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All Journal Media Kesehatan Masyarakat Indonesia Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Administrasi Kesehatan Indonesia JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) HIGEIA (Journal of Public Health Research and Development) Promotif: Jurnal Kesehatan Masyarakat Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Kesehatan Komunitas Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Proceedings of the International Conference on Applied Science and Health Indonesian Journal of Health Development PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Cahaya Mandalika Daengku: Journal of Humanities and Social Sciences Innovation KESANS : International Journal of Health and Science Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Berita Kedokteran Masyarakat JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal ARSI : Administrasi Rumah Sakit Indonesia Journal of Indonesian Health Policy and Administration Jurnal Ekonomi Kesehatan Indonesia VJKM: Varians Jurnal Kesehatan Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Sjaaf, Amal Chalik
Departemen Administrasi Dan Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat Universitas Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Analysis of Factors Affecting Patient Satisfaction JKN Non PBI at Primary Health Care in East Jakarta District 2016 Arbitera, Cahya; Sjaaf, Amal Chalik; Sulistiadi, Wahyu
Journal of Indonesian Health Policy and Administration Vol. 2, No. 1
Publisher : UI Scholars Hub

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Abstract

Health development in the period 2015-2019 is Indonesia Sehat program with the goal to improve the health and nutritional status of the community through health and community empowerment efforts which are supported with financial protection and health care equity. Social Health Security Agency (BPJS) as JKN organizers estimate in 2015 is a deficit of more than 6 trillion rupiahs. In 2016, the deficit is estimated to be 11 trillion rupiahs. This study used a cross sectional study design. The population in this study were outpatients at the sub-district Kramat Jati and Pasar Rebo primary health care with the total number of 800 people and studied sample of 100 people. Patient satisfaction in this study has mean score of 43,06. Education variable; job and services are not significantly affects patient satisfaction JKN Non PBI at East Jakarta district primary heallth care. In conclusion, dimension of punctuality; convenience in obtaining services and ease in obtaining services most influence on patient satisfaction JKN Non PBI in East Jakarta district primary health care with the p value = 0,000 < 0,05. In addition, politeness and friendliness within the service still have big influence on patient satisfaction bicause it is important factors on patient satisfaction. Therefore, the author gives some recommendations to appropriate and thorough improvement added with upgrading to the punctuality of service, conducting a survey of patient satisfaction by BPJS and primary health care, disseminating the research results regarding the effect of service quality on patient satisfaction level, further and in-depth research needs to be done related to the effect on service quality dimension to JKN patient satisfaction level in all primary health care included in East Jakarta district, especially at primary health care which has never been conducted with survey and research on JKN patient satisfaction level.
Analysis of Policy Change Relating to Presidential Regulation No.19 year 2016 on Health Insurance became Presidential Regulation No.28 year 2016 on Health Insurance Simanjuntak, Julian; Sjaaf, Amal Chalik
Journal of Indonesian Health Policy and Administration Vol. 2, No. 2
Publisher : UI Scholars Hub

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Abstract

The rapid change from presidential regulation no.19 year 2016 on health insurance into presidential regulation no.28 year 2016 on health insurance get a big attention. This research was purposed to analyze about health insurance policy which changed very quickly. It changed from presidential regulation no.19 year 2016 into presidential regulation no.28 year 2016 on health insurance. The researcher used qualitative methods. The analysis from the input processing and output showed that the change of presidential regulation is a responsive form from president when he looked public rejection response for the increase of fee. The president extended it through the department of health affairs. In terms of inputs, the resources of this policy change are still very limited, while at the stage of the process there is still a lack of cross-sector coordination with related institutions and difficulties in getting the materials needed in the discussion. Presidential Regulation No.28 of 2016 on Health Insurance that became the output in this change is considered to be able to accommodate the demand of the people but the changes are not in accordance with the actuary calculations. This change of presidential regulation not yet affected to appropriate the fee adequacy on BPJS Implementation. The department of health affairs as a leader of health sector was recommended to increase the cross-sectoral coordination which can manifest the better product of health policy and to complete the policy instrument that yet to be determined. It also used to be concern from the department of health affairs, DJSN and BPJS which explained the increase of fee must be offset by a quality improvement rather than the implementation of national health insurance.
Formulasi Kebijakan Penggunaan Dana Desa Bidang Kesehatan: Studi Kasus di Kecamatan Parung Kabupaten Bogor Komarudin, Heru; Sjaaf, Amal Chalik; Devi, Yuli Puspita; Fitri, Wafa Sofia
VJKM: Varians Jurnal Kesehatan Masyarakat Vol. 2 No. 2 (2024): Desember 2024
Publisher : Varians Statistik Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63953/vjkm.v2i2.17

Abstract

WHO mendefinisikan bahwa desa dan masyarakat pedesaan dapat dikatakan sehat apabila tingkat penyakit menular yang rendah, anggota masyarakat memiliki akses ke pelayanan kesehatan. Provinsi Jawa Barat sebagai salah satu provinsi dengan jumlah penduduk terbanyak di Indonesia. Jawa Barat menempati posisi pertama dengan jumlah penduduk mencapai 48,2 juta jiwa dengan beragam permasalahan Kesehatan. Penelitian ini bertujuan untuk menganalisis formulasi kebijakan kesehatan terkait penggunaan dana desa untuk bidang kesehatan dengan menggunakan metode penelitian kualitatif melalui pengumpulan data dengan menggunakan wawancara mendalam dan observasi terhadap informan diantaranya; Kepala desa, Ketua Badan permusyawaratan Desa, Kepala Puskesmas kecamatan setempat dengan total responden enam orang yang dilakukan pada bulan Agustus – Desember 2021. Kesimpulan yang didapatkan yakni pada tahapan formulasi penggunaan dana desa bidang Kesehatan, terdapat salah satu desa yang belum nampak peran dari Badan Permusyawaratan Desa dalam menghimpun persoalan terkait kesehatan serta tidak ditemukan adanya kerjasama yang optimal dengan puskesmas dalam mengidentifikasi persoalan Kesehatan.
Contribution of National Health Insurance Patient Revenue to Financial Performance of Private-Profit Hospitals from 2017 to 2022 Imansyah, Fadlul; Sjaaf, Amal Chalik; Nadjib, Mardiati; Hartini, Rina
Kesmas Vol. 20, No. 5
Publisher : UI Scholars Hub

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Abstract

This study investigated the relationship between National Health Insurance (NHI) patient revenue and profit-private hospital financial performance in Indonesia. As the NHI provider, Badan Penyelenggara Jaminan Sosial (BPJS) Healthcare Security’s influence on hospital revenues has raised concerns about its impact on financial sustainability. This study used financial performance indicators to develop a financial performance index—Return on Assets (ROA), Return on Equity (ROE), Earnings Before Interest, Taxes, Depreciation, and Amortization (EBITDA) Margin, Current Ratio, and Net Profit Margin (NPM)—to assess the financial impact of BPJS Healthcare Security revenue. A partial model approach of multiple linear regression was employed using secondary data from seven private-profit hospitals listed on the Indonesian Stock Exchange from 2017 to 2022. The findings indicated a negative correlation between BPJS Healthcare Security patient revenue and the hospital financial performance index. Specifically, higher patient revenue correlated with lower performance across key financial indicators, including ROA, ROE, EBITDA Margin, Current Ratio, and NPM. It was essential for hospitals but not necessarily to improve their financial health performance. Hospitals need to optimize their revenue mix and explore alternative financial strategies to enhance performance.
Government Health Spending and Life Expectancy: Evidence from Cities and Districts in Indonesia Sari, Kurnia; Hidayat, Budi; Sjaaf, Amal Chalik; Nadjib, Mardiati
Kesmas Vol. 20, No. 3
Publisher : UI Scholars Hub

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Abstract

Life expectancy is widely recognized as a fundamental indicator of population health, and its improvement is often linked to government health spending, particularly in decentralized health systems. This study aimed to investigate the relationship between local government health expenditures and life expectancy in decentralized Indonesia. Data from 492 cities and districts, spanning from 2015 to 2019, were analyzed using a two-way fixed effects regression model to control for time-invariant district characteristics and common temporal shocks. The findings indicated that a 10% increase per capita in government health expenditure was associated with a 0.01% increase in life expectancy. This association was established after adjusting for key health system and contextual variables, including physician density, sanitation coverage, poverty rates, and proportion of fiscal transfers from the central government. The association remained strong and statistically significant across all model parameters. The results demonstrated that increased local health expenditure improves population health outcomes.
Social Determinants of Neonatal Health Outcomes in Indonesia: A Multilevel Regression Analysis Soeharno, Rooswanti; Sjaaf, Amal Chalik
Kesmas Vol. 19, No. 4
Publisher : UI Scholars Hub

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Abstract

Indonesia’s neonatal mortality rate remains alarmingly high. This study addressed the determinants of neonatal outcomes in Indonesia, including the effects of a decentralized health system, socioeconomic disparities, and geographic variations. The analysis used 2018 national survey data across 34 provinces, 513 cities/districts, and 300,000 households, with a sample of 73,864 women aged 10-54 years who have given birth in the preceding five years. The multilevel regression was used to assess the impact of social determinants and systemic inequalities on neonatal health. Key findings revealed a neonatal mortality rate that, despite being preventable in many cases, remained high with significant disparities. The final model, incorporating individual and community-level factors, reduced unexplained variance by 28% (PCV), with community factors explaining 16% of the variability (ICC 0.1600). The community-level risk variability also decreased, as shown by a reduction in the Median Odds Ratio from 2.43 to 2.13. These results highlighted the importance of targeting individual and community factors to reduce the risk of babies being born at risk. There is a critical need for targeted health policies and local-specific interventions to bridge the equity gap and improve neonatal health outcomes.
Self-sufficiency challenges of blood products in LMICs and role of diplomacy Rizky, Isnaniyah; Sjaaf, Amal Chalik
BKM Public Health and Community Medicine Vol 39 No 05 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (327.745 KB) | DOI: 10.22146/bkm.v39i05.6922

Abstract

Purpose: PDMPs are one of the therapeutic substances derived from human blood and have a role in treating several life-threatening diseases. PDMPs are also included in the WHO Essential Medicines list. PDMP production development has been successful in developed countries. In contrast to LMIC countries, blood management is far from the standard. This issue is undoubtedly a challenge for developing countries. Besides, health diplomacy is suitable for solving the gaps in some health system problems. Methods: This writing uses a systematic review to collect information related to the challenges experienced by developing countries in implementing plasma fractionation and strategies that are ably implemented to increase the supply of PDMP. Results: The main challenges in implementing domestic fractionation by LMICs are collecting raw materials that need to meet standards, finances to fulfill fractionation facilities, and the need for more local teams with expertise in plasma fractionation. This also highlights how health diplomacy utilization can fill the gaps. Conclusion: Technological transformation is the key to success at each stage of the implementation of contract fractionation towards domestic fractionation, which will strengthen the resilience of the pharmaceutical industry in each LMIC country. It is also necessary to consider the benefit of establishing health diplomacy.
EFEKTIVITAS PENERAPAN TRANSPARANSI HARGA PELAYANAN RUMAH SAKIT DALAM MEMBERIKAN SINYAL INFORMASI KEPADA PASIEN DAN RUMAH SAKIT Lumbanraja, Lissa MJR; Sjaaf, Amal Chalik
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 4 No. 3 (2023)
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jcm.v4i3.1736

Abstract

The transparency of hospital service prices means that information about the prices of medical services and procedures offered by hospitals is openly available and easily accessible to the general public. Patients can compare the fees charged by different hospitals for the same medical service. This can encourage competition between hospitals to offer more competitive prices. Price transparency is still complex in many healthcare systems, and there are challenges that need to be addressed in implementing price transparency that is effective and beneficial for patients. This research is a research based on Literature Review with a research approach based on the analysis of scientific articles and theses with study methods, structured evaluation, classification and categorization of evidence-based that has existed or been produced before, which has been discussed and published in the health sector. Focus is set for publication from 2013 to 2023. The data used are secondary data, obtained from the results of research that has been done. The hope is that with price transparency, patients can evaluate their healthcare options, compare prices from all providers, and make decisions that align with their own financial circumstances and preferences. However, based on the results of research and discussion described above, it can be concluded that there is no significant impact on the selection and decision of patients to choose hospital services with price information from service providers.
Analisis Model Logika dalam Implementasi Kawasan Tanpa Rokok pada Tataran Kota/Kabupaten di Indonesia Haristia, Wenni; Sjaaf, Amal Chalik
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 4 No. 2 (2023)
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jcm.v4i2.2251

Abstract

Rokok secara langsung berdampak pada beban kesehatan dan beban ekonomi suatu negara. Prevalensi perokok meningkat setiap tahunnya pada setiap tingkatan usia. Upaya perlindungan kepada Masyarakat terhadap risiko ancaman gangguan kesehatan akibat paparan rokok dilakukan melalui penetapan Kawasan Tanpa Rokok (KTR). Tujuan dari penelitian ini untuk melihat gambaran implementasi KTR pada tataran kota/kabupaten di Indonesia dengan menggunakan analisis model logika yang terdiri dari aspek input, process (aktivitas), output, dan outcome. Penelitian ini menggunakan metode literature review. Penelitian ini menemukan bahwa implementasi KTR belum optimal di semua wilayah studi. Tantangan utamanya adalah keterbatasan anggaran, keterbatasan SDM/personil dalam pembinaan dan pengawasan, rendahnya komitmen pelaku kebijakan, dan kurangnya koordinasi lintas sektor.
NARRATIVE REVIEW: TREN PEMAKAIAN OBAT DAN PERBEKALAN KESEHATAN HAJI PERIODE HAJI 2017-2019 Hartanti, Aryani Dwi; Sjaaf, Amal Chalik
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 3 No. 3 (2022)
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

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Abstract

Berdasarkan Ketetapan Menteri Agama (KMA) nomor 75 tahun 2017, sebanyak 221.000 jema’ah ditetapkan untuk diberangkatkan. Pada tahun 2018 berdasarkan KMA nomor 109 tahun 2018 terdapat 221.000 jema’ah haji yang diberangkatkan oleh Kementerian Agama. Pada pada tahun 2019 terdapat penambahan kuota jema’ah haji sebanyak 10.000 jema’ah melalui KMA nomor 176 tahun 2019 tentang Penetapan Kuota Haji Tambahan, sehingga jumlah jema’ah haji menjadi 231.000 jema’ah. Kementerian Kesehatan melalui Permenkes No 15 tahun 2016 tentang Istithaah Kesehatan Jema’ah haji menjalankan rangkaian kegiatan yang menjamin kesehatan jema’ah haji. Salah satu hal yang perlu dipersiapkan yakni perbekalan obat pada masa haji. Pada masa Pra Armuzna (masa sebelum prosesi haji), Armuzna (prosesi haji di arafah, muzdalifah, dan mina) dan pasca Armuzna (masa setelah prosesi haji). Penelitian ini dibuat dengan menggunakan metode tinjauan literatur dimulai dengan mengumpulkan beberapa laporan Pusat Kesehatan Haji Kementerian Kesehatan terkait laporan dan pemakaian obat pada ibadah haji periode 2017-2019 yang bertujuan untuk melihat tren pemakaian obat yang dikaitkan dengan tren diagnosis penyakit yang dialami jema’ah haji. Pada masa Armuzna 2017 jenis obat yang paling banyak digunakan adalah golongan obat antipiretik seperti Paracetamol 500 mg atau sejenisnya dengan jumlah pemakaian 512.448 tablet. Pada masa Armuzna 2018, Bromhexine HCL 8 mg menjadi obat paling banyak digunakan sebanyak 17.248 tablet. Sedangkan pada 2019 N-Acetyl sistein 200 mg menjadi obat yang paling banyak digunakan dengan 9.890 tablet. Ketersediaan perbekalan obat pasca Armuzna juga menjadi hal yang penting, sebab pada masa tersebut adalah masa dimana kondisi jema’ah haji menurun setelah melakukan proses ibadah haji yang panjang dan menguras energi. Hal ini bisa menjadi catatan dan evaluasi tim kesehatan haji Kementerian Kesehatan untuk mempelajari pola penyakit dan penggunaan obat yang dikonsumsi jema’ah haji selama periode 2017-2019
Co-Authors A Rusdi A, Rusdi Achmad Djunawan Adang Bachtiar Adik Wibowo Alissa Sita Pertiwi Andari Rahmani Putri Andriani, Helen Anhari Achadi Apriyanti, Hana Arbitera, Cahya Ardiansyah Ardiansyah Arifin Arifin Arifin Arifin Arifin Arifin Arifin Arifin Arismen Arismen Arismen Arismen Basabih, Masyitoh Budi Hidayat DWI SURYANTO Ede Surya Darmawan Eka Ginanjar Ekorini Listiowati Enny Mar’atus Sholihah Fitri, Wafa Sofia Halilintar, Via Dolorosa Haristia, Wenni Hartanti, Aryani Dwi Hartini, Rina Heru Komarudin, Heru Hutabarat, Evalindo Imansyah, Fadlul Indriana, Yuki Melati Irwandy Irwandy Jevon Agustinus Dwi Putra Kharisma Ersha Mufti Kurnia Sari Lasma Frisca Yoselina Panjaitan Lastri Swastanita Lia Gardenia Partakusuma Lumbanraja, Lissa MJR Merita Arini Merliana, Hanny Muhammad Firdaus Muhammad Firdaus Muktamar Umakaapa Nadjib, Mardiati Nardia, Sari Ulfa Pertiwi, Revita Anisa Puput Oktamianti Rahani, Sukma Marthia Rizky, Isnaniyah Rova Martika Roza Falinda Roza Falinda Sembiluh, Dhini Sari Simanjuntak, Julian Siti Maemunah Sitti Ashari Soeharno, Rooswanti Sukma Marthia Rahani Sukma Marthia Rahani Ulfia Mutiara Supatmanto Umakaapa, Muktamar Vanda Sativa Vanda Sativa Julianti Vela, Lia Rosi Via Dolorosa Halilintar Via Dolorosa Halilintar Via Dolorosa Halilintar Viorentina Yofiani Wahyu Sulistiadi Wahyu Sulistiadi Yuli Puspita Devi Yuliardi, Arovian Yunita Ratnasari Yunita Ratnasari, Yunita Zhafirah Salsabila