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Purnawan Junadi
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INDONESIA
Journal of Indonesian Health Policy and Administration
Published by Universitas Indonesia
ISSN : 24601330     EISSN : 24773832     DOI : https://doi.org/10.7454/ihpa
Core Subject : Health, Science,
Decision Sciences, Operations Research & Management Health Professions Medicine & Pharmacology Public Health
Journal of Indonesian Health Policy and Administration is a journal that presents scientific articles mainly in the field of health policy, programs, and administration. This journal is intended to disseminate research from students, lecturers, or researchers in general who are concerned about improving health efforts through program evaluation and preparing policy recommendations. The articles or manuscripts contained in the Journal of Indonesian Health Policy and Administration include the realm of research, case studies, or conceptual, and limited to literature review. It is an online open-access, blindly peer-reviewed journal that is published every 4 (four) months or 3 (three) times a year, usually in January, May, and September. This journal is published by the Department of Health Administration and Policy, Faculty of Public Health, University Indonesia . Journal of Indonesian Health Policy and Administration is also supported by the Indonesian Public Health Association / Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI).
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 5 Documents
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Search results for , issue "vol. 11, no. 1" : 5 Documents clear
Harmonization and Ambiguity in Regulations for Physicians with Family Medicine Competence Post-Law No. 17 of 2023 Katon, Danar Wahyu Giwang; Ayuningtyas, Dumilah; Junadi, Purnawan; Sulistiadi, Wahyu; Pattiselanno, Roberth J.; Fitria, Fitria; Alfiani, Ika Fitri
Journal of Indonesian Health Policy and Administration Vol. 11, No. 1
Publisher : UI Scholars Hub

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Abstract

Strengthening primary care services in Indonesia requires that community health centers, namely Pusat Kesehatan Masyarakat (Puskesmas), involve medical personnel with family medicine competence. However, the fulfillment of physicians with this competence, especially Primary Care Family Medicine Specialists or Spesialis Kedokteran Keluarga Layanan Primer (Sp.KKLP), still face significant obstacles. This qualitative research uses the integrated Easton's System Model and Buse's Policy Framework to analyze the dynamics of this policy. The findings reveal a gap between the strong legal foundation and weak implementation mechanisms on the ground. First, there is ambiguity in terminology and lack of harmonization among regulations, especially concerning the Sp.KKLP nomenclature, which creates confusion in terms of legal status and professional recognition. Second, an implementation gap (policy–practice gap) exists because the central government has not yet issued technical derivative regulations (technical guidelines, compensation mechanisms). Furthermore, the decentralization of authority and limited regional budgets impede the equitable placement of the Sp.KKLP. The success of the policy relies heavily on the synergy among the Ministry of Health, Health Council, Family Medicine Collegium, educational institutions such as Program Pendidikan Dokter Spesialis (PPDS) and Recognition of Prior Learning (RPL), and professional organizations such as Pengurus Besar Ikatan Dokter Indonesia (PB IDI). Recommendations include the development of technical implementation regulations, clarification of the Sp.KKLP definition, and establishment of inclusive pathways for competence enhancement such as PPDS and RPL.
Private Sector Healthcare Investment in Indonesia: Leveraging Australia-Indonesia Partnerships for Health System Transformation Neuhaus, Susan Josephine
Journal of Indonesian Health Policy and Administration Vol. 11, No. 1
Publisher : UI Scholars Hub

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Abstract

Australia and Indonesia are strategic partners with expanding bilateral trade valued at AUD 26.7 billion (2022-23). Health care partnerships between the two countries offer significant opportunities for private sector engagement. Indonesia’s large population, rapidly growing middle class, and implementation of Universal Health Coverage (UHC) through the Jaminan Kesehatan Nasional (JKN) present partnership opportunities to strengthen health system capacity, address infrastructure gaps and workforce shortages, and contribute to shared economic and prosperity goals. This study explores how Australian private healthcare investment can complement government initiatives in supporting Indonesia’s UHC while advancing Australia’s regional engagement. A descriptive qualitative analysis was conducted using Indonesian and Australian government documents, Indonesia–Australia Comprehensive Economic Partnership Agreement (IA-CEPA), Katalis Program materials, peer-reviewed literatures from Google Scholar and PubMed, industry reports (EY, Oliver Wyman, and the World Bank), and publications from international organizations (WHO, ASEAN, and OECD). The study focused on four domains: hospital infrastructure, workforce development, aged care, and digital health innovation. The study identified key investment opportunities in hospital infrastructure, workforce development, aged care, supply chain resilience, and digital health innovation. Public–private partnerships (PPP), such as Aspen Medical’s “green hospital” in Depok and Icon Group’s Bali investment, demonstrate viable case studies. The IA-CEPA provides a framework for investment, workforce mobility, and technology transfer. Strategic Australian engagement offers viable pathways to strengthen Indonesia’s health infrastructure, ease pressure on public systems and the JKN deficit burden, and advance regional health equity through coordinated, capacity-building partnerships.
Analysis of Coverage of Tuberculosis Prevention Therapy (TPT): Literature Review Rahmalina, Septia; Darmawan, Ede Surya
Journal of Indonesian Health Policy and Administration Vol. 11, No. 1
Publisher : UI Scholars Hub

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Abstract

Tuberculosis Preventive Therapy (TPT) is a crucial intervention for tuberculosis (TB) control, particularly among high-risk groups such as household contacts of TB patients and people living with Human Immunodeficiency Virus (HIV). Despite being recommended by the World Health Organization (WHO), TPT implementation still faces challenges at the primary care level. This study employed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method to review 11 articles published between 2021 and 2025 that were relevant to TPT implementation in various high-TB burden countries, including Indonesia. The main barriers identified were input (logistics, training), process (tracing, education, monitoring), and output (low TPT initiation and completion coverage). A community-based approach, integrated policy support, and the use of short regimens have been shown to increase program success. These findings underscore the need to strengthen input systems, community education, and harmonize national and regional policies to support optimal TPT implementation in primary care.
The Relationship Between Accessibility Factors and Post-Inpatient Control Visits Among Non-JKN Participants at Hospital X Candaika, Putri; Ningsih, Desy Kartika; Hartono, Risky Kusuma
Journal of Indonesian Health Policy and Administration Vol. 11, No. 1
Publisher : UI Scholars Hub

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Abstract

The rate of post-inpatient control visits remains relatively low due to various factors, including accessibility. At Hospital X, 220 of non-Jaminan Kesehatan Nasional (JKN) participants scheduled for post-inpatient control visits between January and March 2025, 71.82% attended, and 28.18% did not. Patients who did not attend control visits were twice as likely to be readmitted. This study aimed to determine the relationship between accessibility and post-inpatient control visits for non-JKN participants at Hospital X. This quantitative study employed an analytical cross-sectional design, with a population of 220 patients and a sample of 142 patients selected using probability sampling. Bivariate and multivariate analyses were performed using the chi-square test and binary logistic regression analysis. The results showed a significant relationship between distance to the hospital (p = 0.000), availability of transportation (p = 0.000), and the condition of service infrastructure (p = 0.000) with post-inpatient control visits among non-JKN participants at Hospital X. The results also showed that the factor with the highest probability of increasing post-inpatient control visits was walking as a mode of transportation, which increased the likelihood by 11.759 times. In conclusion, distance accessibility, transportation availability, and the condition of service infrastructure were significantly associated with post-inpatient control visits among non-JKN participants at Hospital X. The hospital should consider providing telemedicine services for patients who live at a considerable distance. In addition, the hospital could provide free pick-up and drop-off services within a certain radius.
Prophylactic Antibiotic Analysis in Obs-Gyn, Orthopedics, Gastrointestinal Surgery at a South Tangerang Hospital, January-March 2024 Nurjaman, Evelina Endang; Andriani, Helen
Journal of Indonesian Health Policy and Administration Vol. 11, No. 1
Publisher : UI Scholars Hub

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Abstract

Inappropriate use of prophylactic antibiotics (PAs) remains a primary driver of antimicrobial resistance (AMR); however, global adherence to established prescribing guidelines remains suboptimal. This study aimed to analyze the compliance and rationality of PA prescription and to evaluate the underlying causes of physician non-adherence in obstetrics, orthopedic, and gastrointestinal surgeries at a hospital in South Tangerang City, Indonesia. Adopting a mixed-methods approach, this investigation combined a quantitative assessment of 208 surgical patient records (January–March 2024) with qualitative exploratory interviews conducted with three specialist peer group heads. This design allowed the triangulation of prescribing data with underlying clinical perspectives. PA rationality was assessed based on four criteria: indication, agent type, timing, and duration. Univariate analysis was used to examine the relationship between physician characteristics and compliance. The qualitative findings were analyzed using the Capability, Opportunity, Motivation – Behavior (COM-B) behavioral model. Overall compliance with all four PA criteria was poor, at only 9% (18 of 208 surgeries). Low adherence was particularly noted in agent selection (33%) and administration timing (42%). Orthopedic surgery showed the lowest compliance in terms of indication and duration. Univariate analysis indicated that only surgical procedure type significantly influenced compliance (p = 0.039). Qualitative analysis revealed that non-adherence was primarily driven by the fear of surgical site infection (SSI) and the belief that broad-spectrum agents are more effective. Notably, despite poor compliance, no incidence of SSI (0%) was reported during the 30–90-day post-procedure follow-up. Consistently poor compliance highlights significant gaps in procedural implementation and physician motivation regarding reasonable PA use. Targeted interventions focusing on standardized procedures, evidence-based education, and systemic monitoring are essential to improve prescription practices and mitigate the risk of AMR development.

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