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Phenomenological Study of Compliance with Paying Dues by Independent Participants in the National Health Insurance Program in Medan City in 2023 Liory Olganita Banjarnahor; R Kintoko Rochadi; Jasmen Manurung
Jurnal Info Sains : Informatika dan Sains Vol. 13 No. 02 (2023): Jurnal Info Sains : Informatika dan Sains , Edition September  2023
Publisher : SEAN Institute

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Abstract

The objective of this study is to determine and analyze the causing factors of non-compliance in paying National Health Insurance contributions (JKN) by independent participants and to find out the efforts made by the Social Security Agency on Health (BPJS) to increase compliance in paying JKN contributions and the efforts made by the Medan Government through Health Department to taking care the independent participants in arrears. This is a qualitative study with a phenomenological approach. Data collection is carried out by in-depth interviews and documentation. The informants in this research are Independent JKN Participants, BPJS Stakeholders and Health Department Stakeholders. The data processing uses the Miles Hubberman method. The results of the study show that the causing factors of non-compliance with paying JKN contributions are due to large amount of arrears, They are still able to seek health treatment using their ID card at the Puskesmas (Community Health Center), Economic Factors, Number of dependents (family members) and an Increasing in dues. Efforts that have been made by Health BPJS to increase compliance in paying JKN contributions are by providing convenience in payment methods, there are efforts to establish communication with independent JKN participants (through tele-collecting efforts, conduct WhatsApp blasts for delinquent participants, visit delinquent participants through JKN cadres, and conduct outreach in sub-districts and crowded places), as well as the existence of a Phased Payment Plan (REHAB) program where the arrears can be paid in installments. Efforts made by the Health Department and the Medan City Government include switching independent participants to JKN Contribution Assistance Recipient (PBI) participants and the Universal Health Coverage (UHC) Program through the Medan Berkah Health Insurance (JKMB) of Medan City.
Wastewater Channel And Escherichia Coli In Wells, Desa Durin Simbelang Kecamatan Pancur Batu Seri Asnawati Munthe; Lia Rosa Veronika Sinaga; Jasmen Manurung
TOUR HEALTH JOURNAL Vol. 1 No. 1 (2022): TOUR HEALTH JOURNAL
Publisher : Akupun Tour Publisher

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Abstract

Background :    Water  is  the  most  important  substance  in  life. About  three  quarters  of  our  body  consists  of  water  and  no person can  survive more than 4-5 days without drinking water. Water is used for cooking, washing, bathing, and cleaning waste. around  the  house.  Water  is  also  used  for  industrial  purposes, agriculture,  fire  fighting,  recreation,  transportation,  and  others. Water   can   spread   and   transmit   disease   to   humans.   These conditions   can   certainly   cause   disease   outbreaks.   can   be separated   from   human   life.   Clean   water   contaminated   with Escherichia coli bacteria is one of the causes of diarrheal disease. Purpose: The purpose   study   is   to   know   relationship   of wastewater  channel and  Escherichia  Coli  Levels  In  Wells,  Durin Simbelang Village, Pancur Batu District. Method: This  study  used  an  analytical  survey  method  with  a cross   sectional   design   using   simple   random   sampling.   The number of samples is 30 dug wells and statistical analysis using Chi square test. Results:  There  is  53.3%  of wastewater  channel with  high contamination  risk  and  56.7%  of  dug  wells  contaminated  with Escherichia  coli  bacteria.  From  the  statistical  results,  it  was found   that   there   was   a   relationship   between   sanitation   in wastewater channel(p value 0.269) with E.Coli content. Conslusion:  the  advice  given  by  the  researcher  is  that  if  it  is used  as  drinking  water,  it  should  be  boiled  until  it  boils,  giving disinfectant to dug wells to make it safer to use for hygiene and sanitation needs.