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All Journal Jurnal Kolaboratif Sains Journal of Medical Surgical Concerns
Fitriani Pramita Gurning
Fakultas Kesehatan Masyarakat, Universitas Islam Negeri Sumatera Utara
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Implementation of complete basic vaccination among low-income families participating in Indonesian social assistance programs Fadillah Salwa; Fitriani Pramita Gurning
JOURNAL OF Medical Surgical Concerns Vol. 6 No. 1 (2026): May Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/msc.v6i1.3147

Abstract

Background: Complete basic vaccination is essential for achieving optimal child health outcomes and preventing vaccine-preventable diseases. Despite Indonesia's national vaccination program mandating complete basic vaccination for children, particularly among Indonesian social assistance programs or Program Keluarga Harapan (PKH) recipients, coverage remains suboptimal. In Medan City, complete basic vaccination coverage at Community Health Centers reached only 76.9% in 2024, falling short of the 80% national target, indicating significant gaps in program implementation. Purpose: To analyze the determinants of complete basic vaccination implementation among low-income families enrolled in Indonesian social assistance programs. Method: A sequential exploratory mixed methods design was employed. Qualitative data were obtained through in-depth interviews with two key informants (health center coordinator and vaccination officer), while quantitative data were collected from 50 social assistance program recipient mothers using structured questionnaires assessing knowledge, family support, and vaccination completion status. Data analysis included thematic analysis for qualitative data and descriptive statistics for quantitative data, with chi-square tests employed to examine associations between determinants and vaccination outcomes. Results: Among social assistance program recipient mothers, 56% demonstrated adequate knowledge of vaccination standards, while 48% reported receiving adequate family support. Policy implementation showed high compliance with national guidelines; however, resource constraints were identified, including limited facilities at 40% of posyandu sites and insufficient vaccinator training. Inter-organizational communication challenges were evident in cross-sectoral data collection and target mobilization. Conclusion: Maternal knowledge and family support were identified as significant determinants of complete basic vaccination among social assistance program recipients. Achieving national vaccination targets requires strengthening health education programs, enhancing family engagement strategies, improving cross-sectoral coordination, and ensuring adequate facility infrastructure and personnel training in resource-limited settings.
Analisis Pengelolaan Dana Kapitasi JKN di Puskesmas Pasar Merah Kelurahan Teladan Timur Kecamatan Medan Kota: Analysis of JKN Capitation Fund Management at Pasar Merah Community Health Center, Teladan Timur Village, Medan City District Jesi Wanda Harahap; Fitriani Pramita Gurning
Jurnal Kolaboratif Sains Vol. 9 No. 2: Februari 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jks.v9i2.10166

Abstract

Penelitian ini bertujuan untuk menganalisis pengelolaan dana kapitasi Jaminan Kesehatan Nasional (JKN) di UPT Puskesmas Pasar Merah. Studi ini menggunakan metode kualitatif dengan pendekatan studi kasus. Temuan menunjukkan bahwa proses perencanaan, pelaksanaan, serta pengawasan dana kapitasi masih menghadapi keterlambatan pencairan, kendala administratif, serta lemahnya koordinasi lintas unit. Hal tersebut menyebabkan rendahnya serapan anggaran dan tingginya SiLPA, khususnya pada tahun 2022 yang mencapai 99,16%. Perbaikan diperlukan melalui peningkatan kapasitas pengelola keuangan, penyederhanaan prosedur administrasi, dan penerapan BLUD untuk meningkatkan efisiensi penggunaan dana.
Analisis Capaian Universal Health Coverage Dan Kepesertaan Aktif Jaminan Kesehatan Nasional Di Indonesia Tahun 2023-2024: Analysis of Universal Health Coverage Achievements and Active Participation in National Health Insurance in Indonesia 2023-2024 Fiola Syifa Azura Nasution; Jihan Nabila Ritonga; Azzahra Sabrina Nasution; Rintan Arzeti; Fitriani Pramita Gurning
Jurnal Kolaboratif Sains Vol. 9 No. 7: July 2026
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jks.v9i7.11642

Abstract

Program Jaminan Kesehatan Nasional (JKN) merupakan instrumen utama dalam mendukung pencapaian Universal Health Coverage (UHC) di Indonesia. Penelitian ini bertujuan menganalisis capaian UHC dan kepesertaan aktif JKN di Indonesia tahun 2023–2024. Penelitian menggunakan pendekatan kuantitatif deskriptif dengan data sekunder yang bersumber dari Laporan Kinerja Program JKN Kuartal IV Tahun 2024 Dewan Jaminan Sosial Nasional (DJSN). Analisis dilakukan terhadap indikator kepesertaan, pemanfaatan pelayanan kesehatan, dan kinerja keuangan program. Hasil penelitian menunjukkan bahwa jumlah peserta JKN meningkat menjadi 278,10 juta jiwa atau 98,45% dari total penduduk Indonesia pada tahun 2024, sehingga target nasional cakupan kepesertaan berhasil tercapai. Namun, masih terdapat kesenjangan antara peserta terdaftar dan peserta aktif. Pemanfaatan layanan kesehatan melalui JKN mencapai 606,7 juta layanan pada tahun 2023, menunjukkan tingginya akses dan kepercayaan masyarakat terhadap program. Dari aspek keuangan, rasio klaim mencapai 105,9% pada tahun 2024 akibat peningkatan beban jaminan yang lebih tinggi dibandingkan pendapatan iuran. Secara keseluruhan, JKN telah berkontribusi signifikan dalam mendukung UHC di Indonesia, meskipun masih diperlukan penguatan pada aspek kepesertaan aktif, pemerataan pelayanan, dan keberlanjutan pembiayaan.
Co-Authors Azzahra Sabrina Nasution Fadillah Salwa Fiola Syifa Azura Nasution Jesi Wanda Harahap Jihan Nabila Ritonga Rintan Arzeti