DECENTRALIZATION OF ADMINISTRATIVE POWER TO LOCALITIES AND THE PROBLEM OF GOVERNMENT STRUCTURE A CASE STUDY OF HEALTH DECENTRALIZATION

Abstract

Abstract

This research article the purpose of this study is to study the theoretical concepts of decentralization to local organizations and the state administration structure. by studying the case of decentralization in health Study and analysis of the decentralization of power to local organizations and the problems of the government's administrative structure. by studying the case of decentralization in health Study and find guidelines and recommendations on the decentralization of power to local organizations and the problems of the government's administrative structure. by studying the case of decentralization in health This research is a qualitative research. There are research methods by analyzing documents and observing collecting data that is an overview.

          The study found that Since the transfer of the health center to the local government organization under the law on decentralization to local government organizations Especially decentralization or transfer of power in health. This is considered a turning point in the development of the health system. By using the process to participate in public health care. and when transferred Many issues arise in the management system. Whether it is the status of personnel management and the problem of budget management within the new organization that has been transferred. including related laws and regulations Therefore, it is suggested that the state must follow up to find a way to further improve that it still needs to receive services of the same or higher quality. It was found that there are still several success factors for transfer such as leadership readiness. Guidelines Communication and after the transfer The state must periodically monitor and evaluate. Including quality assurance by the Institute for Quality Assurance in terms of service quality standards as well