Implementation of Performance-Based Budgeting at the North Sulawesi Provincial Health Office
DOI:
https://doi.org/10.55927/fjas.v5i1.540Keywords:
Performance-Based Budget, Value for Money, Economical, Efficiency, EffectivenessAbstract
Global pressure on the public sector to improve the effectiveness, efficiency, and accountability of financial management has led to the emergence of a performance-based budgeting approach. This study aims to analyze the implementation of Performance-Based Budgeting at the North Sulawesi Provincial Health Office. The study uses a descriptive qualitative method with data collection techniques in the form of in-depth interviews, observation, and documentation. The analysis was conducted using a Value for Money approach that assessed economic, efficiency, and effectiveness aspects. The results showed a budget absorption rate of 93.49% with a deficit of IDR 221.5 billion, indicating a high dependence on the Provincial Budget. Performance evaluation revealed waste in several activities, differences in efficiency levels, and output gaps despite 100% achievement of all outcomes. In general, performance-based budgeting has been implemented in accordance with regulations, but improvements in planning, implementation efficiency, and output optimization are still needed to strengthen the Value for Money principle.
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Copyright (c) 2026 Agnes Chiayen Monica Lengkong, Harijanto Sabijono, Steven J. Tangkuman

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