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All Journal SOSIOHUMANIORA: Jurnal Ilmiah Ilmu Sosial dan Humaniora Jurnal Kesehatan Masyarakat
Suwandi, I Made
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The Role of Decentralized Health Systems in Shaping Service Quality: A Systematic Review in Low- and Middle-Income Countries Witcahyo, Eri Witcahyo; Gani, Asobat; Suwandi, I Made
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i2.29250

Abstract

Decentralization has emerged as a prominent strategy for health sector reform in low- and middle-income countries (LMICs), aiming to enhance service quality, efficiency, equity, and responsiveness. This study systematically reviews literature published between 2021 and 2025 to explore the role of decentralized health systems in shaping healthcare service quality across LMICs. Using PRISMA 2020 guidelines, 20 eligible studies were identified and analyzed from databases including PubMed, Scopus, Web of Science, and Google Scholar. Thematic synthesis of findings reveals mixed outcomes: while decentralization improves local responsiveness, enhances community engagement, and strengthens health system performance in some settings, it also exacerbates disparities in others due to uneven institutional capacity, limited fiscal resources, and fragmented coordination. Key performance areas identified include human resource deployment, financing, access to services, and equity in service delivery. The study emphasizes the significance of local capacity-building, efficient resource allocation, and integrated planning in attaining sustainable and equitable healthcare improvements within decentralized systems. This review provides practical insights for policymakers aiming to align decentralization strategies with health equity and service quality objectives.
Evaluasi kebijakan integrasi angkutan pengumpan ke dalam sistem bus rapid transit: Studi pada Mikrotrans Jaklingko Bangun, Gary Ekatama; Suwandi, I Made
SOSIOHUMANIORA: Jurnal Ilmiah Ilmu Sosial dan Humaniora Vol 10 No 1 (2024): Februari 2024
Publisher : LP2M Universitas Sarjanawiyata Tamansiswa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30738/sosio.v10i1.16268

Abstract

This research discusses the evaluation of the Integration of Feeder Transport into the Bus Rapid Transit System in the small bus transport segment through Mikrotrans Jaklingko program, which is one of Transjakarta's services in the small bus segment in order to integrate feeder transport into the bus rapid transit system to provide good quality and affordable public transport services for the community, this program also aims to improve the operational pattern of public transportation in the small bus segment so that it meets the minimum service standards. With the CIPP evaluation model initiated by Stufflebeam, the research approach used is post-positivism with qualitative data collection. The results show that the policy of integrating feeder transport into the bus rapid transit system has been implemented in accordance with the rules contained in the DKI Jakarta Governor’s Regulation Number 96 of 2018. This can be seen from the integration that has reached the small bus transport segment through the Mikrotrans Jaklingko, but there are a number of obstacles to the implementation of the Mikrotrans Jaklingko in terms of Input which have an impact on other dimensions, Process and Product. There are several recommendations that can be given, including providing a special place for fleet storage, optimizing means of providing information, standardizing terms and conditions in the Decree, and also evaluating existing routes for the purpose of adjusting fleet numbers.
Co-Authors Bangun, Gary Ekatama Dian Mustika Gani, Asobat Witcahyo, Eri Witcahyo