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Journal of Health Policy Analysis
Published by Lembaga Edukasi Ilmiah Indonesia
ISSN : -     EISSN : 31247679     DOI : https://doi.org/10.61099/jakespol
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
JAKESPOL: Journal of Health Policy Analysis is a peer-reviewed scientific journal that publishes original research articles, policy analyses, and systematic reviews focusing on health policy and health systems. The journal prioritizes manuscripts that provide rigorous analysis of health policies, governance, financing, and system performance, particularly those addressing population health outcomes, equity, and access in low- and middle-income country contexts. JAKESPOL welcomes studies employing quantitative, qualitative, and mixed-methods approaches that demonstrate strong methodological rigor, ethical compliance, and clear relevance to policy formulation, implementation, and evaluation. The scope of the journal includes, but is not limited to, the following areas: Health policy analysis, formulation, and evaluation Health systems governance, leadership, and institutional arrangements Health financing, insurance systems, and economic evaluation Policy impact on population health outcomes and health equity Implementation research and policy translation in health systems Public health law, regulation, and policy frameworks Comparative health policy and global health governance Digital health policy, health information systems, and data governance Workforce policy and human resources for health Community and stakeholder engagement in policy development Policy responses to communicable and non-communicable diseases Monitoring and evaluation of health policies and programs Manuscripts that focus solely on program implementation without a clear analytical, theoretical, or policy-oriented contribution are outside the scope of the journal.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 5 Documents
 1 
Search results for , issue "Vol. 1 No. 2 (2026): April" : 5 Documents clear
Analysis of nursing workforce policy impacts on healthcare quality and equity using a prospective cohort study design Suprapto, Suprapto
Journal of Health Policy Analysis Vol. 1 No. 2 (2026): April
Publisher : Lembaga Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jakespol.v1i2.382

Abstract

Introduction: Nursing workforce policies are critical determinants of healthcare system performance, particularly in improving care quality and reducing inequities. However, longitudinal evidence assessing their causal impact remains limited. This study aimed to analyze the effects of nursing workforce policy implementation on healthcare quality and equity outcomes using a prospective cohort design. Methods: A prospective cohort study was conducted across public and private healthcare facilities in South Sulawesi, Indonesia (2025). A multistage stratified sampling approach yielded 862 participants. Policy exposure was categorized into low, moderate, and high levels based on staffing regulations, skill mix, and workload management. Data were collected at baseline and follow-up intervals using validated instruments and administrative records. Multilevel regression models were applied, including logistic regression for patient safety events, linear regression for continuous outcomes, and risk ratio estimation for equity indicators. Results were reported as OR/β/RR with 95% confidence intervals (CI) and p-values. Results: High policy exposure significantly reduced patient safety events (OR = 0.62; 95% CI: 0.45–0.85; p = 0.003). Length of stay decreased (β = −1.75; 95% CI: −2.80 to −0.70; p = 0.001), while patient satisfaction increased (β = 3.42; 95% CI: 1.90–4.94; p < 0.001). Equity outcomes improved significantly (RR = 1.28; 95% CI: 1.10–1.49; p = 0.002). These findings remained robust after adjusting for individual and facility-level confounders. Conclusion: Nursing workforce policy implementation significantly enhances healthcare quality and promotes equity. Strengthening staffing regulations, optimizing skill mix, and ensuring consistent policy enforcement are essential strategies to improve health system performance. Integrating workforce policies with governance and financing mechanisms is crucial for achieving sustainable and equitable healthcare outcomes.
Influence of health system governance and leadership on service performance using an analytical cross sectional study design A Syamsinar Asmi
Journal of Health Policy Analysis Vol. 1 No. 2 (2026): April
Publisher : Lembaga Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jakespol.v1i2.386

Abstract

Introduction: Variability in health service performance persists despite structural investments, suggesting that governance and leadership are critical determinants. This study aimed to analyze the influence of health system governance and leadership on service performance within healthcare facilities. Methods: An analytical cross-sectional study was conducted among 210 health personnel selected using stratified random sampling. Data were collected using validated structured questionnaires measuring governance (accountability, transparency, participation, regulatory compliance) and leadership (transformational and transactional behaviors). Reliability was confirmed (Cronbach’s α ≥ 0.70). Descriptive statistics, bivariate tests (Chi-square), and multivariate logistic regression were applied to estimate adjusted associations. Statistical significance was set at α = 0.05. Results: Strong governance was significantly associated with good service performance (OR = 2.87; 95% CI: 1.58–5.21; p = 0.001). Effective leadership showed a stronger effect (OR = 3.45; 95% CI: 1.89–6.31; p < 0.001). Work experience ≥5 years was not statistically significant after adjustment (OR = 1.76; 95% CI: 0.98–3.15; p = 0.058). Facilities characterized by both strong governance and effective leadership demonstrated the highest likelihood of achieving optimal performance outcomes. Conclusion: Governance and leadership jointly determine service performance, with leadership exerting the greatest influence. Strengthening leadership capacity alongside reinforcing governance mechanisms is essential for improving healthcare delivery. Policy interventions should prioritize integrated strategies that align institutional frameworks with managerial effectiveness to achieve sustainable performance gains.
Effectiveness of Progressive Muscle Relaxation as an Effort to Reduce Anxiety in Asthma Patients in Emergency Departments: Implications for Health Policy and Nursing Practice Maria Kurni Menga; Lenny Gannika
Journal of Health Policy Analysis Vol. 1 No. 2 (2026): April
Publisher : Lembaga Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jakespol.v1i2.388

Abstract

Introduction: Anxiety is a common and clinically significant comorbidity among asthma patients in emergency departments (EDs), potentially worsening respiratory symptoms and complicating management. Non-pharmacological interventions such as Progressive Muscle Relaxation (PMR) remain underutilized in acute care. This study aimed to evaluate the effectiveness of PMR in reducing anxiety among asthma patients in ED settings. Methods: A quasi-experimental pretest–posttest control group design was employed. The study included 70 adult asthma patients (35 intervention, 35 control) recruited using purposive sampling in an ED setting over three months. The intervention group received a structured 15-minute PMR session in addition to standard care, while the control group received standard care only. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI). Data were analyzed using paired and independent t-tests, followed by multivariate linear regression to control for potential confounders. Results: The intervention group demonstrated a significantly greater reduction in anxiety scores compared to the control group (mean difference: -14.2 vs -4.4; p < 0.001). Multivariate analysis confirmed that PMR was an independent predictor of anxiety reduction (β = -9.85; 95% CI: -12.40 to -7.30; p < 0.001), after adjusting for age, sex, and asthma severity. Asthma severity was also significantly associated with anxiety levels (β = 1.75; 95% CI: 0.30 to 3.20; p = 0.018). Conclusion: PMR is an effective, low-cost, and feasible intervention for reducing anxiety among asthma patients in ED settings. Integrating PMR into emergency nursing protocols may enhance patient-centered care and improve clinical outcomes. Policymakers should consider incorporating non-pharmacological interventions into acute care guidelines to support holistic and sustainable health service delivery.
Integration of Community Strategies and Community Nurse Interventions in Health Crisis Handling Health Sociology Approach Baso Witman Adiaksa; Muhammad Ilyas
Journal of Health Policy Analysis Vol. 1 No. 2 (2026): April
Publisher : Lembaga Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jakespol.v1i2.390

Abstract

Introduction: Health crises require adaptive, socially grounded responses that integrate formal health systems with community capacity. In Makassar, Indonesia, disparities in access, social heterogeneity, and varying levels of health literacy intensify vulnerability during crises. This study aimed to develop and examine an integrative model combining community strategies and community nurse interventions using a health sociology approach, with social solidarity as a moderating variable to enhance community health resilience. Methods: A mixed-methods, sequential, explanatory design was used. The quantitative phase involved a cross-sectional survey of 80 respondents selected through stratified random sampling. Data were analyzed using Pearson correlation and multiple linear regression. The qualitative phase included in-depth interviews and focus group discussions with 20 key informants (community nurses, community leaders, and health officials), analyzed using thematic analysis. Results: Community strategies (β = 0.41; p < 0.001) and community nurse interventions (β = 0.45; p < 0.001) significantly influenced health resilience. Social solidarity moderated the relationship between community strategies and resilience (p < 0.05). The integrative model demonstrated strong predictive power (R² = 0.62). Qualitative findings identified four key themes: locally grounded community strategies, nurses as educators and facilitators, structural and cultural barriers, and integration as a determinant of effectiveness. Conclusion: The integration of community-based strategies and community nursing interventions significantly enhances health resilience by strengthening social solidarity, improving service access, and enabling context-based adaptation. This model provides both theoretical contributions to community health nursing and practical implications for community-based health policy in crisis settings.
Health Policy and Analytical Cross-Sectional Study of Tuberculosis Determinants Knowledge Nutrition Housing Density Factors Community Nurnia Saraun; La Ode Asrianto; Teti Susliyanti; Sarifudin Andi Latif
Journal of Health Policy Analysis Vol. 1 No. 2 (2026): April
Publisher : Lembaga Edukasi Ilmiah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61099/jakespol.v1i2.391

Abstract

Introduction: Tuberculosis (TB) remains a major public health concern globally and in Indonesia, with increasing incidence reported in recent years. Multiple determinants, including individual knowledge, nutritional status, and housing density, contribute to TB transmission dynamics. In the context of health policy and community-based prevention, understanding these determinants is essential to inform targeted interventions. This study aimed to analyze the association between knowledge, nutritional status, and housing density with pulmonary tuberculosis incidence in the working area of UPTD Puskesmas Lapandewa, South Buton Regency. Methods: This study employed an analytical observational design with a cross-sectional approach. The population consisted of 132 suspected TB patients registered in 2025, with a sample of 99 respondents selected using simple random sampling. Data were collected through structured questionnaires and anthropometric measurements. Variables included knowledge, housing density, nutritional status, and TB incidence. Data were analyzed using chi-square tests to assess associations, with a significance level of 0.05. Effect sizes were estimated using Odds Ratios (OR) with 95% Confidence Intervals (CI). Results: Low knowledge was significantly associated with TB incidence (OR=3.12; 95% CI: 1.45–6.72; p=0.003). High housing density was also significantly related to TB occurrence (OR=2.87; 95% CI: 1.36–6.05; p=0.005). Respondents with poor nutritional status had a higher risk of TB (OR=3.45; 95% CI: 1.68–7.10; p=0.001). These results indicate that behavioral and environmental determinants play a critical role in TB transmission. Conclusion: Knowledge, housing density, and nutritional status are significant determinants of pulmonary tuberculosis incidence. Strengthening health policies that focus on community education, housing improvements, and nutritional interventions is essential to reducing the TB burden. Integrated public health strategies are recommended to enhance early detection and prevention efforts.

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