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All Journal International Journal of Public Health Science (IJPHS) Nurse Media Journal of Nursing Media Penelitian dan Pengembangan Kesehatan Aspirasi : Jurnal Masalah-masalah Sosial
Diyan Ermawan Effendi, Diyan Ermawan
Pusat Humaniora, Kebijakan Kesehatan dan Pemberdayaan Masyarakat, Badan Litbang Kesehatan, Kementerian Kesehatan RI. Jl. Indrapura 17 Surabaya
Religion Humanities Decision Sciences, Operations Research & Management Education Health Professions Nursing Public Health Social Sciences

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Pemilihan Metode Sosialisasi sebagai Upaya Peningkatan Kepesertaan Badan Penyelenggara Jaminan Sosial (BPJS) Mandiri Agustina, Zulfa Auliyati; Laksmiarti, Turniani; Effendi, Diyan Ermawan
Media Penelitian dan Pengembangan Kesehatan Vol 28, No 1 (2018)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (0.001 KB) | DOI: 10.22435/mpk.v28i1.7638.33-38

Abstract

Universal Health Coverage (UHC) is targeted to achieved in 2019. However, until March 2016 thenumber of participants was 163,327,183, or 63% from total population of Indonesia. The low participation because of the uneven distribution of information received by the community especially the potential participants of individual BPJS. The main problem faced by the potential BPJS participants is the lack of information in respect of the registration procedure, payment of contributions and utilization of servicesin health facilities. This research was aimed at analyzing the information sources accessed by the potential BPJS participants and information channel utilized by BPJS provider. This research used aqualitative descriptive approach by analyzing facebook and twitter member discussion in October 2016.The results indicated that most of the community member has not received comprehensive information about BPJS Kesehatan. This phenomenon was identified from the presence of difficulties in obtaining membership card (34.1%), contribution payment (75%) and less frequent of dissemination on television (15%). The recommendation proposed from the results of this study is the need to formulate information dissemination methods suited to the segments or targets of potential individual BPJS participants.The formulation of the dissemination methods should involve the cooperation between the related stakeholders as such Ministry of Transportation and Directorate General of Taxes of Ministry of Finance (in the management of Vehicle Tax for middle and upper segment of society) and Ministry of Internal Affairs (Community Empowerment division) for low to middle class with the utilization of Posyandu cadres.AbstrakUniversal Health Coverage (UHC) ditargetkan tercapai pada tahun 2019. Namun, sampai dengan Maret 2016 jumlah peserta adalah 163.327.183 jiwa atau 63% dari total penduduk Indonesia. Masih rendahnya cakupan kepesertaan tersebut diakibatkan belum meratanya informasi yang diterima oleh masyarakat khususnya calon peserta Badan Penyelenggara Jaminan Sosial (BPJS) Mandiri. Masalah utama yang dihadapi calon peserta BPJS Kesehatan adalah kurangnya informasi tentang prosedur pendaftaran, pembayaran iuran maupun pemanfaatan pelayanan di fasilitas kesehatan. Kajian ini bertujuan untuk menganalisis sumber informasi yang biasa diakses oleh calon peserta dan media sosialisasi yang digunakan oleh BPJS Kesehatan. Pendekatan yang digunakan adalah deskriptif kualitatif dengan menganalisis diskusi pada facebook dan twitter dengan kata kunci BPJS selama rentang waktu Oktober2016. Hasil kajian menunjukkan bahwa masyarakat belum menerima informasi yang disampaikan secara utuh (komprehensif), hal ini terlihat dari masih adanya kendala dalam memperoleh kartu keanggotaan (34,1%), pembayaran iuran (75%) dan rendahnya sosialisasi melalui media TV (15%). Rekomendasiyang dirumuskan dari hasil kajian ini adalah penyusunan metode sosialisasi yang disesuaikan dengan segmen atau sasaran calon peserta BPJS Mandiri. Penyusunan bahan sosialisasi memerlukan kerjasama lintas sektor yang terkait, yaitu Kementerian Perhubungan dan Ditjen Pajak Kementerian Keuangan (dalam pengurusan pajak kendaraan untuk segmen masyarakat menengah ke atas) dan Kementerian Dalam Negeri (Bidang Pemberdayaan Masyarakat) untuk segmen menengah ke bawah yaitu dengan pemanfaatan kader Posyandu (Pos Pelayanan Terpadu).
Cross-sectoral role and community empowerment in controlling schistosomiasis in Indonesia Erlan, Ahmad; Sudrajad, Heru; Suryatma, Anton; Effendi, Diyan Ermawan; Yulianto, Aris
International Journal of Public Health Science (IJPHS) Vol 13, No 2: June 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i2.23581

Abstract

The role of cross-sectors in synergy with community empowerment in controlling schistosomiasis is a very effective model. Until mid-2017, the incidence rate of disease in humans in 28 endemic villages still ranged 0.00-2.15%. This research aims to evaluate schistosomiasis control activities that have been carried out across sectors based on a road map for schistosomiasis eradication and community empowerment in controlling schistosomiasis. The study was mixed method. Data were obtained by in-depth interview with key informants and evaluation of the results of cross-sectoral and community activities. The research was carried out in an endemic area for schistosomiasis on the Bada Plateau, Indonesia, from January to November 2019. In conclusion, the potential of cross-sector collaboration in controlling schistosomiasis has not been fully realized due to budget constraints. Community empowerment is carried out to eliminate snail foci, increase the scope of feces collection and change community behavior for the better in order to avoid infection and always try to clean up snail foci.
Dampak Kebijakan Akreditasi Puskesmas dalam Upaya Peningkatan Kualitas Pelayanan Kesehatan Nugroho, Arief Priyo; Ardani, Irfan; Effendi, Diyan Ermawan
Jurnal Aspirasi Vol 14, No 1 (2023)
Publisher : Pusat Analisis Keparlemenan Badan Keahlian Sekretariat Jenderal DPR RI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46807/aspirasi.v14i1.3039

Abstract

Puskesmas/primary health center (PHC) accreditation policy has a relativeimpact on improving health services quality. In addition to management andorganizational improvements, PHC accreditation has negative excesses which canbe seen in the implementation process. Namely, the issue of fulfilling citizens’ basicrights to health. This study aims to explain some of the negative excesses of PHCaccreditation policy to fulfill health care access. A qualitative analysis of variousinterviews in roundtable discussions and secondary data collection on the processand implementation of accreditation in 12 districts/cities. This study shows that thePHC accreditation policy that was carried out encouraged a shift in the Government’svalues and norms in providing essential health services, from public goods to privategoods. The management logic that tends to be private-like-oriented places thecommunity as a consumer rather than as a citizen, not yet maximizing the active roleof the community raises the issue of inequity in the country’s efforts to guarantee therights of the community as citizens. The Government places basic health services nolonger fully as public goods, which ensures that every people as a citizen can accessthem without exception. AbstrakKebijakan akreditasi puskesmas relatif memiliki pengaruh padapeningkatan kualitas pelayanan. Selain terdapat perbaikan manajemen danorganisasi, akreditasi puskesmas memiliki ekses negatif yang terlihat pada prosesimplementasinya, terutama dalam permasalahan pemenuhan hak dasar warganegara atas kesehatan. Studi ini bertujuan menjelaskan bagaimana kebijakanakreditasi puskesmas menimbulkan ekses negatif dalam pemenuhan aksespelayanan kesehatan. Penelitian ini menggunakan pendekatan kualitatif. Dataprimer diperoleh melalui wawancara mendalam diskusi meja bundar dan data sekunder dari pengalaman pelaksanaan akreditasi puskesmas di 12 kabupaten/kota. Studi ini menemukan bahwa kebijakan akreditasi puskesmas yang dilakukanmendorong pergeseran nilai dan norma pemerintah dalam menyelenggarakanpelayanan kesehatan dasar, yaitu perubahan dari barang publik menjadibarang privat. Logika pengelolaan yang lebih cenderung private-like-oriented,menempatkan masyarakat sebagai konsumen dibanding sebagai warga negara,belum maksimalnya peran aktif masyarakat memunculkan isu kesenjangan dalamupaya negara menjamin hak masyarakat sebagai warga negara. Pemerintahmenempatkan pelayanan kesehatan dasar tidak lagi sepenuhnya sebagai barangpublik yang menjamin setiap masyarakat sebagai warga negara mampu mengaksestanpa terkecuali.
Socioeconomic Roles in Cesarean Section Delivery in the Philippines: A Secondary Analysis of the 2022 National Demographic and Health Survey Yunitawati, Diah; Laksono, Agung Dwi; Wulandari, Ratna Dwi; Latifah, Leny; Effendi, Diyan Ermawan; Hidayat, Taufiq; Nugraheni, Wahyu Pudji; Batangan, Dennis B.
Nurse Media Journal of Nursing Vol 15, No 2 (2025): (August 2025) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i2.70559

Abstract

Background: Cesarean section (CS) delivery should only be performed with medical indications. It is important to analyze the socioeconomic role in CS and determine how to address socioeconomic-related factors in optimizing CS coverage in the Philippines using the latest national data.Purpose: This study analyzed the socioeconomic roles in CS delivery in the Philippines.Methods: This study used secondary data from the 2022 Philippines National Demographic and Health Survey (NDHS). The cross-sectional study included 4,452 women aged 15–49 who had given birth within the previous three years. Seven control factors were examined: employment, antenatal care (ANC), age, education, marital status, residence, and parity. The mode of delivery was considered the outcome variable, while socioeconomic status was the exposure variable. Binary logistic regression was used for the final data analysis.Results: Cesarean section was performed in 18.45% of deliveries in the Philippines. Analysis of socioeconomic status showed that women in the “poorer” group were 1.758 times more likely than the poorest to undergo CS (AOR 1.758; 95% CI 1.757–1.758). Women in the middle-income group were 2.164 times more likely than the poorest to have a CS (AOR 2.164; 95% CI 2.163–2.165). Those in the richer group were 2.718 times more likely (AOR 2.718; 95% CI 2.717–2.719), and the richest were 4.787 times more likely to deliver by CS compared to the poorest (AOR 4.787; 95% CI 4.785–4.789).Conclusion: Socioeconomic disparities are strongly associated with CS delivery in the Philippines. The wealthier the mother, the more likely she is to have a CS. Efforts should focus on reducing unnecessary CS in the rich and richest groups. Optimizing ANC education should include addressing psychological needs, promoting positive values, and providing a sense of security and comfort in normal childbirth. At the same time, equitable access to CS should be ensured for the poorest groups through education and insurance coverage.
Co-Authors Agung Dwi Laksono Agustina, Zulfa Auliyati Ahmad Erlan Anton Suryatma Arief Priyo Nugroho, Arief Priyo Batangan, Dennis B. Diah Yunitawati Heru Sudrajad Irfan Ardani Laksmiarti, Turniani Leny Latifah Ratna Dwi Wulandari Taufiq Hidayat Wahyu Pudji Nugraheni Yulianto, Aris