Vol. 5, No. 8, August 2024
E-ISSN: 2723-6692
P-ISSN: 2723-6595
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Jurnal Indonesia Sosial Sains, Vol. 5, No. 8, August 2024 1896
KEYWORDS
ABSTRACT
Effectiveness; Bureaucratic
Reform; Performance
Accountability; Public Sector
Governance
The rapid development of the times always demands changes in
every sector, including in the scope of government. In running the
government system, good public sector governance is needed,
where its implementation is further developed through
bureaucratic reform, which refers to Presidential Regulation
Number 81 of 2010 concerning the Grand Design of Bureaucratic
Reform 2010-2025. As one of the government agencies, the
implementation of bureaucratic reform is carried out by the
Ministry of Health of the Republic of Indonesia, one of which is
realized through strengthening performance accountability, which
refers to Presidential Regulation Number 29 of 2014 concerning
the Performance Accountability System of Government Agencies.
The results of the evaluation of the 2015-2022 Government Agency
Performance Accountability assessment are always at the predicate
of "BB" with a relatively stagnant value between >70-80 according
to the 2015-2022 Government Agency Performance Accountability
Evaluation Report of the Ministry of Health of the Republic of
Indonesia. Therefore, this study aims to analyze the effectiveness of
public sector governance in implementing the Government Agency
Performance Accountability System at the Ministry of Health of the
Republic of Indonesia. The population in this study is the State Civil
Apparatus of the Ministry of Health of the Republic of Indonesia,
and the sample selection uses non-probability sampling with a
purposive sampling technique. The research was carried out
qualitatively by adopting Duncan's theory of effectiveness in his
book "Organizational Effectiveness," which consists of the
dimensions of goal achievement, integration, and adaptation. The
results of the study show that public sector governance in the
implementation of the Government Agency Performance
Accountability System at the Ministry of Health of the Republic of
Indonesia, in general, has been running effectively from the
dimension of measuring integration and adaptation, while when
viewed from the dimension of measuring the achievement of goals
is still not fully running effectively.
Attribution-ShareAlike 4.0 International (CC BY-SA 4.0)
The Effectiveness of Public Sector Governance at the Ministry of
Health of the Republic of Indonesia
Andhika Yudha Pratama, Wita Juwita Ermawati, Gendut Suprayitno
Institut Pertanian Bogor, Indonesia
Email: andhikayudhapratama@apps.ipb.ac.id, witaman@apps.ipb.ac.id, gsuprayitno@yahoo.com
Correspondence: andhikayudhapratama@apps.ipb.ac.id
*
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1. Introduction
The rapid development of the times always demands changes in every sector, including in the
scope of government. When Indonesia experienced an economic crisis in 1998, there was a demand
for policy change in the public sector where the public wanted the government to be managed
properly. As an effort to create good governance, the government issued the Decree of the People's
Consultative Assembly Number XI of 1998 concerning the Administration of a Clean and
Corruption-Free State, Collusion, and Nepotism (Febiani et al., 2016). The reform of public sector
governance itself began to be carried out in 1999, where one of the policies taken was to implement
performance management to all public sector organizations, which referred to Presidential
Instruction (Inpres) Number 7 of 1999 concerning Accountability for the Performance of
Government Agencies (AKIP), where all public sector organizations are required to prepare
performance accountability reports for the use of resources (Ikhsanuddin, 2016). The reform not
only changes the form of public institutions but also updates the tools that support the running of
these various public institutions so that they can realize better public sector governance
(Sulistiyowati, 2022). As a commitment to developing the implementation of governance in
Indonesia, in 2008, the government established a national-scale governance institution, namely the
National Committee for Governance Policy (NCGP) (Cabinet Secretariat, 2021). With the
establishment of the national institution, it is hoped that it can encourage more effective state
administration in accordance with the principles of democracy, transparency, accountability, legal
culture, and fairness and equality (Rossieta et al., 2020). In implementing public sector governance
practices in Indonesia, KNKG compiled Good Public Governance (GPG) guidelines in 2010, which
adopted international practices and were guided by Good Corporate Governance published by the
Organization for Economic Cooperation and Development (OECD) in realizing democratization and
improvement of governance and the economy (Firmansyah & Pamungkas, 2021).
According to the guidelines for the implementation of the GPG issued by the KNKG, in running
the government system, of course, excellent public sector governance is needed, one of which is
realized through the preparation of regulations and policies that have an orientation to the public
interest as the basis for the principles of sustainable development (Rossieta et al., 2020). Therefore,
the Indonesian government needs to prepare a national long-term development plan as a
determinant of development policies and priorities that will be achieved in stages as required by the
1945 Constitution. Based on the provisions of Law (UU) Number 25 of 2004 concerning the National
Long-Term Development Planning System, it is stated that development plans must be prepared
through a regulation. Therefore, the government issued Law Number 17 of 2007 concerning the
National Long-Term Development Plan 2005-2025 (Yusrie et al., 2021). The development vision in
the law is to make "an Independent, Advanced, Fair, and Prosperous Indonesia", where the
development of all state apparatus is further developed through bureaucratic reform which aims to
improve professionalism and as a guideline in the implementation of good public governance in the
central and regional governments so that the success of development in other sectors can be
achieved.
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To carry out bureaucratic reform, the government has drafted Presidential Regulation
(Perpres) Number 81 of 2010 concerning the Grand Design of Bureaucratic Reform 2010-2025,
which is divided into 3 (three) periods, namely 2010-2014, 2015-2019, and currently which has
entered the third or final phase in the governance order, namely 2020-2024 and several technical
guidelines for the implementation of bureaucratic reform (Suryono, 2020). With the existence of the
Presidential Regulation, all central and regional governments are obliged to carry out bureaucratic
reform in accordance with their respective organizational characteristics through a mental
revolution in 8 (eight) areas of change, namely public services, supervision, accountability,
institutions, governance, human resources of the state civil apparatus, regulations, and change
management (Rohmadin, 2018). Accountability is one of the areas of change that is a concern today
and is the principle of realizing good public governance, which refers to Presidential Regulation
Number 29 of 2014 concerning the Performance Accountability System of Government Agencies
(GPAS) and is the forerunner of the previous regulation, namely Presidential Instruction Number 7
of 1999 concerning AKIP. GPAS is a series of systematic processes as a form of accountability and
performance improvement which is realized in a Government Agency Performance Accountability
Report (LAKIP) as the primary output in the implementation of GPAS, which functions as an
instrument of continuous evaluation and performance improvement (Putri, 2019). GPAS has a very
strategic role in an effort to improve state administration, especially as an instrument in improving
policies and encouraging public institutions to innovate and design programs/activities to achieve a
goal. Furthermore, GPAS can also be used as a reference in providing rewards and punishments
based on the performance of each individual in government agencies (Aji, 2023).
Accountability is a tool of complete control for all state apparatus over all activities that have
been carried out in a government so that it will be one of the essential aspects of government
accountability to stakeholders and the public for its overall performance. Through the principle of
accountability, it is hoped that it will be able to improve the performance of the government that has
not been effective in providing public services and avoid corrupt practices, as well as reduce the
abuse of authority (Fadila & Budiwitjaksono, 2022). The results of the accountability assessment
show that government agencies must be responsible for the use of all resources that have been
used. The assessment was carried out through the evaluation of GPAS in accordance with the
Regulation of the Minister of State Apparatus Empowerment and Bureaucratic Reform
(PermenPANRB) Number 88 of 2021 concerning the Evaluation of Performance Accountability of
Government Agencies. Referring to the regulation, the results of the GPAS assessment of
government agencies can be categorized as follows:
Table 1 Rating GPAS,
Predicate
AA
A
BB
B
CC
C
D
Value
> 90-100
> 80-90
> 70-80
> 60-70
> 50-60
> 30-50
> 0-30
Interpretation
Very satisfying
Satisfactory
Excellent
Good
Enough
Less
Very Less
Source: Rating of the Ministry of PANRB
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According to the table above, the GPAS score with the predicate "Good" is a government
agency with a score above 60 or with a predicate of "B" and above. The development of government
agencies that have a GPAS score with a predicate of "B" continues to increase, both at the
Ministry/Institution (M/I) level and at the Regional Government (Pemda) level. The increase in the
GPAS value at the district/city government level has still not increased significantly until 2022
(Table 2).
Table 2 Details of the Number of Ministries/Agencies/Regional Governments with the Predicate of
GPAS ≥ "B”
Agency
Total
Predicate
Total
%
B
BB
A
AA
Ministries/Institutions
81
37
1
9
-
77
95,06
Provincial Government
34
18
10
5
1
34
100
Regency/City Government
508
291
61
14
-
366
72,0
Source: Ministry of PANRB Performance Report 2022
The Ministry of Health of the Republic of Indonesia is one of the ministries and agencies that
implement bureaucratic reform policies through strengthening performance accountability in
assisting the president in carrying out government affairs in the health sector according to
Presidential Decree Number 18 of 2021 concerning the Ministry of Health of the Republic of
Indonesia. Based on Presidential Decree Number 29 of 2014 concerning GPAS, it is hoped that the
Ministry of Health of the Republic of Indonesia can improve the performance of a clean, responsible,
effective and efficient government system. Nationally, the ranking of the GPAS assessment
achievement of the Ministry of Health of the Republic of Indonesia is still outside the top 10 (10)
ministries and agencies (Table 3). The results of the GPAS assessment of the Ministry of Health of
the Republic of Indonesia from 2015-2022 are always at the predicate of "BB" with a relatively
stagnant value between >70-80 according to the AKIP Evaluation Results Report (LHE) of the
Ministry of Health of the Republic of Indonesia in 2015-2022 (Graph 1). According to the results of
the 2022 GPAS component assessment (Table 4), there are still several notes on all components of
the GPAS assessment, namely related to performance planning, which still need to be fully outcome-
oriented. The performance indicators are not in accordance with the Specific, Measurable,
Achievable, Relevant, and Time-Bound criteria (SMART), and it has not adequately described the
achievement of performance. In performance measurement, there are still differences in
performance measurement mechanisms, the implementation of monitoring and evaluation has not
run optimally, there is no firm commitment to using performance measurement applications, and
the results of performance measurements that have been carried out have not been used as a
reference for rewarding and punishment. In performance reporting, the implementation of
performance reporting standards has not been evenly distributed across all work units, and the use
of performance reports as a basis for improving future performance planning has not been optimal.
Meanwhile, the evaluation of internal performance accountability needs to provide sufficient
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findings and recommendations on the root of the problem, and monitoring the follow-up of
recommendations from internal evaluation results has not been carried out regularly.
Graph 1 GPAS Rating Achievements of the Ministry of Health in 2015-2022
(Source: LHE AKIP Ministry of Health in 2015-2022)
Table 3 GPAS Assessment Achievement Rank of Ministries/Institutions (K/L)
Rank
Ministries/Institutions (K/L)
2020
2021
2022
1
Corruption Eradication Commission
A
A
A
2
Ministry of Finance
A
A
A
3
Ministry of Marine Affairs and Fisheries
A
A
A
4
Financial Audit Agency (BPK)
A
A
A
5
Ministry of National Development Planning/Bappenas
A
A
A
6
Financial and Development Supervisory Agency (BPKP)
A
A
A
7
Ministry of State Apparatus Empowerment and Bureaucratic
Reform
A
A
A
8
Food and Drug Supervisory Agency (BPOM)
BB
A
A
9
Ministry of State Secretariat
BB
BB
A
10
Cabinet Secretariat
BB
BB
A
10+
Ministry of Health
BB
BB
BB
Source: GPAS Evaluation Assessment Report of the Ministry of PANRB
Table 4 Results of the Ministry of Health's GPAS Component Assessment in 2022,
GPAS
Components
Performance
Planning
Performance
Measurement
Performance
Reporting
Internal
Performance
Evaluation
GPAS
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Weight
30%
30%
15%
25%
100%
Value
24,36
21,95
11,89
20,52
78,72
Source: LHE AKIP Ministry of Health in 2022
Based on the background and identification of the problems that have been described,
research is necessary to analyze how effective public sector governance is in implementing GPAS at
the Ministry of Health of the Republic of Indonesia.
2. Materials and Methods
This research was conducted at the Ministry of Health of the Republic of Indonesia, Jalan H. R.
Rasuna Said Blok X5, Plot 4-9, South Jakarta. This study uses 2 (two) types of data, which are
divided into primary and secondary data. Primary data was taken through interviews, observations,
and documentation. In contrast, secondary data was taken through documentation information
issued by related agencies, namely the Ministry of PANRB, the Ministry of National Development
Planning (PPN)/National Development Planning Agency (BAPPENAS), the Ministry of Health,
literature and other trusted journals.
A qualitative descriptive data analysis method was used in this study. According to Bogdan &
Biklen (2007), descriptive analysis with a qualitative approach is a systematic process of
researching and organizing the results of interviews, notes, and documents that have been obtained
in order to improve understanding of everything and to obtain a presentation of what is found
(Ristyana, 2017). According to Miles and Huberman (2007) in Syaflan and Sulistiarini (2022), the
descriptive analysis consists of 3 (three) streams of activity that are carried out together, namely:
1) Data reduction is an analytical technique in sharpening, classifying, directing, and deleting
unnecessary data and organizing it in such a way that a conclusion can be obtained and
verification can be carried out;
2) Data presentation is a series of information arrangements that aim to determine various
patterns that have meaning and provide opportunities to draw conclusions and recommend
actions;
3) Drawing conclusions/verifying the presentation: The presentation of the initial conclusion is
still provisional and can change if various strong evidence is not obtained in the subsequent
data collection process. The conclusion is then verified through an analysis of the reduced
results, and the data is displayed so that the conclusions presented do not deviate from the
formulation of the research problem.
Furthermore, compare (validate) current regulations and policies or various concepts related to the
implementation of GPAS (Fadli, 2021).
3. Result and Discussion
Based on Presidential Regulation Number 29 of 2014 and PermenPANRB Number 53 of 2014
concerning Technical Guidelines for Agreements and Performance Reporting as well as Review
Procedures for Performance Reports of Government Agencies, the preparation of the Strategic Plan
(Renstra) is the basis for the implementation of GPAS by ensuring that the goals of ministries and
local governments are in accordance with national development goals. The performance agreement
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document is prepared based on the budget implementation document by including indicators and
targets according to the SMART criteria. Performance measurement is carried out by comparing the
realization with the performance targets contained in the performance agreement document and
the Strategic Plan, as well as ensuring that the progress of achieving the target is measured
appropriately. Performance data management functions to ensure that performance data is
adequately managed to find out the achievements every year. The preparation of performance
reports is carried out on an interim and annual basis to ensure that performance achievements are
reported correctly. Review and evaluation of performance is carried out to ensure that the
achievement of performance has been reviewed and evaluated, which is then made continuous
improvement as an improvement in performance.
Figure 1 GPAS Implementation Process Flow
(Source: Presidential Regulation Number 29 of 2014)
The Ministry of Health of the Republic of Indonesia is one of the ministries/institutions
responsible to the president for carrying out state affairs in the health sector as stipulated in
Presidential Decree Number 18 of 2021 concerning the Ministry of Health. The Indonesian Ministry
of Health vision for 2020-2024 is "Creating healthy, productive, independent and just human
beings." To realize this vision, the Ministry of Health of the Republic of Indonesia has the following
missions:
1. Reducing maternal and infant mortality rates;
2. Reducing the stunting rate of toddlers;
3. Improving the management of the National Health Insurance (JKN);
4. Increase the independence and use of pharmaceutical products and medical devices in the
country.
According to the Regulation of the Minister of Health (Permenkes) Number 5 of 2022
concerning Organization and Work Procedures, the Ministry of Health of the Republic of Indonesia
has an organizational structure consisting of 8 (eight) Echelon I Work Units among the Secretariat
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General, Inspectorate General, Directorate General of Public Health, Directorate General of Disease
Prevention and Control, Directorate General of Health Services, Directorate General of
Pharmaceuticals and Medical Devices, Directorate General of Health Personnel, and the Health
Development Policy Agency, 53 (fifty-three) Work Units, and 4 (four) Expert Staff who are under
and have direct responsibility to the Minister of Health of the Republic of Indonesia.
This study, the study of measuring the level of effectiveness of public sector governance in the
implementation of GPAS at the Ministry of Health of the Republic of Indonesia, was studied using
Duncan's theory of effectiveness in his book "Organizational Effectiveness" which is divided into 3
(three) measurement dimensions, which are as follows:
1. Goal Achievement,
Goal achievement is defined as the overall effort to achieve success that is seen as a process. In
general, the purpose of the implementation of GPAS is to encourage the realization of accountability
for the performance of Ministries/Institutions, which is one of the requirements for creating
excellent and trustworthy governance for the achievement of the implementation of the vision and
mission of an organization in accordance with the goals and targets that have been set (Nani et al.,
2021). Therefore, the participation of all members of the organization is needed in organizing GPAS.
The timeliness in the delivery of the LAKIP and the achievement of reasonable goals will support
decision-making and the process of achieving goals. Based on the results of interviews and analysis
of LAKIP documentation data of the Ministry of Health of the Republic of Indonesia in 2015-2022, it
can be seen that consistently, LAKIP is always presented and signed by the Minister of Health in
February after the fiscal year ends, to be then given to the Minister of Finance, Minister of National
Development Planning/Head of BAPPENAS, and Minister of PANRB as a form of accountability for
the implementation of GPAS and performance improvement for achievements according to budget
allocations. This is, of course, in accordance with the applicable regulations according to Article 20
paragraph (3) of Presidential Decree Number 29 of 2014 concerning GPAS, which states that the
submission of LAKIP is carried out no later than 2 (two) months after the completion of the fiscal
year. Referring to the consideration of timeliness, achieving goals in implementing GPAS has been
carried out effectively.
Based on the results of the analysis of documentation data, the achievement of the
performance targets of the Ministry of Health of the Republic of Indonesia from 2015-2022 still
needs to be improved. This can be seen from at least five (five) leading indicators, where almost all
of the performance target results have yet to be achieved (Table 5).
Table 5 Achievement of the Ministry of Health's Performance Targets for 2015-2022,
Key Indicators
Year
∑ Sub
Indicator
Performance Target Achievement
Not
Achieved
Reached
Expected to
be achieved
Medium-Term Development Plan
(RPJMN) for the Health Sector
2015-2019
13
5 (38%)
8 (62%)
-
2020-2024
15
8 (53%)
7 (47%)
8
Minimum Service Standards (MSS)
2020-2022
12
12
(100%)
0
-
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Public Health Development Index
(PHDI)
2019
7
3 ▼
4 ▲
7 ▲
(2023)
Healthy Family Index (HFI)
2022
12
12
(100%)
0
-
Primary Health-Healthy
Communities 2030
2015-2030
12
2
(2019)
10
(2019)
12
(2030)
Source: Ministry of Health Performance Report 2015-2022
Looking at the achievement of the performance targets of these leading indicators, it can be
said that achieving the goals in implementing GPAS at the Ministry of Health of the Republic of
Indonesia still needs to be fully effective.
2. Integration,
Integration means measuring the extent of an organization's capacity to carry out the
socialization of procedures and processes, develop consensus, and be able to communicate with
many other organizations. In the implementation of GPAS, there is a need for integration between
all relevant parties, starting from planning, budgeting, and implementation of activities/programs,
as well as performance reporting as an effort to achieve the vision and mission in accordance with
the goals and targets that have been set (Nani et al., 2021).
In general, the process and procedures for carrying out socialization related to the
implementation of GPAS at the Indonesian Ministry of Health have been running effectively. Based
on the analysis of the documentation data of the Minister of Health Regulation Number 5 of 2022
concerning Organization and Work Procedures, as well as the Budget Work Plan of the Ministry of
Institutions (RKAKL) for 2015-2022, it can be known that one of the duties and functions of the
Ministry of Health of the Republic of Indonesia itself where in the implementation of health affairs in
the regions, constantly carries out technical guidance and supervision in every implementation of
activities/programs supported by adequate budget policies in each budget year that contained in
the RKAKL. According to Mrs. Christina Martha Panjaitan, SKM, M. Kes (Information Center Section,
Directorate General of Disease Prevention and Control, Ministry of Health), socialization of GPAS
implementation is always carried out on an ongoing basis related to aspects in the assessment of
GPAS evaluation such as policies/regulations, health technology and health information systems,
public services, work culture, work methods/SOPs, MoUs/agreements, and prototype products.
Various innovations are needed that can be submitted to the GPAS evaluation assessment to achieve
a very satisfactory GPAS value, namely a minimum of an innovation that was running 2 (two) years
ago and has never been submitted as an innovation. These innovations must meet the criteria for
renewal/original/modification, facilitate and accelerate services, can be disseminated, provide
benefits, be specific, sustainable, have solutions/problem-solving efforts, can be applied in the
internal and external environment, and as a national example.
Based on the results of the analysis of documentation data, until now, the Ministry of Health
has yet to have a legal basis as a follow-up to the implementation of GPAS in accordance with
Presidential Decree Number 29 of 2014. However, in facilitating the socialization of GPAS, the
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Ministry of Health of the Republic of Indonesia, in addition to being guided by Presidential Decree
Number 29 of 2014 and PANRB Ministerial Regulation Number 88 of 2021 concerning GPAS
Evaluation, also always prepares a Bureaucratic Reform Roadmap in each Strategic Plan period,
namely 2015-2019 and 2020-2024 and so on, wherein the roadmap One of them discusses related
to strengthening performance accountability and is guided by PermenPANRB Number 53 of 2014 as
a reference in the preparation of LAKIP. With these regulations and policies, it is hoped that all
entities of the Ministry of Health of the Republic of Indonesia, both central and regional, can
implement GPAS in harmony and in accordance with the principles of implementing GPAS, as well
as a solid commitment to a change towards a better direction so as to create good public
governance.
In general, consensus development has been going well at the Ministry of Health of the
Republic of Indonesia, and all entities have understood and committed to implementing GPAS.
Based on the results of the analysis of documentation data and interviews, there is an agreement in
the form of a document as the basis for the implementation of performance and in the form of a
division of roles. The performance targets in a performance agreement are in line with the
activities/programs being carried out, for example, when there are global problems such as the
Covid-19 pandemic that can cause an uncertain situation, then it is followed up with
changes/revisions to the performance targets in the performance agreement for the 2020-2024
Strategic Plan period through the Minister of Health Regulation Number 13 of 2022 concerning the
Ministry of Health's Strategic Plan for 2020-2024. In addition, performance evaluations have also
been carried out periodically, both by the Ministry of PANRB and internally by the Ministry of
Health of the Republic of Indonesia by referring to the Technical Manual for GPAS Evaluation of the
Ministry of Health of the Republic of Indonesia as a follow-up to PermenPANRB Number 88 of 2021
concerning GPAS Evaluation. The division of roles in the implementation of GPAS has also been
carried out effectively where the Secretariat General, in this case, the Planning and Budget Bureau,
acts as a facilitator and coordinator for the implementation of evaluations between work units and
the Government Internal Supervisory Apparatus (APIP). The Inspectorate General acts as the
coordinator of the preparation of the APIP team or Auditor who will evaluate all work units. In
contrast, the Main Unit Work Unit acts as the implementation coordinator of all work units under it.
3. Adaptation,
Adaptation is the capacity of an organization to adjust itself to its environment (Engkus et al.,
2023). An organization must be able to adapt to changes and developments of the times in order to
be able to survive because the process will continue to take place, so it is necessary to anticipate
these changes by adapting (Nani et al., 2021). The 2 (two) indicators of the dimension of adaptation
measurement consist of resource competencies that have a significant influence on the success of a
change and the availability of facilities and infrastructure.
In general, the availability of facilities and infrastructure at the Ministry of Health of the
Republic of Indonesia is currently excellent. Based on the results of the analysis of documentation
data and observations in the field, the Ministry of Health of the Republic of Indonesia has standards
for the regulation of recommendations and infrastructure, which include standards for office space
and equipment, procedures for proposing and procuring facilities and infrastructure, as well as
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maintenance of facilities and office space as also regulated in Permenkes Number 57 of 2014
concerning Standards for Office Facilities and Infrastructure. Office equipment standards, such as
for general functional staff/positions, consist of desks and chairs, computers, file boxes, calendars,
and others as needed. Office support room standards consist of meeting rooms, archive rooms, and
prayer rooms. In terms of Occupational Safety and Health (K3), there are Work Units responsible for
the implementation of K3, building safety and fire facilities such as stairs and emergency exits,
building protection and security system equipment such as Light and Heavy Fire Extinguishers
(APAR and APAB), fire alarm systems and evacuation routes, as well as facilities to improve office
health such as clean water. Toilets, healthy canteens, and others as also regulated in Permenkes
Number 48 of 2016 concerning Office Occupational Safety and Health Standards. Then, in terms of
providing health information systems in the 4.0 era and even entering 5.0, the Ministry of Health of
the Republic of Indonesia has an integrated application, namely the One Health Data application
(Figure 2), which aims to organize the governance of data sources in the health sector in supporting
planning, implementation, and evaluation, as well as controlling health development that contains
health data and information, as well as health indicators. In addition, the Ministry of Health also has
an application for collecting and presenting data related to the facilities and infrastructure itself, as
well as medical devices contained in health service facilities as regulated in the Minister of Health
Regulation Number 31 of 2018 concerning the Application of Facilities and Infrastructure, as well as
Medical Devices (Figure 3).
Figure 2 One Health Data Digital Application
(Source: Website: https://asdk.kemkes.go.id/dhis-web-commons/security/login.action)
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Figure 3 ASPAK Digital Application
(Source: Website https://aspak.kemkes.go.id/aplikasi/)
Training and improving the competence of State Civil Apparatus at the Ministry of Health of
the Republic of Indonesia has now become the primary need for the advancement of Health Human
Resources. Based on the results of observation and analysis of documentation data in general, the
improvement of competence at the Ministry of Health of the Republic of Indonesia has been going
well through various programs/activities such as learning assignments where the implementation
of learning assignments has the goal of meeting the needs of health human resources, increasing
knowledge, capacity, and skills, as well as ASN behaviour and personality which are part of career
development carried out based on the needs planning process as regulated in Permenkes Number
28 of 2015 concerning the Implementation of Learning Assignments. In addition, competency
improvement is also carried out through training and activities such as health technical training,
health training to support organizational performance, seminars/conferences/symposiums,
socialization, workshops/workshops, coaching, mentoring, internships, and technical guidance as
regulated in Permenkes Number 78 of 2015 concerning the Implementation of Education and
Training for Health Functional Positions and Permenkes Number 29 Year 2021 concerning the
Organization and Work Procedures of the Technical Implementation Unit in the Field of Health
Training. In supporting digital learning, the Ministry of Health also has a digital learning platform,
namely "Plataran Sehat" (Figure 4), which can be accessed by all health human resources equipped
with a curriculum and modules that meet standards, interactive learning media, and competent
teachers/facilitators in their fields.
Figure 4 Platform Digital Plataran Sehat
Source: Website https://lms.kemkes.go.id/
4. Conclusion
In general, public sector governance in the implementation of SAKIP at the Ministry of Health
of the Republic of Indonesia has not been fully effective, seen from the dimensions of measuring
goal achievement in performance target achievement indicators, whereas if seen from the
measurement dimensions of integration and adaptation, it has been running effectively. In the
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Jurnal Indonesia Sosial Sains, Vol. 5, No. 8, August 2024 1908
dimension of measuring goal achievement, the implementation of SAKIP at the Indonesian Ministry
of Health has referred to the main legal basis, namely Presidential Regulation Number 29 of 2014
concerning SAKIP and also the Government Performance Accountability Report which is always
prepared by the Indonesian Ministry of Health every year in February after the fiscal year ends as
follows form of accountability and performance improvement for achieving success and failure.
However, if we look at the performance target achievement indicators, almost all of the
performance target achievement results for the main indicators have still not been fully achieved. In
the integration measurement dimension, the process and procedures for implementing SAKIP at the
Indonesian Ministry of Health have been clearly defined and are regularly socialized to all
organizational entities referring to Presidential Decree Number 29 of 2014 concerning SAKIP,
PermenPANRB Number 88 of 2021 concerning AKIP Evaluation, 2015 Bureaucratic Reform
Roadmap -2019 and 2020-2024, and PermenPANRB Number 53 of 2014 concerning Technical
Guidelines for Agreements and Performance Reporting as well as Procedures for Reviewing
Government Agency Performance Reports. Consensus development has also gone well or it can be
said that all entities have understood and are committed to implementing SAKIP through
agreements in the form of documents and the division of organizational roles. In the dimension of
measuring adaptation, the availability of facilities and infrastructure at the Indonesian Ministry of
Health is currently very good, including physical and non-physical facilities and infrastructure, as
well as information technology, all of which already have regulations governing each. Then, there
has been various training and competency development for ASN which has become a major
requirement for the advancement of Human Resources (HR) in the Indonesian Ministry of Health.
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