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Journal of Health Policy and Management
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490281     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Journal of Health Policy and Management (JHPM) is an electronic, open-access, double-blind and peer-reviewed international multidisciplinary and integrative journal, focusing on health policy, health system, and healthcare management. It began its publication on October 21, 2015. The journal is published twice yearly. It aims to improve the design and implementation of health policies, health systems, and healthcare management, primarily in low- and middle-income countries. JHPM analyzes policy initiatives and healthcare systems and provides evidence-based research to guide policymaking and management decision-making.
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Articles 9 Documents
 1 
Search results for , issue "Vol. 9 No. 3 (2024)" : 9 Documents clear
Implementation of Indirect Contact Services for National Health Insurance Participants: A Case Study of Jambi City's Primary Healthcare Facilities Mauliana, Resty; Misnaniarti, Misnaniarti; Syakurah, Rizma Adlia
Journal of Health Policy and Management Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.03.02

Abstract

Background: In response to the COVID-19 pandemic, BPJS Kesehatan has introduced an indirect contact program, but many districts and cities, including Jambi City in Jambi Province, have not achieved the target contact rate. This study aims to analyze the implementation of indirect contact services for JKN participants in Jambi City's primary healthcare facilities (PHC). Subjects and Method: This descriptive qualitative research was conducted at BPJS Kesehatan and PHC Jambi City from March to April 2022. Data were collected through in-depth interviews, observation, and document review. Informants were selected using a consecutive sampling technique based on the type of PHC, including community health centres (Puskesmas), private clinics, and individual practitioners (DPPs), representing the lowest and highest achievement levels. Thematic analysis techniques were used to analyze the data. Results: The findings revealed that the implementation of indirect contact services for JKN participants in Jambi City's PHC was influenced by various factors. These factors included challenges in increasing contact rates, dissatisfaction among JKN participants, and economic constraints faced by the participants. Contributing factors to these challenges was the absence of input guidelines, standard operating procedures (SOPs), dedicated personnel, allocated funds, and specialized equipment for indirect contact. Routine socialization efforts were also lacking. Furthermore, the understanding of officers regarding the objectives, targets, and implementation of indirect contact, as well as their competence, played significant roles in the implementation. Conclusion: Implementing indirect contact services has not been optimal, necessitating increased support from BPJS Health Jambi Branch for improving indirect contact services
Unraveling the Success Factors and Challenges in Implementing the COVID-19 Vaccination Program: A Case Study of the Community Health Center in Palembang Dewi, Aminah Aulia; Syakurah, Rizma Adlia
Journal of Health Policy and Management Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.03.05

Abstract

Background: The escalating number of COVID-19-positive cases and mortality within the community has prompted the government to prioritize vaccination efforts. However, the vaccination target has not yet reached optimal, particularly in Palembang. This study aims to evaluate the implementation of the COVID-19 vaccination program at the Community Health Center in Palembang through a descriptive qualitative approach. Subjects and Method: The data were obtained through in-depth interviews, observations, and document reviews conducted at the Community Health Center between November 25, 2021, and December 30, 2021. A total of ten informants were selected using consecutive sampling. Results: The findings of this study indicate consistency in various aspects of the input component, including the vaccine team, funding sources, types of vaccines, storage facilities, other support systems, and planning methods. However, due to a lack of data integration among the data management entities, the Community Health Center and Health Office face challenges in accurately determining vaccine targets. The vaccination coverage in Palembang stood at 87.08% for the first dose and 68.52% for the second dose. Unfortunately, delays in achieving vaccine coverage, particularly among specific groups such as older people, have hindered the development of expected herd immunity. There have been no reports of severe adverse events following immunization (AEFIs) within the community. Conclusion: The COVID-19 vaccination program in Palembang was implemented well. However, data management entities must prioritize data integration to fulfill vaccination targets.
ANALYSIS OF OCCUPATIONAL HEALTH AND SAFETY RISK USING HIRADC METHOD IN MEDICAL RECORD INSTALLATION AT NGANJUK HOSPITAL Maulana Muhammad Sirojuddin Abbas; Dian Herawati
Journal of Health Policy and Management Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.03.01

Abstract

ABSTRAK Background : Hospitals are required to organize occupational health and safety (K3RS) in all parts of the installation in the hospital, one of which is the medical record installation. The medical record installation has a storage room, namely a filing room which is an important part of storing medical records and has the potential to have various potential hazards. The management of Nganjuk Hospital for this period has not carried out a risk assessment on the medical record installation section. Subject dan Methods: This research is a qualitative descriptive study with a case study design. The sampling technique used was purposive sampling technique. The subjects used in this study were 2 medical record officers, the Head of the Medical Record Installation, and the Head of the K3 Section of Nganjuk Hospital. Results: Based on the HIRADC matrix, the Nganjuk Hospital medical record installation in the Filing section identified a potential hazard in the Moderate-High risk category, including; dusty filing shelves and medical records, poor environmental conditions (temperature, lighting, humidity), distance and height between shelves is not ergonomic, there are sharp objects (remaining staples) in the medical records, carrying and delivering too many medical records to each poly aim. Conclusion : The potential for danger in the filing room is found to be quite a risk to interfere with the work of the filing officer. This requires risk control, including; carry out elimination, substitution, technical control, administrative control and use of PPE
Determinants of Dental and Oral Health Care Service: A Meta-Analysis Putri, Azilla Edsa; Murti, Bhisma; Pamungkasari, Eti Poncorini
Journal of Health Policy and Management Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.03.04

Abstract

Background: The limited utilization of dental and oral health services leads to poor dental and oral health status of both individuals and community. Regular visits to dentists can improve oral health status through early detection of dental and oral diseases. The study aims to systematically examine the factors that influence the utilization of dental and oral health services. Subject and Method: It was a systematic review and meta-analysis study using PRISMA and PICO diagrams. P= general population. I = women, higher education, high income, poor self-perception, and having health insurance. C= male, low education, low income, good self-perception, and no health insurance. O= utilization of dental and oral health services. Data collection was conducted using the PubMed and ScienceDirect databases. The inclusion criteria used were full, English, cross-sectional design articles in 2012-2023. The keywords used are "(Determinant OR Factor associated)" AND "Dental healthcare utilization". Data analysis was performed using the RevMan 5.3 application. Result: There were14 primary articles as meta-analysis sources from Saudi Arabia, Indonesia, Iran, Korea, Thailand, Bosnia and Herzegovina, Sweden, the United States, Canada, and Brazil. Female (aOR= 1.13; CI 95%= 1.02-1.25; p= 0.020), higher education (aOR= 1.90; CI 95%= 1.40- 2.56; p<0.001), high income (aOR= 1.91; CI 95%= 1.55-2.35; p<0.001), and having health insurance (aOR= 1.68; CI 95%= 1.30-2.19; P<0.001) increased the utilization of dental and oral health services. Self-perception did not affect the utilization of dental and oral health services (aOR= 1.04; CI 95%= 0.81-1.33; p= 0.76). Conclusion: Female gender, education level, income level, and ownership of health insurance influence the utilization of dental and oral health services. Keywords: dental healthcare utilization, factor associated
Effects of Age, Safety Environment, and Fair Salary on Work Satisfaction Hanisah, Hanisah; Wijayanti, Dwi Nina; Utary, Dewi; Murti, Bhisma; Handayani, Anggun Fitri
Journal of Health Policy and Management Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.03.07

Abstract

ABSTRACT Background: Job satisfaction generally describes how satisfied a person is in carrying out their work. Job satisfaction can also be influenced by various factors such as competitive salaries, adequate staff numbers, a pleasant work environment, opportunities for growth and professionalism, reasonable workload, recognition by superiors, positive relationships with colleagues, autonomy at work, security. work, career advancement and fair rewards. This study aims to estimate the effect of age, a safe work environment and fair payment on the job satisfaction of health workers. Subjects and Method: A systematic review and meta-analysis was conducted using PRISMA guidelines and the PICO model. The articles used range from 2014 to 2023. Population = Health workers. Intervention=age range >30 years, safe work environment, fair pay. Comparison= age range <30 years, unsafe work environment, fair pay. Outcome = job satisfaction. Articles were collected from databases such as Google Scholar, PubMed, and Science Direct. The literature search used the keywords "Safety Environment or Conducive Environment" AND "Fair Salary" AND "Health Provider" AND "Job Satisfaction" AND "Cross Sectional". A total of 9 articles met the inclusion criteria for meta-analysis, and were further assessed using RevMan 5.3. Results: Meta-analysis with a cross-sectional study design of 9 primary study articles from Ethiopia and Myanmar showed that age over 30 years did not affect job satisfaction among health workers (aOR=1.00; 95% CI= 0.94 to 1.07; p= 0.940). A safe work environment (aOR= 1.23; 95% CI= 0.92 to 1.65; p= 0.160) can increase health workers' job satisfaction, but this increase is not statistically significant. Fair pay (aOR= 2.38; 95% CI= 1.78 to 3.19; p<0.001); can increase job satisfaction of health workers and these results are statistically significant. Conclusion: Age over 30 years does not affect job satisfaction among health workers. A safe work environment can increase health workers' job satisfaction, but this increase is not statistically significant. Fair pay can increase health workers' job satisfaction and this result is statistically significant. Keywords: safety environment, fair salary, health provider, job satisfaction
Path Analysis of Factors Influencing the Quality of Health Services and Inpatient’s Satisfaction in Hospitals Muhajir, Alfian; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Policy and Management Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.03.09

Abstract

Background: Quality of health services is an effort to provide health services to individuals and populations in increasing the likelihood of desired health outcomes. Patient satisfaction is an indicator in assessing the quality of health services. This study aims to analyze the factors that influence the quality of health services and satisfaction of inpatients in hospitals. Subjects and Method: The research, with a cross-sectional study design, was carried out at public and private hospitals in Mataram City from November to December 2023. A total of 207 inpatients were selected using simple random sampling in the study. The dependent variables are health service quality and patient satisfaction. The independent variables are gender, education level, income, BPJS status (payment type), inpatient class, and length of stay. Collecting data on perceptions of health service quality and patient satisfaction using a structured questionnaire prepared based on Parasuraman's Servqual concept (1985). Results: Patient satisfaction is significantly influenced by perceived quality of health services (b = 0.81; 95% CI = 0.76 to 0.86; p < 0.001) and patient education level (b = -0.08; 95% CI = -0.17 to -0.003; p = 0.04 ). Perceived quality of health services is significantly influenced by income factors (b= 0.22; 95% CI= 0.09 to 0.35; p= 0.001) and patient inpatient room class (b= 0.40; 95% CI= 0.28 to 0.52; p <0.001) . Perception of service quality is not significantly influenced by the factors gender, education, BPJS status, and length of stay. Conclusion: Patient satisfaction is significantly influenced by the quality of health services and the patient's level of education. The quality of health services is significantly influenced by income factors and the patient's inpatient room class. Service quality is not significantly influenced by the factors gender, education, BPJS status, and length of stay. Keywords: pathway analysis, inpatients, quality of health services, satisfaction.
Analysis of Willingness to Pay Contributions for Independent National Health Insurance Participation in Informal Sector Business Actors in the Mandalika Tourism Area, Lombok, Nusa Tenggara Barat, Indonesia Utary, Dewi; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Policy and Management Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2023.09.03.08

Abstract

Background: Health insurance implemented in Indonesia is managed by the Social Security Administering Body (BPJS). In its administration, BPJS Health works based on the principle of non-profit social protection. Willingness to Pay (WTP) has been carried out in Nigeria which uses a community-based health insurance system. This study aims to analyze the willingness to pay (Willingness to Pay) contributions in independent national health insurance membership among informal sector business actors in the Mandalika tourist area of Lombok. Subjects dan Method: This type of study is observational analytic using a cross-sectional study design. The target population in this study is all informal sector business actors in the Mandalika Lombok tourist area. The sampling technique in this study is random sampling, namely a random sampling method that involves dividing the population into groups called strata, based on certain relevant characteristics.n. Results: This study explains that informal sector workers with income ≥ IDR 2,000,000/month are on average willing to pay insurance premiums of IDR 64,573/month (Mean= 64,573; SD= 41,292). Workers with income < IDR 2,000,000/month are on average willing to pay insurance premiums of IDR 24,880/month (Mean= 24,880; SD= 14,206). Overall, workers in the informal sector are on average willing to pay insurance premiums of IDR 48,100/month (Mean= 48,100; SD= 38,229). Willingness to pay insurance premiums is significantly influenced by income. Every increase in income of IDR 1,000,000 will be followed by a higher willingness to pay for health insurance of IDR 21,745 (b= 0.02; 95% CI= 0.01 to 0.03; p <0.001). Willingness to pay premiums was not significantly influenced by gender (b= 346.13; 95% CI= -15241.31 to 15933.56; p = 0.965) or age (b= -7110.17; 95% CI= -22958.38 to 8738.04; p = 0.375). Conclusion: The results of this study conclude that the willingness to pay insurance premiums is significantly influenced by income. The higher the income, the higher the willingness to pay premiums, and this effect is statistically significant. Keywords: Willingness to pay, Income, Informal workers
Meta-Analysis: Effect of Tuberculosis Infection Control Training on Work Performance among Health Staff in Health Facilities Rahmawati, Rahmawati; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Health Policy and Management Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.03.03

Abstract

Background: Tuberculosis is a public health problem both in Indonesia and internationally. Tuberculosis is an infectious disease that can affect anyone and is one of the 10 leading causes of death worldwide. TB ranks second with the highest cases in Indonesia after India. Tuberculosis Infection Control (TBIC) is a form of TB prevention which is the core of safe and high-quality health services. TBIC is often neglected in patient management practice. This study aims to analyze and estimate the effect of tuberculosis infection control training on improving the performance of staff in health facilities. Subjects and Method: The meta-analysis was carried out using the PICO format including: (1) Population: Health personil; (2) Intervention: TBIC Training; (3) Comparison: No TBIC training; and (4) Outcome: Performance. Article searches were carried out using several databases such as Google Scholar, PubMed, and Elsevier. Search for articles from 20 October 2022 to 21 January 2023. Keywords used: “Tuberculosis infection control training” OR “Performance” AND “Health personel” AND “Health facility” AND “Multivariate” AND “Cross-sectional”. The inclusion criteria for the included articles were full text articles, relationship measures using multivariate analysis (aOR), English articles with a cross-sectional design, and article publications in 2012-2022. Articles are collected using PRISMA flow diagram guidelines. Data were analyzed using the Review Manager 5.3 application. Results: A total of 13 cross-sectional studies, from the continents of Asia and Africa. Nine articles from East Africa (Ethiopia), 2 articles from West Africa (Nigeria), 1 article from Central Africa (Cameroon), and 1 article from South Asia (Nepal). The results showed that health personil who received TBIC training had a 2.35 times better chance of performance compared to health personil without training, and this result was statistically significant (aOR= 2.35; 95% CI= 1.96 to 2.81; p <0.001). Conclusion: Tuberculosis infection control training can improve the performance of workers in health facilities. Key words: Health personil, tuberculosis infection control training, and health facilities
Meta-Analysis: Effectiveness of mHealth Utilization on Antenatal Care Nuryuliana, Nuryuliana; Demartoto, Argyo; Adriani, Rita Benya
Journal of Health Policy and Management Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.03.10

Abstract

Background: An antenatal visit is the presence of pregnant women at health facilities to check their pregnancy and get information about their pregnancy. The use of mobile health interventions (mHealth) such as SMS, voice messages, videos, and interactive mobile phones can provide behavioral support and health education needs of pregnant women. This study aims to determine the effectiveness of the use of mHealth on the improvement of antenatal visits. Subject and Method: Systematic reviews and meta-analyses were conducted using PRISMA guidelines and PICO models which included Population = pregnant women; Intervention= mHealth, Comparison= does not use mHealth; Outcome= antenatal visit. Articles are collected through databases such as Google Scholar, PubMed, BMJ, Plos One, Plos Digital Health, JMIR, JPHIA, HSPRJ, JIO, Journal of Midwifery and Traditional Health. Keywords used: mHealth or Telemedicine or Phone or Mobile Phones or Mobile Telephone or Short Message Service or Whatsapp Group, Antenatal Visite or Antenatal Care or Pregnancy or Pregnant or Prenatal or Mother Health. A total of 13 articles that met the inclusion criteria were meta-analyzed and assessed using RevMan 5.3. Results: Meta-analyses from Tanzania, Kenya, India, Brazil, Peru, Bangladesh, Nigeria, Uganda, and Indonesia showed that pregnant women who used mHealth services were 2.94 times more likely to have antenatal visits compared to not using mHealth and the effect was statistically significant (OR= 2.94; CI95%= 2.19 to 3.94; p <0.001). Conclusion: The use of mHealth may increase antenatal visits.

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