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All Journal Jurnal Kebijakan Kesehatan Indonesia
Tri Aktariyani
Direktorat Jenderal Pencegahan & Pengendalian Penyakit - Kementerian Kesehatan
Public Health

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An Exploration study into Good Governance and Equity Aspects of JKN Program in Cardiovascular Care Services in Central Java, Indonesia Suryani Yulianti; Edit Oktavia Manuama; Tri Aktariyani; Tiara Marthias; Laksono Trisnantoro
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.68350

Abstract

To achieve equitable access of its citizen to health care, since 2014, the Government of Indonesia has implemented the national health insurance scheme, namely JKN. However, equal access to specialistic health care is still challenging. Using a convergent parallel mixed-method approach, and the utilization of cardiovascular services as an example, this study aims to evaluate the good governance and equity aspects of the JKN program in Central Java, a province in Indonesia which records a high poverty rate above the national rate. Based on IHME, Central Java has the highest proportion of mortality associated with cardiovascular diseases among the provinces in Indonesia. This study found that most of the districts in this province are struggling to achieve the 2019 JKN roadmap target in terms of JKN participation coverage.  Unequal distribution of health facilities and human resources is recorded affecting access to and utilization of cardiovascular care services. More contribution from the district and provincial government as well participation from private sectors (the employers) to fund the JKN program is essential to ensure the availability of specialistic care services in rural areas to narrow the gaps in cardiovascular care services.  
Co-Authors Edit Oktavia Manuama Laksono Trisnantoro Suryani Yulianti Tiara Marthias