?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.relation=http%3A%2F%2Fwww.badankebijakan.kemkes.go.id%2Frepositori%2Fid%2Feprint%2F1911%2F&rft.title=Asesmen+Kinerja+dan+Pelaksanaan+Urusan+Wajib-Standar+Pelayanan+Minimal+(UW-SPM)+Sektor+Kesehatan+Kabupaten+dan+Kota&rft.creator=Kosen%2C+Soewarta&rft.subject=WA+525-590+Health+Administration+and+Organization&rft.description=Decentralization+in+the+health+area+in+2001%2C+demended+the+health+sector+in+district+and+cities+in+Indonesia+to+be+able+to+carry+the+main+functions%2C+namely+%3A+-+stewardship+(oversight)%3B+-+creating+resources+(investment+and+training)%3B+-+financing+(collecting%2C+pooling+and+purchasing)%3B+-delivering+services.+According+to+WHO%2C+2000%3A+the+objectives+of+the+health+system+include%3A+-+improved+health+status%3B+-+responsiveness+(to+people%3Fs+non-medical+expectations)%3B+-+fair+(financial)+contribution.++++++Since+the+assessment+of+health+systems+performance+and+achievement+of+obligatory+public+health+functions+and+minimum+service+standard+of+the+health+sector+have+never+been+conducted%2C+the+study+was+conducted+in+six+districts+and+cities+with+different+level+of+Human+Development+Index+and+Fiscal+Capacity.+Data+and+information+were+collected+cross-sectionally.+Primary+data+were+collected+from+the+visitors+of+health+facilities+and+secondary+data+were+obtained+from+the+existing+reports%2Frecords+of+the+health+facilities+and+health+offices%3B+as+well+as+from+the+National+Socio-Economic+Data.+Conceptual+framework+on+Health+Systems+Performance+Assessment+developed+by+the+WHO+(2000)+have+been+used.++++++The+results+show+that+modifications+need+to+be+applied+in+the+instrument%2C+such+as+in+the+assessment+of+Fairness+in+health+care+financing.+The+assessment+also+shows+which+component+need+to+be+improved%2C+in+order+to+improve+the+performance+of+health+system.+Assessment+of+the+achievement+of+obligatory+public+health+functions+and+minimum+service+standard+of+the+health+sector+shows+that+all+sampled+district%2Fcities+have+implemented+the+functions+and+standards+as+agreed+and+achieve+some+of+the+targets+for+Health+Indonesia+2010%3B+although+some+health+efforts+need+to+be+enchanced+and+given+more+priorities.+Validation+of+data+on+achievement+of+obligatory+public+health+functions+and+minimum+service+standard+of+the+health+sector+can+be+carried+out+by+analyzing+other+sources+of+data%2C+such+as+community+based+data%3A+SUSENAS+(Nasional+Socioeconomic+Survey%2C+SURKESNAS+(National+Health+Survey)%2C+SDKI+(Demographic+Health+Survey).++++++Main+functions+of+the+health+sector+have+been+carried+out+with+different+quality.+In+general+the+health+sector+in+the+sampled+districts%2Fcities+have+developed+the+strategic+plan+and+the+annual+plan.+As+a+conclusion%2C+the+assessment+can+be+carried+out+periodically%2C+to+improve+allocation+and+distribution+of+resources+as+needed+and+as+a+base+for+advocacy+activities+and+setting+priorities.&rft.publisher=Pusat+Penelitian+dan+Pengembangan+Sistem+dan+Kebijakan+Kesehatan&rft.date=2007&rft.type=Monograph&rft.type=NonPeerReviewed&rft.identifier=++Kosen%2C+Soewarta++(2007)+Asesmen+Kinerja+dan+Pelaksanaan+Urusan+Wajib-Standar+Pelayanan+Minimal+(UW-SPM)+Sektor+Kesehatan+Kabupaten+dan+Kota.++Project+Report.+Pusat+Penelitian+dan+Pengembangan+Sistem+dan+Kebijakan+Kesehatan.+++++