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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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The Effect of Compensation Policy and Work Discipline on Nurse Productivity at dr. H. Marzoeki Mahdi Mental Hospital Bogor in 2023 Febrianti, Icha Tiara Devi; Andriani, Helen
Journal of Indonesian Health Policy and Administration Vol. 9, No. 1
Publisher : UI Scholars Hub

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Abstract

Health worker productivity problems due to suboptimal institutional management still often occur, including at the dr. H. Marzoeki Mahdi Mental Hospital (RSJMM). Nurses are the most significant number of health workers in hospitals with a high level of patient intervention; inappropriate treatment risks decreasing work productivity. This research aims to analyze the effect of financial compensation, non-financial compensation, and work discipline on nurse productivity at RSJMM. The research study used a quantitative approach by distributing questionnaires to 205 nurses. The results showed partially (1) financial compensation has no significant effect on nurse productivity (Sig. value 0.953 > 0.05, β=0.002); (2) Non-financial compensation has a positive and significant effect on nurse productivity (Sig. value 0.016 < 0.05, β=0.073); (3) Work discipline has a positive and significant effect on nurse productivity (Sig. value 0.000 < 0.05, β=0.293). The work discipline variable (0.293) most dominantly affects nurse productivity. Simultaneously, the three variables have a moderate effect on nurse productivity of 0.576 or 57.6%, while other variables influenced other variables influenced the remaining 42.4%. These results have limitations that are based on respondent's perceptions. It is suggested that hospitals need to optimize nurse productivity by improving hospital facilities, training, educational opportunities, transparency and fairness of compensation systems, recognition and feedback for employee performance, and compliance with work discipline.
Analysis of Needs and Service Capacity of BPJS at First-Level Healthcare Facilities in Bandung District Rahmah, Rizki Amalia; Basri, Mursyid Hasan
Journal of Indonesian Health Policy and Administration Vol. 9, No. 1
Publisher : UI Scholars Hub

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Abstract

The community's need for BPJS services at Primary Health Facilities (FKTP) can be well met if adequate service capacity is available. This research aims to analyze the gap between the needs and capacity of BPJS services in FKTPs in Bandung District. This quantitative study uses secondary data owned by Dinas Kesehatan Provinsi Jawa Barat and BPJS Kesehatan Kantor Cabang Soreang. The calculation of needs uses the number of BPJS participants registered in each FKTP, and the calculation of service capacity is based on the duration of service and the number of general practitioners in the FKTP. Out of the 187 FKTPs analyzed, 125 FKTPs are experiencing overcapacity, 58 FKTPs are under capacity, and 4 FKTPs are optimal. FKTPs with optimal conditions have an average ratio of doctors to BPJS participants of 1:6250. The gap between needs and capacity will impact the quality of service and the financial health of these FKTPs. This issue needs to be addressed by redistributing the number of BPJS participants registered in FKTPs so that the primary healthcare needs of the community in Bandung District can be met.
Relationship of Remuneration Policy to the Performance of Specialist Doctors in the Kramat Jati Regional General Hospital in 2022 Suranta, Roy Michael; Gani, Ascobat; Bachtiar, Adang
Journal of Indonesian Health Policy and Administration Vol. 9, No. 1
Publisher : UI Scholars Hub

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Abstract

The number and types of hospitals in Jakarta are constantly increasing, causing competition for customers or patients. Hospitals owned by the DKI Jakarta provincial government face challenges in providing specialist doctor services with the best performance for the community, this is closely related to the rewards offered to specialist doctors. One of the regional government's efforts to improve the performance of specialist doctors is by issuing regulations on remuneration for hospitals. This research aims to determine the relationship between remuneration policy and the performance of specialist doctors at Kramat Jati Regional Hospital. The research was conducted using a case study method with a qualitative approach. The research was conducted on 11 specialist doctors using questionnaires and in-depth interviews with informants. The results of the study found that the implementation of the remuneration policy at Kramat Jati Regional Hospital increased the average income of specialist doctors by 42.9% of the income of specialist doctors before the implementation of remuneration. This study also found that the implementation of remuneration policies at Kramat Jati Regional Hospital was related to the quantity performance of specialist doctors.
The Influence of The Green Hospital Implementation Policy on The Energy Saving Behavior of XYZ Hospital Employees Using The Theory of Planned Behavior Approach Asmawati, Dika; Adisasmito, Wiku Bakti Bawono; Basabih, Masyitoh
Journal of Indonesian Health Policy and Administration Vol. 9, No. 1
Publisher : UI Scholars Hub

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Abstract

This research uses the Theory of Planned Behavior as the theoretical framework to analyze the relationship between the implementation of green hospital policy and energy-saving behaviors of employees in the hospital environment. The study's sample consists of 150 permanent employees, and the statistical data are analyzed using the Structural Equation ModelingPartial Least Square (SEM-PLS) technique. The analysis results indicate that implementing the green hospital policy influences the supportive factors of behavior: attitudes, subjective norms, and perceived behavioral control. However, the tests also reveal that subjective norms do not positively correlate with the energy-saving behaviors of employees at the hospital. The mediation analysis shows that attitudes and perceived behavioral control mediate between the green hospital policy and the intention to save energy. In contrast, subjective norms do not significantly mediate the relationship. As organizations strive for sustainability, these insights offer valuable guidance for refining policies and interventions that promote energy conservation among management and hospital staff.
Design of Computerized Patient Registration Application System at Tanjung Pati Health Center Oktamianiza, Oktamianiza; Ilahi, Vitratul; Putri, Kalasta Ayunda; Yulia, Yulfa; Rahmadhani, Rahmadhani
Journal of Indonesian Health Policy and Administration Vol. 9, No. 1
Publisher : UI Scholars Hub

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Abstract

One of the shortcomings of manual patient registration systems is the procedures that affect the efficiency of service care to patients. Therefore, researchers are interested in designing a computerized patient registration application using Microsoft Access software. The type of research used is Research and Development (R&D). This research was conducted at Tanjung Pati Community Health Center, with in-depth interviews with two registration officers. The research results show that the data elements needed to design the patient registration application system, sourced from the Patient Registration Book, will be developed by creating an application system using UML modeling. The application system undergoes Black Box Testing with the result that all components run well. The application system is efficient, with an average comparison of manual patient registration time to system patient registration of 420:180 seconds for new patients and 360:33 seconds for existing patients. The application system is efficient according to the results of interviews with informants. Therefore, the design of the computerized patient registration application system using Microsoft Access meets the needs of the community health center and is efficient in terms of patient registration time. It is recommended that the patient registration application be used continuously in the medical records unit at Tanjung Pati Community Health Center.
Sensitive Intervention Policy Recommendations to Reduce Stunting Rates Based on Spatial Analysis of Sanitary Factors in DKI Jakarta Province 2021 Irawati, Septiria; Hermawati, Ema
Journal of Indonesian Health Policy and Administration Vol. 8, No. 3
Publisher : UI Scholars Hub

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Abstract

The purpose of this study was to describe the prevalence of stunting in children under five and the percentage of proper sanitation, as well as recommendations for priority areas for stunting control interventions in the Province of the Special Capital Region of Jakarta in 2021. This study used a descriptive approach to present an overview of the percentage of sanitation and prevalence of stunting in children under five by sub-district in 38 districts in DKI Jakarta. Data is displayed as a map to show distribution areas based on high, medium, and low categories. An overlay was made between the distribution map of the percentage of sanitation and the prevalence of stunting to determine the areas with the highest risk. Analysis was carried out on the area's characteristics obtained from the spatial mapping results to determine the recommended intervention program policies. Based on the results of the overlay on the distribution of stunting prevalence and sanitation percentage maps, the recommended areas for priority intervention are Tambora, Sawah Besar, Johar Baru, Senen, Menteng, Jatinegara, Tebet, and Mampang Prapatan sub-districts. The recommended program to be carried out is sensitive interventions consisting of improving sanitation facilities and increasing knowledge and perceptions about sanitation. Improving sanitation facilities means increasing access to gooseneck latrines with septic tanks and access to clean water. Increasing knowledge and perception of the importance of sanitation to prevent stunting is carried out intensively and routinely through community activities and optimizing the role of community leaders.
Analysis of Implementation of Maternity Planning and Prevention of Complication (P4K) Program with Stickers in Purwakarta Regency 2017 Safitri, Yunita Restu; Pujiyanto, Pujiyanto
Journal of Indonesian Health Policy and Administration Vol. 6, No. 1
Publisher : UI Scholars Hub

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Abstract

. Pregnant women are one of the risk groups that should be considered to receive particular attention. Maternal mortality is caused by direct and indirect causes, which generally can be identified in early pregnancy. The Ministry of Health has launched various programs to reduce maternal mortality. At the community level, since 2007, there has been a birth planning and prevention of complications (P4K) program as a screening tool for pregnant women at risk by using stickers. The main point of this program is the active participation of families and communities to care for pregnant women in their environment. Purwakarta Regency, a region with uncomplicated geographical conditions, is supported by Health Human Resources (SDMKes) and Health facilities to do various programs in reducing the number of maternal deaths; one of them is P4K with stickers. In 2017, there were still 21 maternal deaths that should have been identified and referred to the hospital if the program was running well. The study aims to analyze the implementation of the P4K Sticker at the District Level. This research is qualitative research with in-depth interviewing techniques involving 12 informants and related documents, according to the theory of Van Meter and Van Horn policy implementation based on 6 (six) variables. This study found that the standard and policy objectives have not been fully achieved. There is still insufficient funding to support the program optimally. In terms of communication, there still a different understanding between the Health Office and Primary Healthcare Center. Despite there are still constraints on the number of human resources, the program's attitude is supportive. Economic and political situations are good, but social conditions are not supportive. The conclusion is that the program's implementation still has constraints in each variable. Existing program barriers can be overcome by optimizing inter-organizational communication, in this case, the District Health Office with Primary Healthcare Center, to have a common understanding regarding the implementation of Sticker P4K.
Analysis of Implementation Standards of Sharia Minimum Services in the Hospital: Case Study at Sari Asih Sangiang Hospital 2018 Mardiyati, Fitri Yuli; Ayuningtyas, Dumilah
Journal of Indonesian Health Policy and Administration Vol. 6, No. 1
Publisher : UI Scholars Hub

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Abstract

The development of sharia-based hospitals in Indonesia began with the Indonesian Islamic Health Effort Assembly (MUKISI) in collaboration with the National Sharia Council of the Indonesian Ulema Council (DSN-MUI) with the issuance of fatwa No. 107 / DSN-MUI / X / 2016 concerning Guidelines for Implementing Hospitals Based on Sharia Principles. One of them is Sari Asih Sangiang Hospital (RSSA) in the city of Tangerang, which has received sharia certification since 2018. Sharia hospitals guideline regulates Sharia Minimal Service Standards (SPM). The SPM contains regulations of reciting basmalah before procedures, hijab for patients and breastfeeding mother, mandatory training for patient's fiqh, Islamic education, gender-based ECG usage, using of hijab in the operating room, and scheduling elective surgery which not constrained by prayer times. This study uses a qualitative approach through report document review on the implementation of sharia quality indicators. The indicator format is determined by checklist, survey, medical record document; daily, monthly, and annual census recapitulation; secondary data from previous research, related literature, and in-depth interviews with correspondent criteria who responsible for implementing Sharia Quality at Sari Asih Sangiang Hospital. The results show that Sari Asih Sangiang Hospital has implemented Sharia SPM optimally, whose implementation refers to the standards and guidelines for the implementation of sharia hospitals issued by the DSN-MUI but is still constrained with the data recording problem. We suggest to put forward the need for coaching and training in Human Resources, and data recording should be done more regularly in order to maximize achievement targets.
Current Community-based Mental Health Promotion Strategies Among children and Adolescents: A Literature Review of Evidence and Feasibility in Indonesia Sutrimo, Ade; Kusumawardani, Lita Heni
Journal of Indonesian Health Policy and Administration Vol. 6, No. 1
Publisher : UI Scholars Hub

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Abstract

Mental disorders impact people's quality of life globally. A quarter of the world's population consists of children and adolescents who are significantly experiencing mental disorders since the age of 14. Community-based mental health strategies are aimed to overcome the challenges of mental health. The purpose of this review was to explore the evidence of children and adolescents' mental health promotion strategies to be potentially implemented in Indonesia. A literature review design was utilized using PRISMA on 20 journals through Science Direct, Proquest, SAGE, Scopus, EBSCO, and Taylor and Francis, in the last five years, within keywords of community-based, children and adolescents, mental health promotion, strategy. Data were analyzed in a table containing the title, author, year, methodology, results, and recommendations. Several strategies can be implemented to improve mental health in children and adolescents, such as peer group approaches, parental support, and religious education. Community-based mental health promotion strategies can optimize the effective implementation. Rigorous studies on policy evaluation, readiness, pilot studies on the implementation, and other approaches are needed for the more technical implementation of community-based mental health promotion strategies.
Policy Implementation Performance Related to the Procurement of PRB Drugs in the Subdistrict Primary Healthcare Center Pharmacy and PRB Pharmacy in Central Jakarta Quarter I, II, and III of 2019 Nardia, Sari Ulfa; Sjaaf, Amal Chalik
Journal of Indonesian Health Policy and Administration Vol. 6, No. 1
Publisher : UI Scholars Hub

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Abstract

Back-Referral Program (PRB) is one way to improve the quality of the health services for BPJS participants in conducting quality control and cost control. The unavailability of pharmacies and drugs for PRB causes the PRB program not to run optimally, thus increasing the catastrophic disease sufferers and absorbing big claims in JKN. This study is qualitative research with a descriptive approach using the method of in-depth interviews and document review. The research informants' criteria were: the elements of the leadership and policy management officers in the DKI Jakarta Provincial Health Office, Central Jakarta Health Office, Central Jakarta BPJS Health Center, Central Jakarta District Health Center, and Central Jakarta PRB Pharmacy. The results showed that the implementation performance was not optimal, which was influenced by policy standards and objectives, resources, communication between organizations, the implementers' attitude, the implementing organization's characteristics, and the economic, social, and politics. Coordination, commitment, and evaluation of activities from the Ministry of Health, BPJS Health, Government Service Goods Procurement Policy Institute, and DKI Jakarta Provincial Health Office are needed in terms of the availability of this PRB drug

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