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Suwandi Sawadi
Health Law Master Program, Soegijapranata Catholic University of Semarang
Health Professions Law, Crime, Criminology & Criminal Justice Social Sciences

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The Role of the Government of East Jakarta City in the Control of TB-HIV and the Fulfillment of the Right to Health Patricia Tanuwijaya; Endang Wahyati Yustina; Suwandi Sawadi
SOEPRA Vol 5, No 2: Desember 2019
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (259.433 KB) | DOI: 10.24167/shk.v5i2.2564

Abstract

TB-HIV eradication is one of Indonesia’s government role implementation to ensure the rights to health for its citizens. Jakarta Timur is the area in DKI Jakarta that has the highest number of TB cases and the second-highest number of HIV cases. This research is held to understand the regulation regarding the government’s role in TB-HIV eradication, implementation of government’s role in TB-HIV eradication, and factors that influence the implementation of the government’s role in TB-HIV eradicationThe research was conducted in the Jakarta Timur area, throughout health care offices and institutions. This study used a sociological juridical approach with analytical descriptive specifications. The data used are primary data through interviews and observation, also secondary data through field and literature studies. The study used the purposive sampling method which includes TB-HIV patients and healthcare providers in health care facilities. The result of the study indicates that regulation regarding the Jakarta Timur government’s role in TB-HIV eradication has been created however separately, HIV regulation in Peraturan Daerah DKI Jakarta No. 5 Tahun 2008 and TB regulation in Peraturan Gubernur DKI Jakarta No. 28 Tahun 2018. Moreover, the collaborative regulation that has been created in the form of Surat Edaran Suku Dinas Kesehatan Kota Administrasi Jakarta Timur No. 50053/1.772.11, is not legally binding. Thus, the Government’s role in eradicating TB-HIV still encounters few factors that hinder its implementation thus the rights to health haven’t entirely fulfilled. Influencing factors are juridical, sociological, and technical factors. The juridical factors are the existence of regulation in TB-HIV eradication, however separately and the lack of legal binding in Surat Edaran to regulate TB-HIV eradication. The sociological factors are lack of patients’ medication compliance, healthcare provider’s stigma and violation of medical confidentiality. The technical factors are the TB-HIV collaboration team that hasn’t been arranged in health care facilities, overlap in TB-HIV reporting mechanism, availability of medication and funding that rely on donor’s contribution.
Patient Rights Protection of tuberculosis (TB) Human Immunodeficiency Virus (HIV) on integrated Health Services National Health insurance in Semarang Florentina Novitasia; Endang Wahyati Yustina; Suwandi Sawadi
SOEPRA Vol 5, No 2: Desember 2019
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (371.133 KB) | DOI: 10.24167/shk.v5i2.2180

Abstract

Everyone has the right to JKN integrated health care including TB-HIV patients. This study aims to determine the regulation of the right to health care in TB-HIV patients, the implementation of protection of the rights to health care in TB-HIV patients and the factors that influence the implementation of protection of the rights to health care in TB-HIV patients. The research was conducted in Semarang City, throughout health care offices and health care institutions, as follows, the BPJS Office in Semarang City Branch, Semarang City Health Office, Kariadi Hospital, KMRT Wongsonegoro Hospital, Panti Wilasa Dr.Cipto Hospital, Lebdosari Health Center, Halmahera Health Center, Private Practice (DPM), NGO Peduli Kasih, NGO Aisyah and the AIDS Commission (KPA).This study used a sociological juridical approach with analytical descriptive specifications. The data used are primary data and secondary data through field studies and literature studies. The study used the purposive sampling /non-random sampling method. This study chose a population that includes TB-HIV patients in health care facilities in the city of Semarang. The method of presenting data is done in narrative form, tables, and charts. In this sociological approach study, whose data mainly is in narrative descriptions, the data analysis used is qualitative.The result of the study indicates that the regulation regarding health care services for TB-HIV patients has already existed for both in general and specifically. Protection of rights to JKN integrated health service for TB-HIV patients has been obtained. It can also be seen that the right to obtain the health services has been regulated and implemented however, the implementation of the right to health insurance for TB-HIV patients has not been regulated in legislation. Factors that influence are juridical, sociological and technical factors. The juridical factors that influence are the existence of regulations regarding TB and HIV however separately. Sociological factors that influence are the presence of stigma in the family, community and health workers. Furthermore, the technical factors are the absence of socialization to health workers regarding regulations and technical manuals related to TB-HIV.
Co-Authors Florentina Novitasia Patricia Tanuwijaya Yustina, Endang Wahyati