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All Journal Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Journal of Indonesian Health Policy and Administration
Candaika, Putri
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Decision Sciences, Operations Research & Management Health Professions Medicine & Pharmacology Public Health

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Strengthening Tobacco Consumption Control Policies: Program Integration for Social Assistance Recipients in Indonesia Kusuma Hartono, Risky; Nurhasana, Renny; Satrya, Aryana; Rizky Ningtyas, Fadhilah; Oktarina, Ratih; Candaika, Putri; Madelif Sihombing, Isranalita
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI2 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI2.2024.82-92

Abstract

Background: The prohibition on using social assistance funds for purchasing cigarettes has been stipulated in the Minister of Social Affairs Decree Number 175 of 2022. However, the primary goal of this program to improve community welfare is threatened as this misuse persists. Aims: This study aims to analyze the challenges and obstacles in implementing the policy to control cigarette consumption among social assistance recipients and to identify integrated priority programs across sectors. Methods: This qualitative study employs a case study approach. Data were collected through in-depth interviews and focus group discussions with informants representing central governments, regional governments, and social assistance officers. The interviews were then analyzed using SWOT analysis to formulate strategies and identify the priority program. Results: The analysis reveals that cross-sector collaboration is a key strength for reinforcing cigarette consumption control among the recipients. This is implemented through the Family Capability Improvement Meeting (P2K2), involving healthcare workers who educate the dangers of smoking and establish Smoking Cessation Service Clinics (UBM). The proposed priority program integrates the social assistance program with UBM clinics to help recipients quit smoking. Conclusion: The study concludes that strengthening this policy requires comprehensive program integration with multi-sector involvement. This enhancement also necessitates stronger central regulatory support through the Government Regulations as derived from Health Law Number 17 of 2023. Strengthening this policy is expected to contribute to achieving the SDGs by improving community health and quality of life, and alleviating poverty through improved effectiveness of the social assistance program.
The Relationship Between Accessibility Factors and Post-Inpatient Control Visits Among Non-JKN Participants at Hospital X Candaika, Putri; Ningsih, Desy Kartika; Hartono, Risky Kusuma
Journal of Indonesian Health Policy and Administration Vol. 11, No. 1
Publisher : UI Scholars Hub

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Abstract

The rate of post-inpatient control visits remains relatively low due to various factors, including accessibility. At Hospital X, 220 of non-Jaminan Kesehatan Nasional (JKN) participants scheduled for post-inpatient control visits between January and March 2025, 71.82% attended, and 28.18% did not. Patients who did not attend control visits were twice as likely to be readmitted. This study aimed to determine the relationship between accessibility and post-inpatient control visits for non-JKN participants at Hospital X. This quantitative study employed an analytical cross-sectional design, with a population of 220 patients and a sample of 142 patients selected using probability sampling. Bivariate and multivariate analyses were performed using the chi-square test and binary logistic regression analysis. The results showed a significant relationship between distance to the hospital (p = 0.000), availability of transportation (p = 0.000), and the condition of service infrastructure (p = 0.000) with post-inpatient control visits among non-JKN participants at Hospital X. The results also showed that the factor with the highest probability of increasing post-inpatient control visits was walking as a mode of transportation, which increased the likelihood by 11.759 times. In conclusion, distance accessibility, transportation availability, and the condition of service infrastructure were significantly associated with post-inpatient control visits among non-JKN participants at Hospital X. The hospital should consider providing telemedicine services for patients who live at a considerable distance. In addition, the hospital could provide free pick-up and drop-off services within a certain radius.
Co-Authors Aryana Satrya Hartono, Risky Kusuma Kusuma Hartono, Risky Madelif Sihombing, Isranalita Ningsih, Desy Kartika Oktarina, Ratih Renny Nurhasana Rizky Ningtyas, Fadhilah