 sebesar Rp. 903.859.550,- atau sekitar 80% dari Pagu BOK tahun 2010, sedangkan besaran alokasi untuk pelayanan kesehatan reproduksi sebesar Rp. 246.789.000 atau 22% dari pagu BOK. Dari alokasi tersebut paling banyak dipergunakan untuk peningkatan pelayanan kesehatan Ibu dan anak dan pelayanan KB. Hal ini sesuai dengan upaya untuk mencapai target MDGs terkait dengan sasaran 4 dan 5 untuk penurunan Angka Kematian Ibu dan Bayi. Hasil studi kualitatif di 3 Puskesmas menunjukan BOK sangat bermanfaat dalam peningkatan pelayanan di Puskesmas termasuk cakupan pelayanan kesehatan reproduksi. Kegiatan yang paling banyak di lakukan oleh Puskesmas adalah pelayanan di Posyandu dengan komponen perjalanan paling banyak. Agar realisasi BOK mencapai 100% maka ketepatan diterima anggaran awal tahun merupakan hal penting selain pendampingan dari pihak Dinas Kesehatan dalam Penyusunan POA. Selain itu program untuk pengembangan Puskesmas dan dukungan anggaran dari APBD agar tetap tersedia sehingga derajat kesehatan di Kabupeten Bandung Barat dapat meningkat dan mampu terwujudnya Indonesia Sehat, Mandiri dan Berkeadilan.

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ABSTRACTHealth Operational Assistance (BOK) aims to assist improve the performance of Public Health Center and their networks in organizing health services in promotive and preventive. In 2010, West Bandung District get allocation funds for the BOK which is Rp. 1.132.000.000 that distributed at 31 public health centers. This research used a quantitative and qualitative approaches to determine the realizable value of the absorption of Health Operational Assistance for reproductive health services in 31 Public Health Center located in West Bandung District. Independent variables are the type of public health centers, resources, internal management of public health center, financial resources, and regional policies on the improvement of Public Health Center capacity. The results of these studies show the realization that achieved in 2010 was Rp. 903,859,550 or about 80% from the BOK Ceilings 2010, while the amount allocated for the reproductive health services was Rp. 246 789 000 or 22% from the BOK Ceilings. The allocation most widely used for the improvement of maternal and child health services and family planning services. This is consistent with effort to achieve the the MDGs (numbers 4 and 5) realted with the target of reducingmaternal and child mortality. The results of the qualitative study in 3 health centers showed that Health Operational Assistance is very helpful in improving services in Public Health Center, including coverage of reproductive health services is increasing. The activities that most widely performed by public health center is a component of Posyandu services in the most widely trip. In order to realization of Operational Assistance Health up to 100% then the accuracy of revenue budget in beginning years are essential besides the assistance from Health Office in the preparation of Plan Of Action (POA). Program to development of public health centers and support from the regional budget in order to remain provided so that the degree of health in West Bandung District can be improved and capable of realization of Healthy Indonesia, Independent and Equitable."

"ABSTRAKNama : FitriProgram Studi : Ilmu Kesehatan MasyarakatJudul : Analisis Implementasi Bantuan Operasional Kesehatan melaluiDana Alokasi Khusus Non Fisik di Kabupaten Serang Tahun 2016Pembimbing : Prastuti Soewondo, SE, MPH, PhDMulai tahun 2016, mekanisme penyaluran Biaya Operasional Kesehatan BOK dialihkanpenyaluran dananya dari Tugas Pembantuan yang alokasinya pada anggaran KementerianKesehatan menjadi DAK non-fisik yang di transfer langsung dari Kementerian Keuangandan dicatat sebagai bagian dari pendapatan daerah. BOK merupakan dana yang digunakanuntuk menunjang kegiatan promotif-preventif di luar gedung Puskesmas. Penelitiankualitatif ini bertujuan untuk mendapatkan gambaran implementasi BOK melaluimekanime DAK non-fisik serta diketahui hambatan yang dihadapi di Kabupaten Serang.Capaian realisasi dana BOK di Kabupaten Serang mengalami penurunan menjadi 85,87 di tahun 2016. dibanding tahun 2015 yang menggunakan mekanisme TP yaitu 96,49 .Hasil penelitian mengungkapkan adanya keterlambatan penerbitan juknis, keterbatasanfasilitas berupa komputer, printer dan gudang, keterbatasan staf sehingga merangkapbeberapa tugas, keterlambatan pencairan dana, kesulitan dalam penyesuaian kode rekeningdengan kegiatan BOK, banyaknya syarat dokumen pertanggungjawaban yang harusdilengkapi untuk pencairan dana serta masih lemahnya perencanaan kegiatan, komitmen,dan koordinasi antara para pengelola BOK.Kata kunci : Bantuan Operasional Kesehatan; Puskesmas; DAK non-fisik

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ABSTRACTName FitriStudy Program Ilmu Kesehatan MasyarakatTitle Analysis of the Implementation of Operational Budget for Health BOK through Special Allocation Fund DAK NonPhysic in Serang Regency in 2016Counsellor Prastuti Soewondo, SE, MPH, PhDStarting in 2016, fund channeling mechanism of Operational Budget for Health BOK hasshifted from Tugas Perbantuan in which allocated through the Ministry of Health to SpecialAllocation Fund DAK non physic that is directly transferred from Ministry of Financeand recorded as part of the local government revenues. BOK is for funds allocated tosupport preventif and promotive activities outside the building of Puskesmas. Thisqualitative approach aims to obtain an overview on the implementation of BOK usingmechanism of DAK non physic and identify obstacles faced by Kabupaten Serang. Thebudget realization has reduced from its previous achievement, from 96.49 in 2015 usingTP mechanism to 85.87 in 2016. The study result demonstrates that there are severalmain issues that need to be tackled in the future, including delays on issuing technicalguidelines, limited supporting infrastructure and technology such as computers, printersand warehouses , limitations in human resources that are forced to multitask different jobdescriptions, continued delay on disbursement of funds, difficulties in adjusting code ofaccount under BOK activities, the excessive amount of documentation required as prerequestedfor fund disbursement, and ineffective planning activities, commitment, andcoordination among BOK managers.Key words Operational Budget for Health BOK , Community Health Center Health toSpecial Allocation Fund DAK non physic"

"ABSTRAKRealisasi dana Bantuan Operasional Kesehatan BOK di Puskesmas Kota Serangdari tahun 2014-2016 selalu mencapai 100 setiap tahun dan 30 digunakanuntuk kegiatan KIA. Namun, capaian cakupan pelayanan kesehatan ibu dan anakkhususnya kunjungan antenatal K4 menunjukkan penurunan dan belum mencapaitarget 75 . Penelitian kualitatif ini dilakukan di Dinas Kesehatan, 2 dua Puskesmas dengan cakupan K4 tinggi dan 2 dua Puskesmas dengan cakupan K4rendah. Hasil penelitian menunjukkan bahwa Puskesmas kekurangan sumber dayamanusia dan sarana prasarana untuk program KIA, dana operasional untukkegiatan preventif dan promotif hanya mengandalkan dana BOK, pengawasanpencatatan pelaporan bidan masih lemah, serta frekuensi pergantian kader yangrelatif tinggi.Kata Kunci:Bantuan Operasional Kesehatan, Puskesmas, Kunjungan Antenatal K4 mbahas

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ABSTRACTThe Health Operational Aid Fund BOK has been 100 absorped during 2014 2016 in health centers in Serang city. Out of the total fund, 30 has been used forKIA program activities. However, coverage of maternal and child health servicesespecially K4 antenatal visit tend to decrease and has not reached the target 75 . This qualitative research was conducted in District Health Office, 2 two health centers with high K4 coverage and 2 two Puskesmas with low K4coverage. The result showed that Puskesmas has shortage in human resources andinfrastructure facilities for KIA program, while funding to support preventive andpromotive activities was only rely on BOK funds. In addition, midwife reportingwas found insufficient, and high turn over of cadres has lead to poor performance.Key words community health centre, health operational fund, K4 antenatalvisit."

"ABSTRAKMasih tingginya Angka Kematian Ibu di Kabupaten Bintan dan rendahnyaanggaran kesehatan masyarakat di daerah menyebabkan Puskesmas belummaksimal dalam menjalan fungsi strategisnya. Penelitian ini adalah penelitiankualitatif dengan desain studi kasus yang bertujuan untuk melihat efektifitas BOKdalam percepatan MDGs di Kabupaten Bintan Provinsi Kepulauan Riau tahun2011 dan Tahun 2012. Hasil penelitian diketahui bahwa Bantuan OperasionalKesehatan belum efektif dalam mendukung percepatan MDGs. Hal ini disebabkankarena pegawai masih berorientasi pada uang lumpsum, peruntukkan kegiatanlebih besar diluar program tujuan MDGs dan menurunnya anggaran kesehatandari APBD setalah ada BOK. Saran: agar Dinas Kesehatan melakukan advokasikepada legislatif dan executive untuk mempertahankan dan meningkatkananggaran kesehatan, melaksanakan pengawasan dan evaluasi terhadap kinerjaprogram yang dibiayai BOK dan meningkatkan pembinaan ke lapangan untukmemaksimalkan pencapaian MDGs 2015.

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ABSTRACTThe persistently high maternal mortality rate in the District of Bintan andlow areas of public health budget led health centers have not been up in runningthe strategic function. The study was a qualitative research design with casestudies that aim to see the effectiveness of the BOK in the acceleration of MDGsin Bintan regency in Riau Islands Province 2011 and Year 2012. Survey resultsrevealed that the Operational Health Support not been effective in supporting theacceleration of the MDGs. This is because employees are oriented journey?sexpences, greater activity outside the designated program goals MDGs anddeclining health budgets from existing budgets After BOK. Advice: HealthDepartment to advocate for legislative and executive to maintain and improve thehealth budget, supervise and evaluate the performance of programs financed byBOK and improve guidance to the field to maximize the achievement of theMDGs by 2015."

"Dilakukan studi untuk melihat bagaimana gambaran pembiayaan operasional puskesmas tahun 2010-2012 serta gambaran pelaksanaan BOK dan pengaruhnya terhadap cakupan pelayanan kesehatan dasar terpilih. Dari hasil studi sumbersumber pembiayaan puskesmas berasal dari Dana rutin operasional Puskesmas, Retribusi, Jamkesda, Askes sosial, Jamkesmas, dan BOK. Pembiayaan operasional puskesmas bergeser ke sumber pembiayaan APBN dengan proporsi 10% pada tahun 2010 menjadi 73% di tahun 2012. Program BOK secara administratif sudah dilaksanakan sesuai dengan petunjuk teknis pelaksanaan dengan beberapa kelemahan. Program BOK menambah motivasi kerja pegawai puskesmas, meningkatkan intensitas kegiatan promotif dan preventif dan meningkatkan cakupan pelayanan kesehatan dasar, namun fluktuatif pada beberapa indikator yang disebabkan : keterlambatan proses pencairan anggaran, mekanisme keuangan yang rumit, kwalitas SDM puskesmas dan prilaku masyarakat.

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Conducted a study to see how the picture of health centers operational financing of the years 2010-2012 olso BOK program implementation and its effect on selected basic health care coverage. From the study health centers funding sources came from the operational routine health centers funds, Retribution, Jamkesda, Askes, Jamkesmas, and BOK. health centers operational financing shifted to a APBN financing source with the proportion of 10% in 2010 to 73% in 2012. BOK program has been implemented administratively according with the technical guidance implementation wit some flaws. BOK add to motivation program employee health centers, increase the intensity of promotive and preventive activities and improve basic health care coverage, but some indicators fluctuate caused by: delays in disbursement process, complicated financial mechanisms, quality of human resources health centers and the behavior of the community."

"ABSTRAKRealisasi dana Bantuan Operasional Kesehatan (BOK) untuk Puskesmas di KotaDepok dari tahun 2012 sampai dengan tahun 2013 meningkat sebesar 25,56%.Tingginya serapan dana tersebut seharusnya diimbangi dengan peningkatancakupan kunjungan neonatal pertama (KN1). Hasil capaian KN1 di tahun 2013mengalami penurunan sebesar 6,11%, sehingga perlu dievaluasi. Penelitiandilakukan di Dinas Kesehatan dan 4 Puskesmas, yaitu Puskesmas Cipayung,Puskesmas Cinere, Puskesmas Cilodong dan Puskesmas Tapos dengan metodakualitatif dan mempertimbangkan variabel dana serta cakupan. Hasil penelitianmenunjukkan bahwa tidak semua Puskesmas kekurangan sumber daya manusiadan sarana prasarana dalam mengelola BOK dan program kesehatan anak. Namun,ketersediaan dana operasional rutin (BOP) untuk melakukan kunjungan luargedung relatif terbatas, sehingga Puskesmas mengutamakan dana BOK. Sebelumpelaksanaan kegiatan, tiap Puskesmas menetapkan rencana pelaksanaanberdasarkan capaian program tahun sebelumnya dengan melibatkan lintas programdi Puskesmas. Dana BOK dimanfaatkan untuk kunjungan neonatus resiko tinggi,penyuluhan dan pendataan sasaran oleh kader kesehatan

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ABSTRACTThe Health Operational Fund (BOK) to support programs in 2013 in Depok hasincreased 25,56% as compared to 2012. This should be followed by an increase incoverage of the first neonatal visit (KN1). Performance of KN1 in the year 2013decreased by 6,11%, so it is needed to evaluate the use of BOK. The study wasconducted at the District Health Office level and covering 4 health centers, namelyCipayung, Cinere, Cilodong and Tapos using qualitative approach and consideredcost and coverage variables. The results showed that there was no shortage onhuman resources and facility to manage the Puskesmas Operational funds (BOK)and neonatal health programs. The availability of routine operational funds (BOP)is limited so that the health center has been relying on BOK fund to supportoutreach programs. Each health center set up Plan of Action based on previousprograms achievement involving various relevant programs. The fund was used forhigh risk neonatal visit, counseling and mapping the target by cadres."

"Penelitian ini membahas tentang hubungan pemanfaatan dana bantuan operasional kesehatan (BOK) terhadap utilisasi pelayanan kesehatan balita di posyandu di Indonesia. Tujuan dari penelitian ini adalah agar dapat diketahuinya distribusi frekuensi faktor pelayanan kesehatan balita dengan utilisasi pelayanan kesehatan balita di osyandu di Indonesia, berdasarkan data Indonesia Family Life Survey (IFLS) tahun 2014. Diketahuinya hubungan kesesuaian pemanfaatan dana BOK dengan utilisasi pelayanan kesehatan balita di posyandu di Indonesia setelah dikontrol dengan variabel lain, berdasarkan data Indonesia Family Life Survey (IFLS) tahun 2014. Unit analisis penelitian ini adalah wilayah kerja kecamatan, dengan jumlah sampel yang memenuhi kriteria inklusi sebanyak 168 kecamatan. Analisis Multivariat dilakukan dengan pendekatan model Ordinary Least Square (OLS) dengan metode BackwardBerdasarkan hasil penelitian ini didapatkan bahwa proporsi Puskesmas penerima BOK sebesar 76,48%, proporsi kesesuaian pemanfaatan BOK sebesar 68,56%, dan rata-rata BOK perkapita adalah sebesar 4.226 rupiah yang berasal dari 15 propinsi, 115 kab/kota dan 168 kecamatan. Faktor-faktor yang berhubungan signifikan dengan utilisasi pelayanan kesehatan balita meliputi alokasi dana BOK perkapita, Manajerial Kepala Puskesmas, Jumlah Bidan,Jumlah Perawat, dan Sumbangan dana dari Puskesmas. Dari hasil penelitian ini juga didapatkan bahwa Puskesmas yang menerima BOK dan kesesuaian pemanfaatan Dana BOK tidakmempengaruhi utilisasi pelayanan kesehatan balita di posyandu di Indonesia sedangkan alokasi dana BOK perkapita meningkatkan utilisasi pelayanan kesehatan balita di posyandu di Indonesia.

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This study discusses associaton between the use of Health Operational Assistance and Utilization Under Five Childs Health Services in Posyandu in Indonesia. The purpose of this study is to know the frequency distribution of under five childs health service facilities with the utilization of under five childs health services in posyandu in Indonesia based on the 2014 Indonesian Family Life Survey (IFLS) data, knowing the relationship between the suitability of BOK funds utilization and the utilization of under five health services at posyandu in Indonesia is based on the Indonesian Family Life Survey (IFLS) data in 2014, and it is known that the influence of BOK funds with the utilization of under-five health services after being controlled by other variables is based on the 2014 Indonesian Family Life Survey (IFLS) data. with the number of samples meeting the inclusion criteria as many as 168 sub-districts. Multivariateanalysis was carried out using the Ordinary Least Square (OLS) model approach with the backward method. Based on the results of this study it was found that the proportion of Puskesmas receiving BOK was 76.48%, the proportion of the suitability of BOK utilization was 68.56%, and the average BAP per capita was 4,226 rupiah from 15 provinces, 115 districts/cities and 168 sub-districts. The factors that significantly correlated with the utilization of under five childs health services included the allocation of BOK per capita funds, Managerial Head of Puskesmas, Number of Midwives, Number of Nurses, and Donations from Puskesmas. From the results of this study it was also found that the Puskesmas that received BOK and the suitability of the use of the BOK Fund did not affect the utilization of under-five health services at the posyandu in Indonesia while the allocation of the BOK per capita increased the utilization of under five health services in posyandu in Indonesia."