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All Journal Hearty : Jurnal Kesehatan Masyarakat Jurnal Ilmu Kesehatan
Dwi Ajeng Ramadhani
Universitas Islam Negeri Sumatera Utara
Health Professions Other

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A QUALITATIVE STUDY ON DOMINANT FACTORS CAUSING FIRES IN MEDAN CITY Suci Maghfirah; Fadhlan Al Hafizh Mrp; Rezky Aprillia; Salianto Salianto; Dwi Ajeng Ramadhani; Ahmad Fitra Naufal
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21858

Abstract

Fire is one of the most frequent urban disasters that causes significant losses, both materially and in terms of human casualties. Medan City, as a metropolitan area with high population density and complex economic activity, has a substantial risk of fire incidents. This study aims to identify the dominant factors that cause fires in Medan City using a qualitative approach. Data were collected through document analysis of official reports from the Medan City Fire services for the period 2023–2024 and in-depth interviews with nine firefighters who have direct experience in handling fire incidents. The results indicate that the most dominant cause of fire is electrical short circuits, accounting for more than 50% of cases in each semester. In addition, gas cylinder leaks, unsupervised use of stoves or furnaces, and open waste burning also contribute significantly to fire occurrences. Environmental factors such as the dry season and dense residential areas further increase the risk of fire spread. Although the Medan City government has implemented various awareness and training programs, public awareness regarding fire safety still needs to be improved. This study concludes that fires in Medan City are caused by a combination of technical, behavioral, and environmental factors. Therefore, effective prevention strategies must involve enhanced electrical safety supervision, public education, and consistent enforcement of safety regulations.
Kebijakan Jaminan Kesehatan Nasional dan Akses Masyarakat terhadap Pelayanan Kesehatan Dewi Agustina; Dwi Ajeng Ramadhani; Najwa Shafira Hasibuan
JIKES : Jurnal Ilmu Kesehatan Vol. 5 No. 1 (2026): Juli-Desember 2026
Publisher : Yayasan Pendidikan Tanggui Baimbaian

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71456/jik.v5i1.2690

Abstract

Penelitian ini bertujuan untuk mengkaji kebijakan Jaminan Kesehatan Nasional (JKN) dan pengaruhnya terhadap akses masyarakat terhadap pelayanan kesehatan di Indonesia. JKN merupakan program strategis pemerintah yang diselenggarakan oleh BPJS Kesehatan sejak tahun 2014 dalam rangka mewujudkan Universal Health Coverage (UHC). Penelitian ini menggunakan metode tinjauan literatur (literature review) dengan menganalisis sepuluh artikel ilmiah yang diterbitkan pada rentang tahun 2020 hingga 2026 dan relevan dengan tema kebijakan JKN serta akses pelayanan kesehatan. Hasil kajian menunjukkan bahwa kebijakan JKN telah berkontribusi signifikan terhadap perluasan cakupan kepesertaan, peningkatan pemanfaatan fasilitas kesehatan, serta penurunan beban finansial masyarakat dalam mengakses layanan kesehatan. Namun demikian, sejumlah kendala kebijakan masih ditemukan, antara lain lemahnya harmonisasi regulasi antara pusat dan daerah, ketimpangan distribusi fasilitas dan tenaga kesehatan, rendahnya kepatuhan peserta mandiri dalam membayar iuran, serta keterbatasan akses masyarakat di wilayah tertinggal, terdepan, dan terluar (3T). Studi ini merekomendasikan penguatan regulasi turunan di tingkat daerah, perluasan skema pembiayaan berbasis kinerja, serta optimalisasi teknologi digital guna mendukung pemerataan akses layanan kesehatan yang berkeadilan dan berkelanjutan di seluruh wilayah Indonesia.
Co-Authors Agustina, Dewi Ahmad Fitra Naufal Fadhlan Al Hafizh Mrp Najwa Shafira Hasibuan Rezky Aprillia Salianto Salianto Suci Maghfirah