scholarly journals COLLABORATIVE GOVERNANCE IN IMPLEMENTATION NATIONAL HEATH INSURANCE PROGRAM IN BANDUNG CITY

2020 ◽  
Vol 8 (11) ◽  
pp. 1012-1017
Author(s):  
Susniwati M.Si ◽  
◽  
Sri Suwitri M.Si ◽  
Endang Larasati M.S ◽  
Hartuti Purnaweni M.Si ◽  
...  

Bandung is one of 4 (four) districts in West Java that have received Universal Health Coverage (UHC) with more than 95% participation as of January 1, 2018. In the implementation of JKN program in Bandung, there are still some obstacles, namely collaboration between the main actors of the program has not been implemented and the lack of information socialization to the community. The purpose of this article is to analyze collaborative governance in the implementation of JKN program in Bandung. The research method used is a descriptive method with a qualitative approach. Data collection techniques using observation, in depth interview and documentation study. The results of research on collaborative governance in the implementation of JKN program in Bandung on the dimensions of the context system that houses the JKN Program in Bandung. The implementation of JKN program in Bandung requires improving accountability function and role sharing between various sectors involved. The dimensions of the collaborative governance regime consist of the dynamics of collaboration and collaboration action between the relevant stack holders. Collaboration between stakeholders has not been optimal, there is still a lot of obscurity in the data request process. Collaboration between stakeholders is difficult due to the fragmentation of national, regional, and health systems. The third dimension of collaboration dynamics consisting of 3 (three) components namely principle engagement, shared motivation and capacity for joint action needs to improve information socialization so that the equalization of health services through JKN program can be implemented to the maximum.

2021 ◽  
Author(s):  
Susniwati

Bandung is one of 4 (four) districts in West Java that have received Universal Health Coverage (UHC) with more than 95% participation as of January 1, 2018. In the implementation of the JKN program in Bandung, there are still some obstacles, namely collaboration between the main actors of the program has not been implemented and the lack of information socialization to the community. The purpose of this article is to analyze collaborative governance in the implementation of the JKN program in Bandung. The research method used is a descriptive method with a qualitative approach. Data collection techniques using observation, in-depth interviews, and documentation study. The results of research on collaborative governance in the implementation of the JKN program in Bandung on the dimensions of the context system that houses the JKN Program in Bandung. The implementation of the JKN program in Bandung requires improving accountability function and role sharing between various sectors involved. The dimensions of the collaborative governance regime consist of the dynamics of collaboration and collaboration action between the relevant stack holders. Collaboration between stakeholders has not been optimal, there is still a lot of obscurity in the data request process. Collaboration between stakeholders is difficult due to the fragmentation of national, regional, and health systems. The third dimension of collaboration dynamics consisting of 3 (three) components namely principle engagement, shared motivation, and capacity for joint action needs to improve information socialization so that the equalization of health services through the JKN program can be implemented to the maximum.


2020 ◽  
Vol 8 (11) ◽  
pp. 279-284
Author(s):  
Susniwati, M.Si. ◽  
◽  
Sri Suwitri, M.Si. ◽  
Endang Larasati , M.S. ◽  
Hartuti Purnaweni , M.Si ◽  
...  

Bandung is one of 4 (four) districts in West Java that have received Universal Health Coverage (UHC) with more than 95% participation as of January 1, 2018. In the implementation of the JKN program in Bandung, there are still some obstacles, namely collaboration between the main actors of the program has not been implemented and the lack of information socialization to the community. The purpose of this article is to analyze collaborative governance in the implementation of the JKN program in Bandung. The research method used is a descriptive method with a qualitative approach. Data collection techniques using observation, in-depth interviews, and documentation study. The results of research on collaborative governance in the implementation of the JKN program in Bandung on the dimensions of the context system that houses the JKN Program in Bandung. The implementation of the JKN program in Bandung requires improving accountability function and role sharing between various sectors involved. The dimensions of the collaborative governance regime consist of the dynamics of collaboration and collaboration action between the relevant stack holders. Collaboration between stakeholders has not been optimal, there is still a lot of obscurity in the data request process. Collaboration between stakeholders is difficult due to the fragmentation of national, regional, and health systems. The third dimension of collaboration dynamics consisting of 3 (three) components namely principle engagement, shared motivation, and capacity for joint action needs to improve information socialization so that the equalization of health services through the JKN program can be implemented to the maximum.


2020 ◽  
Vol 4 (Suppl 7) ◽  
pp. e002161
Author(s):  
Emilie Robert ◽  
Dheepa Rajan ◽  
Kira Koch ◽  
Alyssa Muggleworth Weaver ◽  
Denis Porignon ◽  
...  

IntroductionHealth system governance is the cornerstone of performant, equitable and sustainable health systems aiming towards universal health coverage. Global health actors have increasingly been using policy dialogue (PD) as a governance tool to engage with both state and non-state stakeholders. Despite attempts to frame PD practices, it remains a catch-all term for both health systems professionals and researchers.MethodWe conducted a scoping study on PD. We identified 25 articles published in English between 1985 and 2017 and 10 grey literature publications. The analysis was guided by the following questions: (1) How do the authors define PD? (2) What do we learn about PD practices and implementation factors? (3) What are the specificities of PD in low-income and middle-income countries?ResultsThe analysis highlighted three definitions of policy dialogue: a knowledge exchange and translation platform, a mode of governance and an instrument for negotiating international development aid. Success factors include the participants’ continued and sustained engagement throughout all the relevant stages, their ability to make a constructive contribution to the discussions while being truly representative of their organisation and their high interest and stake in the subject. Prerequisites to ensuring that participants remained engaged were a clear process, a shared understanding of the goals at all levels of the PD and a PD approach consistent with the PD objective. In the context of development aid, the main challenges lie in the balance of power between stakeholders, the organisational or technical capacity of recipient country stakeholders to drive or contribute effectively to the PD processes and the increasingly technocratic nature of PD.ConclusionPD requires a high level of collaborative governance expertise and needs constant, although not necessarily high, financial support. These conditions are crucial to make it a real driver of health system reform in countries’ paths towards universal health coverage.


2015 ◽  
Vol 9 (4) ◽  
pp. 308
Author(s):  
Ni Made Sri Nopiyani ◽  
Putu Ayu Indrayathi ◽  
Rina Listyowati ◽  
I Ketut Suarjana ◽  
Pande Putu Januraga

AbstrakPekerja seks perempuan (PSP) merupakan kelompok yang termarginalkan secara sosial dan memiliki kerentanan yang tinggi terhadap masalah kesehatan. Upaya perluasan Jaminan Kesehatan Nasional (JKN) pada PSP masih terbatas sehingga penting dilakukan untuk mendukung pencapaian universal health coverage. Penelitian ini bertujuan untuk memperoleh gambaran mengenai akses JKN pada PSP di Denpasar. Penelitian ini merupakan studi kualitatif. Data dikumpulkan melalui wawancara mendalam terhadap 15 orang PSP dan empat orang mucikari di Denpasar pada Agustus hingga Oktober 2014. Hasil wawancara diolah dengan analisis tematik. Kerangka analisis yang digunakan adalah The Health Access Livelihood Framework. Kepemilikan JKN pada PSP di Denpasar masih rendah, meskipun sebagian PSP memiliki kemauan untuk menjadi peserta JKN dan memiliki kemampuan membayar iuran JKN. Faktor penghambat akses JKN pada PSP adalah rendahnya pengetahuan mengenai prosedur pendaftaran dan portabilitas JKN, kekhawatiran keberlanjutan pembayaran iuran, persepsi buruk mengenai kualitas layanan yang akan diterima jika menggunakan JKN, ketidaklengkapan administrasi kependudukan serta kebijakan yang mengharuskan peserta bukan penerima bantuan iuran (Non-PBI) Mandiri untuk mendaftarkan seluruh anggota keluarga. Akses JKN pada PSP terhambat oleh faktor-faktor individual, layanan dan kebijakan yang perlu diatasi untuk meningkatkan cakupan JKN pada PSP. AbstractFemale sex workers (FSW) is marginalized social group having a high vulnerability of health problems. Effort to expand national health insurance on FSW is still limited, so it is necessarily performed in order to support the achievement of universal health coverage. This study aimed to obtain the depiction of the insurance access among FSW in Denpasar. This study was qualitative. Data was collected through in-depth interview of 15 FSW and four pimps in Denpasar from August to October 2014. The interview result was analyzed using thematic analysis. The analysis framework used was The Health Access Livelihood Framework. The insurance ownership among FSW in Denpasar was low, even though some FSW were willing to be participants and afford to pay the premium. Factors inhibiting the insurance access were the lack of knowledge regarding registration procedures and portability, fear of premium payment sustainability, negative perceptions of quality of services that would be received if using the insurance, incomplete population administration and policy requiring independent non-premium support receiver participants to register all of their family members. The insurance access among FSW was hindered by individual, service and policy factors that need to be conquered to increase the insurance coverage among FSW.


2008 ◽  
Vol 41 (4) ◽  
pp. 48
Author(s):  
MARY ELLEN SCHNEIDER

Sign in / Sign up

Export Citation Format

Share Document