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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.
Arjuna Subject : -
Articles 323 Documents
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A MULTI-LEVEL QUALITATIVE STUDY OF SENSITIVE-INTERVENTION STUNTING PROGRAM: FROM REGULATION TO IMPLEMENTATION ACTION Tri Bayu Purnama; Syafran Arrazy; Nurhayati; Yulia Khairina Ashar; Grace Wangge
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 14 No. 1 (2026): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v14i1.2026.25-34

Abstract

Background: Stunting-sensitive intervention programs remain a public health issue due to multi-sectoral factors. These factors might affect the delay in the stunting reduction program, while the program should be elaborated with non-nutrition programs. Aims: to evaluate a stunting-sensitive program, which mapped the challenges in implementing intervention from regulation to an action basis.  Methods: This study used a qualitative study to describe a sensitive nutrition program by collecting data with several methods, both aspect in regulation and the action aspects of the stunting-sensitive intervention program. This study interviewed participants at multiple levels, including the regulator (The District of Health), the implementer (the Public Health Centre), and the target community, in relation to regional regulatory innovations on stunting prevalence. Results: This study found that the community is familiar with activities related to specific package programs and has limited information regarding sensitive interventions. Lack of coordination and collaboration among participants was observed. Public health parameters had not changed after innovations in regional regulations were implemented. Conclusion: Enhancing cadres' capacity, regulation innovation to action, and a program manager are needed to accelerate the sensitive intervention program. Keywords: collaboration-coordination, multilevel, qualitative, sensitive-intervention, stunting.
COMMUNITY HEALTH CENTER READINESS FOR THE PROVISION OF TUBERCULOSIS SERVICES IN INDONESIA Suparmi; Harimat Hendarwan; Ika Saptarini; Pandji Wibawa Dhewantara; Raflizar; Amir Suudi; Rosita; Oktarina; Yuyun Yuniar
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 14 No. 1 (2026): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v14i1.2026.14-24

Abstract

Background: Indonesia has the second-highest Tuberculosis (TB) cases globally and contributes to 45% of newly diagnosed TB cases, combined with India. The successful interventions for TB control depend largely on general health systems, including the availability and readiness of TB services at primary health care facilities. Aims: This study assessed Community Health Centers (CHCs) readiness for TB services in Indonesia. Methods: Data from Indonesian Health Facility Research (RIFASKES) conducted in 2019 were used for the analysis, which included 9,831 CHCs. Readiness for TB services was evaluated using the World Health Organization (WHO) Service Availability and Readiness Assessment (SARA) tool and categorized into three domains contributing to overall health facility readiness. Results: Overall, readiness to provide TB services was 29.7%. The diagnostic domain had the lowest readiness (17.1%), followed by the medicine domain (34.0%), whereas the staff and training domains demonstrated the highest readiness (37.9%). Geographically, health center readiness varied by province, ranging from 18.6% in Papua to 44.6% in Yogyakarta. Conclusion: The readiness of CHCs to provide TB services remains low. Therefore, the government needs to increase investment and ensure equitable distribution of facilities at CHCs to strengthen TB service implementation and accelerate TB elimination in Indonesia. Keywords: community health center, health facility, readiness, tuberculosis
BARRIERS AND FACILITATORS IN DIGITAL HEALTH FOR ANTENATAL CARE: A SCOPING REVIEW Fitri Kurnia Rahayu; Nunik Puspitasari; Nurul Fitriyah; Evita Kumala Dewi; Andi Safutra Suraya; Yulia Yunara
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 14 No. 1 (2026): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v14i1.2026.124-138

Abstract

Background: Digital health technologies have great potential to improve antenatal care quality and accessibility. However, their implementation is hindered by various barriers and supported by certain facilitators, influenced by both health workers' and patients' perspectives. Aim: To identify and map these barriers and facilitators in the implementation of digital health technologies in antenatal care, focusing on insights from both health providers and patients. Method: This scoping review systematically searched and analyzed literature, including studies published from 2014 to 2024 on the implementation of digital health solutions in antenatal care services. Sources included PubMed, Scopus, Web of Science, and CINAHL. Results: 484 studies were screened, 38 were assessed in full text, and 16 were included. These studies covered various digital technologies such as PANDA System, eHealth Technologies, SMS-based solutions, Telemonitoring, and mobile applications. Key barriers for providers include lack of readiness and technical issues, while facilitators include care standardization and health worker support. Patients face barriers such as technological illiteracy and financial constraints, while high user satisfaction and culturally adapted approaches are facilitators. Conclusion: Addressing both provider readiness and patient needs is crucial for effective implementation of digital health technologies in antenatal care, requiring a comprehensive approach to overcome barriers and enhance facilitators. Keywords: antenatal care, barriers, digital health, facilitators, health workers, patients, scoping review
SUBJECTIVE UNMET HEALTHCARE NEEDS AMONG VIETNAMESE OLDER PERSONS IN PRE AND POST COVID-19 Tien Thuy Ngoc Doan; Long Thanh Giang; Tra Thu Doan
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 14 No. 1 (2026): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v14i1.2026.35-48

Abstract

Background: The COVID-19 pandemic disrupted healthcare access, increasing unmet healthcare needs among older persons. Aims: This study examined changes in subjective unmet healthcare needs among Vietnamese older persons before and after the pandemic and identified contributing factors. Methods: Data from nationally representative surveys conducted in 2019 and 2022 were analyzed using Oaxaca–Blinder decomposition. Results: Subjective unmet healthcare needs declined between 2019 and 2022, with a significant reduction in unmet outpatient care. Education, social participation, and cognitive and memory impairments were key contributors. Conclusion: Policies should strengthen community outreach, caregiver support, age-friendly communication, and care navigation. Keywords: healthcare services, Oaxaca-Blinder decomposition, older persons, Viet Nam.
MENTAL HEALTH PROBLEMS IN INDONESIA: EAST-WEST SOCIODEMOGRAPHIC GAPS AND POLICY IMPLICATIONS Nurmila Kurnia; Nurnaningsih Herya Ulfah; Sapto Adi; Supriyadi
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 14 No. 1 (2026): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v14i1.2026.61-71

Abstract

Background: Mental health problems in Indonesia challenge the achievement of the Sustainable Development Goals (SDGs). These issues are influenced by sociodemographic factors and development disparities between the Western Indonesia Region (WIR) and Eastern Indonesia Region (EIR). Aims: This study aims to map mental health problems and identify differences between WIR and EIR. Methods: A cross-sectional design was applied, without inferential testing used, using secondary data from the 2023 Indonesian Health Survey. The initial sample of 877,531 respondents was reduced to 10,059 based on inclusion and exclusion criteria. Sociodemographic factors included age, gender, education, employment, marital status, and residence. The analysis was conducted using spatial and descriptive methods. Results: The prevalence of mental health problems was 0.15% higher in EIR than in WIR. In WIR, cases clustered among unemployed urban residents, while in EIR among employed rural residents. Overall, mental health problems were most prevalent among adults aged 19–59 years who were female, had basic education, were unemployed, married, and lived in urban areas. Conclusion: Residents with mental health problems in WIR and EIR showed disparities in employment and residence. Context-sensitive employment policies and enhanced community-based mental health programs can support mental well-being. These findings highlight mental health equity gaps, provide evidence for policymakers, and emphasize region-specific interventions. Keywords: geographic information system, health policy, mapping, mental health problems.
OCCUPATIONAL STRESS, QUALITY OF LIFE AND CARING BEHAVIOUR AMONG INDONESIAN NURSES IN JAPAN Nununk Dwi Nur Khairunnissa; Ferry Efendi; Erna Dwi Wahyuni; Rifky Octavia Pradipta; Andi Safutra Suraya; Yong Shian Goh
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 14 No. 1 (2026): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v14i1.2026.100-111

Abstract

Background: Japan recruits Indonesian nurses to address shortages, but migrant nurses’ work stress may reduce their quality of life and caring behavior Aims: This study analyzed links between occupational stress, quality of life, and caring behavior among Indonesian nurses working in Japan, using the Health and Safety Executive (HSE) work-related stress scale, World Health Organization Quality of Life (WHOQOL-BREF), and Caring Behaviors Inventory (CBI-24). Methods: A correlational cross-sectional study with purposive sampling involved 138 Indonesian nurses in Japan. Data were collected via Google Forms using the HSE Work-Related Stress Scale, WHOQOL-BREF, and CBI-24. Pearson’s correlation test (α ≤ 0.05) was applied to analyze relationships among occupational stress, quality of life, and caring behavior. Results: Job stress correlated with quality of life (p = 0.000; r = 0.595) and caring behavior (p = 0.000; r = 0.411) among Indonesian nurses in Japan. Conclusion: Work-related stress was significantly linked to QoL and caring behavior. Despite moderate stress, most nurses maintained good QoL and optimal caring, reflecting resilience in cross-cultural healthcare. Findings highlight the need for effective workforce management and leadership to sustain care quality. These results offer evidence-based insights for strengthening health systems, particularly in governance and policy planning for transnational nurse deployment.  Keywords: caring behavior, decent work, job stress, migrant nurses, quality of life.
ASSOCIATION BETWEEN SOCIAL DETERMINANTS OF HEALTH AND TOBACCO USE IN INDONESIAN ADOLESCENTS Shinta Restyana Widya; Dien Anshari; Evi Martha; Natalia Desiani; Yuni Syahfitri
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 14 No. 1 (2026): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v14i1.2026.72-88

Abstract

Background: Tobacco use among adolescents remains a critical public health issue in Indonesia, contributing to long-term health risks and shaped by complex social factors. Understanding these influences is essential for effective prevention strategies. Aims: This study aims to identify the Social Determinants of Health (SDOH) associated with tobacco use among Indonesian adolescents aged 10–19 years, to support evidence-based interventions and policymaking. Methods: A quantitative cross-sectional study was conducted using secondary data from the 2023 Survei Kesehatan Indonesia (SKI), involving 126.543 adolescent respondents. Data analysis included univariable, bivariable (chi-square test), and multivariable (multiple logistic regression) approaches to explore associations between SDOH variables and tobacco use. Results: Ten SDOH variables showed significant associations with tobacco use: male gender, older age, higher education, employment, marital status, lack of health insurance, low socioeconomic status, receipt of social assistance, daily exposure to secondhand smoke, and proximity of healthcare facilities to district/city levels. In contrast, ownership of the KKS and residential area type (urban or rural) were not significantly associated.. Conclusion: SDOH significantly influence tobacco use among adolescents in Indonesia. These findings highlight the urgent need for integrated, community-based policies and interventions addressing social disparities to reduce youth tobacco consumption.
CLOSING THE POLICY GAPS: REVIEWING TOBACCO CONTROL COMMITMENTS IN INDONESIA’S RPJMN 2025-2029 Patricia Rinwigati; Renny Nurhasana; Astri Hanna Grace Waruwu; Karlina Khairunnisa; Aryana Satrya; Suci Puspita Ratih; Fadhilah Rizky Ningtyas; Risky Kusuma Hartono
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 14 No. 1 (2026): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v14i1.2026.89-99

Abstract

Background: The National Medium-Term Development Plan (RPJMN) 2025-2029 is critical in setting the direction for national tobacco control policies. This study aims to analyze the extent to which tobacco control is integrated into the RPJMN 2025-2029 and to identify key gaps and challenges in its formulation. Methods: This study analyzed the 2025-2029 National Medium-Term Development Plan (RPJMN) using a qualitative approach to evaluate tobacco control indicators, both direct and indirect. Thematic analysis, supported by secondary data, was used to identify gaps between policy planning and the reality of tobacco control in Indonesia. Results: The RPJMN 2025-2029 demonstrates awareness, but significant gaps remain. These include unambitious targets for reducing youth smoking, a complex tax structure, limited monitoring of smoke-free areas, unevenly distributed cessation services, and weak regulations on advertising and labeling. Conclusion: Strengthening the commitment to tobacco control in RPJMN requires a more ambitious and integrated approach. The ratification of the Framework Convention on Tobacco Control (FCTC) and the involvement of civil society are strategic steps toward a tobacco-free Indonesia and the achievement of the 2045 Golden Indonesia Vision.  Keywords: policy review, RPJMN, tobacco control
NURSING LEADERSHIP STYLE AND PATIENT SAFETY: A SYSTEMATIC LITERATURE REVIEW Sendy Ayu Mitra Uktutias; Ferry Efendi
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 14 No. 1 (2026): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v14i1.2026.139-151

Abstract

Background: Goal 3 of the Sustainable Development Goals (SDGs) emphasizes Universal Health Coverage (UHC), which aims to ensure access to affordable, safe, effective, and high-quality health services for all. Patient care is delivered through systematically organized stages of activity through a system designed to prevent and mitigate errors. Leadership commitment to safety is a critical component of this system. Aims: To systematically review and analyze the relationship between nursing leadership styles and patient safety outcomes. Methods: This study employed a Systematic Literature Review (SLR) approach following the Preferred Reporting Items for Systematic Reviewers and Meta-Analysis (PRISMA) stages. The literature search used the online databases Scopus, PubMed, and CINAHL with keywords related to leadership, nursing, and patient safety combined with Boolean operators. This study determined the eligibility criteria using PICOS. After the selection process, 14 articles were determined to be eligible for review. Results: The findings indicate that transformational leadership is the most frequently reported and is consistently associated with patient safety, particularly in terms of safety culture, incident reporting, and reduction of clinical errors. Conclusion: Leadership style plays a strategic role in improving patient safety. Transformational nursing leadership demonstrates consistent on the clinical context. Further research is needed to empirically compare the effectiveness of leadership styles, particularly transformational leadership, in relation to patient safety. Keywords: leadership, nurse, patient safety, quality of health care.
GLOBAL POLICIES AND ETHICAL PERSPECTIVES ON EUTHANASIA: A SYSTEMATIC REVIEW Bella Wiranti; Arih Diyaning Intiasari; Dwi Sarwani Sri Rejeki
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 14 No. 1 (2026): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v14i1.2026.152-162

Abstract

Background: Euthanasia and assisted dying are increasingly debated worldwide, reflecting tensions between individual autonomy, legal safeguards, and cultural values. Although several countries have legalized euthanasia or medical assistance in dying (MAiD), there are still ethical and policy disagreements. Aims: This study aims to systematically review global policies and ethical perspectives on euthanasia and assisted dying from 2020 to 2025, identifying dominant principles, controversies, and knowledge gaps. Methods: A systematic review was conducted using major databases with keywords including “euthanasia,” “assisted dying,” “global policies,” and “ethical perspectives.” Screening was conducted following the SPIDER and PICOS frameworks, which obtained 9 eligible studies. Subsequently, data were synthesized narratively using thematic analysis. Results: The results showed that most jurisdictions adopted conservative frameworks with strict safeguards, such as eligibility limits and independent assessments. Autonomy and relief of suffering were the most frequent ethical justifications, while sanctity of life, justice, and conscientious objection formed central counterarguments. Furthermore, studies showed tensions, including restrictive criteria undermining autonomy, unequal access shaped by sociocultural factors, and persistent stigma among practitioners. Conclusion: This study shows that euthanasia policies occur in complex intersections of law, ethics, and culture. Based on the results, several recommendations are provided, which include refining safeguards to respect autonomy, enhancing cultural equity, and formalizing conscientious objection. Moreover, further studies should examine complex cases, particularly psychiatric and non-terminal conditions, to strengthen ethical and policy frameworks. Keywords: assisted dying, autonomy, euthanasia, ethics, global policies.

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