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All Journal AVICENNA
Helen Evelina Siringoringo
Sekolah Tinggi Ilmu Kesehatan Bina Husada Palembang
Health Professions Public Health

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Analisis Implementasi BPJS Kesehatan di Fasilitas Kesehatan Tingkat Pertama (FKTP) Klinik Siwi Palembang Cindy Putry Oktrisna; Ali Harokan; Arie Wahyudi; Helen Evelina Siringoringo
Avicenna: Jurnal Ilmiah Vol. 21 No. 2 (2026): Avicenna: Jurnal Ilmiah
Publisher : Public Health Department, Faculty of Health Science University Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/avicenna.v21i2.11456

Abstract

Background :  BPJS Kesehatan plays a role in administering the National Health Insurance (JKN) program through First-Level Health Facilities (FKTP). As a private FKTP, Siwi Clinic Palembang must ensure that the implementation of BPJS services complies with established regulations. This study aims to analyze the implementation of BPJS Kesehatan based on the dimensions of communication, resources, disposition, and bureaucratic structure. Methods : A qualitative descriptive study was conducted from June to July 2026 at Siwi Clinic Palembang. Nine informants were selected using purposive sampling. Data were collected through interviews, observation, and document review, and analyzed descriptively using source and technique triangulation. Results : Overall, the implementation of BPJS Kesehatan proceeded well. Communication, resources, disposition, and bureaucratic structure supported service delivery. Challenges identified included rapid policy changes, heavy workloads, the need for competency improvement, and information system or network disruptions. Conclusion :  The implementation of BPJS Kesehatan at Siwi Clinic Palembang in 2026 was successful and relatively adequate. Improvements are needed regarding communication, staff competence, information systems, and periodic Standard Operating Procedure (SOP) reviews. Keywords : BPJS Kesehatan, FKTP, Siwi Clinic, Implementation, Edward III.
Analisis Kepatuhan Ibu dalam Kelengkapan Pemberian Imunisasi Dasar pada Anak di Klinik Bersalin Budi Indah Kota Palembang Nadia Miranda; Arie Wahyudi; Ali Harokan; Helen Evelina Siringoringo
Avicenna: Jurnal Ilmiah Vol. 21 No. 2 (2026): Avicenna: Jurnal Ilmiah
Publisher : Public Health Department, Faculty of Health Science University Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/avicenna.v21i2.11457

Abstract

Background: Immunization is an effective measure for preventing vaccine-preventable diseases and reducing morbidity and mortality among children. Maternal adherence to basic immunization schedules is a crucial factor in the success of immunization programs. This study aimed to identify factors associated with maternal adherence to basic immunization at the Budi Indah Maternity Clinic in Palembang City in 2025. Methods: A quantitative approach was employed. Analysis was conducted to determine the relationship between maternal characteristics and factors and adherence to basic immunization. Results: The majority of mothers (57.7%) were adherent to basic immunization, while 42.3% were non-adherent. Factors associated with adherence were access to health services and attitude. Access to health services was the most dominant factor (OR = 2.29). Age, education, occupation, knowledge, and family support did not show a significant relationship with basic immunization adherence. Conclusion: Maternal adherence to basic immunization is associated with access to health services and attitude, with access to health services being the most dominant factor. Improving ease of access to health services requires attention to support adherence to basic immunization. Keywords: access to health services; basic immunization; maternal adherence; attitude.
Co-Authors Ali Harokan Arie Wahyudi Cindy Putry Oktrisna Nadia Miranda