Special Capitation Fund for Remote Areas: Is that Useful?
- DOI
- 10.2991/ahsr.k.200215.065How to use a DOI?
- Keywords
- remote area, special capitation, implementation, benefit
- Abstract
Ministry of Health Regulation Number 90 of 2015 regulates the special capitation fund were paid for health facilities in remote and very remote areas which estabilished by district head. Head of the North Nias District issued letter of decree Number 640.2/K/Year/2016 estabilish seven sub-districts in North Nias district as remote and very remote areas, with the result that start from October 2017 receive special capitation payment. There have been no research regarding the benefit and impact of special capitation fund. Objective: This study aims to explore benefit and impact of special capitation fund in North Nias District. Method: This study used a descriptive qualitative research design with a case study research method. This study has conducted in seven Public Health Centre (PHC) that receive special capitation fund and in District Health Office North Nias District. Result: Special capitation fund have positive impact in enhancement of PHC staff motivation because of income increase and support local goverment’s budget. However, special capitation has a negative impact such as the absence of PHC referral lowering due to no specific target in its implementation. The absence of specific regulations resulted in no targets and clear achievements of the special capitation fund. Puskesmas can’t get more benefits from special capitation fund caused by there is no authority from regulation and limited of human resources. Conclusion: Special capitation was not gave a positive impact to puskesmas as an istitution and has not succeeded to motivate service quality improvement, include interest of health workers to remote areas. But gain benefit’s for motivating puskesmas health workers to serve more. Recommendation: The local government should design a specific regulation to give more authority to puskesmas for implementing special capitation fund or modify the special capitation fund allocation for health service quality improvement in remote areas which can be measured with clear indicator and specific targets.
- Copyright
- © 2020, the Authors. Published by Atlantis Press.
- Open Access
- This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).
Cite this article
TY - CONF AU - Karl Pasaribu AU - Firdaus Hafidz PY - 2020 DA - 2020/02/22 TI - Special Capitation Fund for Remote Areas: Is that Useful? BT - Proceedings of the 4th International Symposium on Health Research (ISHR 2019) PB - Atlantis Press SP - 341 EP - 343 SN - 2468-5739 UR - https://doi.org/10.2991/ahsr.k.200215.065 DO - 10.2991/ahsr.k.200215.065 ID - Pasaribu2020 ER -