scholarly journals Analisis Keberlanjutan Inovasi Lokal : Studi Kasus Inovasi e-Health Cimalaka Sehat

Author(s):  
Endah Mustika Ramdani

Innovation in public services is a demands , both for central and local governments to improve services to the community. In service innovations at the local level, it certainly brings the risk of rejection from people who are not ready to change. This study aims to examine the local innovations in the health sector, Cimalaka Sehat e-health innovation case studies. The method used is descriptive qualitative with a case study at the Innovation of e-health Cimalaka Sehat services as a pioneer of e-health innovations in the Sumedang Regency. The technique of determining informants uses purposive sampling, data collection is done by observation, in-depth interviews, and documentation. The results showed that in innovation healthy cimalaka e-health has many advantages for the community through changing processes from manual to online as well as increasing features of health services that support the development of health services for puskesmas. However, from several advantages, there are several constraints and problems including the lack of a thorough understanding of the usefulness of innovation, low commitment and consistency of service providers to adapt to available innovations, with indications that the organizers are in a comfort zone that is providing alternative services similar to the innovation e-health (service through WhatsApp), which actually reduces the value of the usefulness of innovation, so that people are reluctant to change to existing service innovations.

2020 ◽  
Vol 17 (2) ◽  
pp. 72-94
Author(s):  
Bernard Afiik Akanpabadai Akanbang ◽  
Cosmas Bekyieriya

This paper contributes to the empirical literature on the benefits and constraining factors of monitoring in decentralised governments in emerging democratic governments. Decentralised monitoring has theoretically been recognised as providing comprehensive data for decentralised planning, quality service delivery, enhancing accountability, and assessing development interventions’ effectiveness at the local level. However, empirical evidence on its effectiveness in decentralised governance is still evolving. A case study design encompassing the conduct of 12 key informant interviews was used for the study. Findings show that monitoring supports early identification of problems for their quick resolution; enables shared learning; gives voice to community level stakeholders; checks the deviant behaviour of service providers and enhances efficiency in resource use. Inadequate staffing; scrawny knowledge and skills; derisory logistics; noncompliance to budget and calendar for monitoring and  uncoordinated arrangements in project implementation constrained decentralised monitoring effectiveness. The evidence gathered support thetheoretical arguments for decentralised monitoring and adds to the list of constraining issues in the organisational, human resource and policy factors. The study recommends effervescent advocacy for building monitoring capacity at district level and nurturing political leadership as champions for monitoring in order to get hold of development effectiveness at the local level of governance. Keywords: Decentralised Governments, Monitoring, Decentralised Monitoring, Benefits,Constraints


2021 ◽  
Vol 27 (7) ◽  
pp. 650-666
Author(s):  
Xabier Larrucea ◽  
Micha Moffie ◽  
Dan Mor

Since the emergence of GDPR, several industries and sectors are setting informatics solutions for fulfilling these rules. The Health sector is considered a critical sector within the Industry 4.0 because it manages sensitive data, and National Health Services are responsible for managing patients’ data. European NHS are converging to a connected system allowing the exchange of sensitive information cross different countries. This paper defines and implements a set of tools for extending the reference architectural model industry 4.0 for the healthcare sector, which are used for enhancing GDPR compliance. These tools are dealing with data sensitivity and data hiding tools A case study illustrates the use of these tools and how they are integrated with the reference architectural model.


2019 ◽  
Vol 44 (1) ◽  
pp. 61-80
Author(s):  
Nuzula Anggeraini ◽  
Yeremias T. Keban ◽  
Jun Matsunami

Border regions are geographically presented with potential economic benefits. However, some of these areas have not been able to take advantage of their strategic geographic locality. This is also the case for border areas in Indonesia. There is a spectrum of perceptions by stakeholders on how border regions, particularly international borders, should be developed. This study sought to capture the perspectives of Indonesian stakeholders on border region development, and the extent of influence such perspectives have in the policy of border areas development with a case study in West Southeast Maluku The research was conducted using qualitative method with in-depth interviews as the primary collecting data technique. The results show that despite perceptions of stakeholders who view West Southeast Maluku as an area of insecurity, they also see the potential of the area to be developed as a gateway, area of opportunity, zone of contacts and zone of cooperation. However, the current policies and strategies of the development of border areas do not exemplify such perceptions, and the formulation of such policies is likely to be dominated by state-level stakeholders, despite the fact that local level stakeholders have a more comprehensive understanding of the needs of their areas.


2021 ◽  
Vol 16 (4) ◽  
pp. 701-712
Author(s):  
A.N.M. Zakir Hossain

The study aims to identify the role of local government and its transformation in response to the COVID-19. It also shows how local governments extended the scope of accountability and transparency to strengthen democracy. The study followed the social survey method and collected data online through Google Docs form. The data were analyzed through descriptive statistics to generate expected results and test the hypothesis by the Spearman correlation coefficient. The study found local governments were positive during COVID-19 to provide services and offered more public engagement in policy formulation, thus more democratic. The health sector has shown the highest priority, with food and environmental services. Inefficient management capacity of leaders and apathy in public engagement hamper resource mobilization at the local level. During COVID-19, ICT intervention and innovation for digital transformation in local governance increased accountability and transparency through easy and effective participation of mass people to strengthen local democracy to respond effectively against COVID-19.


2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Avinda Avinda ◽  
Rudy Handoko

E-Health Effectiveness in General Hospital Region Dr. M. Soewandhie Surabaya. Public Service is the main obligation of the government to organize activities in order to meet the needs of the community. City officials do a service innovations as efforts to improve public services in the health sector by applying the principles of e-Government and one of these innovations is a service of E-Health. E-Health is an application that allows people to shorten queues at the clinic or hospital. The purpose of this study to determine the effectiveness of E-Health at the Regional General Hospital Dr. M. Soewandhie Surabaya. The focus of the study was based on Gibson's five effectiveness measurement indicators, namely Production, Efficiency, Satisfaction, Adaptability and Survival. The research method used is descriptive qualitative. The results of this study indicate that the service E-Health at the Regional General Hospital Dr. M. Soewandhie Surabaya is quite. It can be seen from Satisfaction Indicator, Adaptability and Survival. In satisfaction indicators, showed as many as 6 out of 10 patients stated that E-Healthservices already meet expectations. In adaptation indicators, show that E-Health services make it easier for the performance of the employees, especially employees of the registration window. On the Survival indicator, it shows that Dr. M. Soewandhie Surabaya as E-Health service providers already have plans to develop e-Health services in order to meet the needs of the community. Keywords: Public Service, Effectiveness, E-Health


Koneksi ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. 414
Author(s):  
Desy Kristi Yanti ◽  
Eko Harry Susanto

In 2016, Kompas initiated a new journalistic product, namely news writing, a type of longform journalism called Virtual Interactive Compass (VIK). This platform is designed in such a way as to present in-depth news writing and enriched with interactivity elements from the multimedia aspect. Millennials are one of the young generation who live in the digital era and online networks. The Indonesian Internet Service Providers Association (APJII) declared this generation as the most internet users as of October 2016. The purpose of this study is to find out what factors are becoming millennial interest in VIK through four aspects, namely modality, accessability, interactivity, navigability. This research is a descriptive qualitative research with case study method. Data collection techniques in this study used in-depth interviews, literature studies, and also online data search. The results of this study are changes in the form of in-depth news writing type preferred by the melenial generation, VIK longform journalism news presentation is considered informative and interesting with multimedia elements by millennials, and millennial generation is proven in daily use of gadgets, as well as finding information. Di Tahun 2016, Kompas menggagas sebuah produk jurnalistik baru yaitu penulisan berita jenis longform journalismyang diberi nama Virtual Interaktif Kompas (VIK). Platform ini dirancang sedemikian rupa untuk menyajikan tulisan berita yang mendalam dan diperkaya dengan unsur interaktivitas dari aspek multimedia. Kaum Milenial merupakan salah satu generasi muda yang hidup dalam era digital serta jaringan online. Asosiasi Penyelenggara Jasa Internet Indonesia (APJII) menyatakan generasi ini sebagai pengguna Internet terbanyak per Oktober 2016. Tujuan dari penelitian ini ingin mengetahui faktor apa yang menjadi ketertarikan generasi milenial pada VIK melalui empat aspek yaitu modality, accessabillity, interactivity, navigability. Penelitian ini merupakan penelitian kualitatif deskriptif dengan metode studi kasus. Teknik pengumpulan data dalam penelitian ini menggunakan wawancara mendalam, studi pustaka, dan juga penelusuran data online. Hasil dari penelitian ini adalah perubahan bentuk penulisan berita mendalam jenis longform disukai oleh generasi melenial, penyajian berita longform journalism VIK dinilai informatif serta menarik dengan unsur multimedia oleh milenial, dan generasi milenial terbukti dalam kesehariannya selalu menggunakan gadget, begitu juga dalam hal mencari informasi.  


2018 ◽  
Vol 20 (2) ◽  
Author(s):  
Gasto M. Frumence ◽  
Joy Chebet ◽  
Jennifer A. Callaghan-Koru ◽  
Idda Mosha ◽  
Dereck Chitama ◽  
...  

Background: The Tanzanian health sector receives large amounts of funding from multiple international development partners to support a broad range of population-health interventions. However, little is known about the partners’ level of commitment to sustain funding, and the implications of uncertainties created by these funding mechanisms.  This study had the following objectives: 1) To present a theoretical model for assessing funding commitments by health development partners in a specified region; 2) to describe development partner funding commitments against this framework, using a case study example of Morogoro Region, Tanzania; and 3) to discuss policy considerations using this framework for district, regional and national level.Methods: Qualitative case study methodology was used to assess funding commitments of health-related development partners in Morogoro Region, Tanzania. Using qualitative data, collected as part of an evaluation of maternal and child health programs in Morogoro Region, key informants from all development partners were interviewed and thematic analysis was conducted for the assessment. Results: Our findings show that decisions made on where to commit and direct funds were based on recipient government and development partner priorities. These decisions were based on government directives, such as the need to provide health services to vulnerable populations; the need to contribute towards alleviation of disease burden and development partner interests, including humanitarian concerns. Poor coordination of partner organizations and their funding priorities may undermine benefits to target populations. This weakness poses a major challenge on development partner investments in health, leading to duplication of efforts and resulting in stagnant disease burden levels.Conclusion: Effective coordination mechanisms between all stakeholders at each level should be advocated to provide a forum to discuss interests and priorities, so as to harmonize them and facilitate the implementation of development partner funded activities in the recipient countries.


2019 ◽  
Vol 26 (1) ◽  
pp. 70-91
Author(s):  
Abu Elias Sarker ◽  
Faraha Nawaz

In a developing country like Bangladesh, the devolved local government system is widely recognized as one of the key institutional forms for the citizen-centric public service delivery system and ensuring democratic governance at the grassroots level. However, the democratic nature of local governments and their effective role in rendering services are contingent upon the political and institutional environments of the country. Competitive electoral process is key to local democratic governance. The purpose of this article is to analyze the implications of contemporary political order and institutional environments for the proper functioning of the Union Parishad (council), the lowest tier of the local government system in Bangladesh. More specifically, this study will reflect on how political clientelism, partyarchy and institutional environments have stymied competitive electoral politics at the local level which may result in democratic backsliding.


2018 ◽  
Vol 14 (4) ◽  
pp. 232-244
Author(s):  
Vinitha Siebers

Purpose The purpose of this paper is to gain insight in how South African local governments organize citizen engagement. The new South African constitution provides ways to construct and implement citizen engagement at local level. However, understanding citizen engagement at local level is still a challenge and municipalities search for proper structures and mechanisms to organize citizen engagement efficiently. Design/methodology/approach Interviews with different municipal actors were analyzed using a single case study method. As a primary unit of analysis, a specific project in which citizen engagement is organized was used. In addition, document analysis and a focus group were used to deepen understanding. Findings The findings reveal that citizen engagement is a viable strategy to identify the needs of the community if facilitated by a third party and that learning leadership is important when organizing citizen engagement. Originality/value The value of this research is the exploration of the citizen engagement process. It sheds light on the conditions that play a role when a local government organizes citizen engagement. As local governments search for ways to effectively organize and structure citizen engagement, insight into these conditions is helpful.


Author(s):  
Kenneth Okwaroh Ochieng

One of the arguments in favour of local governments is their ability to deliver public services better because of their proximity to demand. This is typically achieved through decentralisation – the transfer of some level of formal responsibility, authority and/or resources to smaller, lower tiers of government. This paper examines service delivery in the health sector in Kenya within the context of the country’s newly introduced devolved system of government, which created 47 county governments under the 2010 Constitution. It examines three key responsibilities: i) resource mobilisation, distribution and administration, ii) decision-making, and iii) political accountability, and their bearing on outcomes for delivery of health services. The paper argues that devolution of the health function in Kenya has been only partial, leading to challenges of coordination between the national and county governments and ambiguity over responsibility for service delivery; both factors which risk undermining the opportunities that devolution creates or promises.


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