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INDONESIA
Jurnal Administrasi Kesehatan Indonesia
Published by Universitas Airlangga
ISSN : 23033592     EISSN : 25409301     DOI : -
Core Subject : Health,
Health Professions
Jurnal Administrasi Kesehatan Indonesia (JAKI) is a scientific journal that contains editorials, research articles, and literature reviews related to the scope of the management, organization and leadership in health institutions. This journal is supported by practitioners and scientists from various institutions which involve expertises in health management and health organization. JAKI (p-ISSN 2303-3592, e-ISSN 2540-9301) has mission in developing knowledge in health administration through publication. Based on this mission, this journal aims at facilitating numerous experts in the field of Health Administration to share their ideas and scientific studies in order to improve the quality of healthcare services.
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Articles 16 Documents
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Search results for , issue "Vol. 12 No. 2 (2024): December" : 16 Documents clear
PERCEPTIONS AND THEIR CORRELATION WITH ENROLLMENT IN THE INDONESIAN NATIONAL HEALTH INSURANCE SCHEME Ainy, Asmaripa; Idris, Haerawati; Inaku, Hartati; Tembo, Tannia
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 2 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i2.2024.218-227

Abstract

Background: Health insurance serves as a key mechanism in facilitating wider and more equitable availability of healthcare services, ensuring that every individual can access the services they need. Aims: This research aims to examine the correlation between community perceptions and enrollment in the National Health Insurance (JKN) in the Musi Rawas Utara District, Indonesia. Methods: This research applied a cross-sectional study by collecting data from 384 respondents. Logistic regression analysis was used to assess the correlation between perceptions and JKN enrollment. Results: The results showed that 68.49% of respondents were not enrolled in the JKN. Factors associated with JKN enrollment include perceptions regarding JKN, income, and the history of illness. People with favorable perceptions have a 1.90 times higher chance to join the JKN membership. People with income ≥ provincial minimum wage (UMR) have an opportunity of 0.50 times higher than people with income < UMR to join the JKN membership. The history of illness is likely to enhance JKN enrollment by 7.86 times. Conclusion: In the Musi Rawas Utara District, the rate of enrollment in the JKN program remains low. Strategic policy reforms, accompanied by targeted advocacy and health education promotion, have the potential to significantly increase JKN enrollment and contribute to the realization and sustainability of universal health coverage (UHC) goals. Keywords: Perception, Enrollment, National Health Insurance 
A SCOPING REVIEW OF MHEALTH TECHNOLOGIES FOR PATIENTS UNDERGOING HAEMODIALYSIS Amalia, Sarah; Rochmawati, Erna
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 2 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i2.2024.325-337

Abstract

Background: The prevalence of patients requiring haemodialysis increases annually, highlighting the need for improved quality of care. Haemodialysis care involves several key aspects, including monitoring, education, and patient connectivity. The availability of mobile health (mHealth) technology enhances the effectiveness and efficiency of patient monitoring compared to conventional methods, ultimately improving patients’ quality of life. Aims: To map the development, types, and impact of mHealth technologies on patients undergoing haemodialysis. Methods: We conducted a scoping review following the Arksey and O’Malley methodological framework. We searched PubMed, Scopus, ScienceDirect, Google Scholar, CINAHL, and Sage Journals to identify relevant studies describing integrated mobile health applications for monitoring patients with CKD undergoing haemodialysis. Two independent reviewers screened and categorised findings based on predefined synthesis questions. Eleven studies representing various mHealth technologies were included. The PRISMA-ScR guidelines for scoping reviews were followed to ensure comprehensive reporting of results. Results: Out of 1,200 papers, 11 studies representing mHealth technologies were included. Most respondents were patients, though several articles also involved healthcare providers. We map our findings into three themes: the functionality of the applications, the types and features of mHealth technologies, and their impact. Conclusion: mHealth can be implemented as web-based or application-based platforms, offering innovative solutions for monitoring, education, and enhanced connectivity between patients and healthcare providers. Keywords: mHealth, haemodialysis, quality of life, monitoring, CKD
DETERMINE THE POLICY TARGET TO INCREASE INSTITUTIONAL DELIVERY AMONG INDONESIAN FEMALE WORKERS Syahri, Isyatun Mardhiyah; Laksono, Agung Dwi; Fitria, Maya; Rohmah, Nikmatur; Lolong, Dina Bisara; Alruwaili, Abdulah Saleh
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 2 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i2.2024.228-237

Abstract

Introduction: Indonesia continues to face a significant challenge in terms of maternal and infant mortality. The government is working to promote the use of health facilities for childbirth to mitigate maternal mortality. Aim: The study aims to determine the policy target to increase the rate of institutional delivery among female workers in Indonesia. Methods: The study analyzed secondary data from the 2023 Indonesian Health Survey. It conducted cross-sectional research on 30,173 female workers. In addition to institutional delivery as the dependent variable, we examined eight independent variables: residence, age, education, marital status, wealth, insurance, antenatal care (ANC), and parity. The analysis involved bivariate method followed by binary logistic regression in the last stage. Results: Approximately 70.6% of female workers had institutional delivery. Female workers in urban areas were 1.157 times more likely than rural workers to perform institutional delivery (95%CI 1.153-1.161). Three worker characteristics (age, education, and marital status) were related to institutional delivery. Wealthier workers had a greater the possibility of executing institutional delivery. Insured workers were more likely than the uninsured ones to deliver in health facilities. Female workers with adequate ANC were 1.210 times more likely than those with inadequate ANC to execute institutional delivery (95%CI 1.166-1.256). Additionally, women with fewer childbirths had a higher probability of performing an institutional delivery. Conclusion: The policy target to increase institutional delivery was women workers in rural areas who were older, had poor education, were divorced/widowed, were the poorest, had inadequate ANC, were uninsured, and were grand multiparous. Keywords: institutional delivery, institutional birth, maternal health, female worker, public health.
THE COST OF SMS REMINDER TO IMPROVE ARV ADHERENCE AMONG KEY POPULATIONS Juwita, Mery Nurma; Donny Hardiawan; Prawinegara, Rozar; Handayani, Miasari; Wisaksana, Rudi; Januraga, Pande Putu; Sulaiman, Nurjannah; Siregar, Adiatma
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 2 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i2.2024.238-249

Abstract

Background: HATI is an implementation trial aimed at improving HIV care and treatment, including through SMS reminders. Aims: This study aimed to estimate the cost and analyze the outcomes of providing SMS Reminders within the HATI program in different settings. Methods: Data were analyzed using a micro-costing approach from providers' and health systems' perspectives. Subjects were divided into intervention and control groups for outcome analysis, with adherence as the outcome indicator. Results: From a provider's perspective, the highest cost was incurred in primary health care (PHC) clinics, while the lowest was in hospital clinics, most likely due to a much higher volume of SMS sent from hospitals. Costs from the health system perspective were more than two times higher than those from the provider perspective, as they included costs borne by HATI management and intervention setup. In one year, the number of patients with >95% adherent visits was higher in the intervention group than the control group, although visits decreased over time in both groups. The highest number of patients with >95% adherent visits was found in PHC clinics, while the lowest was in hospital clinics. Conclusion: SMS reminders can be expensive initially due to setup and program costs. However, they become cheaper once they are embedded into the existing system. Further studies are necessary to determine better site options for scaling up SMS reminder intervention and to study the declining adherence rate in all clinics. Keywords: Adherence, cost analysis, HIV, Indonesia, SMS reminder
USER ACCEPTANCE OF MOBILE-JKN: INSIGHTS FROM THE TECHNOLOGY ACCEPTANCE MODEL Damanik, Ferina Septiani; Widayanti, Anna Wahyuni; Wiedyaningsih, Chairun
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 2 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i2.2024.206-217

Abstract

Background: Technological advancements in healthcare have driven BPJS Kesehatan Indonesia to develop the Mobile JKN application to enhance accessibility, efficiency, and quality of services. Despite its potential benefits, the implementation of this application faces various challenges, such as application errors, differing levels of digital literacy, and data security issues, necessitating an evaluation of its adoption and acceptance. Aims: To analyse the public acceptance of Mobile JKN based on the Technology Acceptance Model (TAM) variable while also exploring user experiences towards the application. Methods: A descriptive-analytical approach with a cross-sectional design. Data were collected through a questionnaire developed based on the TAM model, involving 406 respondents across Indonesia. Data analysis was performed using a regression linear test with SPSS after all basic assumptions were met. Results:  Perceived Ease of Use, Perceived Usefulness, and Attitude Toward Use individually and simultaneously impact Actual System Use (Sig. 0.000; R-Square 0.827). Respondents generally answered “Agree” to all TAM indicators, with mean scores of 4.20 for Perceived Usefulness, 4.16 for Perceived Ease of Use, 4.25 for Attitude Toward Use, and 4.33 for Actual System Use. Most users accessed the app through self-access (48%), frequently used features were membership information (28%), and encountered issues such as application errors (25%). Conclusion: The app was deemed relevant, accurate, easy to use, and beneficial. To enhance public acceptance, BPJS Kesehatan should focus on developing a user-friendly Mobile JKN app by incorporating key TAM factors, optimizing popular features, improving technical stability, and regularly addressing user feedback to ensure effective health administration and service delivery. Keywords: Adoption, Application, BPJS Kesehatan, Mobile JKN, TAM
BUILDING RESILIENT HEALTH SYSTEMS: THE CRITICAL ROLE OF PRIMARY HEALTH CARE AND NATIONAL HEALTH INSURANCE Ernawaty
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 2 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i2.2024.177-179

Abstract

This editorial article explores the critical role of primary health care (PHC) in building resilient health systems, particularly within the context of Indonesia's National Health Insurance (JKN) program. It emphasizes the importance of universal access to comprehensive health services as a fundamental aspect of effective PHC. The discussion highlights best practices for strengthening PHC, including enhancing collaboration between public and private sectors, improving information exchange, and establishing quality evaluation systems. The article also addresses significant challenges, such as workforce shortages and coordination issues between primary and secondary health services. Furthermore, it underscores the necessity of developing suitable assessment tools, such as the Primary Care Assessment Tool (PCAT), to evaluate and enhance PHC services tailored to local needs. The findings suggest that addressing poverty is essential for improving access to health care, requiring collaborative efforts across various societal sectors. Overall, the article advocates for sustained investment in PHC to achieve better health outcomes and resilience in health systems. Keywords: Health Insurance, Health System, Primary Health Care

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