The government seeks to improve public health equally in Indonesia. Therefore, it requires the supports of regional administration through the implementation of programs and activities funded with deconcentration funds, referring to the funds originated from the state budget allocated by the central government to the regional administration as representative of the central government.  Therefore, to ensure the implementation of such programs and activities  effectively, efficiently and accountably, the Minister of Health issued the Minister of Health Regulation (Permenkes) No. 15/2022 on Guidelines for the Use of Deconcentration Funds from the Ministry of Health for the 2022 Fiscal Year.

Article 1 stipulates that “Deconcentration to the Governor as a Representative of the Central Government, hereinafter referred to as Deconcentration to GWPP, is the delegation of part of the Government Affairs under the authority of the Central Government to the Governor as the representative of the Central Government”. Funding is charged to the state budget through deconcentration funds in accordance with the provisions of the legislation.

Ministry of Health Program

Guidelines for the Use of the Deconcentration Fund of the Ministry of Health for Fiscal Year 2022 is a reference for provincial health offices to support the programs and activities of the Ministry of Health for Fiscal Year 2022. The Ministry of Health’s programs include:

a) public health program

b) disease prevention and control programs

c) health service program and national health insurance

d) vocational education and training programs

e) management support program.

Source of funds

The Ministry of Health’s Deconcentration Fund for Fiscal Year 2022 is sourced from the State Revenue and Expenditure Budget of Budget 024 of the Ministry of Health for Fiscal Year 2022. The ceiling for the allocation of Deconcentration Funds for each program per province is sourced from the funds listed in the Budget Implementation List of the provincial health office. Mechanisms for budgeting, implementation, and accountability of activities carried out in accordance with the provisions of laws and regulations.

Responsibilities of the Provincial Health Office

Article 4 of Permenkes No. 15/2022 emphasizes that the head of the provincial health office must periodically report, monitor, and evaluate the use of Deconcentration Funds through the information system at the Ministry of Finance, Ministry of National Development Planning/National Development Planning Agency, and Ministry of Health in accordance with the applicable laws and regulations.

All program managers at the provincial health office who have implemented these programs and activities can continue to implement programs and activities as long as they do not conflict with the ministerial regulation.

Operational Policy on Use of Funds

The Operational Policy for the Use of Deconcentration Funds from the Ministry of Health for the 2022 Fiscal Year is as follows:

  • The Deconcentration Fund is a State Revenue and Expenditure Budget fund from the Ministry of Health which is delegated to the provincial health office.
  • Funding in the context of deconcentration is allocated for general and technical development activities as well as general and technical supervision activities that produce outputs that do not increase fixed assets.
  • To support the implementation of deconcentration activities, a small portion of the funds can be allocated as supporting funds for the implementation of administrative tasks and/or procurement of inputs in the form of procurement of goods/services and other supports.
  • The amount of this support fund allocation takes into account the principles of propriety, fairness, economy, and efficiency and is adjusted to the characteristics of the ministry/institution.
  • Planning and utilization of the Deconcentration Fund refers to national health development plans such as the 2020-2024 National Mid-Term Development Plan, the 2020-2024 Ministry of Health Strategic Plan, and the 2022 Government Work Plan.
  • The Ministry of Health’s deconcentration fund is not the main fund in the implementation of health activities in the regions, consequently regional administrations are still obliged to allocate funds for the health sector in accordance with the mandate of Law No. 36/2009 on Health.
  • Budget management and implementation of activities that use deconcentration funds must be integrated, integrated with activities originating from other budget sources, should not be duplicated, carried out in an orderly manner, comply with laws and regulations, be effective, efficient, transparent, and responsible.
  • To improve the performance of the provincial health office in the utilization of deconcentration funds, the provincial health office is allowed/can involve the district/city health office, hospitals and public health centers in carrying out their activities. The provincial health office is in charge of activities and financial management. Budget financial management and accountability is carried out in accordance with the provisions of the legislation.
  • Provincial health offices can involve district/city health offices starting from planning for program synchronization and sustainability, then implementing activities and monitoring community health program evaluations to community health centers on a regular basis.
  • The scope of activities in this guide is mandatory and optional. The selected activities are in accordance with the priority problems in the regions, the priority activities in order to achieve the national priorities in the health sector.
  • Provincial Health Offices must be committed to utilizing deconcentration funds from the Ministry of Health as optimally as possible in order to achieve health development targets.

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