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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 132 Documents
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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.
Analysis of Non-Prescription Drug Services Via Telemedicine Using the Lean Six Sigma Method: Case Study in a Company Clinic Nurmadani, Labbaika; Basabih, Masyitoh
Journal of Indonesian Health Policy and Administration Vol. 9, No. 3
Publisher : UI Scholars Hub

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Abstract

The non-compounded prescription drug service via telemedicine became an alternative solution to continue providing pharmaceutical services while simultaneously controlling physical contact in hospitals during the COVID-19 pandemic. However, after its implementation, hospitals still need to improve the effectiveness of this telemedicine service. This study aims to propose improvements to enhance the effectiveness and efficiency of non-compounded drug services via telemedicine using the Lean Six Sigma method. This method is used to identify and eliminate all waste in the business process (service) to make efficient use of time and other resources. The study uses both quantitative and qualitative approaches, with data collection through observation, document review, and in-depth interviews. The quantitative approach was used to calculate service times, while the qualitative approach was employed to explore and examine the implementation of telemedicine for non-compounded drug services. The interview results revealed at least three main problems that cause significant delays in drug service processes, namely: drug requests not being processed through the system, incomplete patient data, and delays in doctors' confirmations regarding medication changes. Observations showed that the average service time for non-compounded drug prescriptions via telemedicine is 1 hour, 37 minutes, and 11 seconds, with value add activities taking 32 minutes and 39 seconds (33.6%) and non-value-added activities taking 1 hour, 4 minutes, and 32 seconds (66.4%). The identified waste includes overprocessing, waiting, motion, and defects, leading to proposed improvements such as work standardization, flowchart refinement, 5S, and Kaizen.
Evaluation of the Water Ambulance Service Program at the Health Crisis and Emergency Center Province Health Office of DKI Jakarta in 2023 Eka, Shella Cahya; Sari, Kurnia
Journal of Indonesian Health Policy and Administration Vol. 9, No. 3
Publisher : UI Scholars Hub

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Abstract

The high demand for ambulance services at the 119 Public Safety Center of the DKI Jakarta Health Office, including in the Administrative District of the Kepulauan Seribu, highlights the importance of providing water ambulances. This study aims to analyze the implementation of the Water Ambulance Service by the DKI Jakarta Health Office using the Context, Input, Process, Product (CIPP) program evaluation approach. Using a qualitative approach, primary and secondary data were collected through observations, in-depth interviews, and document review. The findings show that implementing the Water Ambulance Service aligns with the context, objectives, and targets of the DKI Jakarta Health Office's vision, mission, and strategic plan. However, several input aspects of the Water Ambulance still need to be improved in terms of quantity, competence (for human resources), and quality, which somewhat hinder the Water Ambulance services. Additionally, the service still needs to run smoothly due to the non-integration of the program system with the system that provides health personnel, particularly nurses and midwives. It is hoped that the DKI Jakarta Government will review and issue policies regarding the optimization of health service facilities, especially in Kepulauan Seribu region, regulations for an integrated system for land and water ambulances, and the establishment of service rates for water ambulances in the Administrative District of Kepulauan Seribu.
Analysis Protecting The Health Workers from the Transmission of Tuberculosis at Teaching Hospital: A Review of Policy and Practice Alfiyyah, Arifah; Modjo, Robiana; Bachtiar, Adang
Journal of Indonesian Health Policy and Administration Vol. 9, No. 3
Publisher : UI Scholars Hub

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Abstract

The Tuberculosis (TB) remains a significant threat, especially to healthcare workers exposed by the infected patients in hospitals. Hospital staff with latent TB are at risk of developing active TB. To mitigate this risk, enhancing hospitals through infection prevention and control (IPC) measures is essential. This study aimed to identify policies and practices related to TB prevention, particularly in a teaching hospital where healthcare workers, including medical students, need protection. The research was conducted at a teaching hospital in Depok, West Java, from January to February 2024. The research took place at a teaching hospital in Depok, West Java, from January to February 2024. A qualitative method was used, including in-depth interviews with hospital committee members, nurses, and administrative staff to gather insights, along with policy analysis regarding TB. In the Indonesian hospital TB health services, the regulation of occupational health regarding TB protection for hospital workers state from constitution law, presidential regulation, ministry of health and ministry of Manpower. However, the findings revealed that there are no policies specifically addressing TB to protect the workers in the hospital. Challenges such as financing TB screenings and raising healthcare workers' awareness of TB were highlighted as crucial factors. The study emphasizes the importance of improving risk management strategies and IPC to safeguard healthcare workers, recommending specific regulations for hospitals with national policy. These results highlight the urgent need for specific TB prevention policies, particularly from the government, to ensure implementation across all hospitals.
Optimizing the Use of Online Systems in Health Care Facilities Aprilano, Wendy Damar; Nadjib, Mardiati
Journal of Indonesian Health Policy and Administration Vol. 9, No. 3
Publisher : UI Scholars Hub

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Abstract

The use of web-based information technology or online services can accelerate service delivery. Digitalisation of online health services is one of the growing issues, along with the increasing need for access to health services globally. However, there are things that must be considered in implementing an online health service system so the utilisation can be optimal. This study examines the factors that can support the optimisation of online service systems in health facilities so that innovation can continue to grow and provide benefits in the future. The authors conducted a literature review, with PRISMA guidelines according to the PEO (Population, Exposure, Outcome) method with a population focus on health facilities that use online health registration and service systems, both applications and web, and the success factors of using existing online systems when applied to users. A total of 607 articles were searched, and after selection, 22 articles fulfilled the inclusion criteria and research objectives. Analysis of each article illustrated that optimising online systems in healthcare should be fully integrated into clinical workflows and add value to patient care while offering easier processes and facilitating communication between healthcare services. User and provider engagement is also important in the development of online healthcare systems. It also needs to be supported by various parties, from the government to the healthcare provider level. Ultimately, optimising online systems in healthcare is very useful in effectively cutting down service delivery time to improve the quality of healthcare and health status in the future.
Implementation of Sugar-Sweetened Beverages Excise Policy and Its Implications in Various Countries: Literature Review Khotami, Roissiana; Yulianty, Vetty; Oktarina, Ratih
Journal of Indonesian Health Policy and Administration Vol. 9, No. 3
Publisher : UI Scholars Hub

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Abstract

The prevalence of diabetes in the world is projected to continue to increase to 643 million in 2030. Indonesia is ranked 7th with the highest number of diabetes mellitus sufferers and the only one in Southeast Asia with a total of 10.7 million sufferers. Consumption of sweetened drinks is the most dominant factor in the incidence of diabetes mellitus in Indonesia. Indonesia ranks third highest in Southeast Asia in sweetened drink consumption. Excise on sweetened drinks is an effective intervention to reduce consumption of sweetened drinks, but Indonesia has not yet implemented it. This research aims to determine the implementation of excise tax policies on sweetened drinks and their implications in various countries. The study used a literature review using PubMed, ScienceDirect, Springer Link, and Scopus online databases and was based on PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). Fifteen articles were analyzed in this study. The study was conducted in Chile, Mexico, Berkeley, San Francisco, Portugal, Germany, Ireland, the UK, South Africa, Zambia, Thailand, and Saudi Arabia while the articles were published in 2013-2021. The conclusion is excise tariffs are carried out with a specific system and ad valorem. The excise policy on sweetened drinks can lead to reduced consumption, energy intake, and the prevalence of non-communicable diseases so that it can reduce healthcare costs. From an economic standpoint, it impacts increasing state revenues, does not affect job losses, and creates industrial resistance.
Analysis of COVID-19 Prevention and Control Policy Implementation in Islamic Boarding Schools in DKI Jakarta Wibowo, Dickha Adi; Ariyanti, Fajar
Journal of Indonesian Health Policy and Administration Vol. 10, No. 1
Publisher : UI Scholars Hub

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Abstract

Indonesia, as one of the countries affected by COVID-19, has implemented various efforts to prevent the transmission of COVID-19. One effort that can be implemented is implementing the COVID-19 prevention protocol. Apart from that, according to the COVID-19 Handling Task Force, Islamic boarding schools are locations with high mobility. This research aimed to determine the implementation of policies related to the prevention and control of COVID-19 in Islamic boarding schools in the DKI Jakarta province. This research used descriptive research with a qualitative approach with the number of respondents being 3 Islamic boarding school leaders and Islamic boarding school students. The results showed the standards and policy have been implemented but need improvement, especially regarding knowledge related to Covid-19 prevention and control policies in Islamic boarding schools; Resources were implemented properly in accordance with the regulations of the Decree of the Minister of Health of the Republic of Indonesia Number Hk.01.07/Menkes/2322/2020; Communication between resources has been carried out well, but the form of communication carried out by each Islamic boarding school is different regarding policy implementation; The attitudes of policy implementers have differences in implementing COVID-19 prevention and control policies, especially on the points of procedures for carrying out worship; The implementation of the COVID-19 has been carried out well. The recommendation was Islamic boarding schools can further improve the implementation of Health protocols to prevent the pandemic in the future.
Contextualizing Policy Adoption: A Case Study of Tuberculosis Control Policy in Depok City Ayuningtyas, Tri Auri Putri; Bachtiar, Adang
Journal of Indonesian Health Policy and Administration Vol. 10, No. 1
Publisher : UI Scholars Hub

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Abstract

This study analyzes the formulation and implementation process of Depok Mayor Regulation No. 61 of 2023 on Tuberculosis (TB) Control using Friedman's legal system theory (1975) and the eight General Principles of Good Governance (AUPB). The regulation provides a comprehensive framework, encompassing promotive, preventive, curative, and rehabilitative aspects to support TB control. The legal structure includes the establishment of a cross-sectoral Tuberculosis Control Acceleration Team, involving government agencies and community organizations. Findings reveal that while the regulation has fulfilled several AUPB principles, such as legal certainty, utility, and public interest, there are areas requiring improvement. These include strengthening collaboration culture, clearly defining responsibilities among stakeholders, and enhancing transparency. Furthermore, the analysis highlights the need for ongoing evaluation and adjustments to address challenges in implementing the policy effectively. This study concludes that while Depok Mayor Regulation No. 61 of 2023 provides a robust foundation for TB control, its implementation demands further refinements to ensure alignment with good governance principles and the sustainable achievement of tuberculosis elimination goals.
The Readiness for Integrated Primary Health Care (ILP) at Puskesmas Pamulang in Tangerang Selatan City Rachmaningsih, Firda Safitri; Sari, Kurnia
Journal of Indonesian Health Policy and Administration Vol. 10, No. 1
Publisher : UI Scholars Hub

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Abstract

Integrated primary healthcare (ILP) is part of the transformation of primary healthcare aimed at improving access to quality healthcare. This study aims to analyze the readiness of puskesmas and their networks to implement ILP. This research used a qualitative approach, focusing on a case study of a puskesmas in an urban setting, specifically in the operational area of Puskesmas Pamulang in South Tangerang. Data collection methods include in-depth interviews, observations, and document reviews. This research adopts the conceptual framework of PHC monitoring based on WHO and Weiner's theory of organizational change readiness. The research findings indicate that ILP readiness at puskesmas is not fully prepared for cluster-based services, networking approaches, and digitalization strengthening. Resource availability, including human resources, infrastructure, and facilities, is inadequate, particularly at the puskesmas network level. Readiness for digital technology is constrained and the lack of funding hampers ILP preparation. Individual commitment, demonstrated through understanding information and positive assessments of ILP, and organizational commitment evidenced by governance support and allocated funding, are factors facilitating ILP implementation. The study recommends prompt funding allocation for ILP preparation, resource fulfilment at puskesmas and posyandu, and the need for cooperation and commitment from all stakeholders in ILP implementation.

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