Effect Of Decentralization Policies On The Work Of State Mental Health

In 2001, in Indonesia as a result of the decentralization policy, the main powers of the federal government have been transferred to provincial and district levels, including the right to dispose of financial resources. However, the federal government continues to have a centralized budget. Responsibility for the work of state psychiatric hospitals has been delegated to the federal government authorities of the province. Security Service Mental health in the community are administered by district authorities. The budget of the Government expenditure on mental health and health insurance account for about 1.7% of the cost of health. Except for 3% of the budget for mental health, allocated to the department of mental health services of the Ministry of Health and four school nurses, public finance distinguished public psychiatric hospitals. The Ministry of Health there is no budget to fund mental health services in the community (for the treatment of chronic disease is responsible Ministry of Social Welfare).

At the provincial level budget ohranypsihicheskogo health services is 0.3% of the regional health budget. As a result of the decentralization policy in 1925 the central government clinics were handed over to regional authorities. The budget of the federal government declined from 146.8 billion rupees in 1999 to 63.5 billion in 2001. Although the objective of decentralization is to establish a monitoring system and support for mental health at the local level, still remains an open question whether it was helpful to the process of treating mental illness. The consequences of decentralization is not fully understood, as the government of the province do not have experience of budget funds in the mental health field, which had not been a priority for them..

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