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Maihendra
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Public Health

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Universal Health Coverage Acceleration Through the UHC Village Approach: The (Supporting Universal Health Coverage So Express and Sustainable (SUCSES) Innovation in Indonesia’s in National Health Insurance Program Maihendra; Budhi Mulyadi
Miracle Journal Get Press Vol 2 No 3 (2025): August, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v2i3.410

Abstract

Universal Health Coverage (UHC) is a cornerstone global health target, reaffirmed by the World Health Organization (WHO) and the United Nations’ commitment to achieve it by 2030. Despite Indonesia’s sustained national initiatives, structural barriers persist, including membership gaps, subnational disparities, and high out-of-pocket expenditures. This qualitative descriptive study investigates the SUCSES Innovation (Supporting Universal Health Coverage So Express and Sustainable), a decentralized, village-level model designed to accelerate UHC progress. Conducted at the BPJS Kesehatan Bukittinggi Branch from January 2023 to December 2024, the research engaged purposively selected informants: branch managers, local government officials, village leaders, and program implementers. Data collection included in-depth interviews, document reviews, and membership record analysis. Thematic analysis identified governance mechanisms, implementation strategies, and outcome pathways, yielding four themes: (1) institutionalizing UHC targets through village certification frameworks; (2) strengthening subnational governance and accountability; (3) enabling community micro-targeting via data-driven outreach; and (4) achieving gains in coverage and financial performance. SUCSES generated ~135,000 new registrations, increased coverage from 87% to 97%, and produced IDR 68 billion in additional revenue.
Enhancing the Implementation of the Mapping, Outreach, Advocacy, and Registration (PESIAR) Program through a Lean Six Sigma Approach : A Qualitative Study Maihendra; Arsaythamby Veloo; Mohamad Fazali bin Ghazali
Miracle Journal Get Press Vol 3 No 1 (2026): February, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i1.451

Abstract

Universal Health Coverage (UHC) remains a major global health policy objective, yet many countries still encounter implementation challenges that hinder equitable service coverage and financial protection at the local level (World Health Organization & World Bank, 2025). In Indonesia, the national health insurance program managed by BPJS Kesehatan has achieved significant expansion; however, disparities across regions and gaps in enrollment and active participation persist within the decentralized governance system (Agustina et al., 2019). To address these challenges, BPJS Kesehatan introduced the PESIAR program (Mapping–Outreach/Sweep–Advocacy–Registration), an outreach-based enrollment strategy emphasizing cross-sector collaboration and operational effectiveness (BPJS Kesehatan, 2023). This qualitative case study examines how Lean Six Sigma (LSS) supports the strengthening of PESIAR implementation at the Bukittinggi Branch, West Sumatra. Data were collected through semi-structured interviews, field observations, and document analysis, and were thematically analyzed using a DMAIC framework (Define–Measure–Analyze–Improve–Control) (Antony et al., 2019). Findings show that LSS enhances program implementation by improving governance processes, clarifying stakeholder responsibilities, and strengthening performance measurement systems. Expanding JKN membership is therefore influenced not only by outreach intensity but also by structured, data-driven management approaches. Continuous improvement emerges as a key requirement for managing complex, multi-stakeholder health programs aimed at achieving UHC. Lean Six Sigma further contributes by fostering an organizational culture that continuously identifies and addresses operational challenges, supporting sustainable health system governance (Purdue University, 2024).
Co-Authors Arsaythamby Veloo Budhi Mulyadi Mohamad Fazali bin Ghazali