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All Journal Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Jurnal Kesehatan Andalas Jurnal Kesehatan Vokasional Jurnal Kesehatan Komunitas Buletin Ilmiah Nagari Membangun
Tuty Ernawati
Fakultas Kesehatan Masyarakat Universitas Andalas
Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Nursing Public Health Veterinary Other

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Journal : Jurnal Kebijakan Kesehatan Indonesia

 1 
STUDI PELAKSANAAN KEBIJAKAN PERATURAN DAERAH JAMINAN KESEHATAN DAERAH SUMATERA BARAT SAKATO DALAM MENGHADAPI UNDANG-UNDANG SISTEM JAMINAN SOSIAL NASIONAL DAN UNDANGUNDANG BADAN PENYELENGGARA JAMINAN SOSIAL TAHUN 2013 Ernawati, Tuty
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 03 (2013)
Publisher : Jurnal Kebijakan Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (77.343 KB)

Abstract

ABSTRACTBackground: Local health insurance (Jamkesda) is an effortmade by the Government of West Sumatra province to improvethe accessibility of health services for the poor or near poorwho are not accommodated in the quota of public healthinsurance (Jamkesmas). Jamkesda was implemented at thestart of 2007 until in 2011 using Governor Regulation WestSumatera Number 40 and Number 41 in 2007. After runningfor five years, there are still many problems in theimplementation. Later in 2011, the provincial parliament of WestSumatera exercised its rights of initiative and enacted LocalLegislation Number 10 year 2011 regarding the implementationof the Health Insurance West Sumatra Sakato. Afterwards,the implementation of Jamkesda West Sumatera Sakato refersto these regulations. The purpose of this study is to evaluatethe implementation of the new regulation of the Jamkesda WestSumatera Sakato in 2013.Methods : This study is a descriptive analysis with a qualitativeusing case study. Data collection is done at the ProvincialHealth Office / District Health Office / City selected, PT HealthInsurance, regional planning agency (Bappeda), and healthprovider. Qualitative data were collected through in-depthinterviews, and secondary data were collected throughdocument review.Result: The results of the study shows that implementation ofhealth insurance on West Sumatra Sakato still had not beenoptimal, namely how the selection of the participants; a lowpremium that is Rp.6.000/month/member by sharing fundingbetween provincial and district budgets / City budgets; thebenefits are not yet comprehensive enough; health providersis still limited in the region of West Sumatra province and onlyin public facilities; health workers has not been evenlydistributed; the team is still not functioning well; the monitoringand evaluation at every level Administrative as well associalization of Jamkesda are not optimal; and the existingpolicy has not referred to higher level policy.Conclusion: Implementation of Jamkesda West SumatraSakato does not go according to the existing policy. Amongothers, the selection of membership, quality of health care,lowpremiums, health facilities are limited, health workers have notbeen evenly distributed, and the monitoring and evaluationteam has not been established as per the guidelines.Suggestion: There is a need to evaluate Jamkesda WestSumatera Sakato policy so that the policies are notcontradicting. There is a need to form a Monev Team forJamkesda so that all parties have a sense of sharedresponsibility.Keywords: Local Regulation of Jamkesda, health financing,Provider Jamkesda.
CAPAIAN IMPLEMENTASI STANDAR PELAYANAN MINIMAL (SPM) KHUSUS KESEHATAN IBU DAN ANAK (KIA): SOLUSI PENURUNAN KEMATIAN IBU & ANAK DI SUMATERA BARAT Ernawati, Ch Tuty
Jurnal Kebijakan Kesehatan Indonesia Vol 10, No 3 (2021): Special Issues
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.68613

Abstract

Angka Kematian ibu dan anak di Provinsi Sumatera Barat pada tahun 2019 masih cukuptinggi. Terdiri dari 116 kematian ibu (meningkat dari tahun 2018), 547 kematian bayi, dan 665 kematian balita. Sudah banyak intervensi yang dilakukan, tetapi belum mencapai targetStandar Pelayanan Minimal (SPM) yang diharapkan. Keaktifan tim penerapan SPMkabupaten / kota setempat, perbaikan manajemen data, kepastian kegiatan SPM kesehatan ibu dan anak dalam Rencana Pembangungan Jangka Menengah Daerah (RPJMD), Rencana Kerja Pemerintah Daerah (RPKD), Rencana Strategis (Renstra), dan Rencana Kerja (Renja) kabupaten/kota, kepastian pembiayaan kegiatan SPM, informasi yang jelas bagi masyarakat, dan optimalisasi Puskesmas melakukan Pelatihan Pelayanan Obstetri Neonatal Emergensi Dasar (PONED) diharapkan akan mampu meningkatkan target SPM.
STUDI PELAKSANAAN KEBIJAKAN PERATURAN DAERAH JAMINAN KESEHATAN DAERAH SUMATERA BARAT SAKATO DALAM MENGHADAPI UNDANG-UNDANG SISTEM JAMINAN SOSIAL NASIONAL DAN UNDANGUNDANG BADAN PENYELENGGARA JAMINAN SOSIAL TAHUN 2013 Tuty Ernawati
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 3 (2013)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (77.343 KB) | DOI: 10.22146/jkki.v2i3.3211

Abstract

ABSTRACTBackground: Local health insurance (Jamkesda) is an effortmade by the Government of West Sumatra province to improvethe accessibility of health services for the poor or near poorwho are not accommodated in the quota of public healthinsurance (Jamkesmas). Jamkesda was implemented at thestart of 2007 until in 2011 using Governor Regulation WestSumatera Number 40 and Number 41 in 2007. After runningfor five years, there are still many problems in theimplementation. Later in 2011, the provincial parliament of WestSumatera exercised its rights of initiative and enacted LocalLegislation Number 10 year 2011 regarding the implementationof the Health Insurance West Sumatra Sakato. Afterwards,the implementation of Jamkesda West Sumatera Sakato refersto these regulations. The purpose of this study is to evaluatethe implementation of the new regulation of the Jamkesda WestSumatera Sakato in 2013.Methods : This study is a descriptive analysis with a qualitativeusing case study. Data collection is done at the ProvincialHealth Office / District Health Office / City selected, PT HealthInsurance, regional planning agency (Bappeda), and healthprovider. Qualitative data were collected through in-depthinterviews, and secondary data were collected throughdocument review.Result: The results of the study shows that implementation ofhealth insurance on West Sumatra Sakato still had not beenoptimal, namely how the selection of the participants; a lowpremium that is Rp.6.000/month/member by sharing fundingbetween provincial and district budgets / City budgets; thebenefits are not yet comprehensive enough; health providersis still limited in the region of West Sumatra province and onlyin public facilities; health workers has not been evenlydistributed; the team is still not functioning well; the monitoringand evaluation at every level Administrative as well associalization of Jamkesda are not optimal; and the existingpolicy has not referred to higher level policy.Conclusion: Implementation of Jamkesda West SumatraSakato does not go according to the existing policy. Amongothers, the selection of membership, quality of health care,lowpremiums, health facilities are limited, health workers have notbeen evenly distributed, and the monitoring and evaluationteam has not been established as per the guidelines.Suggestion: There is a need to evaluate Jamkesda WestSumatera Sakato policy so that the policies are notcontradicting. There is a need to form a Monev Team forJamkesda so that all parties have a sense of sharedresponsibility.Keywords: Local Regulation of Jamkesda, health financing,Provider Jamkesda.
Hubungan Kepesertaan JKN Mandiri dengan Pendapatan, Pengetahuan, Persepsi, Akses, dan Kepercayaan Masyakat Suku Sakai di Desa Petani Kecamatan Mandau Kabupaten Bengkalis Tahun 2018 Ch.Tuty Ernawati; Dhina Uswatul
Jurnal Kebijakan Kesehatan Indonesia Vol 8, No 1 (2019)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (185.651 KB) | DOI: 10.22146/jkki.45017

Abstract

Latar Belakang : Kepesertaan Jaminan Kesehatan Nasional (JKN) wajib bagi seluruh penduduk Indonesia dan akan dicapai tahun 2019, Kabupaten bengkalis peserta JKN sebesar 58 %, hampir separohnya peserta JKN PBI (48,31%),jumlah kepesertaan JKN masyarakat Suku Sakai masih 40 % dari jumlah penduduk.  Tujuan penelitian: untuk mengetahui hubungan kepesertaan JKN Mandiri dengan pengetahuan, pendapatan, persepsi, akses dan kepercayaan pada masyarakat Suku Sakai di Desa Petani kecamatan Mandau Kabupaten Bengkalis. Metodologi Penelitian: menggunakan metode kuantitatif  dengan desain cross sectional. Sampel penelitian terdiri dari 72 responden, dengan menggunakan teknik systematic random sampling. Analisis yang digunakan analisis univariat dan analisis bivariat dengan uji statistic chi- square. Hasil penelitian: didapatkan 51,4% responden belum menjadi peserta JKN. Responden yang memiliki pengetahuan rendah 37,5 %, pendapatan rendah 43%, persepsi negatif responden terhadap JKN Mandiri 48,6%, responden menyatakan sulit untuk mengakses pelayanan kesehatan 50%, dan responden memiliki kepercayaan kesehatan yang rendah 38,9%. Hasil analisis bivariat diperoleh bahwa kepesertaan JKN Non PBI Mandiri memiliki hubungan yang bermakna dengan variabel pengetahuan, pendapatan, persepsi dan akses terhadap pelayanan kesehatan. Kesimpulan : Terdapat hubungan yang bermakna antara kepesertaan JKN Mandiri dengan pengetahuan, pendapatan, persepsi, dan akses terhadap pelayanan kesehatan pada Suku Sakai di Desa Petani Kecamatan Mandau Kabupaten Bengkalis Tahun 2018. Saran : Mengusulkan ke pihak terkait bagi masyarakat yg berpenghasilan rendah untuk mendapatkan JKN-KIS dari APBN, APBD kabupaten/Provinsi, meningkatkan sosialisasi dan promosi manfaat dari program JKN. Pemerintah Kabupaten mengatasi kesulitan mengakses pelayanan kesehatan dengan menyediakan sarana dan prasarana penunjang seperti transportasi umum.
CAPAIAN IMPLEMENTASI STANDAR PELAYANAN MINIMAL (SPM) KHUSUS KESEHATAN IBU DAN ANAK (KIA): SOLUSI PENURUNAN KEMATIAN IBU & ANAK DI SUMATERA BARAT Ch. Tuty Ernawati
Jurnal Kebijakan Kesehatan Indonesia Vol 10, No 3 (2021): Special Issues
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.69497

Abstract

Angka Kematian ibu dan anak di Provinsi Sumatera Barat pada tahun 2019 masih cukup tinggi. Terdiri dari 116 kematian ibu (meningkat dari tahun 2018), 547 kematian bayi, dan 665 kematian balita. Sudah banyak intervensi yang dilakukan, tetapi belum mencapai target Standar Pelayanan Minimal (SPM) yang diharapkan. Keaktifan tim penerapan SPM kabupaten / kota setempat, perbaikan manajemen data, kepastian kegiatan SPM kesehatan ibu dan anak dalam Rencana Pembangungan Jangka Menengah Daerah (RPJMD), Rencana Kerja Pemerintah Daerah (RPKD), Rencana Strategis (Renstra), dan Rencana Kerja (Renja) kabupaten/kota, kepastian pembiayaan kegiatan SPM, informasi yang jelas bagi masyarakat, dan optimalisasi Puskesmas melakukan Pelatihan Pelayanan Obstetri Neonatal Emergensi Dasar (PONED) diharapkan akan mampu meningkatkan target SPM.
Co-Authors Anshari, Luthfil Hadi Ayu Wulandari Dhina Uswatul Husna, Nadiyatul Khairunnisa, Muthia Luthfil Hadi Anshari Markolinda, Yessy Mia Fitria Nizwardi Azkha Nur Afrainin Syah Ramadani, Mery Sri Siswati Ulfah Winanda Putri