Journal of Health Policy Analysis
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.
Articles
15 Documents
<![CDATA[Policy analysis of national health financing implementation on access and equity of healthcare services in rural communities ]]>
<![CDATA[Suprapto Suprapto]]>
<![CDATA[ Journal of Health Policy Analysis Vol. 1 No. 3 (2026): Volume 1 Number 3 July 2026 ]]>
Publisher : <![CDATA[Lembaga Edukasi Ilmiah Indonesia ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.61099/jakespol.v1i3.402
<![CDATA[Introduction: Healthcare inequities remain common in rural communities despite national health financing programs designed to achieve universal health coverage. Geographic barriers, limited healthcare services, and administrative challenges continue to affect healthcare accessibility. Methods: A quantitative cross-sectional study was conducted in rural districts of Eastern Indonesia from January to April 2026 involving 348 respondents selected through multistage cluster sampling. Data were analyzed using chi-square tests and multivariate logistic regression with adjusted odds ratios (AOR) and 95% confidence intervals (CI). Results: More than half of respondents (56.9%) experienced healthcare access difficulties despite active insurance enrollment. Limited healthcare service availability was the strongest predictor of healthcare barriers (AOR = 3.46; 95% CI: 2.01–5.95; p < 0.001). Geographic distance, low income, transportation problems, and administrative complexity were also significantly associated with healthcare inequities. Conclusion: National health financing policies have improved financial coverage but remain insufficient to eliminate rural healthcare disparities. Strengthening healthcare infrastructure, transportation systems, and governance mechanisms is necessary to improve equitable healthcare access.]]>
<![CDATA[Strengthening health system governance through collaborative leadership to improve primary healthcare effectiveness ]]>
<![CDATA[Luluk Widarti]]>
<![CDATA[ Journal of Health Policy Analysis Vol. 1 No. 3 (2026): Volume 1 Number 3 July 2026 ]]>
Publisher : <![CDATA[Lembaga Edukasi Ilmiah Indonesia ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.61099/jakespol.v1i3.403
<![CDATA[Introduction: Collaborative leadership has become increasingly important in strengthening health system governance and improving primary healthcare effectiveness. This study aimed to analyze the influence of collaborative leadership on governance quality and primary healthcare effectiveness within decentralized healthcare settings. Methods: A quantitative cross-sectional analytical study was conducted among 320 healthcare professionals from selected primary healthcare centers in Eastern Indonesia between January and April 2026. Participants were selected using multistage cluster sampling. Data were collected using structured questionnaires and analyzed using Structural Equation Modeling (SEM) with a significance level of α = 0.05. Results: Collaborative leadership significantly influenced governance quality (β = 0.64; 95% CI: 0.52–0.73; p < 0.001) and primary healthcare effectiveness (β = 0.41; 95% CI: 0.28–0.55; p < 0.001). Governance quality also significantly improved healthcare effectiveness (β = 0.48; 95% CI: 0.37–0.60; p < 0.001). Conclusion: Collaborative leadership strengthens governance quality and supports more responsive, accountable, and effective primary healthcare services. Strengthening participatory governance strategies may improve healthcare system sustainability and service integration]]>
<![CDATA[Evaluation of health insurance policy impact on maternal and child health outcomes in coastal areas ]]>
<![CDATA[Saman Saman]]>
<![CDATA[ Journal of Health Policy Analysis Vol. 1 No. 3 (2026): Volume 1 Number 3 July 2026 ]]>
Publisher : <![CDATA[Lembaga Edukasi Ilmiah Indonesia ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.61099/jakespol.v1i3.404
<![CDATA[Introduction: Maternal and child healthcare inequities remain a major challenge in coastal communities despite the implementation of national health insurance programs. This study aimed to evaluate the impact of health insurance policy implementation on maternal and child health outcomes in coastal areas. Methods: A quantitative cross-sectional analytical study was conducted in several coastal districts in Eastern Indonesia between January and April 2026. A total of 348 mothers with children under five years old were selected using multistage cluster sampling. Data were collected through structured questionnaires and analyzed using descriptive statistics, chi-square tests, and multivariate logistic regression with a significance level of α = 0.05. Results: Active health insurance participation was significantly associated with improved maternal and child healthcare access. Multivariate analysis showed that distance to healthcare facilities was the strongest predictor of limited healthcare access (AOR = 3.46; 95% CI: 2.01–5.95; p < 0.001). Non-insured respondents were more likely to experience healthcare access barriers (AOR = 2.84; 95% CI: 1.63–4.95; p < 0.001). Transportation limitations (AOR = 2.17; 95% CI: 1.28–3.69; p = 0.004) and low household income (AOR = 1.88; 95% CI: 1.09–3.23; p = 0.021) also significantly influenced healthcare accessibility. Conclusion: Health insurance policies improved healthcare utilization; however, structural barriers continued to limit equitable maternal and child healthcare access in coastal communities. Strengthening geographically responsive healthcare systems is necessary to optimize universal health coverage implementation.]]>
<![CDATA[Policy translation and implementation research of community-based stunting prevention programs at the village level ]]>
<![CDATA[Indrawati Aris Tyarini]]>;
<![CDATA[Darmi Arda]]>
<![CDATA[ Journal of Health Policy Analysis Vol. 1 No. 3 (2026): Volume 1 Number 3 July 2026 ]]>
Publisher : <![CDATA[Lembaga Edukasi Ilmiah Indonesia ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.61099/jakespol.v1i3.406
<![CDATA[Introduction: Community-based stunting prevention remains a major challenge in decentralized health governance systems due to variations in policy translation and implementation at the village level. This study aimed to analyze factors influencing the implementation effectiveness of community-based stunting prevention programs. Methods: A quantitative cross-sectional analytical study was conducted in selected rural villages in Eastern Indonesia between January and April 2026. A total of 130 respondents were selected using proportional stratified random sampling. Data were collected through structured questionnaires and analyzed using descriptive statistics, chi-square tests, and multivariate logistic regression with a significance level of α = 0.05. Results: Strong institutional coordination was the most dominant factor associated with effective implementation of stunting prevention programs (AOR = 3.76; 95% CI: 1.72–8.19; p < 0.001). Good policy communication (AOR = 2.84; 95% CI: 1.31–6.15; p = 0.008), high community participation (AOR = 2.57; 95% CI: 1.18–5.60; p = 0.017), adequate implementer capacity (AOR = 2.21; 95% CI: 1.03–4.76; p = 0.041), and sufficient resource availability (AOR = 2.69; 95% CI: 1.22–5.95; p = 0.014) also significantly improved implementation effectiveness. Conclusion: Effective stunting prevention requires adaptive governance systems emphasizing multisectoral coordination, community participation, and context-sensitive policy implementation at the village level.]]>
<![CDATA[Analysis of health insurance policy effectiveness and household health expenditure on healthcare equity ]]>
<![CDATA[Romliyadi Romliyadi]]>
<![CDATA[ Journal of Health Policy Analysis Vol. 1 No. 3 (2026): Volume 1 Number 3 July 2026 ]]>
Publisher : <![CDATA[Lembaga Edukasi Ilmiah Indonesia ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.61099/jakespol.v1i3.409
<![CDATA[Introduction: Healthcare inequity remains a major challenge despite the expansion of national health insurance programs in developing countries. This study aimed to analyze the effectiveness of health insurance policies and examine the influence of household healthcare expenditure on healthcare equity. Methods: A quantitative cross-sectional analytical study was conducted in South Sumatra, Indonesia, between January and April 2026. A total of 84 respondents were selected using multistage cluster sampling. Data were collected through structured questionnaires and analyzed using descriptive statistics, chi-square tests, and multivariate logistic regression with a significance level of α = 0.05. Results: Low health insurance policy effectiveness significantly increased the likelihood of poor healthcare equity (AOR = 3.56; 95% CI: 1.34–9.47; p = 0.011). High household healthcare expenditure was also associated with inequitable healthcare access (AOR = 3.24; 95% CI: 1.20–8.73; p = 0.019). Rural residence and low household income independently contributed to healthcare disparities. Conclusion: Healthcare equity is strongly influenced by policy implementation quality and household financial burden. Strengthening financial protection, improving healthcare accessibility, and enhancing health system responsiveness are essential to reduce healthcare inequities.]]>
