Yanti Aneta
Public Administration, Postgraduate, State University of Gorontalo, Indonesia|State University of Gorontalo

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Mapping Collaborative Governance Strategies for Regional Health Policy Sustainability: A Systematic Review Based on Socioeconomic Data Integration in Pursuit of Universal Health Coverage in Gorontalo Afriyani Katili; Asna Aneta; Yanti Aneta
GEMA PUBLICA Vol 11, No 1 (2026)
Publisher : Departemen Administrasi Publik, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/gp.11.1.2026.115-128

Abstract

This study aims to systematically review the implementation of collaborative governance strategies in regional health policy, with a particular focus on integrating socioeconomic data to support Universal Health Coverage (UHC). The province of Gorontalo, Indonesia, is highlighted as a reflective case of underrepresented contexts in global health governance literature.A systematic literature review (SLR) was conducted following the PRISMA 2020 protocol. Forty-five peer-reviewed articles published between 2000 and 2025 were identified through Scopus, PubMed, ScienceDirect, and Google Scholar. Inclusion criteria emphasize empirical studies on regional health governance, socioeconomic data utilization, and multi-actor collaboration. Data were analyzed using thematic synthesis (Thomas & Harden, 2008), supported by coding reliability checks and the CASP qualitative appraisal tool to ensure rigor and validity.The analysis revealed three dominant themes: actor fragmentation and mandate asymmetry, partial integration of socioeconomic data into decision-making, and facilitative leadership as a critical success factor. While Latin America demonstrated advanced data integration supported by strong regulation, Southeast Asia and Sub-Saharan Africa demonstrated collaborative practices rooted in trust-building but hindered by limited institutional interoperability. In Gorontalo, strategies remain experimental, relying heavily on health-sector data while neglecting poverty, education, and demographic indicators. This highlights the absence of a comprehensive framework bridging local data ecosystems with collaborative policy design.This review identifies a persistent gap in data-integrated collaborative governance within regional health policy, particularly in marginalized contexts. The study proposes the Integrated Collaborative Governance Framework for UHC Realization, emphasizing trust-building, leadership, and local cultural values (eg, huyula) as essential drivers. The findings enrich collaborative governance theory while offering practical insights for strengthening UHC-oriented health policies in Indonesia and the Global South.
Digital Leadership Strategies in Public Health Transformation: A Systematic Review of the Literature on Multi-Level Governance Practices, Inequalities, and Policies Fidi Mustafa; Asna Aneta; Yanti Aneta
GEMA PUBLICA Vol 11, No 1 (2026)
Publisher : Departemen Administrasi Publik, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/gp.11.1.2026.129-141

Abstract

The digital transformation of public health systems has created an urgent need to reexamine leadership roles and strategies amidst the dynamics of multi-level governance and increasing digital inequality. This study aims to identify patterns, challenges, and strategic contributions of digital leadership in the complex context of public health policy.A Systematic Literature Review (SLR) approach was used following the PRISMA 2020 guidelines. A total of 96 articles from seven international databases were screened, and 18 selected articles were thematically analyzed using the Braun & Clarke method. The analysis focused on three main dimensions: leadership style, multi-level governance context, and digital equity in public services.The results reveal three key findings: first, current digital leadership tends to be technocratic and insufficiently responsive to inequalities in digital access and literacy. Second, a policy paradox exists between the central and local levels, creating obstacles to strategic implementation. Third, ethics and public justice have not been explicitly underpinned in the design of digital leadership strategies. Based on these three findings, a conceptual model was developed based on the intersection of ethical digital leadership, cross-level governance, and sensitivity to digital inequality.This research contributes to the development of a more reflective and applicable theory of public sector leadership, and offers policy direction and training for justice-based digital leadership.