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Policy Paper : Improvement to Fulfill Needs Health Services for Jember Residents Towards Universal Health Coverage : (Policy Paper : Improvement Pemenuhan Kebutuhan Pelayanan Kesehatan Bagi Penduduk Jember Menuju Universal Health Coverage) Maya Puspitasari, Febriana
International Journal of Regional Innovation Vol. 4 No. 2 (2024): International Journal of Regional Innovation
Publisher : Inovbook Publications

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52000/ijori.v4i2.113

Abstract

This policy paper aims to provide policy recommendations for making improvements in meeting the health service needs of Jember residents towards Universal Health Coverage. So as to encourage improvements in efforts to fulfill health services for Jember residents which are not yet in accordance with the mandate of Law Number 40 of 2004 concerning the National Social Security System and Presidential Instruction Number 1 of 2022 concerning Optimizing the Implementation of the National Health Insurance Program in fulfilling services promotive, preventive, curative and rehabilitative health through Universal Health Coverage. In accordance with presidential instructions and this law, by 2024 Universal Heath Coverage is targeted to reach 98% of the population. Meanwhile, Jember Regency currently has the lowest achievement in East Java Province, namely 71.20%. This condition is very unequal to the condition of the population of Jember Regency, which is the Regency with the highest prevalence of Stunting, Maternal and Infant Mortality in East Java Province. So far, the Jember Regency Government has provided guaranteed health services using a free, curative health service program called J-Pasti Keren. Universal Health Coverage is considered important to improve the community satisfaction index which still gets a "C" in the performance of the Health Service and also to reduce maternal and infant mortality rates and the prevalence of stunting in Jember Regency. This requires support in prioritizing handling of these problems, especially in the budgeting system. It is very important to make improvements so that the health service needs for Jember residents towards Universal Health Coverage. The methodology used in preparing this policy paper is SWOT analysis. So that policy alternatives can be obtained in order to improve the fulfillment of health service needs for Jember residents towards Universal Health Coverage. From the analysis carried out, recommendations and strategies can be formulated to improve the fulfillment of the health service needs of the Jember population towards Universal Health Coverage in accordance with the National Medium Term Development Plan and the mandate of the Law and Presidential Instructions, as well as supporting the acceleration of achieving the SDGs for Indonesia. Improvement in meeting health service needs for Jember residents. The recommendation given for making improvements is to shift the budget for free J Pasti Keren health services which are curative in nature to the Universal Health Coverage budget for the residents of Jember Regency, so that health services to the people in Jember Regency are also preventive, promotive, curative and rehabilitative. Apart from that, it also makes Universal Health Coverage a priority in the 2024 APBD Amendment so that it can meet the urgency of meeting the needs of health services for Jember residents towards Universal Health Coverage in 2024. Jember Regency Government, East Java Province, IndonesiaThis is a new author guidelines and article template of International Journal Of Regional Innovation. Article should be started by title of article followed by Authors Name and Affiliation Address and abstract number of words 100-250. Special for the abstract section, single spacing should be used between lines in this article. Article written in English. The abstract should be typed as concise as possible and should be composed of: problem statement, method, scientific finding result, and short conclusion. The abstract should only be typed in one paragraph and one-column format. Policy paper ini bertujuan untuk memberikan rekomendasi kebijakan dalam melakukan improvement pemenuhan kebutuhan pelayanan kesehatan bagi penduduk Jember menuju Universal Helath Coverage, demi mendorong adanya perbaikan terhadap pemenuhan pelayanan kesehatan bagi penduduk Jember sesuai dengan amanah Undang-Undang Nomor 40 Tahun 2004 tentang Sistem Jaminan Sosial Nasional dan Instruksi Presiden Nomor 1 Tahun 2022 tentang Optimalisasi Pelaksanaan Program Jaminan Kesehatan Nasional serta RPJMN . Dimana telah ditargetkan bahwa cakupan Universal Health Coverage pada tahun 2024 sebesar 98% untuk mewujudkan pelayanan kesehatan promotif, preventif, kuratif dan rehabilitative di Indonesia dan mencapai SDGs. Kondisi ini sangat timpang dengan kondisi penduduk Kabupaten Jember yang merupakan Kabupaten dengan prevalensi stunting, kematian ibu dan bayi tertinggi se-Provinsi Jawa Timur. Kabupaten Jember saat ini memiliki capaian Universal Health Coverage terendah se-Provinsi Jawa Timur yaitu sebesar 71,20%. Selama ini Pemerintah Kabupaten Jember memberikan jaminan pelayanan kesehatan dengan menggunakan program pelayanan kesehatan gratis J-Pasti Keren yang bersifat kuratif apabila penduduknya sakit. Sementara Universal Health Coverage dipandang penting untuk menurunkan prevalensi stunting, angka kematian ibu dan bayi di Kabupaten Jember dan memperbaiki indeks kepuasan masyarakat terhadap pelayanan kesehatan yang masih mendapatkan nilai ā€œCā€. Hal tersebut memerlukan dukungan dalam memprioritaskan penanganan masalahnya, terutama pada sistem penganggaran. Sangat penting untuk melakukan sebuah improvement sehingga kebutuhan pelayanan kesehatan bagi penduduk Jember menuju Universal Health Coverage dapat terpenuhi. Metodologi yang digunakan dalam proses penyusunan policy paper ini menggunakan analisa SWOT. Dengan menyoroti faktor internal yaitu Kekuatan (Strengths) dan Kelemahan (Weakness), serta faktor eksternal yaitu Peluang (Opportunities) dan Ancaman (Threat), maka dapat diperoleh alternatf kebijakannya. Metode SWOT diintegrasikan ke dalam pola fikir Policy Paper dari data primer dan data sekunder. Dari analisis yang dilakukan dapat dirumuskan rekomendasi strategi kebijakan dalam melakukan improvement pemenuhan kebutuhan pelayanan kesehatan penduduk Jember menuju Universal Health Coverage. Improvement Pemenuhan Kebutuhan Pelayanan Kesehatan Bagi Penduduk Jember. Rekomendasi yang diberikan dalam melakukan improvement yaitu dengan melakukan pergeseran anggaran pelayanan kesehatan gratis J Pasti keren yang bersifat kuratif ke anggaran Universal Health Coverrage bagi penduduk Kabupaten Jember, sehingga pelayanan kesehatan kepada masyarakat di Kabupaten Jember juga bersifat preventif, promotif, kuratif dan rehabilitative. Selain itu juga menjadikan Universal Health Coverage sebagai prioritas dalam Perubahan APBD (PAPBD) Tahun 2024, sehingga dapat memenuhi urgensi Pemenuhan Kebutuhan Pelayanan Kesehatan Bagi Penduduk Jember menuju Universal Health Coverage pada tahun 2024.
Strategy Analysis for Reducing Stunting in Acceleration of Achievement of Sustainable Development Goals Case Study in Jember District, East Java Maya Puspitasari, Febriana; Viphindrartin, Sebastiana; Zainuri, Zainuri
International Journal of Regional Innovation Vol. 4 No. 3 (2024): International Journal of Regional Innovation
Publisher : Inovbook Publications

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52000/ijori.v4i3.119

Abstract

This study examines the strategy for reducing stunting in accelerating the achievement of sustainable development goals. The main objective is to analyze the strategy for reducing stunting in order to accelerate the achievement of sustainable development goals. The method used is a case study with a qualitative approach. Data were obtained from informants in the Discussion Group Forum, and interviews with the help of questionnaires, which were processed using SWOT analysis. SWOT analysis is a strategic planning method used to evaluate the strengths, weaknesses, opportunities and threats that occur in a project. The 2020-2024 National Medium-Term Development Plan targets stunting to reach 14% by the end of 2024, while the prevalence of stunting in Jember Regency at the end of 2023 was 29.7%. So it requires the right strategy to achieve the target. In the Discussion Group Forum held on May 28, 2024 at the Wahya Wibawagraha Pendopo, Jember Regency, various views from experts were put forward which were discussed and agreed upon in an integrity pact as a form of commitment to its implementation starting on June 1, 2024. And from in-depth interviews, information was obtained from experts, policy makers and actors who had been involved in reducing stunting in Jember Regency. This study found a description of the strategy in quadrant 1 of the SWOT analysis, which means that the situation is very favorable in the problems that occur to make the strategy a solution to the problem by supporting an aggressive growth policy (Growth oriented strategy) in dealing with weaknesses and threats. The results of this study indicate that by collecting data on the entire stunting target every month as an indicator of surveillance readiness to cover 100% E-PPGBM data as evaluation material to obtain immediate treatment for each stunting case, implementing the Zero Growths Stunting Program by deploying State Civil Apparatus to play an active role in overseeing the surrounding environment that is at risk of stunting and is required to have stunted foster children, strictly enforcing the marriage dispensation application procedure and the existence of punishment for violations of the Marriage Law, implementing the Simultaneous Intervention Strategy to Accelerate the Reduction of Stunting in Jember Regency in 2024 which includes education for adolescents, the 1 family 1 fish pond program, building toilets, building uninhabitable houses, providing additional food, the one day one egg program, free health services and standardization of operational procedures for submitting marriage dispensations. And conduct education to conduct information technology selection to avoid free association and adultery, as well as providing higher education scholarships for underprivileged teenagers, as well as massive handling of underweight and wasting so that it does not become new stunting. So it will support aggressive growth policies in the strategies that have been designed. Researchers recommend assigning a letter of assignment to all surveillance in Jember Regency to ensure 100% stunting target data, assigning a letter of instruction to the family assistance team and state civil servants to carry out assistance to stunting targets and establishing an obligation for guardians to sign an integrity pact to prevent child marriage.