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Policy & Governance Review
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This journal encompasses issues and practices in policy analysis, public management, public policy and administration. PGR provides high quality study outcomes and new thoughts for academic practitioners, researchers, scientists and consultants to discuss about social science theories and concepts to significant political, economic and social issues and to the ways in which public policies are made.
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Articles 174 Documents
Oxygen Systems in Indonesian Hospitals: Cross- Sectional Study and Strengthening Roadmap Meliala, Andreasta; Olivia Frans, Sandra; Hidayah, Widy; Nurfadillah, Siti; Rarasati, Srimurni; Nisa, Iztihadun; Krautmann, Michael; Magnanni, Robert
Policy & Governance Review Vol 9 No 3 (2025): September
Publisher : Indonesian Association for Public Administration

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30589/pgr.v9i3.1288

Abstract

Medical oxygen is a life-saving medicine essential to modern healthcare; however, ensuring its availability remains a critical policy challenge in low- and middle-income countries. Weaknesses in production, distribution, and preparedness often translate into inequities in access, while the COVID-19 pandemic demonstrated how governance and logistical failures can rapidly escalate into a national emergency. This study aimed to assess the oxygen system readiness in Indonesian hospitals and highlight priority gaps for reform. A cross-sectional survey was conducted in 2022 across 96 hospitals in 18 districts across five provinces. Using an adapted WHO Biomedical Equipment for COVID-19 Case Management Inventory, seven domains of oxygen readiness were evaluated: oxygen source, distribution, regulation, delivery, monitoring, power supply, and maintenance. Findings revealed that only 65% of hospitals had a complete oxygen system, with better readiness among hospitals on Java, public hospitals, and higher-class facilities (A and B). Significant disparities persist, particularly among referral hospitals outside Java and among lower-class hospitals. This study underscores the importance of embedding oxygen management explicitly into health system reform and governance frameworks. Strengthening oxygen supply mechanisms offers practical and managerial opportunities to enhance resilience, equity, and preparedness for future health emergencies.
The Politics of Collaborative Governance in Local Health Promotion in the Philippines: Determinants, Risks, and Institutional Reforms Regie Manuel, Reiou; B. Cruz, Rizalino
Policy & Governance Review Vol 10 No 1 (2026): January
Publisher : Indonesian Association for Public Administration

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30589/pgr.v10i1.1350

Abstract

Public health promotion at the local level is a critical yet often overlooked aspect of health governance in the Philippines. While health promotion initiatives have been studied, there is limited empirical analysis on how local governance structures, political dynamics, and institutional coordination shape health promotion implementation at the local level. Giv- en the decentralized nature of health governance in the country, frontline health workers, local officials, formal and informal institutions play a pivotal role in health promotion. Yet, their actions are often constrained by transaction costs and political disincentives. Building on the Institutional Collective Action (ICA) framework and the Political Market Framework, this paper tackles the factors shaping collaborative governance in health pro- motion by local government units (LGUs). Specifically, it raises the questions: What are the factors impeding collaboration among health promotion stakeholders at the local lev- el? How do coordination, division, and defection risks shape day-to-day implementation? What formal and informal reforms have been adopted to mitigate those risks? A qualitative study is employed using Malabon City as a case study. Key informant inter- views, focus group discussions, and policy document review provide qualitative insight into the governance dynamics across 21 barangays constituting the smallest administra- tive units in the Philippine governance system. Findings reveal that: (i) ambiguous mandates and overlapping roles inflate negotiation, monitoring, and enforcement costs; (ii) partisan gatekeeping turns health promotion ben- efits into club goods, producing spatially and politically uneven service access; and (iii) informal networks and social capital of Barangay Health Workers (BHW) partially substi- tute for formal mechanisms but remain vulnerable to electoral turnover. Where transac- tion costs are minimized – e.g., through ordinances institutionalizing Health Promotion Units, pooled budgeting for multi-barangay health centers, and merit-based BHW tenure – collaboration gains stability and scale.
The change in Japanese dual representative system caused by social media: Technological Innovation vs. Traditional Governance: Striking a balance Kimura, Shunsuke
Policy & Governance Review Vol 10 No 1 (2026): January
Publisher : Indonesian Association for Public Administration

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30589/pgr.v10i1.1349

Abstract

This study addresses the question: How is the advancement of social networking ser- vices (SNS) affecting changes in the dual representative system of local government in Japan? It posits the following hypotheses: Social media has influenced the Japanese dual representative system in two ways: by promoting theatrical political behavior and by bringing about an agonistic democracy. The political phases can be divided into two categories: (a) theatrical political behavior (political action and direct requests) and (b) agonistics democracy in the check and balance system (Veto, Non-confidence and Provisional decision). They are evolving in response to citizens’ desires for direct policy control and the emergence of theatre democracy. Furthermore, the current analysis suggests that the widespread use of social media has coincided with signifi- cant changes in the operation of the dual representative system and that social media has significantly influenced these changes. Agonistic democracy emphasizes conflict and discord over coordination and consensus building, viewing them as essential to democratic vitality. This perspective, when combined with the rapid dissemination of emotionally charged information, tends to facilitate theatricalized political actions and results in polarized, conformist political behavior, wherein assembly members of- ten face pressure to engage in politically aligned action. Considering these challenges to the dual representative system, this study proposes several measures for assemblies, assembly members, and citizens to respond to the influence of social media. First, as- semblies must guard against monolithic entities in the face of incentives for agonistic political action, which are facilitated by social media. They should remain aware of their role as forums for diverse opinions in which both majority and minority voices coexist. Second, individual council members should acknowledge their vulnerabili- ties in issue formation. Even in the face of social media-driven peer pressure, they must engage in issue formulation within the assembly as a reflection of representative democracy, developing resilience to resist pressures that favor theatrical democracy. Third, in an era where social media is pervasive, citizens must recognize the imper- ative to engage in rational discourse that enables informed public decision-making while scrutinizing public discourse to avoid being swept up in inflammatory rhetoric.
Beyond Compliance: A Systematic Review of Ethics, Accountability, And Transparency in Indonesian Governance Rahmah Hanifa, Maftuh; Dwi Wahyunengseh, Rutiana; Suharto, Didik Gunawan; Gunawan Suharto, Didik
Policy & Governance Review Vol 10 No 1 (2026): January
Publisher : Indonesian Association for Public Administration

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30589/pgr.v10i1.1361

Abstract

This article discusses a Systematic Review of Ethics, Accountability, and Transpar- ency in Indonesian Governance. This topic falls within the public ethics and public accountability cluster in public administration studies, which emphasizes how moral principles, institutional integrity, and accountability mechanisms establish transparent and trustworthy governance. For a long time, accountability studies focused more on fiscal reporting and administrative control, while transparency focused on regulations and digitalization, and ethics related to corruption or the individual behaviour of of- ficials. However, there are significant lacks of research that systematically integrates these three aspects. This article fills that gap through a systematic literature review of publications from 2015 to 2025 regarding ethics, accountability, and transparency in the public sector in Indonesia. Based on the classic Friedrich-Finer debate, prin- cipal-agent theory, and the Public Accountability Framework, this analysis positions ethics as a normative foundation, transparency as an information tool, and account- ability as a multidimensional practice. The results show that despite digitization initia- tives, a weak ethical foundation hinders their effectiveness in preventing corruption and eroding public trust. This article synthesizes diverse literature and proposes an integrated public administration governance framework that emphasizes the impor- tance of ethical, accountable, and transparent governance in Indonesia, while also enriching the governance discourse.