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Evaluation of National Health Insurance Program Implementation in Jakarta Province, Indonesia Evi Susanti Sinaga; Ika Rahma Ginting; Rina K Kusumaratna; Tiara Marthias
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.66063

Abstract

The implementation of National Health Insurance in several regions in Indonesia faces challenges, such as health service providers, health insurance management , and the community. The outcome that occurs may vary depending on the implementation of different aspects of governance, equity or social justice, and aspects of service quality. Therefore, research was conducted by evaluating the implementation of the national health insurance in DKI Jakarta Province. The evaluation is carried out based on the 2019 JKN road map target indicators, grouped into three aspects: including governance, achievement of equal distribution of health services (equity), and quality of service. This research used a mixed-methods design that combined the approach of quantitative and qualitative elements. Quantitative data were collected from secondary data from Health Social Security Agency (BPJS Kesehatan), the National Social Security Council Monitoring and Evaluation System (Sismonev DJSN). The qualitative data comes from in-depth interviews with selected informants using the purposive sampling technique. The result was that DKI Province had achieved the JKN membership target. There are still JKN participants who are inactive / in arrears from participants in the government and private wage-earning segments. Health facilities and human health resources have met the standards, but related to the package of benefits for heart diseases services, the availability of cardiac specialists and cath lab facilities has not been evenly distributed, especially in the Seribu Islands. Patient preferences in choosing the desired health service resulted in implementing a tiered referral system and back-referral still having problems in health facilities. 
Ko-infeksi asimptomatik helminthiasis pada pasien tuberkulosis paru di Surabaya kota: studi pendahuluan Rifat Nurwita Kusumaningtyas; Indah Setyawati Tantular; Deby Kusumaningrum; Rina K Kusumaratna
Jurnal Biomedika dan Kesehatan Vol 3 No 3 (2020)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2020.v3.112-118

Abstract

BACKGROUNDPulmonary tuberculosis (TB) is a leading cause of morbidity and mortality, and East Java province is the second largest contributor of co-infection in Indonesia. Asymptomatic helminth infection among pulmonary tuberculosis patients causes another public health problem. Few data relate to helminth infection based on clinical and immunological outcomes of pulmonary TB in highly endemic areas. METHODSThis study was designed as a preliminary study and aimed to determine helminth co-infection among TB patients with a macroscopic assessment. This cross-sectional study was conducted in June-August 2017. RESULTSAmong 16 treated active TB patients from TB cohort data of Tanakali Kedinding health center found that 56% were stool smear-positive for Trichuris trichiura eggs, but had no clinical symptoms. CONCLUSIONWhether or not the helminth infection may have an impact on the diagnosis and treatment of active TB remains to be further investigated. Co-infection could be inhibited by the host immune response and improve the prognosis of TB treatment.
The Impact of Paternal Support on Maternal Perception During Pregnancy Rina K Kusumaratna; Saekhol Bakri; Raditya Nuraffi Kusumaputera
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 6 No. 3 (2026): Februari
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/comphijournal.v6i3.331

Abstract

Paternal involvement in maternal health is a critical yet often underexplored factor in enhancing antenatal care (ANC) attendance and pregnancy outcomes. This study aimed to examine how paternal support—across emotional, instrumental, informational, and appraisal dimensions—shapes maternal perception during pregnancy and influences ANC attendance. A quantitative, cross-sectional study was conducted among 38 couples of pregnant women attending Poncol Primary Health Center in Semarang, Central Java, Indonesia. Using the FSDP’s structured questionnaire, the study assessed four dimensions of paternal support. Findings revealed that father involvement varied across support types, with higher levels of emotional and instrumental support positively associated with ANC attendance. Moreover, the consistency of perceived support significantly influenced maternal perception. In conclusion, maternal perception of paternal support is closely linked to ANC-seeking behavior and the overall pregnancy experience. Enhancing father engagement through targeted, culturally responsive interventions may foster improved outcomes for both mothers and infants