Abstract

A study to evaluate the performance of the District Office of Ministry of Health (DO-MOH) was carried out during the fiscal year of 1991/1992. Specific objectives of this study were to evaluate the organization of the DO-MOH as stated in the policy of MOH and to look at the implementation of coordination, integration and synchronization of the DO-MOH with the local related health agencies and local administrator. "Mail survey" in 301 DO-MOH throughout Indonesia, modified focus group discussion (MFGD) and indepth interview in 9 DO-MOH samples in South Kalimantan, Yogyakarta and South Sulawesi Provinces were carried out to achieve the objectives of this evaluative study. Descriptive and qualitative methods were used for data analysis. It was found that facilities, manpower, budget, management including coordination, integration and synchronization as well as other performances of most of the DO-MOH were still far beyond expected e.g 60.9% of DO-MOH were still using other building to carry out the daily routine jobs, 96,4% did not have stencil machines, 50,4% did not have calculators, 81.5% DO-MOH had 1-5 personnels who were still partimers, 51% did not carry out the managerial functions of DO-MOH. In the context of solving the problems faced by the DO-MOH there have been 5 proposed alternatives for structural and functional communications with the health units at provincial, regency, and district levels. There may be beneficial as well as unbeneficial aspects of these 5 alternatives, depending on the present existing conditions and the future expected health trends.