Utilization of Health Operational Assistance (BOK) in Nutrition Services in Public Health Center
Abstract: Since BOK was
launched in 2010, BOK utilization rate continued to increase while the NTT
provincial nutrition service coverage did not increase, until 2013. This
research aimed to analyze the relationship between the availability of
operational funds, the availability of human resources, officers knowledge,
infrastructure support, heads support and the appropriateness of fund
utilization using BOK in nutritional services. This was a quantitative research
which supported by a qualitative, cross-sectional design in 2015. The total sample
of 250 health workers in 26 health centers of North Central Timor regency was
included in this study. Data analysis was done using descriptive, bivariate and
multivariate analyses. The results of the bivariate analysis using chi square
test showed an association of (p <0.05) the availability of human resources
(p = 0.017), officers knowledge (p = 0.000), infrastructure support (p =
0.004), heads support (p = 0.000) and the appropriateness of BOK fund
utilization (p = 0.000) with the use of BOK in nutritional services. Meanwhile,
the availability of operational funds is not associated with the use of BOK in
nutritional services. Multivariate analysis showed that health centers with
adequate human resources availability are seven times more likely to take advantage
and make a good use of the nutritional services using BOK compared to health
centers with the lack of human resources, after the infrastructure and head
variable controlled. The government is required to provide adequate human
resources, including financial administrative personnel and operational funding
for health centers to optimize nutritional services. The government also needs
to monitor the use of funds regularly and tiered to improve service coverage at
the health center.
Keywords: health operational
sssistance; nutrition services; PHC
Author: Dece Mery Natalia Pay,
Mindo Sinaga, Marthen R Pelokilla
Journal Code: jpkesmasgg170067
