Abdul Malik, Secretary of the Sumbawa Health Office, looks proud when showing the new Batulanteh Health Centre located in Sumbawa District, West Nusa Tenggara. "All the equipment is new, and it has an ambulance. The patients definitely feel more comfortable getting treatment here," Malik said.
According to Abdul Malik, the old building of the Batulanteh Health Center is no longer suitable for use because it is located on a hillside, making it difficult for the community, especially pregnant women, the elderly, and children to get health services there. The local government, however, was having difficulty renovating it due to a lack of budget. Every year, all provincial, district and city governments in Indonesia submit proposals to access central government funding for infrastructure development. This is known as the Specific Allocation Fund for physical facilities and infrastructure (DAK Fisik).
In 2018, along with the launch of the KRISNA-DAK application to synchronise planning and budgeting by the Ministry of Finance, KOMPAK in partnership with National Development Planning Agency (Bappenas) and the Ministry of Finance helped Sumbawa District to change the pattern of preparing DAK Fisik proposals. One of them is through the formation of a review team to ensure proposals contribute to meeting minimum service standards for basic services.
The DAK Fisik proposal preparation process implements a bottom-up scheme involving service units such as health centre and schools and Technical Implementation Units (UPT) in the sub-district to ensure data suitability and submit recommendations for proposals according to the needs and conditions on the ground. Furthermore, the Regional Development Planning Agency (Bappeda) and related government offices coordinate during the process of finalising the proposal in the district. The Head of Sumbawa District was also involved in monitoring the process.
"Luckily after submitting our DAK Fisik proposal, the proposed renovation activities were approved. Thus, we were able to build this health centre using the 2019 DAK Fisik," Malik explained. "In the past, when preparing proposals, we were not involved in identifying issues or prioritising projects. As a result, many of the proposals were rejected by the central government."
Through this process, funding for health infrastructure from DAK Fisik in Sumbawa increased six-fold, from A$1.8 million in 2018 to A$12 million in 2019. Meanwhile, the total revenues of the Sumbawa DAK Fisik for all 14 sectors including health jumped from A$17.9 million in 2018 to A$27.4 million in 2019.
Sumbawa District Head HM Husni Djibril said an increase in the allocation of DAK Fisik also encouraged improvements in other fields, including reducing unemployment, poverty and undernutrition. "We can see positive impacts from the extra funding from DAK Fisik in Sumbawa. The extra funds help us realise our vision for continuing to improve basic services for the people of Sumbawa.” Djibril concluded.