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All Journal BIOEDUSAINS: Jurnal Pendidikan Biologi dan Sains KOLONI
Toni Hermawan
Universitas Indonesia
Civil Engineering, Building, Construction & Architecture Education Law, Crime, Criminology & Criminal Justice Public Health Social Sciences Other

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Implementasi Layanan Kesehatan Primer dan Komunitas yang Inklusif Disabilitas: Analisis Scoping Review  Toni Hermawan; Puput Oktamianti; Zakiah
BIOEDUSAINS:Jurnal Pendidikan Biologi dan Sains Vol. 9 No. 3 (2026): BIOEDUSAINS:Jurnal Pendidikan Biologi dan Sains
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/9vbny962

Abstract

This study aimed to map and synthesize evidence on the implementation of disability-inclusive primary and community health services for persons with disabilities across various geographic contexts. This study used a scoping review design following the Arksey and O'Malley framework and JBI guidance, with literature searches conducted in Scopus, PubMed, Web of Science, and CINAHL covering the period 2021–2026, yielding 21 empirical studies selected through a staged screening process based on predefined inclusion and exclusion criteria and analyzed using a three-stage thematic synthesis approach (open coding, axial coding, selective coding). The results indicate that disability-inclusive service quality is multidimensional, encompassing eight dimensions (physical access, provider attitudes, communication, financial, participation, ethics, policy, and coordination), with barriers identified at four levels including individual (socioeconomic, disability type), interpersonal (family support), organizational (negative provider attitudes, lack of capacity), and policy (implementation gaps, inadequate funding), and access dimensions significantly impacting structural and process quality with implementation gaps as the root systemic problem. This study concludes that the integrated conceptual framework of eight dimensions of disability-inclusive service implementation produced can serve as a foundation for policy development, clinical practice, and future research agendas on health services that are truly inclusive for all persons with disabilities. Keywords: Community Health, Disability, Implementation, Primary Health Care, Service Quality
Inovasi Layanan Antar Jemput Difabel (TRALIS Difabel) sebagai Upaya Peningkatan Mutu Layanan Kesehatan yang Inklusif di UPTD Puskesmas Limo Kota Depok Fitria Andriani Fakdawer; Robiana Modjo; Lailatul Husna; Deva Arianti H; Toni Hermawan
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1045

Abstract

People with disabilities continue to face challenges in accessing primary healthcare due to mobility and transportation barriers, which reduce healthcare visits and increase the risk of unmet basic health needs. This study aims to describe the implementation of the inclusive transport service for people with disabilities (Trans Limo Sehat/TRALIS Difabel) as a quality improvement initiative at UPTD Puskesmas Limo, Depok City. The project used the Plan-Do-Check-Act (PDCA) cycle, in which problems were identified through field observations, focus group discussions, document analysis, and policy review, while the intervention provided pick-up and drop-off services through digital registration and puskesmas ambulances, and evaluation data were drawn from registration records, operational observations, and user feedback. The results show that the TRALIS Difabel program improved access to healthcare for people with disabilities, serving about 24 individuals and their companions during the initial evaluation period; registration via Google Form, barcode, and WhatsApp increased access to information, the service expanded to 16 pick-up points including three Disability Posyandu (Posdifa), and user feedback was highly positive, with financing through the BLUD budget ensuring efficiency and sustainability. It is concluded that the TRALIS Difabel program effectively addressed mobility and financial barriers to accessing primary healthcare for people with disabilities and has potential as a replicable model for inclusive health services in Depok City and beyond.
Co-Authors Deva Arianti H Fitria Andriani Fakdawer Lailatul Husna Puput Oktamianti Robiana Modjo Zakiah