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Background: NTB Mental Hospital as the only major referralcenter for mental health services in NTB was required to servethe community, to develop and be self-sufficient, while at thesame time must be able to compete in providing quality andaffordable services to the community. In order to fulfill thesedemands, since January 29, 2011 NTB Mental Hospital hasreceived full endorsement as a Mental Hospital with FinancialManagement Patterns of Local Public Service Agency (PPKBLUD).Therefore, indepth review of the implementation ofPPK-BLUD policy in NTB Provincial Mental Hospital (RSJP) isrequired.Objectives: To explore the transformation process andimplementation of PPK-BLUD policy in RSJP.Methods: The design of this study is a qualitative researchcase study to describe the dynamics of the change processand implementation of PPK-BLUD policy in RSJP.Results and Discussion: The phase of transformationprocess was not running as expected. The implementation ofPPK-BLUD policy is not optimal because some flexibility as ahospital privileges with BLUD financial pattern have not beenimplemented yet. The f inance manager was hesitant toimplement the flexible financial management and still followingthe local government financial management mechanisms. Forexternal stakeholders, the implementation of PPK-BLUD policyimplementation in RSJP did not harm local fiscal policy becausethe revenue of RSJP was still counted as revenue for localgovernment, as opposed to independent PPK-BLUD. A surveywas conducted, consisting of community satisfaction towardsthe services in RSJP, data of revenue and budgettingmanagement and distribution of fee services to employees inRSJP. The survey result described that the implementation ofPPK-BLUD policy in RSJP gives positive impacts on financial,services and benefits performances to RSJP. The positiveimpacts were an increase in the number of income, increasedof service indicators measurement and increased incentive toall employees.Conclusion: Management cha

Background: NTB Mental Hospital as the only major referralcenter for mental health services in NTB was required to servethe community, to develop and be self-sufficient, while at thesame time must be able to compete in providing quality andaffordable services to the community. In order to fulfill thesedemands, since January 29, 2011 NTB Mental Hospital hasreceived full endorsement as a Mental Hospital with FinancialManagement Patterns of Local Public Service Agency (PPKBLUD).Therefore, indepth review of the implementation ofPPK-BLUD policy in NTB Provincial Mental Hospital (RSJP) isrequired.Objectives: To explore the transformation process andimplementation of PPK-BLUD policy in RSJP.Methods: The design of this study is a qualitative researchcase study to describe the dynamics of the change processand implementation of PPK-BLUD policy in RSJP.Results and Discussion: The phase of transformationprocess was not running as expected. The implementation ofPPK-BLUD policy is not optimal because some flexibility as ahospital privileges with BLUD financial pattern have not beenimplemented yet. The f inance manager was hesitant toimplement the flexible financial management and still followingthe local government financial management mechanisms. Forexternal stakeholders, the implementation of PPK-BLUD policyimplementation in RSJP did not harm local fiscal policy becausethe revenue of RSJP was still counted as revenue for localgovernment, as opposed to independent PPK-BLUD. A surveywas conducted, consisting of community satisfaction towardsthe services in RSJP, data of revenue and budgettingmanagement and distribution of fee services to employees inRSJP. The survey result described that the implementation ofPPK-BLUD policy in RSJP gives positive impacts on financial,services and benefits performances to RSJP. The positiveimpacts were an increase in the number of income, increasedof service indicators measurement and increased incentive toall employees.Conclusion: Management cha

Background: Health financing provided by the governmentgreatly helps the implementation of health system in the decentralizedera. General Allocation Fund and Local Revenueand Expenditure Budget are apparently inadequate to financehealth service. Some efforts have been made to finance healthservice such as Community Health Insurance (Jamkesmas),Childbirth Insurance (Jampersal), and Health Operational Fund(Bantuan Operasional Kesehatan/BOK). These are meant toachieve Millennium Development Goals in 2015. The practiceof coordination from planning to implementation and stakeholders€™commitment can affect the process of maternal and childhealth service. Coordination is definitely needed to run theprogram policy and prevent the overlapping financing in orderthat the objective of the program can be achieved.Objective: To evaluate coordination of planning, implementationand stakeholders€™ commitment in relation to maternal andchild health (MCH) service in Lombok Tengah District.Method: This was a descriptive-analytical study with a qualitativeapproach and a case-study design. Samples were takenpurposively. The data were obtained through in-depth interview,observation and documentation analysis.Result: The planning coordination of MCH health financinghad not been optimal, even despite the involvement of crosssector and program. However, the organizations of healthprofessionals were not involved in program planning. The coordinationof health financing implementation had not been optimalas well. Even though there was no overlapping financingfrom some different sources, in the policy implementation therewas cost sharing for referral and drugs. Private sectors werenot involved in the implementation of Jampersal. Stakeholders€™commitment was relatively optimum as reflected from the policyand action in health development acceleration particularly MCH.The process of MCH service at both primary and secondarylevel could run well.Conclusion: Coordination of MCH financing implementatio

Background: Health financing provided by the governmentgreatly helps the implementation of health system in the decentralizedera. General Allocation Fund and Local Revenueand Expenditure Budget are apparently inadequate to financehealth service. Some efforts have been made to finance healthservice such as Community Health Insurance (Jamkesmas),Childbirth Insurance (Jampersal), and Health Operational Fund(Bantuan Operasional Kesehatan/BOK). These are meant toachieve Millennium Development Goals in 2015. The practiceof coordination from planning to implementation and stakeholders€™commitment can affect the process of maternal and childhealth service. Coordination is definitely needed to run theprogram policy and prevent the overlapping financing in orderthat the objective of the program can be achieved.Objective: To evaluate coordination of planning, implementationand stakeholders€™ commitment in relation to maternal andchild health (MCH) service in Lombok Tengah District.Method: This was a descriptive-analytical study with a qualitativeapproach and a case-study design. Samples were takenpurposively. The data were obtained through in-depth interview,observation and documentation analysis.Result: The planning coordination of MCH health financinghad not been optimal, even despite the involvement of crosssector and program. However, the organizations of healthprofessionals were not involved in program planning. The coordinationof health financing implementation had not been optimalas well. Even though there was no overlapping financingfrom some different sources, in the policy implementation therewas cost sharing for referral and drugs. Private sectors werenot involved in the implementation of Jampersal. Stakeholders€™commitment was relatively optimum as reflected from the policyand action in health development acceleration particularly MCH.The process of MCH service at both primary and secondarylevel could run well.Conclusion: Coordination of MCH financing implementatio