Drawing a Ladder to Establish the Accountability Tree for the Community Health Center (Puskesmas)

Abstract

Building accountability in public sector organizations, notably in the health sector's Community Health Center (Puskesmas), is essential. Accountability, with its varied forms and models, complements rather than replaces each other. This research, guided by the Stewart accountability ladder model, aims to enhance the accountability and performance of Puskesmas, taking into account policy-making and desired goals. Using a qualitative method, it involves literature reviews and interviews with Puskesmas officials. The unique study location is the Puskesmas in Malang Raya, East Java, which partners with Koperasi Agro Niaga (KAN) Jabung and caters to diverse stakeholders from industries, schools, SMEs, and more. This research not only highlights the novelty of such partnerships but emphasizes the role of Puskesmas as potential models for public health services. Emphasizing transparency, stakeholder involvement, asset management, regulation compliance, and personnel training, the study underscores the importance of accountability in shaping public sector organizations.