Analysis the Use of Operational Costs Against the Effectiveness of Capitation Fund Utilization at UPT Polonia Public Health Center (Puskesmas)

Abstract

Quality and equitable health services are the main objectives of national health development. One of the government’s efforts to achieve this is through the National Health Insurance (JKN) Program with a capitation payment mechanism for Primary Health Care Facilities (FKTP), including community health centers (puskesmas). This study aims to analyze the use of operational costs on the effectiveness of capitation fund utilization at UPT Puskesmas Polonia. The research employed a descriptive qualitative method with data collection techniques through observation, interviews, and documentation. The findings show that operational costs have been allocated in accordance with regulations, namely 35% of capitation funds to support service needs such as medical consumables, medicines, office supplies, electricity and water, as well as promotive and preventive activities. In terms of effectiveness, the use of operational costs is considered to support service quality improvement, although there are challenges such as significant reductions in funds in certain years which potentially disrupt service continuity. Planning and reporting have been well implemented, yet monitoring needs to be strengthened to ensure greater accountability and efficiency. This study recommends the importance of need-based planning, continuous internal monitoring, and adaptive strategies to manage capitation fund fluctuations in order to enhance the effectiveness of health services in community health centers.