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Purnawan Junadi
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Department of Health and Policy, Building F Floor 1, Faculty of Public Health Universitas Indonesia, Kampus Baru UI Depok 16424, Depok City, West Java Province, Indonesia
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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. 9, No. 2" : 5 Documents clear
Management Overview of the Lung Tuberculosis Control Program at the DKI Jakarta Provincial Health Office in 2023 Kiranti, Mutiara; Andriani, Helen
Journal of Indonesian Health Policy and Administration Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Tuberculosis is one of the infectious diseases that is fatal if not cured immediately. In 2022, the success rate of tuberculosis treatment in DKI Jakarta Province is 81%, while the national target is 90%. In the field, the number of cadres to carry out contact investigations is still insufficient, so that in 2022 the coverage of contact investigations in DKI Jakarta Province will only reach 25%, while the national target is 90%. To increase the scope of successful treatment, the government should try to overcome tuberculosis, which is needed. Proper program management is required to run effectively and efficiently for tuberculosis control efforts. Therefore, this study aims to determine the management picture of tuberculosis control programs at the DKI Jakarta Provincial Health Office. This qualitative research type uses in-depth interview methods, observation, and document review. Determination of informants using purposive sampling techniques. Data validation using source triangulation by and method triangulation. The results showed that in the management of the tuberculosis control program, there are problems, including limited cadres to conduct contact investigations, limited recording and reporting personnel at health facilities, there are still health facilities carrying out TB diagnoses not according to standards, not yet integrated SITB with SITK, and still limited services for MDR-TB (multidrug-resistant tuberculosis). Suggestions that can be given are optimizing the role of cadres to conduct contact investigations, providing recording and reporting personnel in addition to nurses and personnel on duty in TB services at health facilities, disseminating the latest information to health facilities through socialization, immediately integrating SITB with SITK and coordinating with private health service facilities to open MDR-TB services.
Policy Implementation Analysis of Antenatal Care Services at Puskesmas Negara Ratu and Puskesmas Cempaka Kabupaten Lampung Utara Syafriyanti, Willyana; Achadi, Anhari
Journal of Indonesian Health Policy and Administration Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

The Ministry of Health has issued Minister of Health Regulation Number 21 of 2021 to strengthen maternal health services, which regulates health services during pregnancy (antenatal). The Minister of Health's regulation states that antenatal care is carried out at least six times, 2 (two) of which are examinations with a doctor using an Ultra Sonography (USG) device. Community health centers as primary services are expected to be able to provide antenatal services according to standards. The North Lampung Health Service has distributed ultrasound equipment to community health centers in the North Lampung Regency to support the implementation of antenatal services. The research aims to determine the implementation of antenatal care policies at the Negara Ratu Health Center and Cempaka Health Center. This research is qualitative with a case study design; data was collected through in-depth interviews, observation, and document review. The research results show that implementing the antenatal care policy at the Community Health Center has been running according to the 10 T standard, including antenatal care with doctors using ultrasound equipment. However, integrated antenatal care with mental health programs, recording in the mother's KIA book, and reporting K6 coverage by the Community Health Center have not been implemented optimally. Human resources and facilities still need to be improved. Even though most pregnant women support and participate in antenatal care, obstacles, and challenges are still found in encouraging the participation of pregnant women. Efforts are needed to optimize the implementation of antenatal care policies and increase resources and community support to support the implementation of antenatal care policies at Community Health Centers.
Balancing Community and Individual Health Efforts by Utilizing Sub-Primary Health Care at Regions: Analysis for Policy Budi, Rocky Setya; Adisasmito, Wiku Bakti Bawono; Bachtiar, Adang; Rosanti, Elvi
Journal of Indonesian Health Policy and Administration Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Public Health Centers (PHCs) are responsible for organizing public health efforts and individual health efforts. PHCs also serve as FKTP, UPTD, sub-district supervisors, and implementers of policies and programs from the Ministry of Health. The workload of PHCs is increasing because people visit PHCs primarily for treatment, rather than seeking preventive measures to stay healthy. The PHCs have Sub-PHCs to lighten the workload of the PHCs, but there is no policy regulating Sub-PHCs to be used as FKTP. This research aims to analyze the policy of Balancing Community and Individual Health Efforts by utilizing Sub-PHCs such as FKTP. The research uses qualitative methods with a policy analysis process design, using primary data from in-depth interviews and FGDs with 14 informants and secondary data by reviewing documents. The research results indicate that PHCs have a heavy workload, and are more focused on medical services, and access to FKTP for communities in remote areas remains challenging. Sub-PHCs deserve to be used as FKTP on par with Pratama Clinics to increase community access to FKTP, particularly in areas with difficult geographical access, and to help lighten the workload of PHCs. It is recommended that the Ministry of Health conduct a policy analysis to support PHCs becoming FKTP, in line with the Minister of Health Regulation Number 43 of 2019, to change the role of the auxiliary health centers (Sub-PHCs) into FKTP.
Policy Content Analysis in Minister of Health Regulation Number 15 of 2016 about Hajj Health Istithaah Idris, Salman Mauluddin; Nurwahyuni, Atik
Journal of Indonesian Health Policy and Administration Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Indonesia has the world's largest Muslim population and sends the most pilgrims to Saudi Arabia. The Hajj Health Istithaah Policy in Minister of Health Regulation Number 15 of 2016 is the government's effort to carry out health screening for pilgrims before leaving so that they can perform the Hajj in a healthy and independent condition. This research was conducted using a qualitative approach by collecting data through in-depth interviews and document reviews. In this study, Walt and Gilson's Policy Triangle Model was used as a reference for reviewing the Hajj health istithaah policy, especially in the content section of the document and its implementation. The aspects reviewed are the harmonization and relevance of policy content and implementing regulations for the Hajj pilgrimage. Monitoring and evaluation are carried out to monitor the progress and development of policies. Revisions and simplifications of the substance of the policy based on the results of discussions and suggestions from stakeholders are used as input to make improvements to the content of the Hajj health istithaah policy. The conclusion of the review results shows that the policy has been implemented correctly from the center to the regions; research recommendations need revision and simplification of the substance of the Hajj Health Istithaah Policy, as well as other efforts so that pilgrims can achieve health istithaah conditions before leaving to perform the pilgrimage in Saudi Arabia.
Island Health Crisis: Bridging Gaps in Indonesia's Healthcare Deserts Mangoma, Joyce; Sulistiadi, Wahyu
Journal of Indonesian Health Policy and Administration Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

This narrative literature review examines critical healthcare challenges in Indonesia's island communities, focusing on workforce shortages, inadequate health infrastructure, and the profound impact of geographical and socioeconomic factors. Drawing from eight studies published between January 2000 and December 2023, the discussion highlights both the strengths and weaknesses of existing research. The studies were selected based on their relevance to healthcare issues in island communities, rigorous methodological approaches, and significant insights into healthcare challenges and solutions. This time frame was chosen to encompass a comprehensive evolution of healthcare challenges and responses, particularly considering the effects of the COVID-19 pandemic. Grounded in the Diffusion of Innovations and Health Belief Model frameworks, the study proposes evidence-based strategies to enhance healthcare accessibility and quality in these underserved regions. The Health Belief Model is employed to understand health behaviors within island communities, addressing perceived susceptibility, severity, benefits, and barriers. Strategies include increasing awareness of health risks, highlighting the benefits of telemedicine and improved infrastructure, and reducing access barriers through incentives and infrastructural enhancements. In contrast to, The Diffusion of Innovations Theory guides the dissemination of new healthcare practices and technologies. Emphasizing innovation attributes such as relative advantage, simplicity, trialability, and observability, and utilizing effective communication channels and local social systems. The study aims to promote the adoption of telemedicine and other innovations. By engaging community leaders and health workers, and considering the time needed for adoption, the proposed recommendations aim to accelerate the diffusion process, ultimately improving healthcare accessibility and outcomes in Indonesia's island communities.

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