scholarly journals Advocacy of Increasing Health Budget in The Parepare City

Author(s):  
Kasman Kasman ◽  
Darmawansyah Darmawansyah ◽  
Alimin Maidin ◽  
Amran Razak
Keyword(s):  
1993 ◽  
Vol 48 (3) ◽  
pp. 270-276 ◽  
Author(s):  
Jeff Bingaman ◽  
Robert G. Frank ◽  
Carrie L. Billy

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
T Vivas ◽  
M Duarte ◽  
A Pitta ◽  
B Christovam

Abstract Background The government investments in quality primary healthcare are the basis to strengthening the health systems and monitoring the public expenditure in this area is a way to assess the effectiveness and efficiency of the public health policies. The Brazil Ministry of Health changed, in 2017, the method of onlending federal resources to states and cities seeking to make the public funds management more flexible. This change, however, suppressed mandatory investments in primary healthcare. This research aims to determine the difference of expenditures on primary healthcare in Salvador, Bahia, Brazil metropolitan area before and after this funding reform, seeking to verify how it can impact the quality of primary healthcare services and programs. Methods This is an ecological time-series study that used data obtained in the Brazil Ministry of Health budget reports. The median and interquartile range of expenditures on primary healthcare (set as the percentage of total public health budget applied in primary care services and programs) of the 13 cities in the Salvador metropolitan area were compared two years before and after the reform. Results The median of expenditures on primary healthcare in Salvador metropolitan area was 25.5% (13,9% - 32,2%) of total public health budget before and 24.8% (20.8% - 30.0%) of total public health budget after the reform (-0.7% difference). Seven cities decreased the expenditures on primary healthcare after the reform, ranging from 1.2% to 10.8% reduction in the primary healthcare budget in five years. Conclusions Expenditures on primary healthcare in Salvador metropolitan area decreased after the 2017 funding reform. Seven of 13 cities reduced the government investments on primary healthcare services and programs in this scenario. Although the overall difference was -0.7%, the budget cuts ranged from 1.2% to 10.8% in the analyzed period and sample. More studies should assess these events in wide areas and with long time ranges. Key messages Public health funding models can impact the primary healthcare settings regardless of the health policy. Reforms in the funding models should consider the possible benefits before implementation. Funding models and methods that require mandatory investments in primary healthcare may be considered over more flexible ones.


1933 ◽  
Vol 22 (9) ◽  
pp. 437-444
Author(s):  
George Folger Canfield ◽  
Matthias Nicoll ◽  
Kendall Emerson

Author(s):  
Bijayalaxmi Panda ◽  
Mousumi Gupta ◽  
Snigdha Sahal
Keyword(s):  

The Lancet ◽  
1991 ◽  
Vol 338 (8768) ◽  
pp. 684
Author(s):  
Nick Lush
Keyword(s):  

2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Aristyasani Putri

The purpose of this study was to analyze the efficiency of government spending in the health sector of West Java province in improving public health as measured by indicators of health status that is Infant Mortality Rate, Mother Mortality Rate, and Life Expectancy Rate in all regencies / cities in West Java Province. DEA method used to achieve these goals. DEA works with measures to identify the units to be evaluated, the input and output of the unit. Furthermore, the calculated value of productivity and identify the unit which does not use inputs efficiently or effectively produces no output. Research indicates that although every region in the province of West Java there is an increase in the health budget annually will produce additional output (facilities and health services) are few and have not been up to meet basic health needs for the community. Budget areas that have not been efficient is because of Rp. 421.8 billion total health budget of the province of West Java is not entirely used for the procurement of facilities and health services. Only 50% of it is Rp. 213 billion to be used one of them in the provision of health facilities and servicesDOI: 10.15408/sjie.v4i2.2302


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Herman Christiaan Schakel ◽  
Erilia Hao Wu ◽  
Patrick Jeurissen

Author(s):  
Bijayalaxmi Panda ◽  
Mousumi Gupta ◽  
Snigdha Sahal
Keyword(s):  

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