Policy Implementation Analysis of District Health System to Improve Health Services: Study in North Central Timor Regency, East Nusa Tenggara Timur Province, Indonesis

Minggu, Dominikus and Benu, Fred L. and Kase, Petrus and Rogaleli, Yuanita C. (2020) Policy Implementation Analysis of District Health System to Improve Health Services: Study in North Central Timor Regency, East Nusa Tenggara Timur Province, Indonesis. India Journal of Public Health Research & Development, 11 (03). pp. 1926-1931. ISSN 0976-0245

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Abstract

Context: Improving degree of public health in a region requires quality health services. For this reason, district health system has been formed which can be implemented comprehensively to the target community. A study is needed to find out the factors that influence policy implementation so that quality of health services can be improved. This study used quantitative method with structural equation models to find patterns of the relationship between the district health system and health services. The results showed that there are 7 indicators that are part of the district health system factors, 2 indicators that are part of the resposivensss factor, 8 indicators that are part of the policy implementation factor, and 3 indicators that are part of the health service factor. These indicators have loading factor ≥ 0.5. The district health system consisting of 7 subsystems if properly implemented will have a positive impact on health services by 1.98. Contribution of policy implementation in improving health services will be great if the district health system is implemented together with responsiveness, so that the total effect becomes 2.20.

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