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Yogyakarta gets low score for health budget

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Research by the Partnership for Governance Reform (Kemitraan) on the Indonesia Governance Index has found that the Yogyakarta administration has the least commitment to improving public welfare as reflected in its small annual budget for health services.

The survey, which was conducted from the second half of last year to April this year in 33 provinces across the country, shows that Yogyakarta had a total annual health services budget of only Rp 5,807 (50 US cents) per person, far below its neighboring provinces of Central Java with Rp 25,848 per person and East Java with Rp 46,442 per person.

“It’s a surprise because Yogyakarta scored highest in good governance, but it allocated the smallest amount for its health budget,” Kemitraan researcher Hery Sulistio Sriwiyanto told The Jakarta Post on Wednesday.

Hery said that according to the report, the Yogyakarta administration allocated Rp 37 billion in its 2011 health budget, which consisted of Rp 20 billion for personnel and Rp 17 billion for public health services.

“This amount is too small when compared to Yogyakarta’s 2011 provincial budget, which reached Rp 1.1 trillion,“ he said.

Hery said Yogyakarta’s small health budget indicated that the private sector had become the leader in providing health services.

“Participation by the private sector in health services can be viewed two ways. First, Yogyakartans have high awareness about health, and second, the government doesn’t prioritize the improvement of public health services in its provincial program, “he said.

Hery said that Yogyakarta’s health budget was insignificant when compared with that of Bangka Belitung province, which ranks first in health services allocation.

“Bangka Belitung had the same amount of Rp 1.1 trillion as Yogyakarta in its 2011 provincial budget. However, this province allocated Rp 222 billion for health,” he said.

Contacted separately, Yogyakarta Legislative Council’s Commission D head Nuryadi rejected Kemitraan’s report and questioned how the agency arrived at the conclusion.

“I don’t know which mechanism it used. Did it divide Yogyakarta’s health provincial budget with Yogyakarta’s total population or only with the poor population?” he said, adding that the agency should be more careful in its calculations.

He added that the Yogyakarta administration had allocated Rp 60 billion to the social health insurance program from its 2012 provincial budget.

“Forty percent of the total budget was returned at the end of 2012 because all four regencies and the city were able to fund their own public health services,” he said.

Yogyakarta Health Agency head Arida Oetami said the province’s self-generated revenue reached only Rp 1 trillion.

“It’s not a big budget. That’s why the health allocation is also small,” she said.

Kemitraan executive director Wicaksono Sarosa said the small allocation by provincial governments for basic public services, including education, poverty reduction and health services, illustrated the provincial governments’ half-hearted commitment to providing pro-people services.

“We hope in the future that the discrepancy in provincial budgets between personnel expenditure and public services will not be that wide,” he said.
 
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