The role of the government internal control system (SPIP) in budget optimization in local governments in Indonesia
DOI:
https://doi.org/10.55942/jebl.v5i5.751Keywords:
Function Budget, SDGs, SPIPAbstract
This study analyzes the role of SPIP, the internal control of Indonesia, within the broader framework of Public Financial Management (PFM) and how it influences the appropriation of health budgets to achieve Sustainable Development Goal 3 (SDG 3). In contrast to previous studies, which have predominantly focused on the coverage of health budgets, SPIP emerges, theoretically, as a moderating variable intervening between the relationship between expenditure on health and health results. Using JKN coverage, Indonesia's National Health Insurance program and chief tool for pursuing universal coverage for health, for tracking the realization of SDG 3, a dataset of 538 municipalities for a period of five years, from 2018 until 2022 (2,690 observations), the study conducts Moderated Regression Analysis using Generalized Least Squares, considering heteroscedasticity, as well as autocorrelation, for estimation. While the results confirm that a greater appropriation of the health budget promotes the success of JKN, whose impact is significantly boosted by SPIP due to the enhancement of transparency, accountability, and due utilization of the budget, evidence exists that points towards a strong internal control, when complemented with effective management of the budget, facilitating a catalyst towards SDG 3 realization. Furthermore, it provides impetus towards another motivation for policymakers to increase sustainability, along with greater inclusivity, for health developmental efforts, strengthen strategies for health budgeting, and realize SPIP implementation strategies.
References
Adikancana, S. H. D. (2024). Kebijakan Pemerintah Daerah guna Mewujudkan Pembangunan Berkelanjutan dalam Bidang Kesehatan di Jawa Barat. Sustainability (Switzerland), 7(1), 1–14. https://prosiding.unimus.ac.id/index.php/semnas/article/download/1809/1814
Anantika, D. A., & Sasana, H. (2020). Analisis Pengaruh Pengeluaran Pemerintah Sektor Pendidikan, Kesehatan, Korupsi, Dan Pertumbuhan Ekonomi Terhadap Indeks Pembangunan Manusia Di Negara Apec. Diponegoro Journal Of Economics, 9(3), 167–178. https://ejournal3.undip.ac.id/index.php/jme/article/view/31581
Anderson, D. M., Cronk, R., Best, L., Radin, M., Schram, H., Tracy, J. W., & Bartram, J. (2020). Budgeting for environmental health services in healthcare facilities: A ten-step model for planning and costing. International Journal of Environmental Research and Public Health, 17(6). https://doi.org/10.3390/ijerph17062075
Aziz, A., & Susilowati, E. (2023). Impact Of Government Institutions Performance Accountability Systems As A Result Of Internal Control Systems And Competence. Economic, Business and Accounting, 7(1), 328–340.
Barroy, H., Yameogo, P., Blecher, M., Sabignoso, M., Piatti, M., & Kutzin, J. (2024). Public financial management: a pathway to universal health coverage in low-and-middle income countries. Health Systems & Reform, 10(3), 2368051. https://doi.org/10.1080/23288604.2024.2368051
Collins, T. E., Akselrod, S., Atun, R., Bennett, S., Ogbuoji, O., Hanson, M., Dubois, G., Shakarishvili, A., Kalnina, I., & Requejo, J. (2023). Converging global health agendas and universal health coverage: financing whole-of-government action through UHC+. The Lancet Global Health, 11(12), e1978–e1985. https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(23)00489-8/fulltext
Devi, S., Wijaya, A. A., Hasibuan, I. D., Dina, P., & Andina, A. (2024). Analisis Efektivitas Penggunaan Anggaran Pendapatan Dan Belanja Daerah Terhadap Kualitas Pelayanan Kesehatan Di Puskesmas Simalingkar. Jurnal Abdi Nusa, 4(2), 108–119. https://abdinusa.nusaputra.ac.id/article/view/256
E. Malelea, F., Chairil Furqan, A., . T., & . M. (2024). The Role of Government Internal Supervisory Apparatus (APIP) and Government Internal Control System (SPIP) in Achieving Sustainable Development Goals (SDGs) in Indonesia. KnE Social Sciences, 2024, 379–398. https://doi.org/10.18502/kss.v9i20.16541
Febrianto, M., & Astrid Maria Esther. (2023). Pengaruh Anggaran Pendidikan, Anggaran Kesehatan, Dan Tingkat Kemiskinan Terhadap Indeks Pembangunan Manusia Di Indonesia. Jurnal Ekonomi Trisakti, 3(2), 2841–2850. https://doi.org/10.25105/jet.v3i2.17787
Furqan, A. C., Wardhani, R., Martani, D., & Setyaningrum, D. (2020). The effect of audit findings and audit recommendation follow-up on the financial report and public service quality in Indonesia. International Journal of Public Sector Management, 33(5), 535–559. https://doi.org/10.1108/IJPSM-06-2019-0173
Hapsoro, N. A., & Bangun, K. (2020). Perkembangan Pembangunan Berkelanjutan Dilihat Dari Aspek Ekonomi Di Indonesia. Lakar: Jurnal Arsitektur, 3(2), 88. https://doi.org/10.30998/lja.v3i2.7046
Hasanah, U. (2017). Pengaruh Ketimpangan Pendapatan, Pendapatan Per Kapita, Dan Pengeluaran Pemerintah Di Bidang Kesehatan Terhadap Sektor Kesehatan di Indonesia. Jurnal Ilmu Ekonomi Terapan, 2(1), 30–43. https://doi.org/10.20473/jiet.v2i1.5504
Hosiana, V., Silalahi, C., & Sihombing, R. A. (2024). Membangun Kesejahteraan Masyarakat Indonesia Sehat: Strategi Komprehensif Dalam Pencegahan Penyakit, Reformasi Sistem Kesehatan, Dan Peningkatan Kesadaran Isu Kesehatan Mental. 1(3). https://doi.org/10.70182/JCA.v1i3.12
Kennedy, K., Azlina, N., Julita, J., & Nurulita, S. (2020). Analisis Faktor Yang Mempengaruhi Penyerapan Anggaran Pada Pemerintah Daerah Kabupaten Bengkalis. Jurnal Akuntansi Keuangan Dan Bisnis, 13(2), 108–117. https://doi.org/10.35143/jakb.v13i2.3652
Kricy, Y. D., & Simbel, M. (2021). Pengaruh Sistem Pengendalian Intern Pemerintah (SPIP) terhadap perencanaan dan pelaksanaan anggaran dana desa di Kecamatan Mentaya Hulu, Kabupaten Kotawaringin Timur. Journal of Environment and Management, 2(2), 148–158. https://doi.org/10.37304/jem.v2i2.2943
Lathifah, H., Frinaldi, A., Asnil, & Putri, N. E. (2024). Analisis Akuntabilitas Birokrasi Publik Dalam Sistem Keuangan Dan Dampaknya Terhadap Kinerja Pelayanan Publik. Jurnal Komunikasi Dan Administrasi Publik, 11(2), 585–592. https://doi.org/10.37676/professional.v11i2.7224
Mahulauw, A. K., Santosa, D. B., & Mahardika, P. (2017). Pengaruh Pengeluaran Kesehatan Dan Pendidikan Serta Infrastruktur Terhadap Indeks Pembangunan Manusia Di Provinsi Maluku. Jurnal Ekonomi Pembangunan, 14(2), 122. https://doi.org/10.22219/jep.v14i2.3850
Musiega, A., Tsofa, B., & Barasa, E. (2024). How does Public Financial Management (PFM) influence health system efficiency: A scoping review. Wellcome Open Research, 9, 566.
Nurul, H., & Fithriana, A. (2017). Strategi Indonesia dalam Mencapai Sustainable Development Goals Point 3 melalui Jaminan Kesehatan Nasional. Budi Luhur Journal of Contemporary Diplomacy, 1(1), 15–20. https://jom.fisip.budiluhur.ac.id/balcony/article/view/14
Putra, F., Sutanto, S., & Rahayu, A. (2023). The Impact of Health Budget on Jaminan Kesehatan Nasional Coverage in Indonesia. Indonesian Journal of Public Policy and Health Governance, 2(5), 90–102.
Putri, B. K., Maggara, T. S., Frinaldi, A., Magriasti, L., & Padang, U. N. (2024). Peran Desentralisasi Fiskal Dalam Meningkatkan Kualitas Pelayanan Publik Di Era Pasca-Pandemi Di Indonesia. 6(4), 23–33.
Rahman, S., Kurniawan, D., & Patel, V. (2021). Financing Health for Sustainable Development: The Role of Public Budgets in Asia. Journal of Sustainable Development and Health Policy, 3(10), 147–163.
Safitri, S. D. A. (2022). Pengaruh Alokasi Anggaran Pemerintah Pada Sektor Kesehatan Terhadap Tingkat Kesejahteraan Kesehatan. Jurnal Ilmiah Manajemen, Ekonomi Dan Akuntansi, 2(2), 48–56. https://doi.org/10.55606/jurimea.v2i2.150
Sakinah, H., Furqan, A. C., & Meldawati, L. (2024). Achieving The Sdgs Through Strengthening The Capabilities Of Apip And Corruption Control In Indonesia. 1(1), 185–195.
Sari, A. I. C., Zakiah Fithah A’ini, & Martinus Tukiran. (2016). Pengaruh Anggaran Pendidikan Dan Kesehatan Terhadap Indeks Pembangunan Manusia di Indonesia. Journal of Applied Business and Economic (JABE), 9(2), 127–136. http://dx.doi.org/10.30998/jabe.v9i2.15082
Soucat, A., Tandon, A., & Pier, E. G. (2023). From Universal Health Coverage services packages to budget appropriation: the long journey to implementation. BMJ Global Health, 8(Suppl 1).
Stenberg, K., Hanssen, O., Edejer, T. T. T., Bertram, M., Brindley, C., Meshreky, A., Rosen, J. E., Stover, J., Verboom, P., Sanders, R., & Soucat, A. (2017). Financing transformative health systems towards achievement of the health Sustainable Development Goals: a model for projected resource needs in 67 low-income and middle-income countries. The Lancet Global Health, 5(9), e875–e887. https://doi.org/10.1016/S2214-109X(17)30263-2
Syamsul, A. (2023). Analisis Problematika Sistem Pembiayaan Kesehatan di Era Jaminan Kesehatan Nasional ( JKN ). Sosialita, 2(2), 494–504.
Syarwi, P., & Roring, F. P. (2024). Kekuasaan Presiden Joko Widodo di bidang Jaminan Kesehatan Nasional Melalui Penerapan Program Kartu Indonesia Sehat tahun 2014. Communitarian: Jurnal Prodi Ilmu Politik, 6(1), 1–23.
Tapsoba, Y., Silim, A., Frimpong, K. A., & Barroy, H. (2024). Does public financial management save life? Evidence from a quantitative review of PFM and health outcomes in sub-saharan African countries. Health Systems & Reform, 10(1), 2298190. https://doi.org/10.1080/23288604.2023.2298190
Wijayanti, S., & Pratama, F. (2021). The Role of Internal Control Systems in Improving Health Budget Efficiency: Evidence from Local Governments. Ournal of Public Financial Management, 3(13), 56–72.
Yusuf, Z., Nurwanah, A., & Sari, R. (2022). Fraud pada Program Jaminan Kesehatan Nasional Perpekstif: Kompetensi Auditor Internal dengan Pendekatan Fenomenologi. Owner, 6(4), 3653–3669. https://doi.org/10.33395/owner.v6i4.1115
Ziolo, M., Bak, I., & Cheba, K. (2021). The role of sustainable finance in achieving sustainable development goals: Does it work? Technological and Economic Development of Economy, 27(1), 45–70. https://doi.org/10.3846/tede.2020.13863
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Imran Ahmad, Andi Chairil Furqan

This work is licensed under a Creative Commons Attribution 4.0 International License.









