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Evaluation of Public-Private Partnership (PPP) policies in service delivery access, quality, and accountability: A literature review Nadia Putri Untiami; Siti Aisyah; Amanda Safitri; Riswandy Wasir
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2207

Abstract

Public-Private Partnership (PPP) has emerged as a strategic instrument to address fiscal and infrastructure constraints in achieving Universal Health Coverage (UHC) in Indonesia. However, its implementation effectiveness is often hindered by governance complexities and low transparency. This study aims to evaluate PPP policies in the healthcare sector, focusing on implementation dynamics, performance determinants, and policy improvement implications for access, quality, and accountability. This research utilizes a descriptive-analytical literature review method through systematic searches of Google Scholar, PubMed, BMC, and IJHPM databases for the period 2018–2025. The findings indicate that PPP significantly expands service access at primary and referral levels and fosters medical technology innovation. In Indonesia, the flexibility of BLUD status in regional hospitals supports Operational Cooperation (KSO), while at the primary level, private primary care facility (FKTP) integration strengthens basic service coverage. Nonetheless, major identified barriers include low contract transparency, information asymmetry, fragmented health information systems, and a shortage of competent medical personnel. Strengthening PPP governance requires more standardized regulations, rigorous independent oversight, and active public-interest-oriented contract management to ensure the sustainability of healthcare service quality and accountability.
The use of wearable data in health insurance and ethical challenges in Indonesia Nadia Hafrisa; Sudarningayuti Lintang Wahyu Azahra; Cahya Arbitera; Riswandy Wasir
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2215

Abstract

Advances in digital technology in the healthcare sector are driving increased use of wearable data across various services, including health insurance. Data generated by wearable devices such as physical activity, heart rate, and sleep patterns offer opportunities to support more dynamic health risk assessments, the development of more personalized premiums, and the strengthening of preventive approaches within the health insurance system. This trend indicates a shift in the insurance system from a reactive approach toward a data-driven and preventive approach. This study employs a literature review approach by examining relevant scientific articles from databases such as Google Scholar, PubMed, and Garuda. The analysis focuses on literature regarding the utilization of wearable data in health insurance as well as the accompanying ethical considerations. The findings indicate that wearable data holds significant potential in supporting the transformation of a data-driven health insurance system; however, its implementation still faces limitations regarding privacy, data security, and the readiness of regulations specifically governing the use of digital health data. Additionally, the use of wearable data raises ethical challenges, such as the potential for misuse of health data and the possibility of unequal treatment of insurance participants based on their health conditions.In Indonesia, regulations regarding the protection of digital health data are still evolving and do not yet fully address the technical aspects of using wearable data in health insurance systems. Therefore, there is a need to strengthen regulations and policies grounded in digital ethics to ensure that the use of wearable data is safe, fair, and responsible.
Evaluation of policies on community participation in the planning, implementation, and monitoring of health programs at the local level: A literature review Sudarningayuti Lintang Wahyu Azahra; Nadia Hafrisa; Della Dwi Ayu; Riswandy Wasir
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2216

Abstract

Community participation is a crucial element in health development efforts because the success of health programs depends heavily on the active involvement of the community, whether in the form of labor, ideas, or other forms of support. Community participation is necessary to assist the government in achieving its goals of improving health outcomes. Such participation is not merely defined by physical presence but also encompasses the community’s mental and emotional engagement in supporting development activities. Therefore, community involvement needs to be enhanced at various stages of activities, including in the implementation and monitoring of health programs at the local level. A literature review method was employed by searching for scientific articles through the Google Scholar, Garuda, and PubMed databases. Inclusion criteria focused on qualitative and quantitative studies regarding the evaluation of community participation published within the last five years. The selected articles were those relevant to the topic and aligned with the research objectives. An evaluation of community participation policies in the planning, implementation, and monitoring of health programs at the local level indicates that community involvement remains suboptimal. This is due to a lack of knowledge and awareness among the public, limited communication, and a lack of community involvement in health decision-making. During the implementation phase, a participatory approach through health education, outreach, community-based communication, and the empowerment of health volunteers can increase community involvement in health programs. However, during the monitoring phase, the community still does not play a significant role in evaluating health policies.
Tantangan dan Peluang Mewujudkan Akses Universal ke Layanan Kesehatan Berkualitas di Indonesia: Literatur Review Wulan Septiana; Siti Nurul Azizah; Riswandy Wasir
Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 2 No. 3 (2024): Agustus : Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/antigen.v2i3.317

Abstract

Universal Health Coverage (UHC) is health insurance that ensures that people get justice in promotive, preventive, curative and rehabilitative health services, quality at affordable costs because health services in Indonesia are not evenly distributed, especially in rural areas. The aim of this research is to realize universal access to quality health services in Indonesia. This research uses a literature review method with online searches using scientific databases, such as Pubmed and Google Scholar. Researchers used articles from 2019-2023. The results of this research were obtained from two previous articles, namely regarding the analysis of the principles of financing health services and health services to achieve Universal Health Coverage in Indonesia. So in conclusion, the principle of financing and health services must be carried out fairly in every community, both in urban and rural areas.
Co-Authors 'Aisy, Afifah Rohadatul Abdillah, Ratu Puanurani Anggitya Adelia Putri, Maritza Adinda Kurnia Herlambang Adjrina Dawina Putri Adjrina Dawina Putri Adzkia Avisena Maghfiroh Afifah Thaliah Putri Priyono Aghniya Choirunnisa Aguilera, Solita Claudya Aisy, Afifah Rohadatul Alba, Alinda Mahardika Aldera Almeria Annisa Putri Alvianty, Rizka Ayu Amanda Safitri Amanda, Aisyah Putri Andi Paluseri Andriana, Bunga Angelina, Gabriela Anggiruling, Dwikani Oklita Anggraeni Dian Ciptaningrum Anggraeni Dian Ciptaningrum Anggraini, Mela Ratri Anggreini, Anis Lusiana Angraeni, Fitri Anis Lusiana Anggreini, Anis Lusiana Anggreini Annisya Putri Salsabila Apriliyani, Mutia Apriningsih, Apriningsih Apriningsih Arbitera, Cahya Arimbi Prashintya Simawang Arvian, Shenia Rully Assyifa Ramadhani Astuti, Winda Dwi AULIA RAHMA, FADILAH Ayu Alvianty, Rizka Azahra, Sabrina Azizah, Nazhifa Nurul Azizah, Siti Nurul Azzahra, Fitria Bustan Nurfianty Azzahra, Raisya Shafa Bahiizza Shadrina Zhafarin Bunga Andriana Cahya Arbitera Cahya Arbitera Chandrayani Simanjorang Ciptaningrum, Anggraeni Dian Cordellia, Nadhira Nasywa Della Dwi Ayu Dewayani Hidayat, Dayinta Diva Latifah Rochmah, Diva Latifah Rochmah Dwinova, Keira Editha Lesmana, Aurelia El-Tsana, Ashfiya Vi'aqila Eva Nur Agustin Faridz, Hasbi Miftah Fikri, Al Mukhlas Fitri, Tasya Ariani Fitriani, Mutiara Aisyah Fitrianto, Rasyad Hakim, Jiddan Azizan Hera, Agnes Gonxa Mulia Huwaydi Azzam Yusuf Istanti, Novita Dwi Jaya, Liranti Jacinta Kiswanto, Melda Julianti Kulsum, Annisa Ummu Kurnia, Inara Perdana Kusuma, Putri Naira Laily Hanifah Lesmana, Aurelia Editha Lintang Tyas Pramesti Lumbantobing, Saula Bellatrix Lusyta Puri Ardhiyanti Maharani, Ghania Danisha Mahardieka, Clarissa Marina Ery Setyawati Melani, Alif Indah Meutya Zahra Eriansyah Mugi Rahayu Lestari Mujriah Nabiila, Adzroo Atiiqoh Nur Nabilah, Hanifah Nadia Hafrisa Nadia Putri Untiami Nafisah, Dewi Syaidah Naradhipa, Rasyid Araghani Nashiroh, Alya Devia Natasya Nazla Prasetyo Nikita Alia Rajebta Novita Dwi Istanti Novita Dwi Istanti Nur Sholihah, Nur Nurani, Firda Syafitri Nurjanah, Amanda Nurmaliza, Mazaya Raini Nurul Rizqi Azizah Octaviani, Putri Oktapiani, Dwi Rani Panggayuh, Prananta Hadi Pasaribu, Christiani Priyono, Afifah Thaliah Putri Projokusuma, Rachmad Purba , Shofiyyah Salma Purba, Shofiyyah Salma Putri Aulia Rosmayani Putri Naira Kusuma Putri Priyono, Afifah Thaliah Putri, Almeria Annisa Putri, Nadya Nur Syafina Rahayu Lestari, Mugi Rahmadanti, Mutia Devani Rajebta, Nikita Alia Reynanda Sabrina Risma Pertiwi Rita Ismail Robby Firmansyah Rochmah, Diva Latifah Rully Arvian, Shenia Salsabila, Annisya Putri Salsabila, Meuthya Putri Salsabilah, Alya Saphira, Meutya Zahra Sekarningrum, Rizda Maharani Septiana, Wulan Shaumi, Nazwa Fadya Nur Sihole, Putri Oktamaria Siregar, Salwa Febriana Ekasari Siti Aisyah Siti Nurul Azizah Solita Claudya Aguilera Sudarningayuti Lintang Wahyu Azahra Syafira, Seftiani Syahidah, Raisha Syalisa Syabil Syarifah, Ismi Farah Tsabitah, Humairah Fahma Ulya, Nadiyatul Ummi Rahma Utami, Elisa Tri Widya Andini, Widya Widyastuty, Theresia Miranda Wirdatul Jannah Wulan Septiana Wulan Septiana Zahra Septina Zahra Septina Zahra, Nasywa Athiyah Zain, Nabiilah Salsa