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All Journal Global Health Management Journal Menara Ilmu Community Development Journal: Jurnal Pengabdian Masyarakat JESS (Journal of Education on Social Science) Jurnal EduHealth Idea Pengabdian Masyarakat Jurnal Salam Sehat Masyarakat (JSSM) Jurnal Salingka Abdimas Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) MARAS : Jurnal Penelitian Multidisplin Radinka Journal of Health Science
Yosalli
Fakultas Kesehatan Masyarakat Universitas Andalas
Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Edukasi Partisipatif Bahaya Pestisida di Nagari Sungai Nanam Kabupaten Solok Sumatera Barat Friskaeka Fitria; Ade Suzana Eka Putri; Yosalli Yosalli; Zacky maulana; Dina Waldani; Jasmi Jasmi
Idea Pengabdian Masyarakat Vol. 6 No. 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ipm.v6i01.486

Abstract

Permasalahan utama yang dihadapi petani di Nagari Sungai Nanam berkaitan dengan keselamatan dan kesehatan kerja yang disebabkan oleh rendahnya pengetahuan tentang bahaya pestisida, tidak adanya kebiasaan penggunaan Alat Pelindung Diri (APD), keterbatasan akses terhadap APD, serta belum adanya pelatihan penggunaan APD yang benar. Metode kegiatan pengabdian kepada masyarakat yang dilakukan yaitu edukasi partisipatif yang menggabungkan penyampaian informasi bahaya paparan pestisida dan dampaknya terhadap kesehatan, penyediaan APD, serta praktik langsung penggunaan APD oleh petani. Kegiatan dilaksanakan di Edotel Cemara SMKN 1 Lembah Gumanti Kabupaten Solok Sumatera Barat terhadap 36 orang petani yang teridiri dari 20 anggota kelompok tani Gantiang Saiyo dan 16 orang petani mandiri. kegiatan dilaksanakan sebanyak 4 sesi, yaitu pre-test, penyampaian materi, pelatihan APD, dan post-test. Hasil kegiatan menunjukkan bahwa metode edukasi partisipatif yang diterapkan mampu meningkatkan pengetahuan petani mengenai bahaya pestisida serta pentingnya penggunaan APD. Rata- rata skor pengetahuan peserta meningkat dari 97,17 sebelum diberikan edukasi menjadi 143,64 setelah kegiatan. Uji Wilcoxon menghasilkan nilai p=0,000 (p<0,05), yang menunjukkan bahwa adanya perbedaan bermakna antara tingkat pengetahuan sebelum dan sesudah intervensi
Mapping Social Health Financing Mechanisms and Their Equity Implications in Indonesia: A Scoping Review Yosalli; Maretalinia Maretalinia; Sri Siswati; Friska Eka Fitria; Adisti Qamahadlina Larasati; Nailul Hikmi
GHMJ (Global Health Management Journal) Vol. 9 No. 3 (2026): Online First
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-931367

Abstract

Background: Health financing is central to universal health coverage (UHC), determining whether individuals can access healthcare without financial hardship. In Indonesia, the Jaminan Kesehatan Nasional (JKN) programme has substantially expanded population coverage, but registration does not necessarily ensure equitable healthcare utilization or financial protection. Poor and vulnerable populations, including informal workers and rural and remote communities, may continue to face barriers to healthcare access. Aims: This scoping review aimed to map social health financing mechanisms implemented or studied in Indonesia and examine their implications for equitable healthcare access and financial protection among poor and vulnerable populations. Methods: This review followed the Joanna Briggs Institute (JBI) methodology for scoping reviews and was reported according to the Preferred Reporting Items for Systematic Reviews and Meta Analyses extension for Scoping Reviews (PRISMA ScR). Searches were conducted in PubMed/MEDLINE, Scopus, Web of Science, Embase, Google Scholar, and Garuda, supplemented by grey literature from the World Health Organization, World Bank, Ministry of Health of Indonesia, BPJS Kesehatan, Dewan Jaminan Sosial Nasional, and Bappenas. Literature published between 2019 and 2026 was considered. Eligible sources addressed health financing mechanisms, healthcare access, equity, or financial protection among poor or vulnerable populations in Indonesia. Data were charted using a standardized extraction form and synthesized descriptively and thematically. Results: A total of 235 records were identified, of which 30 sources, comprising 24 peer reviewed studies and 6 grey literature reports, met the inclusion criteria. Five broad categories of social health financing mechanisms were identified: national social health insurance through JKN and BPJS Kesehatan, government premium subsidies for poor populations through Penerima Bantuan Iuran (PBI), community and employment based contributory financing, non-contributory social assistance such as Program Keluarga Harapan (PKH), and faith based or philanthropic financing, including zakat based schemes. Although JKN registration reached 98.45% of the population by the end of 2024, active utilization was substantially lower at 78.83%. Equity implications differed across mechanisms: JKN and PBI extended nominal coverage and modestly reduced out-of-pocket payments for some vulnerable groups, community- and employment-based contributory financing showed unstable enrolment among informal workers, non-contributory social assistance influenced health-seeking behaviour only indirectly, and faith-based and philanthropic financing remained almost entirely unevaluated. Out-of-pocket and catastrophic health expenditure continued to affect poorer and informally employed households despite these gains, indicating that financial protection remained incomplete. Poor, informally employed, and geographically remote populations continued to experience greater financial and access barriers. Key challenges included administrative complexity, limited ability and willingness to pay among informal workers, geographic disparities in healthcare availability, and imperfect targeting of subsidy programmes. Conclusion: Social health financing in Indonesia has expanded nominal coverage under JKN and PBI, but this nominal coverage has not consistently translated into effective, equitable healthcare access and financial protection: registration is not the same as effective coverage or genuine financial protection. Evidence on community based and faith-based financing remains limited. Future research should prioritize comparative equity evaluations, particularly among informal workers and populations in eastern Indonesia.
Co-Authors Ade Suzana Eka Putri Adisti Qamahadlina Larasati Adisti Qamahadlina Larasati - Adri, Rantih Fadhlya Ahmad Rizki Maulana ANDANI, MELI Dina Waldani Erpidawati, Erpidawati Firdaus Hafidz As Shidieq Friska Eka Fitria Friskaeka Fitria Heni Rusmitasari Ilham Guswandi Jasmi Jasmi Kurniadi Hidayat Maretalinia Maretalinia Maretalinia Maretalinia Muhammad Nawawi Musparlin Halid Nailul Hikmi Nailul Hikmi Nanda Surya Febrianta Nugrahmi, Ade Rantih Adri Redha, Pratiwi Soni Sariana Sariana Setiana, Iffa Shelvy Haria Roza Silvia Adi Putri Sri Siswati Sri Siswati Suyitno Suyitno Suyitno Suyitno Yayu Angriani Zacky maulana