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1Health Policy and Administration, Faculty of Public Health, Diponegoro University, Indonesia

2Epidemiology Department, Faculty of Public Health, Diponegoro University, Indonesia

3Health Environment, Faculty of Public Health, Diponegoro University, Indonesia

4 Health Environment, Faculty of Public Health, Diponegoro University, Indonesia

5 Health Promotion and Behavioral Sciences, Faculty of Public Health, Diponegoro University, Indonesia

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Received: 16 Aug 2020; Published: 1 Sep 2020.
Open Access Copyright (c) 2020 Journal of Public Health for Tropical and Coastal Region

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Background: Indonesia applies decentralization policy in health sector. However, there are Health Minimum Service Standards (HMSS) that must be met at provincial and district level. In district level, there are 12 indicators that must be achieved include of maternal and child health with the coverage must be 100%. Nevertheless, there are various problems in achieving HMSS both quantity and quality aspect. This study aimed to determine the problems that were happened and determine alternative solutions in the implementation of HMSS especially in maternal and child sector.

Methods: This research was done in three steps. The first step was conducted by Focus Group Discussion (FGD) with participant from many stakeholders in Central Java and Yogyakarta. This step aims to identify problems in the implementation of HMSS and develop the alternative solution. Second stage was developing the conceptual framework.

Results: Based on the research, there are many problems in quantitative and qualitative aspects related to healthcare services. Program planning and budgeting is the main key to achievement HMSS. In second and third steps, an integrated planning and budgeting framework between multisector was obtained including problem identification, problem cause analysis, multisector identification, setting solutions and programs, planning and budgeting, and monitoring and evaluation. So that, there were no overlapping programs, less optimal, and lack of supervision and guidance.

Conclusions: Integrated planning and budgeting was alternative solution to solve the implementation problem in HMSS especially in maternal and child aspect. However, strong commitment and monitoring was needed between stakeholder.

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Keywords: planning; budgeting;Health Minimum Service Standard

Article Metrics:

  1. Government Regulation Number 2 year 2018 on Minimum Service Standards
  2. Law Number 23 year 2014 on Local Government
  3. Regulation of Minister of Home Affairs Number 100 year 2018 on Implementation Minimum Service Standard
  4. Afrianti F. Obstacles of the Implementation of the Healthy Indonesia Program with Family Approach (PIS-PK). In 2nd Sriwijaya International Conference of Public Health (SICPH 2019) 2020 Jun 19 (pp. 188-197). Atlantis Press
  5. Ministry of Health Regulation Number 4 year 2019 on Technical Guidance Health Minimum Service Standard
  6. Kirsteen Weeks. Colaboration is Essential to Improving Maternal and Newborn Health in Indonesia. 14 September 2018. Available from:
  7. Salunke S, Lal DK. Multisectoral approach for promoting public health. Indian Journal of Public Health. 2017 Jul 1;61(3):163
  8. ten Hoope‐Bender P, Martin Hilber A, Nove A, Bandali S, Nam S, Armstrong C, Ahmed AM, Chatuluka MG, Magoma M, Hulton L. Using advocacy and data to strengthen political accountability in maternal and newborn health in Africa. International Journal of Gynecology & Obstetrics. 2016 Dec;135(3):358-64

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