LOCAL GOVERNMENT INTERVENTION ON STREET LEVEL BUREAUCRACY OF BASIC HEALTH PROVISION IN DECENTRALIZED ERA

Arief Priyo Nugroho

Abstract


In health care provision, puskesmas (Community Health Center) can be described as street level bureaucracy
that has important role in improving health services. The study aimed to analyze political intervetion in
health service provision. This study used Michael Lipsky theory about street level bureaucracy and Karl Marx
theory about class and state to analyze pattern of intervention. This case study research was conducted in South
Krembangan, Surabaya. Observation and secondary data analysis are the main tools to trace the pattern of local
government intervention in primary health care at puskesmas. The result shows that local government has been
being admitted indirect intervention in health service provision. The intervention was proved by the puskesmas
treatment that referred to implement curative program from promotive and preventive that was actually its duty
and main function.

Keywords


Street level bureaucracy, Intervention, Local government

Full Text:



DOI: http://dx.doi.org/10.14203/widyariset.15.1.2012.207–216

Refbacks

  • There are currently no refbacks.




Copyright (c) 2015 Journal of Widyariset

Indexed by :