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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kesehatan Masyarakat Journal of Health (JoH) Jurnal Penelitian Pendidikan IPA (JPPIPA) Window of Health : Jurnal Kesehatan Media Keperawatan: Politeknik Kesehatan Makassar CARADDE: Jurnal Pengabdian Kepada Masyarakat Media Keperawatan Indonesia JURNAL ILMIAH KESEHATAN SANDI HUSADA Majalah Kesehatan Indonesia Abdimas Singkerru Jurnal Ilmiah Kesehatan (JIKA) Journal of Current Health Sciences Abdimas Polsaka: Jurnal Pengabdian Masyarakat Jurnal Keperawatan Profesional (KEPO) Jurnal Edukasi Ilmiah Kesehatan Media Kesehatan Politeknik Kesehatan Makassar Jurnal Pengabdian Masyarakat Edukasi Indonesia Jurnal Ilmiah Kesehatan Sandi Husada Journal Interdisciplinary Health Abdimas Polsaka Jurnal Ilmiah Kesehatan Sandi Husada (JIKSH) Journal of Health Policy Analysis
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Journal : journal of health policy analysis

 1 
Health policy analysis of universal coverage implementation in national health systems and services governance financing Suprapto Suprapto
Journal of Health Policy Analysis Vol. 1 No. 1 (2026): January
Publisher : Lembaga Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jakespol.v1i1.190

Abstract

Introduction: Universal Health Coverage (UHC) is a central objective of national health systems, aiming to ensure equitable access to quality health services without financial hardship. Despite global commitments, countries vary widely in UHC implementation due to differences in governance, financing mechanisms, and system capacity. This study analyzes health policy approaches to UHC implementation with a focus on governance and financing arrangements within national health systems. Methods: A qualitative policy analysis was conducted using a narrative review of peer‑reviewed articles, policy documents, and reports from international health organizations published between 2015 and 2024. Data were analyzed using a health systems framework emphasizing governance, financing, and service delivery dimensions. Cross‑country comparisons were applied to identify common patterns, challenges, and enabling factors in UHC implementation. Results: The analysis shows that strong governance structures, clear regulatory frameworks, and political commitment are critical for effective UHC implementation. Sustainable financing characterized by pooled funding, strategic purchasing, and reduced out‑of‑pocket payments was consistently associated with improved service coverage and financial protection. Fragmented governance and inadequate financing mechanisms remained major barriers, particularly in low‑ and middle‑income countries. Conclusion: Effective UHC implementation requires integrated governance and financing reforms aligned with national contexts. Policy coherence, institutional capacity strengthening, and adaptive financing strategies are essential to improve system performance and equity.
Analysis of nursing workforce policy impacts on healthcare quality and equity using a prospective cohort study design Suprapto, Suprapto
Journal of Health Policy Analysis Vol. 1 No. 2 (2026): April
Publisher : Lembaga Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jakespol.v1i2.382

Abstract

Introduction: Nursing workforce policies are critical determinants of healthcare system performance, particularly in improving care quality and reducing inequities. However, longitudinal evidence assessing their causal impact remains limited. This study aimed to analyze the effects of nursing workforce policy implementation on healthcare quality and equity outcomes using a prospective cohort design. Methods: A prospective cohort study was conducted across public and private healthcare facilities in South Sulawesi, Indonesia (2025). A multistage stratified sampling approach yielded 862 participants. Policy exposure was categorized into low, moderate, and high levels based on staffing regulations, skill mix, and workload management. Data were collected at baseline and follow-up intervals using validated instruments and administrative records. Multilevel regression models were applied, including logistic regression for patient safety events, linear regression for continuous outcomes, and risk ratio estimation for equity indicators. Results were reported as OR/β/RR with 95% confidence intervals (CI) and p-values. Results: High policy exposure significantly reduced patient safety events (OR = 0.62; 95% CI: 0.45–0.85; p = 0.003). Length of stay decreased (β = −1.75; 95% CI: −2.80 to −0.70; p = 0.001), while patient satisfaction increased (β = 3.42; 95% CI: 1.90–4.94; p < 0.001). Equity outcomes improved significantly (RR = 1.28; 95% CI: 1.10–1.49; p = 0.002). These findings remained robust after adjusting for individual and facility-level confounders. Conclusion: Nursing workforce policy implementation significantly enhances healthcare quality and promotes equity. Strengthening staffing regulations, optimizing skill mix, and ensuring consistent policy enforcement are essential strategies to improve health system performance. Integrating workforce policies with governance and financing mechanisms is crucial for achieving sustainable and equitable healthcare outcomes.
Co-Authors A Syamsinar Asmi A. PANANRANGI M A. Pananrangi M A. Suyatni Musrah Adji, Bayu Agnes Montolalu Agustang, Andi Ajeng Wijayanti, Lumastari Alshammari, Suliman Andi Abdul Malik Andi Asliana Sainal Andi Mukarramah Andi Tenri Nippi Angreni, Wa Ode Novi Anita Lontaan Arda, Darmi Arfan, Farmin Asliana Sainal, Andi Asmi, A. Syamsinar Ayu Rahmadani, Risna Bakri Caco Bte Muhammad, Karlyna Cahya Mulat, Trimaya Darmi Arda Darmi Arda Darmi Arda Deviarbi Sakke Tira Djaha, Yohan Trayanus Lasarus Dr. Trimaya Cahya Mulat Elmiana Bongga Linggi Erlina Y Kongkoli Fachry Abda El Rahman fatimah Fatimah Fauziah H Tambuala Fredy Saputra, M. Khalid Glendy Ariando Salomon Gustini Gustini Halis, Abdul Hamsu Abdul Gani Hartaty Hartaty Hartaty, Hartaty Herlianty, Herlianty Herman Herman Hijrah Hijrah Ihsan Kamaruddin, Muh Iqbal, Chaedyr Iramaya Sari Ismail Ismail Kadang, Yuniharce Kamaruddin, Muh Ihsan Kamaruddin, Muh. Ihsan Kurni Menga, Maria Lalla, Nursyamsi Norma Lamaria Situmeang Lina Yunita M. Khalid Fredy Saputra Mangaya Takke, Jessy Andre Maria Kurni Menga Maria Kurni Menga Martinez, Rudolf Cymorr Kirby Menga, Maria Kurni Millati, Rida Muh. Ihsan Kamaruddin Muhammad Nur, Qalbia Muhammad Purqan Nur Mulat, Trimaya Cahya Muridah, Muridah Nancy Sylvia Bawiling Norma Lalla, Nursyamsi Nour Sriyanah Novi Angraeni, Wa Ode Nur Syamsi Norma Lalla Nurhaedah Nurhaedah Nurlina Nurlina Nursyamsi Norma Lalla Nurul Qamarya Palilingan, Richard Andreas Prasetyowati Prasetyowati Rahagia, Rasi Rahman Rahman Rahmat Pannyiwi Rahmat Panyyiwi Rasi Rahagia Ria Wahyuni Rifdan . Rina Asrina Ririn Indriani Rudolf Cymorr Kirby Palogan Martinez Salomon, Glendy Ariando Setyawati, Ari Sitti Nurbaya Situmeang, Lamria Suprapto Suprapto Suriyani Suriyani, Suriyani Syaharuddin Syaharuddin Syaharuddin Syaharuddin Tri Wijayanti, Yoga Trimaya Cahya Mulat Trimaya Cahya Mulat Trimaya Cahya Mulat Triyani Toratte, Mariska Wa Ode Novi Angreni Waria, Lukman Wibowo Wibowo Wijayanti, Lumastari Ajeng Yoga Tri Wijayanti Yuriatson, Yuriatson Zulfiah Zulfiah Zusana A Sasarari