“…In the health services sector, there has been an increase in health services that have become more evenly distributed, with the development of puskesmas in several remote areas in Sikka Regency. Research conducted by Nuryani et al, (2018), proves that indirect and direct expenditure has a significant positive effect on economic growth. Dilliana, S. M., Gayatri, G., Ratnadi, N. M. D., & Wirajaya, I. G. A.…”