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Abstrak :
[ABSTRAK
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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ABSTRACT
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.;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., 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.]

Abstrak :
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). ......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.

Abstrak :
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 Backward Berdasarkan 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 tidak mempengaruhi 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. Multivariate analysis 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.

Abstrak :
ABSTRAK
Realisasi dana Bantuan Operasional Kesehatan (BOK) untuk Puskesmas di Kota Depok dari tahun 2012 sampai dengan tahun 2013 meningkat sebesar 25,56%. Tingginya serapan dana tersebut seharusnya diimbangi dengan peningkatan cakupan kunjungan neonatal pertama (KN1). Hasil capaian KN1 di tahun 2013 mengalami penurunan sebesar 6,11%, sehingga perlu dievaluasi. Penelitian dilakukan di Dinas Kesehatan dan 4 Puskesmas, yaitu Puskesmas Cipayung, Puskesmas Cinere, Puskesmas Cilodong dan Puskesmas Tapos dengan metoda kualitatif dan mempertimbangkan variabel dana serta cakupan. Hasil penelitian menunjukkan bahwa tidak semua Puskesmas kekurangan sumber daya manusia dan sarana prasarana dalam mengelola BOK dan program kesehatan anak. Namun, ketersediaan dana operasional rutin (BOP) untuk melakukan kunjungan luar gedung relatif terbatas, sehingga Puskesmas mengutamakan dana BOK. Sebelum pelaksanaan kegiatan, tiap Puskesmas menetapkan rencana pelaksanaan berdasarkan capaian program tahun sebelumnya dengan melibatkan lintas program di Puskesmas. Dana BOK dimanfaatkan untuk kunjungan neonatus resiko tinggi, penyuluhan dan pendataan sasaran oleh kader kesehatan

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ABSTRACT
The Health Operational Fund (BOK) to support programs in 2013 in Depok has increased 25,56% as compared to 2012. This should be followed by an increase in coverage of the first neonatal visit (KN1). Performance of KN1 in the year 2013 decreased by 6,11%, so it is needed to evaluate the use of BOK. The study was conducted at the District Health Office level and covering 4 health centers, namely Cipayung, Cinere, Cilodong and Tapos using qualitative approach and considered cost and coverage variables. The results showed that there was no shortage on human 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 support outreach programs. Each health center set up Plan of Action based on previous programs achievement involving various relevant programs. The fund was used for high risk neonatal visit, counseling and mapping the target by cadres.

Abstrak :
Dana Alokasi Khusus (DAK), baik DAK fisik dan non fisik merupakan satu dari beberapa sumber pendanaan di daerah yang digunakan untuk menyelenggarakan kegiatan kesehatan. Pada Bantuan Operasional Kesehatan (BOK) yang masuk kedalam ruang lingkup DAK non fisik, terdapat menu kegiatan Sanitasi Total Berbasis Masyarakat (STBM) bagi Desa/Kelurahan prioritas. Menu ini ditujukan bagi desa/kelurahan prioritas yang bertujuan mendukung implementasi indikator Rencana Strategis Kementerian Kesehatan, yakni Desa/Kelurahan Stop Buang Air Besar Sembarangan (SBS) dan terwujudnya pilar pertama STBM (stop buang air besar sembarangan). Pelaksanaan kegiatan ini di daerah perlu dilakukan pengawasan sebagai upaya untuk memastikan kegiatan terlaksana sesuai dengan tujuannya. Sehubungan dengan belum terdapatnya sistem informasi yang dapat digunakan sebagai alat bantu pemantauan kegiatan ini, maka perlu dibuat rancangan sistem informasi pelaporan kegiatan STBM pilar 1 SBS pada desa/kelurahan prioritas bersumber dana BOK Puskesmas. Sistem informasi yang dirancang menggunakan metode System Development Life Cycle (SDLC) dengan pendekatan prototipe. Dalam sistem informasi ini akan diperoleh data terkait lokasi sasaran, akses sanitasi sebelum dan sesudah, rencana kegiatan, besaran rencana anggaran, realisasi kegiatan, besaran realisasi anggaran, kondisi STBM paska kegiatan, hingga kendala yang dialami saat melaksanakan kegiatan. Penggunaan sistem informasi ini dapat mendukung fungsi pengawasan dalam manajemen untuk memastikan kegiatan BOK STBM telah terlaksana sesuai dengan tujuannya. Selain itu, sistem informasi ini juga dapat mengefisiensikan pekerjaan serta sumber daya dalam hal pengawasan, penyusunan laporan, dan mendapatkan informasi untuk digunakan dalam perencanaan kegiatan BOK STBM pada tahun anggaran berikutnya. ......Special Allocation Funds (DAK), both physical and non-physical allocations and serve as one of the funding sources for organizing health activities in the regions. Within the Health Operational Assistance (BOK), which is include in the scope of non-physical DAK, there is a menu of Community-Led Total Sanitation (CLTS) activities designed for priority Villages/Sub-District. This menu aims to support the implementation of the Ministry of Health's Strategic Plan indicators, specifically focusing on Villages/Sub-District Open Defecation Free (ODF) and the first pillar of CLTS, which is to stop open defecation at the designated locations. Given the absence of an information system that can serve as a monitoring tool for these activities, it becomes necessary to design an information system for reporting CLTS activities in priority villages/sub-district funded through BOK Puskesmas. The information system is designed using the System Development Life Cycle (SDLC) method with a prototype approach. Within this information system, data related to the target location, sanitation accessibility before and after activity, activity plans, budget plans, activity realization, budget utilization, post-activity CLTS conditions, and any constraints encountered during the implementation will be collected. The implementation of this information system can effectively support the oversight function in management to ensure that BOK CLTS activities are carried out in accordance with their objectives. Moreover, the utilization of this information system will streamline work and resources in terms of supervision, report preparation, and information acquisition for planning CLTS BOK activities in the upcoming year.

Abstrak :
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 dan dilakukan di antara bulan Januari sampai Mei 2019. Dana BOK ini sangat membantu kegiatan operasional puskesmas, namun cakupan SPM di kabupaten Bogor belum begitu signifikan. 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 funds through 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 fund greatly 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 many factors that make the way the funds have not been effective and efficient.