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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 253 Documents
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Determinants of Job Performance among Medical Rehabilitation Health Personnel at Dr. Moewardi Hospital, Surakarta, Central Java: A Path Analysis Evidence Sisybania Sisybania; Mahendra Wijaya; Bhisma Murti
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: The quality of a health institution is determined by human resources (HR) and the quality of staff services. The quality of health human resources is measured by employee performance and productivity especially services that are directly related to patients, such as the Department of Medical Rehabilitation. This study aimed to analyze the psychosocial economic determinants of the performance of medical rehabilitation health personnel.Subjects and Method: This study used a cross-sectional method. This study was conducted from May 2020 to June 2020. The sample was selected by exhaustive sampling by 200 medical rehabilitation health personnel at Dr. Moewardi, Surakarta. The dependent variable was performance. The independent variables were motivation, skill, work atmosphere, facilities and infrastructure, work experience, training, education, leadership style, incentive, reinforcement, vicarious learning, and observational learning. The data were collected using questionnaires and analyzed using path analysis with STATA version 13.Results: Medical rehabilitation health personnel had a likelihood of performing well with participative leaders (b=2.24; 95%CI=0.09 to 1.44; p=0.025), sufficient incentives (b=3.19; 95%CI=0.42 to 1.76; p<0.001), high motivation (b=3.38; 95%CI=0.51 to 1.93; p<0.001), by attenting training and education for medical rehabilitation (b=1.86; 95%CI=-0.03 to 1.27; p=0.064), good reinforcement (b=1.72; 95%CI=- 0.09 to 1.42; p=0.086), training and education through incentives (b=1.86; 95%CI=- 0.02 to 1.11; p=0.062), conducive work atmosphere through motivation (b=2.49; 95%CI=0.16 to 1.42; p=0.013).Conclusion: The performance of medical rehabilitation health personnel is affected by leadership style, incentives, motivation, training and education, work atmosphere, and reinforcement.Keywords: social cognitive, performance, path analysisCorrespondence: Sisybania, Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami No.36 A, Surakarta, Indonesia. Email: sisybania@gmail.com. Mobile: +6289676804589Journal of Health Policy and Management (2021), 01(01): 01-12https://doi.org/10.26911/thejhpm.2021.06.01.01. 
The Effectiveness of Health Management-Assisted Technology on Glycated Hemoglobin Levels in Patients with Type 2 Diabetes Mellitus: Meta-Analysis Fajar Novianto; Atika Mima Amalin; Anggun Fitri Handayani; Anggraini Ambarsari; Diana Ode; Alfi Makrifatul Azizah; Ayu Trisni Pamilih; Annisa Fitriana Damalita; Fathiyyatu Assa&#039;diy Firda; Ahmad Syauqi Mubarok
Journal of Health Policy and Management Vol. 6 No. 2 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Given the number of patients failing to achieve control of Diabetes Mellitus (DM), it causes an increase in the incidence of DM complications. Along with the rapid deve­lopment of technology in this era, this study aimed to prove the effectiveness of technology-based health management compared to usual treatment for levels glycated hemoglobin (HbA1c) in type 2 diabetes mellitus patients.Subjects and Method: This was a meta-ana­lysis using a randomized controlled trial. Arti­cles were obtained from PubMed, Google Scholar, and ResearchGate databases. The arti­cles used in this study were those published from 2012-2021. The search article was carried out by considering the eligibility of the criteria determined using the PICO model. Population: type 2 DM patients (HbA1c>7%), Intervention: health management-assisted technology, Com­parison: usual care Outcome: HbA1c levels. There were 10 articles used with a sample size of 1693 people who were divided into two groups (845 people in the health management-assisted technology group and 848 people in the group usual care). Articles were analyzed using Review Manager 5.3 Appli­cation to determine the Standard Mean Diffe­rence (SMD) and heterogeneity of the study sample.Results: From 10 articles that were processed using RevMan 5.3, significant results were obtained, this is indicated by the overall effect (diamond) which does not touch the vertical line H0 (d= 0) and can also be seen from the 95% CI range of -0.62 to -0.13 which shows significant because it does not pass the number 0 (SMD= -0.37; 95% CI= -0.62 to -0.13; p= 0.003). The heterogeneity of the research data shows I2 = 82% so that the distribution of the data is very heterogeneous (random effects model).Conclusion: Using technology to help health management of patients with type 2 diabetes mellitus can reduce HbA1c levels compared to usual care.Keywords: Health management, technology, diabetes mellitus, HbA1cCorrespondence: Fajar Novianto. Center for Research and Deve­lopment of Medicinal Plants and Traditional Medicine, National Institute of Health of Health, Jl. Raya Lawu No. 11 Karanganyar, Central Java. Email: dr.fajarnovianto@gmail.­com.Journal of Health Policy and Management (2021), 06(02): 81-93https://doi.org/10.26911/thejhpm.2021.06.02.01 
Meta Analysis on the Effect of the Quality of Health Services with the Level of Patient Satisfaction Siti Mar&#039;atul Munawaroh; Happy Nurhayati; Andang Sudarmono; Ervia Fahma Dhony; Nindita Arum Veibiani; Hesthi Krisnawati; Wita Hana Puspita; Dian Handayani; Bani Dianika; Kristuti Catur Sumarah
Journal of Health Policy and Management Vol. 6 No. 2 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: patient-oriented health services are the primary strategy for health service organiza­tions. A good service is determined by the fact that the services provided can meet the patient's needs. Patient satisfac­tion is an integral part of the quality assurance of health service. This study aims to analyze the quality of tangible health ser­vices with patient satisfaction in receiving health services.Subjects and Method: Meta-analysis was performed by searching journals from direct databases such as Google Scholar, Science Direct, and PubMed using the key­words service quality, patient satisfaction, and heat service. The inclusion criteria in this study were full text from 2010-2021, with a cross-sectional study. The data analysis was carried out by RevMan 5.3.Results: Nine articles have been analyzed, showing that the quality of service had direct evidence of an effect on patient satis­faction in accessing health services (aOR= 4.17; 95% CI= 1.78 to 9.78; p <0.001).Conclusion: The quality of direct evidence (tangible) affects patient satisfaction in accessing health services.Keywords: tangible, service, patient satisfaction.Correspondence: Siti Mar'atul Mu­na­waroh. Ahmad Dahlan Uni­ver­sity. Jl. Prof. Dr. Soepomo, Jantu­ran, Um­bulharjo, Yogyakarta. Email: siti­maratul08@­gmail.com. Mobile +62821­33295468.Journal of Health Policy and Management (2021), 06(02): 107-115https://doi.org/10.26911/thejhpm.2021.06.02.03
Association between Gender and Anxiety among Covid-19 Patients: A Meta-Analysis Zuraida Zulkarnain; Arum Nuryati; Desif Upix; Adilla Misi; Andi Siswanto; Atik Handariati; Alfiana Nur Nur Rohmani; Saryanto Saryanto; Zadia Dara
Journal of Health Policy and Management Vol. 6 No. 2 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: The COVID-19 outbreak rapidly spread worldwide, with a significant number of cases and deaths causing anxiety, especially among the sufferers. Biologically, males and females show different psychological responses to the events at hand. This study aimed to examine the association between gender and anxiety among COVID-19 patients.Subjects and Method: This study was a meta-analysis. The articles were obtained from data­bases PubMed and Scopus using keywords "Anxiety" OR "anxiety disorder" AND "COVID-19 Patients" OR "Patients with COVID-19" OR "Hospitalized" AND "Risk factors" OR "deter­mi­­nants" OR "Gender" OR "Factors associa­ted". The articles included in this study were full-text with a cross-sectional design, dis­cuss-ed the association between gender and anxiety among COVID-19 patients, published in Eng­lish, studies located in Asia. The final results were pre­sented in Adjust Odds Ratio (aOR) or Standar­dized Mean Difference (SMD). Data analysis was performed using Revman 5.3 software, with generic inverse variance data type for categorical outcome group (CtOG) articles and continuous data type for continue outcome group (CnOG).Results: 9 articles were analyzed, including 4 articles CtOG and 5 articles CnOG. The  forest plot of both categorical and continue outcomes showed consistent result that among COVID-19 patients  who hospitalized with mild to severe symptoms. Female patients significantly had higher anxiety event (aOR= 2.19; 95% CI= 1.60 to 2.99; p<0.001; I2= 0% and SMD= 0.35; 95% CI= 0.21 to 0.49; p<0.001; I2= 12%).Conclusion: Among COVID-19 patients, the female gender has a significantly higher risk of suffering from anxiety than the male gender.Keywords: anxiety, COVID-19Correspondence: Zuraida Zulkarnain. Research and Develop­ment Center of Traditional Medicinal and Me­dicinal Plants, Karanganyar, Central Java. Mobile: 081393933862. e-mail: zuraida.zu@­gmail.com.Journal of Health Policy and Management (2021), 06(02): 94-106https://doi.org/10.26911/thejhpm.2021.06.02.02 
Effectiveness of Resources to Provide Health Care of National Health Insurance Participants Satisfaction: Meta-Analysis Mumpuni Intan Pertiwi; Muslihatin Khuril; Okky Nurlita Sari; Prajna Pramitha Purba; Raras Indung Palupi; Reza Ramadhana Tahta Firmansyah; Ruth Apriyanti; Samara Rahma Dania; Ulya Khoirunnisa&#039; Atin; Winei Handriani
Journal of Health Policy and Management Vol. 6 No. 2 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Indonesia is one of the coun­tries in the world that has a commitment to Universal Health Coverage in 2019. Indo­ne­sia has made various efforts to realize this commitment, one of which is through Natio­nal health insurance. The presence of the National Administrative Body is new hope for the Indonesian people for the quality of health services that will be provided. The quality of service can be perceived as good and satisfies the patient if the service received is appropriate or exceeds what is expected. So it is necessary to apply a solution in training or training related to existing resources.Subjects and Method: This study is a syste­matic review and meta-analysis. The articles used in this study were obtained from Pub­med and Scopus. The articles used in this research are articles published from 2016-2021. The article search was carried out by considering the eligibility criteria defined using the PICO model. P: JKN participants, I: adequate resources, C: insufficient resources, O: patient satisfaction. The articles included in this study are articles full text with a study design Cross-sectional. Articles were ana­lyzed using the application Review Manager 5.3.Results: Funnel plot of comparisons showed a publication bias, as evidenced by the unbalanced number of plots on the left and right sides. The distance between the plots was far. Forest plot of national health insu­rance (JKN) patients with sufficient resour­ces has 5.56 to experience patient satisfaction compared to patients with insufficient resources.Conclusion: Publication bias in funnel plots is evidenced by the unbalanced number of left and right-sided plots. Whereas in the forest plot, JKN patients with adequate resources had a higher score, namely 5.56, to experience patient satisfaction than patients with inadequate resources. As a result, there are many complaints about the dissatisfac­tion of JKN participants with inadequate resources, so it is necessary to apply a solu­tion in the form of training or training related to existing resources.Keywords: Resources, Patient Satisfaction, JKN, CrossectionalCorrespondence: Mumpuni Intan Pertiwi.Health Polytechnic Ministry of Health Yogyakarta. Jl. Tata Bumi No 3, DIY 55293, Central Java. Email: mumpuni.ip@gmail.com. Mobile: 085325638182Journal of Health Policy and Management (2021), 06(02): 154-159https://doi.org/10.26911/thejhpm.2021.06.02.08
Determinants of Health Care Renunciation among Women in Ivory Coast: Case of the District of Abobo Anonkoi-3 Jérôme Kouame; Julie-Ghislaine Sackou-Kouakou; Marie-Laure Tiade; Régine Attia-Konan; Madikiny Coulibaly; Aïssata Dagnogo; Kouame Koffi; Mariette Gokpeya; Simone Malik; Angèle Desquith; Agbaya Oga; Kouakou Luc; Kouadio Kouadio
Journal of Health Policy and Management Vol. 6 No. 2 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Health care renunciation aims to identify unmet care needs that a health con­dition would have justified. This behavior appears to be more common in women than in men. The objective of this work was to analyze the determinants of the health care renuncia­tion among women in the city of Abidjan.Subjects and Method: We carried out a cross-sectional study from March to May 2019 in Anonkoi-3, a peri-urban district of the muni­cipality of Abobo, in the north of the city of Abidjan. Questionnaires served to collect infor­mations. Bivariate analyzes and a multiple logistic regression were used to measure the association between the different types of renunciation and the characteristics of women. Dependant variable was healthcare renuncia­tion. Independent variables were socio-demo­graphic, economic, health status characte­ristics and reasons for renouncing to health care.Results: The population sample consisted of 423 women (with mean age= 32; SD= 12 years). The renunciation on consultations with the general practitioner concerned, 72.34% of women. Regarding consultation with the spe­cialist, the ophthalmologist (25.05%), the dentist (21.99%), and the gynecologist (14.89%) were those mostly renounced by the women. After consultation, 31.2% of them renounced to pursuing other treatment. They most often renounced to buying drugs from conventional medicine (19.62%) and preferred to use street drugs and traditional drugs (87.71%). All things being equal, women aged 28 to 38 (OR= 2.45; 95% CI= 1.31 to 4.68; p= 0.013), artisans and traders (OR= 3.22; 95% CI= 1.48 to 7.38; p= 0.004) and those in trade learning (OR= 2.42; 95% CI= 1.12 to 5.49; p= 0.028) significantly renouncing more on health care.Conclusion: In addition to financial reasons, the renunciation on health care can be explained by individual and social behaviors specific to individuals.Keywords: women, healthcare renunciation, precariousness, social inequalities, ivory coastCorrespondence: Jérôme Kouame, Faculty of Pharmaceutical and Biological Sciences, Department of Public Health, Hydrology and Toxicology, University Félix Houphouët Boigny, BPV 34 Abidjan 01, Ivory Coast. Email: jerome.kouamejj­@­gmail.­com. Mobile: 0022565237900.Journal of Health Policy and Management (2021), 06(02): 116-129https://doi.org/10.26911/thejhpm.2021.06.02.04
The Effect of Hand Puppet Game and Cold Compress on the Reduction of Pain and Anxiety Levels in Preschool Age Children Undergoing Infusion in the Pediatric Care Room at Sumbawa Hospital Yasinta Aloysia Daro; Alfia Safitri; Evie Sulahyuningsih
Journal of Health Policy and Management Vol. 6 No. 2 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: The infusion procedure was the most traumatic experience and can cause anxiety and pain for more than 50% of pediatric patients during hospitalization. This study was to determine the effect of hand puppet game and cold compress on pain and anxiety of pre­school age children undergoing infusion.Subjects and Method: This study used a quasi-experimental research design with the type of non-equivalent control group posttest-only design. It was conducted in the Pediatric Care Room at Sumbawa Hospital in July-Sep­tember 2020. The total number of respondents who were hospitalized in the Pediatric Care Room at Sumbawa Hospital selected by con­se­cutive sampling. They were divided into two, 38 people in each intervention and control group. The intervention group was given cold com­press on the infusion area and the hand puppet game, while the control group was given treat­ment according to hospital standards. The dependent variables of the study were pain level and anxiety level, while the independent variables included hand puppet game and ice pack (cold compress). In addition, the instru­ments used were pain and anxiety instruments. Data analysis was performed using the Mann-Whitney test.Results: Based on the results of the Mann-Whitney test, there was a change of pain levels (p<0.001) and anxiety levels (p<0.001) after receiving hand puppet game and cold compress during infusion compared to children with normal treatment.Conclusion: Hand puppet game and cold compress administration can be applied to reduce pain and anxiety levels in preschool age children during the infusion procedure.Keywords: children, distraction, anxiety, pain, infusionCorrespondence: Alfia Safitri. Faculty of Health, Universitas Samawa, Jl. Lintas Sumbawa Bima Km 03 Sumbawa Besar. Email: fiasafitri90@­gmail.­com. Mobile: 082341612302.Journal of Health Policy and Management (2021), 06(02): 148-153https://doi.org/10.26911/thejhpm.2021.06.02.07
Meta-Analysis of the Effect of Policy Lockdown on Anxiety in Adults Isna Nur Rohmah; Fauzia Ichlasul Sekar; Galang Aji Samudera; Hakim Anasulfalah; Hepti Widia Ningsih; Izdihar Azzah Paramastri; Masromi Hendria Wijayanto; Meike Arianty; Muhammad Dudayev Caesar Putra; Muhammad Fajar Husein
Journal of Health Policy and Management Vol. 6 No. 2 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Background: On March 11, 2020, the World Health Organization (WHO) has declared an outbreak of a new coronavirus (COVID-19) as a global pandemic. In responding to the threat of the COVID-19 virus pandemic, policymakers have implemented a policy lockdown that can cause psychological distress, one of which is anxiety. This study aims to examine the effect of the policy lockdown on anxiety in adults using a meta-analysis.Subjects and Method: Meta-analysis was performed by searching for articles from the database, namely PubMed, Google Scholar, Sci­ence Direct, Scopus, and Crossref. The key­words used are "Anxiety" AND "Adult" AND "COVID-19" OR "SARS-CoV-2" AND "Lock­down" OR "Movement Restriction" OR "qua­ran­tine" OR "shutdown". The inclusion criteria in this study were full-text articles with a cross-sectional design, in English, published in the period 2019-2021. Analysis of the article using RevMan 5.3.Results: Four articles were analyzed. The results of the meta-analysis showed that anxiety in adults with the implementation of the policy lockdown was 1.94 times more at risk than those who did not implement the policy lockdown, but it was not significant in incre­asing anxiety in adults (aOR= 1.94; 95% CI= 0.79 to 4.74; p= 0.150).Conclusion: Anxiety in adults with the imple­mentation of the policy is lockdown more at risk than those who have not implemented the policy lockdown, but it is not significant in increasing anxiety in adults. Keywords: Anxiety, lockdown, covid-19 Correspondence: Isna Nur Rohmah. Health Polytechnic, Minis­try of Health, Semarang. Jl. Tirto Agung, Peda­langan, Banyumanik, Semarang City, Central Java 50268. Email: isnanr28@gmail.com. Mobile: +6281327215685Journal of Health Policy and Management (2021), 06(02): 139-147https://doi.org/10.26911/thejhpm.2021.06.02.06 
Gender Differences in Mental Health Responses of Health Workers During the Covid-19 Pandemic: A Systematic Review with Meta-Analysis Riyesti Hero Fresna; Shinta Nur Atikah; Muna Maimunah Salsabila; Pringga Widya Pusparini; Ratih Hermas Purnasari; Riski Anisa; Feny Oktaviyani; Ruliany Yuni Nurul Hakim; Muhammad Husein Syawaludin; Syndia Puspitasari
Journal of Health Policy and Management Vol. 6 No. 2 (2021)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: The Covid-19 pandemic caused great stress, especially for health workers which resulted in moderate or severe symptoms of depression, anxiety, insomnia, and more serious stress. Gender is very influential, given the differences in biological and social roles between men and women. Gender differences between men and women allow for variations in strategies in responding to mental health to increase awareness and self-management, so as to avoid mental health problems during the Covid-19 pandemic.Subjects and Method: Meta-analysis was performed by searching articles from Google Scholar, PubMed, Scopus, Springer Link, and health-related databases. The keywords used in the article search were "health workers" AND "covid-19" AND "mental health". The inclusion of the criteria in this study is a full-text article, from 2019-2021, with a study design cross-sectional. The article analysis was carried out using RevMan 5.3. Results: There were 5 articles analyzed, the results showed no significant difference between gender and mental health responses among health workers during the Covid-19 pandemic (aOR= 1.12; 95% CI= 0.59-2.13; p=0.01).Conclusion: Not significant between primary studies regarding gender differences in mental health responses to health workers during the Covid-19 pandemic. Keywords: health workers, covid-19, mental healthCorrespondence: Riyesti Hero Fresna, Purwantoro Special Edu­cational School. Wonogiri Regency, Central Java 57695. E-mail: riyestiherofresna01@g­mail.com. Mobile +628­1227831443.Journal of Health Policy and Management (2021), 06(02): 130-138https://doi.org/10.26911/thejhpm.2021.06.02.05
Hospital Financial Strategy in Response to COVID-19: A Systematic Review Suci Kirana Yulius; Prastuti Soewondo; Brenda Carolinsia
Journal of Health Policy and Management Vol. 7 No. 1 (2022)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: The COVID-19 pandemic had resulted in an unprecedented strain on healthcare syste­ms. Hospitals are faced with the unexpected influx of patients, increasing need for protection equ­ip­ment and infection control procedures, increased workload and operational hours, and the depleting revenues due to closure of elective services. This study aims to further analyze the financial str­a­tegies used by hospitals to ensure its operations and to overcome financial challenges presented by the COVID-19 pandemic.Subjects and Method: A systematic review has been identified using four databases: MEDLINE (Pub­Med), Google Scholar, SCOPUS, and MedSci. This search in literature was published articles from January 2020 to June 2021 using PRISMA guidelines. The keywords used “COVID-19” OR “SAR­S-CoV-2” AND (ii) "hospital" OR "hospital cost" OR "cost" AND (iii) "strategy" OR "financial stra­tegy" OR "economic" OR "economic analysis".Results: 6 studies were included in our final analysis. We found that effective financial strategies to co­ver for reduced revenues and increasing cost of care include: (1) Ensuring incentives from external ag­e­ncies, including the government; (2) Creating new budgets or modifying existing budgets to cover for COVID-19-related cost of care; and (3) Use of contactless health system such as telehealth. Speci­fically for modifying existing budgets, studies have found that implementing proper health protocol and infection control measures is the most effective, as it has been reported to yield a return of invest­ments.Conclusion: Government funds and relief aids remain the most important source of financial suppo­rt for hospitals in caring for COVID-19 patients. Without sufficient financial support, hospitals have to get creative in adding additional service fees or finding innovative solutions such as telehealth to cover the dwindling revenues from their closed service units.Keywords: COVID-19, hospital cost, financial strategiesCorrespondence: Suci Kirana Yulius. Hospital Administration Studies Program, Faculty of Public Health, Universitas Indonesia. Universitas Indonesia Pondok Cina, Beji, Depok City, West Java. Mobile: 081273874947­­.­ E­mail: suci.kirana@ui.ac.id.Journal of Health Policy and Management (2002), 07(01): 81-93https://doi.org/10.26911/thejhpm.2022.07.01.08

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