scholarly journals IMPLEMENTASI KEBIJAKAN SISTEM JAMINAN KESEHATAN IBU HAMIL DALAM RANGKA MEMPERCEPAT PENCAPAIAN MILLENIUM DEVELOPMENT GOALS - MDG′S DI KOTA BANJARMASIN, KALIMANTAN SELATAN

2016 ◽  
Vol 2 (01) ◽  
Author(s):  
Anis Suroyo

Maternal and child health is one of the Millennium Development Goals MDG's 2015global agreement targeting the maternal mortality rate in Indonesia can be reduced to 102per 100,000 live births in 2015. Efforts to suppress AKI continue to be pursued, includingthe provision of health services for pregnant women. In 2014, the government beganimplementing a National Health Insurance (JKN) nationally. Implementation of the JKNprogram causes Delivery Guarantee (Jampersal) for pregnant women deleted. The deletionencourage local governments to be creative pressing AKI with JKN program and theRegional Health Insurance (Jamkesda). Policy of Implementation Security SystemMaternal Health in Banjarmasin, which inhibits MCH program because the program JKNknows no territorial, pregnant women can choose the health care she likes, while the MCHprogram is monitoring the health of pregnant women by the cantonal ie PWS-KIA forevaluation and program planning region. The cause of the mortality rate among pregnantwomen in the city of Banjarmasin is due late in delivery to the referral occurs as a result offactors helper (service providers at a basic level), delayed detection of high risk so that thecondition of pregnant women who were referred is severe enough, and too late to reachhealth care at the level of referral services. Lack of adequate resources, facilities andinfrastructure that do not support and quality of service at referral level is a factor causingdelay in rescue efforts maternal health. JKN program bureaucratic system does not supportMCH programs, thus largely independent midwives are reluctant to deal with pregnantwomen / mothers give birth this was due to a convoluted bureaucracy and services /approved rates are too low in accordance with Law of the Ministry of health No 59, 2014. Key words: implementation of policies, health insurance pregnant women

2016 ◽  
Vol 2 (02) ◽  
Author(s):  
Anis Suroyo

Maternal and child health is one of the Millennium Development Goals MDG's 2015 global agreement targeting the maternal mortality rate in Indonesia can be reduced to 102 per 100,000 live births in 2015. Efforts to suppress AKI continue to be pursued, including the provision of health services for pregnant women. In 2014, the government began implementing a National Health Insurance (JKN) nationally. Implementation of the JKN program causes Delivery Guarantee (Jampersal) for pregnant women deleted. The deletion encourage local governments to be creative pressing AKI with JKN program and the Regional Health Insurance (Jamkesda). Policy of Implementation Security System Maternal Health in Banjarmasin, which inhibits MCH program because the program JKN knows no territorial, pregnant women can choose the health care she likes, while the MCH program is monitoring the health of pregnant women by the cantonal ie PWS-KIA for evaluation and program planning region. The cause of the mortality rate among pregnant women in the city of Banjarmasin is due late in delivery to the referral occurs as a result of factors helper (service providers at a basic level), delayed detection of high risk so that the condition of pregnant women who were referred is severe enough, and too late to reach health care at the level of referral services. Lack of adequate resources, facilities and infrastructure that do not support and quality of service at referral level is a factor causing delay in rescue efforts maternal health. JKN program bureaucratic system does not support MCH programs, thus largely independent midwives are reluctant to deal with pregnant women / mothers give birth this was due to a convoluted bureaucracy and services / approved rates are too low in accordance with Law of the Ministry of health            No 59, 2014.Keywords: implementation of policies, health insurancepregnant women.


2020 ◽  
Vol 15 (2) ◽  
pp. 162
Author(s):  
Faiznur Ridho ◽  
Bambang B. Soebyakto ◽  
Haerawati Idris

Primary dentists at the era of the National Health Insurance are only paid IDR2,000 each patient. The Capitation funds can not cover the cost of services that must be spent. The payment system must be improved because it is related to the quality of service. The aims of this study to analyze the management and utilization of  dental capitation funds including the bottlenecks and to generate solutions in the implementation of JKN. This research was descriptive with qualitative approach. The informants of the study were 16 (sixteen) dentists as an independent practitioners and pratama clinics in Palembang and Lubuklinggau with highest and lowest capitation coverage. Data were analyzed by data reduction, data presentation, conclusion drawing and verification. The result showed that there was a disparity in capitation fund income received by dentists both as an independent practitioners and pratama clinic. Not all dentists get the ideal number of participants 1: 10,000. Dentists with low capitation norms have difficulty to set their operational funds. The budget for operational cost is bigger than services cost. Revenues compared to capitation funds are still lacking. Most capitation funds for primary dentists are insufficient and still rely on fee for service patients. The government  should set dental capitation norm and regulation for National Health Insurance era.Key words: dentist, capitation, clinic, utilization, regulation


2020 ◽  
Vol 006 (03) ◽  
pp. 404-414
Author(s):  
Ika Istandia

The preparation of this Strategic Environmental Assessment (SEA) is mandatory for the Government and Local Governments. Based on these obligations, the SEA Semarang City Spatial Planning Revised for 2011-2031 was prepared with the aim of improving the quality of the Regional Spatial Planning which so far has not been able to solve the City's problems, such as floods and tides. This study aims to determine the process of drafting the 2011-2031 Regional Spatial Planning for the City of Semarang. The research method that will be used is descriptive qualitative method. Based on the results involving stakeholders, such as the Government, the private sector and the community (Academics and non-Government Organizations). The process of preparing the SEA does not yet reflect the maximal sustainable values (interdependency, equilibrium and justice). This is because the analysis carried out is less detailed due to data and budget limitations, so the results of the studies conducted affect the formulation of recommendations for Policies, Plans and/ or Programs (PPP).


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 23-23
Author(s):  
Christine Sheppard ◽  
Andrea Austen ◽  
Sander Hitzig

Abstract Toronto Community Housing (TCH) is the second largest social housing landlord in North America, and is home to over 27,000 older adults, half of whom live in 83 “seniors-designated” buildings. There is inadequate and inconsistent delivery of services in these buildings, negatively impacting tenants’ ability to age in place. We conducted two half-day consultations with service providers (n=74) and tenants (n=100) to identify strategies to improve unit condition, promote stable tenancies (i.e., prevent evictions) and enhance access to health and support services for older adults living in TCH. Through facilitated discussion, participants identified their top two recommendations for each priority area and reflected on the strategies that were hardest and easiest to implement, as well as the ones that would have the most and least impact on quality of life for older tenants. Participants recognized the need for more education as a way to empower older tenants and reduce stigma associated with unit condition issues (e.g., pest problems) and arrears. More frequent touch points with tenants was also recommended as a way to identify older adults at-risk of eviction and work proactively (instead of reactively) to support them. Service providers and tenants believed that system navigators working directly in the buildings would be a key facilitator to building trust and helping older tenants access needed services. Outcomes of the have several program and policy implications for TCH, as they partner with the City of Toronto to design a new integrated service model for the seniors-designated buildings.


2015 ◽  
Vol 6 (3) ◽  
pp. 206-222 ◽  
Author(s):  
Kanda Sorn-in ◽  
Kulthida Tuamsuk ◽  
Wasu Chaopanon

Purpose – The purpose of this paper is to study the factors affecting the development of e-government by using a citizen-centric approach. Design/methodology/approach – This paper is a mixed-methods study consisting of qualitative and quantitative research. Data were collected from government agencies using a structured interview and questionnaire about e-government services. The research was collected from the people responsible for the management of an e-government project in 75 government agencies. In addition, the researcher collected data from 1,400 citizens by using an e-Survey questionnaire that grouped participants by age. Findings – By using a citizen-centric approach, the paper identified the factors affecting the development of e-government. There were five factors from the viewpoint of government agencies and citizen groups: quality of e-government services, policy and governance, information technology infrastructure, organization and economy and society. Research limitations/implications – The research covered the development patterns of e-government for services from government to citizens only. Practical implications – Seeing the importance of environmental factors for both service providers and service users would facilitate continuous improvement of e-government service provision by government agencies. Social implications – The results reflect citizens’ need for e-government services; quality is their priority. Hence, government agencies must consider the quality of the delivery of information and e-government services as they relate to the lifestyles and needs of citizens. Originality/value – The creation of knowledge from merging e-government concepts with citizen-centric principles is a modern government sector management theory. This research stresses the need for the government sector to see the need for e-government and to recognize the factors for its successful development. This means the design and development of e-government services should respond to the increasing needs of the citizens.


2018 ◽  
Vol 3 (3) ◽  
pp. 243-248
Author(s):  
Danil Fahreza Pohan ◽  
Muhammad Rusdi ◽  
Sugianto Sugianto

Abstrak. Pesatnya pertumbuhan penduduk dan tingginya perkembangan pembangunan, menyebabkan banyaknya kawasan yang beralih fungsi menjadi kawasan yang bukan peruntukan yang sesuai yang telah ditetapkan oleh pemerintah termasuk ruang terbuka hijau (RTH) yang berfungsi untuk menunjang kualitas hidup masyarakat di dalam suatu kota baik dari segi lingkungan maupun kesehatan. Pesatnya perkembangan suatu kota tentu banyak menarik minat masyarakat untuk pindah menuju kota tersebut, semakin meningkatnya jumlah penduduk tentu juga meningkatkan kebutuhan akan oksigen. Untuk itu Kota Bireuen dituntut mampu menyediakan RTH untuk mengimbangi kebutuhan oksigen masyarakat kota itu sendiri. Penelitian ini bertujuan untuk menghitung ketersediaan RTH yang direncanakan di dalam RDTR Kota Bireuen. Metode yang digunakan dalam penelitian ini ada lah metode deskriptif dengan teknik survai. Sedangkan analisis kecukupan RTH menggunakan rumus berdasarkan luas daerah dibagi dengan RTH yang tersedia. Hasil perhitungan analisis RTH di dapat bahwasannya RTH Kota Bireuen sebesar 46,96%.Kata Kunci: Bireuen, RTH, RDTR Abstrack. The rapid growth of population and the high development of the developmental, causing the number of areas that switch functions to areas that are not appropriate designation established by the government including green open space (GOS) that serves to support the quality of life of people in a city both in terms of environment and health . The rapid development of a city would attract many people to move to the city, the increasing number of people of course also increases the need for oxygen. For that Bireuen City is required to provide GOS to compensate for the oxygen needs of the people of the city itself. This study aims to calculate the planned GOS availability in the DSP of Bireuen City. The method used in this research is descriptive method with survey technique. While the analysis of GOS adequacy using the formula based on the area divided by the available GOS. The calculation result of GOS analysis can be that the GOS of Bireuen City is 46.96%.Keyword: Bireuen, GOS, DSP


Author(s):  
Shahzadi Mahmuda ◽  

Maternal health service had a potentially critical role in the improvement of reproductive health. This descriptive study was carried out in Tangail district, from 1st January to 31st December, 2019 to find out the quality of counselling of services for pregnant women in community clinics during pregnancy period. Data were collected among 289 respondents by face to face interview who had delivered within last 24 months and respondents were selected purposively. The majority (97.6%) of the respondents were housewife and maximum (72%) of the respondent were below SSC in this study monthly family income mean was taka 16124.00± 10065.480. Majority of the respondents (99.2%) had received antenatal check-up from different health care facilities and highest (87.2%) had received from the community clinic other hands (6.0%) pregnant women got antenatal care from non-government hospital among 250 respondents (94.0%) pregnant women received ANC from CHCP also (4%) pregnant women received ANC from HA. Out of 250 pregnant women (70%) of the respondents were problem suffer during pregnancy. Here majority (59.6%) pregnant women were suffer from nausea and vomiting and only (6.3%) were suffering from constipation. Majority (89.2%) of the respondents had preparation about danger sign during pregnancy. Most 245 (98%) of the respondents of pregnant women had information about ANC and most (85.7%) got information from CHCF on other hand ride got information (2.9%) from neighbour. half (4.8%) of the respondents choice of conduct delivery at upazila health complex followed by (48.8%) only choice of conduct clinics. Most (98%) of the respondents had received TT vaccine and maximum (95.1%) of the respondents had completed TT vaccine. Enough skilled manpower for patient care (98.4%). Health care provider perform ANC check-up (96.8%). Health care provider counselling during pregnancy (96.4%) physical examination (98.0%) explanation of health. (99.2%) health care provider give any advice before departure (70.4%). Continue to follow-up health status over phone (99.2%). Service providers in health care shows that 33.3% was BSc/BA, 42.9% of service providers were masters and above their professional training more than one third (38.1%) of the providers has basic training, 47.6% had basic & CSBA and rest 14.3% had ECT and nutritional training. Majority 100% of the provider’s designation had CHCP, number of staff in two health care had more than half (57.1%) providers.


2019 ◽  
Vol 4 (1) ◽  
pp. 53
Author(s):  
Lilian Setiawan

The city of Bandung had a rapid development. The growth and development process of the city is largely determined by the strategy of the government itself. Therefore, the government regulates the direction of urban growth through the formation of regulations. However, the current condition of regulations and arrangement of development are quite worrying. The process applied is not in line with regulations, the quality of the environment decreases because of the illegally grown land use of settlements Covenience in an area is also closely related to the conditions of nature environment. Like the existence of Cikapundung river which is no longer considered. It can be seen in riverside housing that increasingly wild and growing organically. The purpose of this study is to identify the physical arrangement of the environment and buildings in the Cikapundung riverside settlement Bandung and its influence on the application of regulations. The method used is 1) A quantitative approach at the stage of data collection and analysis with parametric simulation technique modeling, using Rhinoceros Grasshopper software; 2) A qualitative approach in forming conclusions relating to the prediction of the building mass compared to the existing conditions. Analysis was carried out based on applicable regulatory studies including Building Coverage Ratio (BCR), Floor Average Ratio (FAR), and River Border Line, then applied to the simulation of building shapes, and identified behavior of the inhabitants. This research is expected to be a guide to the strategy of planning, structuring, and developing architcture especially the building form in riverside settlements. Keywords : Building Regulations, Parametric Simulation, Riverside, Settlement


2013 ◽  
Vol 8 (1) ◽  
pp. 45
Author(s):  
Tri Rini Puji Lestari

Secara nasional, Indonesia telah mengantisipasi epidemi HIV/AIDS, tetapi jumlah kasus HIV/AIDS di Provinsi Bali dari tahun ke tahun memperlihatkan peningkatan yang semakin mengkhawatirkan. Penelitian ini bertujuan untuk mengetahui perkembangan jumlah kasus dan kebijakan penanggulangan HIV/AIDS di Denpasar. Penelitian ini menggunakan metode kualitatif yang dilakukan di Denpasar pada tanggal 11-17 September 2011. Sampel penelitian ini menggunakan informan terpilih yaitu kepala bappeda, pejabat Dinas Kesehatan Kabupaten Denpasar, direktur rumah sakit, puskesmas, ketua komisi penanggulangan AIDS di kabupaten/kota dan pemerhati HIV/AIDS termasuk ODHA. Penelitian menemukan jumlah kasus HIV/AIDS di Kota Denpasar yang tertinggi dan penularan terbesarnya melalui hubungan seks. Namun, dukungan pemerintah daerah dalam upaya pencegahan dan penanggulangan HIV/AIDS terlihat belum maksimal. Padahal kebijakan penanggulangan HIV/AIDS sangat ditentukan oleh cara pandang pemerintah terhadap penyakit HIV/AIDS. Untuk itu, perlu peningkatan pemahaman tentang HIV/AIDS serta pencegahan dan penanganan semua pihak terkait sehingga penanggulangan HIV/AIDS dapat lebih efektif, efisien, dan tepat sasaran.Nationally, Indonesia anticipated HIV/AIDS epidemic, but the number of cases of HIV/AIDS in Bali province from year to year showed an increase in the increasingly alarming. This study aimed to determine the number of cases and the development of policies on HIV / AIDS in Denpasar. This research was conducted using qualitative methods in Denpasar on 11-17 September 2011. The study sample was selected using the informant is head of planning, Denpasar District health officers, the director of the hospital, health center, chairman of the commission on AIDS in the district/city and observer of HIV / AIDS, including people living with HIV. The study found the number of cases of HIV / AIDS in the city of Denpasar is the highest and greatest transmission through sexual intercourse. However, the support of local governments in efforts to prevent and control HIV/AIDS looks not maximized. In fact the policy of HIV/AIDS is largely determined by the government perspective on HIV / AIDS. To that end, should be an increased understanding of HIV/AIDS as well as prevention and treatment of all parties concerned. So that HIV/ AIDS can be more effective, efficient, and targeted.


2021 ◽  
Vol 5 (2) ◽  
pp. 163
Author(s):  
Sindy Yulia Putri

<p><em>In 2018, the quality of Indonesian human resources was ranked 87 out of 157 countries. The good growth of Indonesian human resources, of course, starts from the womb or prenatal period, under five years of age, children, adolescents, to working productive ages. This study chose the topic of stunting, because of the urgency to improve the competitiveness of Indonesian human resources in the regional and international realms. Superior human resources are certainly formed from a long process since childhood. This paper aims to apply the concept of sustainable development goals (SDGs) as a framework adopted by the Government of Indonesia in reducing the prevalence of stunting cases and to provide the latest holistic analysis regarding the implementation of SDGs policies by the Government of Indonesia in reducing the prevalence of stunting cases. This study used qualitative research methods. The result of this research is that collaboration between state and non-state actors is needed to handle stunting cases in Indonesia. Starting from the synergy between ministries / institutions and collaboration with academics, public health scholars, companies, and foreign parties. These results are important as recommendations for each stakeholder in implementing the SDGs concept to reduce the prevalence of stunting cases in Indonesia.</em></p>


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