Increase the active role of health cadres and standby villages

Oct 13, 2025 by wbrum.org 63 views

Introduction

Improving maternal and child health (KIA) is a crucial agenda in the Millennium Development Goals (MDGs), focusing on the fourth and fifth goals. At the national level, the KIA program is a top priority in health development, including in Deli Serdang Regency. However, managing this program is challenging due to fluctuations in complex KIA problems, mainly caused by limited budgets and weak planning and budgeting processes.

Background

The KIA program is a vital component of the health sector, aiming to reduce maternal and child mortality rates. In Deli Serdang Regency, the program faces significant challenges, including limited resources and inadequate planning and budgeting processes. The Deli Serdang District Health Office is responsible for implementing the KIA program, but its effectiveness is hindered by the lack of a scientific approach to planning and budgeting.

Methodology

This study employed a qualitative approach to analyze the planning and budgeting process of the MCH program at the Deli Serdang District Health Office. The informants consisted of various parties involved in the process, including:

Village/Kelurahan Government
District Government
Regional Government Budget Team (Bappeda)
Financial Management Office
Development Administration Agency
Deli Serdang Regency DPRD Commission D
Head of Puskesmas
Deli Serdang District Health Office

The data collected was analyzed using the Spradley technique, which involves identifying and analyzing the underlying structures and relationships within the data.

Results

The results of this study show that the planning and budgeting process of the MCH program in the Deli Serdang District Health Office has not fully followed the guidelines set by P2KT in the health sector. The most important steps, such as situation analysis, problem formulation, and setting program goals, were carried out without a scientific approach and not focusing on the needs of the community. This resulted in the budget allocation for the MCH program not being comparable to the budget allocated for other fields, due to limited available resources.

Discussion

The findings of this study highlight the need for a more effective planning and budgeting process for the MCH program in Deli Serdang Regency. The current process is inadequate, and the program's effectiveness is hindered by the lack of a scientific approach. The study recommends that the Deli Serdang District Health Office implements overall performance-based planning and budgeting, increasing the active role of health cadres and standby villages to strengthen the MCH program at the community level.

Conclusion

The MCH program in Deli Serdang Regency faces significant challenges, including limited resources and inadequate planning and budgeting processes. This study highlights the need for a more effective planning and budgeting process, focusing on the needs of the community. By implementing overall performance-based planning and budgeting, increasing the active role of health cadres and standby villages, and providing technical education and training, the MCH program can run more effectively, achieving its purpose of improving maternal and child health.

Recommendations

Based on the findings of this study, the following recommendations are made:

Implement overall performance-based planning and budgeting: The Deli Serdang District Health Office should implement a more effective planning and budgeting process, focusing on the needs of the community.
Increase the active role of health cadres and standby villages: Health cadres and standby villages should play a more active role in strengthening the MCH program at the community level.
Provide technical education and training: Technical education and training should be provided to ensure that the manager of the MCH program has the necessary skills to prepare program proposals that are in accordance with the needs of the community.
Ensure that the manager of the MCH program has an active role: The manager of the MCH program should have an active role in maintaining program proposals that are in accordance with the needs of the community.

Limitations

This study has several limitations, including:

Limited scope: The study only focused on the planning and budgeting process of the MCH program in Deli Serdang Regency.
Qualitative approach: The study employed a qualitative approach, which may not provide a comprehensive understanding of the planning and budgeting process.
Limited data: The study relied on data from a limited number of informants, which may not be representative of the entire population.

Future Research Directions

Future research should focus on:

Evaluating the effectiveness of overall performance-based planning and budgeting: Research should be conducted to evaluate the effectiveness of overall performance-based planning and budgeting in improving the MCH program.
Investigating the role of health cadres and standby villages: Research should be conducted to investigate the role of health cadres and standby villages in strengthening the MCH program at the community level.
Developing a more effective planning and budgeting process: Research should be conducted to develop a more effective planning and budgeting process for the MCH program, focusing on the needs of the community.
Q&A: Analysis of the Planning and Budgeting Process of Maternal and Child Health Programs (KIA) at the Deli Serdang District Health Office in 2014 ===========================================================

Q: What is the main objective of the KIA program in Deli Serdang Regency?

A: The main objective of the KIA program in Deli Serdang Regency is to improve maternal and child health, focusing on reducing maternal and child mortality rates.

Q: What are the challenges faced by the KIA program in Deli Serdang Regency?

A: The KIA program in Deli Serdang Regency faces significant challenges, including limited resources and inadequate planning and budgeting processes.

Q: What is the current planning and budgeting process for the KIA program in Deli Serdang Regency?

A: The current planning and budgeting process for the KIA program in Deli Serdang Regency is inadequate, and the program's effectiveness is hindered by the lack of a scientific approach.

Q: What are the recommendations made by the study to improve the planning and budgeting process for the KIA program in Deli Serdang Regency?

A: The study recommends that the Deli Serdang District Health Office implements overall performance-based planning and budgeting, increasing the active role of health cadres and standby villages to strengthen the MCH program at the community level.

Q: What is the role of health cadres and standby villages in the KIA program in Deli Serdang Regency?

A: Health cadres and standby villages play a crucial role in strengthening the MCH program at the community level, and their active role is essential to improve the effectiveness of the program.

Q: What is the importance of technical education and training for the manager of the MCH program in Deli Serdang Regency?

A: Technical education and training are essential for the manager of the MCH program in Deli Serdang Regency to ensure that they have the necessary skills to prepare program proposals that are in accordance with the needs of the community.

Q: What are the limitations of the study?

A: The study has several limitations, including a limited scope, a qualitative approach, and limited data.

Q: What are the future research directions for the KIA program in Deli Serdang Regency?

A: Future research should focus on evaluating the effectiveness of overall performance-based planning and budgeting, investigating the role of health cadres and standby villages, and developing a more effective planning and budgeting process for the MCH program.

Q: What are the implications of the study for the KIA program in Deli Serdang Regency?

A: The study has significant implications for the KIA program in Deli Serdang Regency, highlighting the need for a more effective planning and budgeting process, focusing on the needs of the community.

Q: What are the recommendations for policymakers and practitioners in Deli Serdang Regency?

A: Policymakers and practitioners in Deli Serdang Regency should prioritize the implementation of overall performance-based planning and budgeting, increasing the active role of health cadres and standby villages, and providing technical education and training to improve the effectiveness of the MCH program.