scholarly journals Surviving on a mountain of rubbish: the state and access to health social security for female scavengers

2020 ◽  
Vol 5 (1) ◽  
pp. 119
Author(s):  
Fairus Dwi Putri ◽  
Khaerul Umam Noer
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Social Life ◽  
The State ◽  
Access To Health Services ◽  
Five Dimensions ◽  
Female Head ◽  
Access To Health ◽  
The Government ◽  
The Right

This paper focuses on the lives of women scavengers heads of households and how the state guarantees the fulfillment of the right to health. Women are relatively more vulnerable to various risks related to their life cycle and role in the family; thus, their access to health insurance is an obligation that must be met by the government. This paper has two objectives: to map social life and, at the same time, analyze the accessibility of the Healthy Indonesia National Health Insurance Card for female head of household scavengers in TPA Cipayung, Depok City. Using qualitative methods, and focusing on five dimensions of accessibility: availability, accessibility, accommodation, affordability, and acceptance, this study found that all health insurance arrangements are still very problematic. Even though these women scavengers are protected by JKN-KIS PBI, in reality, they are still challenging to get access to health services, ranging from the availability of doctors, the scarcity of drugs, to the discrimination of health services. This shows that they have not yet received full health insurance, which has a direct impact on the social and economic lives of the scavengers.

scholarly journals RESPONSIBILITY OF PUBLIC HEALTH SERVICE BASED ON THE CONSTITUTION OF INDONESIA

2020 ◽  
Vol 5 (1) ◽  
pp. 51-66
Author(s):  
Ardiansah Ardiansah
Keyword(s):  
Public Health ◽  
Health Insurance ◽  
Health Services ◽  
House Of Representatives ◽  
The State ◽  
Public Health Services ◽  
The People ◽  
The Government ◽  
The Right ◽  
To Receive

The Indonesian Constitution has mandated health services for its people. Everyone has the right to receive health services, while the state is obliged to provide health services. The implementation of public health services faces problems concerning the president regulations about the increase of health insurance fee. The House of Representatives does not agree with the increase in health insurance fee, because the government should be responsible for the realization of public health services. This research uses normative legal research methods. The results showed that the government's policy of raising fees was considered unfair and burdensome to the people of Indonesia.Health services for the people of Indonesia has been mandated by The Indonesian Constitution. The denial of health services is a violation to the Indonesian constitution. The people have the right to get health services, whereas the state is responsible for providing health services. Therefore, even though the government raises fees, people expect the government to cancel the increase of the fee. Due to the fact that the Indonesian constitution has made it clear that the state is responsible for providing health services to its people.

scholarly journals EL DERECHO A LA SALUD Y SU VULNERACIÓN EN LOS CASOS DE VIOLENCIA OBSTETRICA EN TABASCO

2020 ◽  
Vol 9 (01) ◽  
Author(s):  
León Felipe Morales Ariza ◽  
José Antonio Morales Notario
Keyword(s):  
Human Rights ◽  
Health Services ◽  
Social Economic ◽  
Right To Health ◽  
The State ◽  
Access To Health Services ◽  
Access To Health ◽  
The Social ◽  
The Individual ◽  
The Right

The Mexican Constitution establishes that everyone has the right to health protection and therefore, the law itself will define the bases and modalities for all to have access to health services. However, not everyone has access to quality medical services despite being in the supreme regulation. The State must understand that any alteration to health generates social security problems, mainly due to its consequences. The right to health is inalienable and does not distinguish between the social, economic, cultural or racial status of the individual. And, by stablishing it as a constitutional regulation, it amounted to an obligation of the State, which must provide quality services for all the society.  There are cases in which the right to health is violated, such as obstetrics, where pregnant women suffer the consequences of bad practices, or where minors are involved and their human rights are violated. We must focus our attention in the fact that their neglect has serious consequences and their impact generates human conditions that affect the dignity of the human being.

scholarly journals Article 24: The Right to Health

2022 ◽  
pp. 205-216
Author(s):  
Christian Whalen
Keyword(s):  
Health Care ◽  
Health Services ◽  
Preventive Health Care ◽  
Right To Health ◽  
Access To Health Services ◽  
Access To Health ◽  
Post Natal Care ◽  
The Right ◽  
Minimum Criteria ◽  
Basic Minimum

AbstractArticle 24 reflects the perspective of the drafters that the right to health cannot be understood in narrow bio-medical terms or limited to the delivery of health services. Rather, in its reference, for example, to food, water, sanitation, and environmental dangers, it recognises the wider social and economic factors that influence and impact on the child’s state of health. Thus, the text of Article 24 sets out: a broad right to health for all children combined with a right of access to health services a priority focus on measures to address infant and child mortality, the provision of primary health care, nutritious food and clean drinking water, pre-natal and post-natal care, and preventive health care, including family planning the need for effective measures to abolish traditional practices harmful to children’s health a specific obligation on States Parties to cooperate internationally towards the realisation of the child’s right to health everywhere, having particular regard to the needs of developing countries. The right to health is a prime example of the interelatedness of child rights as it is contingent upon and informed by the realization of so many other rights guaranteed to children under the convention. This chapter analyses the child’s right to health in relation to four essential attributes. The first attribute of the child’s right to the highest attainable standard of health emphasizes what an exacting standard this human rights norm contains. Taking a social determinants of health perspective the right entails not just access to health services but programmatic supports in sanitation, transportation, education and other fields to guarantee the enjoyment of health. The second attribute focuses on the Basic minimum criteria of the right to health as reflected in Article 24(2). A third attribute is the insistence upon child health accountability mechanisms using the Availability, Accessibility, Acceptability and Quality Accountability Framework. Finally, given the wide discrepancies in enjoyment of children’s right to health across the globe, a fourth attribute focuses upon international cooperation to ensure equal access to the right to health.

scholarly journals Vertical Equity in Access to Health Insurance Services: a Qualitative Analysis of Perceptions and Enrollment in the Jirapa Municipality, North-Western Ghana.

2020 ◽  
Author(s):  
Maximillian Kolbe Domapielle ◽  
Constance Awinpoka Akurugu ◽  
Emmanuel Kanchebe Derbile
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Rural Setting ◽  
Northern Ghana ◽  
Vertical Equity ◽  
Access To Health Services ◽  
Rural Residents ◽  
Middle Income ◽  
Strict Adherence ◽  
Access To Health

Abstract Background: Given concerns about the spiralling cost of health services in Low and Middle Income Countries (LMICs), this study draws on a framework for assessing poverty and access to health services to ascertain progress towards achieving vertical equity in the National Health Insurance Scheme (NHIS) in a rural setting in northern Ghana. Rural-urban disparities in financial access to NHIS services are seldom explored in equity-related studies although there is a knowledge gap of progress and challenges of implementing the scheme’s vertical equity objectives to inform social health protection planning and implementation. Methods: A qualitative approach was used to collect and analyse the data. Specifically, in-depth interviews and observation provided the needed data to critically analyse the relationship between location, livelihoods and ability to pay for health insurance services. Results: The article found that flat rate contributions for populations in the informal sector of the economy and lack of flexibility and adaptability of timing premium collections to the needs of rural residents make the cost of membership disproportionately higher for them, and this situation contradicts the vertical equity objectives of the NHIS. Conclusion: The study concludes that the current payment arrangements serve as important deterrence to poor rural residents enrolling in the scheme. Based on this, we advocate strict adherence and implementation of the scheme’s vertical equity measures through the adoption of the Ghana National Household Register (GNHR) as a tool for ensuring that contributions are based on income and also collection is well-timed.

scholarly journals Financial Barriers to Access to Health Services for Adult People with Disability in Iran: The Challenges for Universal Health Coverage

2019 ◽  
Author(s):  
Shahin SOLTANI ◽  
Amirhossein TAKIAN ◽  
Ali AKBARI SARI ◽  
Reza MAJDZADEH ◽  
Mohammad KAMALI
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Universal Health Coverage ◽  
Healthcare Services ◽  
Health Coverage ◽  
Access To Health Services ◽  
Financial Barriers ◽  
Access To Health ◽  
People With Disability ◽  
Universal Health

Background: Reducing inequities in access to healthcare is one of the most important goals for all health systems. Financial barriers play a fundamental role here. People with disability (PWD) experience further financial barriers in access to their needed healthcare services. This study aimed to explore the causes of barriers in access to health services for PWD in Tehran, Iran. Methods: In this qualitative study, we used semi-structured in-depth interviews to collect data and selected participants through purposeful sampling with maximum variation. We conducted 56 individual interviews with people with disability, healthcare providers and policymakers from Sep 2015 until May 2016, at different locations in Tehran, Iran. Results: We identified four categories and eight subcategories of financial barriers affecting access to healthcare services among PWD. Four categories were related to health insurance (i.e. lack of insurance coverage for services like dentistry, occupational therapy and speech therapy), affordability (low income for PWD and their family), financial supports (e.g. low levels of pensions for people with disabilities) and transportation costs (high cost of transportation to reach healthcare facilities for PWD). Conclusion: Financial problems can lead to poor access to health care services. To achieve universal health coverage, government should reduce health insurance barriers and increase job opportunities and sufficient financial support for PWD. 

scholarly journals Vertical equity in access to health insurance services: An exploration of perceptions and enrolment in the Jirapa Municipality, north-western Ghana

2021 ◽  
Vol 2 (1) ◽  
pp. 1-12
Author(s):  
Maximillian Kolbe Domapielle ◽  
Constance Awinpoka Akurugu ◽  
Emmanuel Kanchebe Derbile
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Rural Setting ◽  
Northern Ghana ◽  
Vertical Equity ◽  
Access To Health Services ◽  
Rural Residents ◽  
Middle Income ◽  
Strict Adherence ◽  
Access To Health

Given concerns about the spiralling cost of health services in low and middle-income countries (LMICs), this study draws on a framework for assessing poverty and access to health services to ascertain progress towards achieving vertical equity in the National Health Insurance Scheme (NHIS) in a rural setting in northern Ghana. Rural-urban disparities in financial access to NHIS services are seldom explored in equity-related studies although there is a knowledge gap of progress and challenges of implementing the scheme’s vertical equity objectives to inform social health protection planning and implementation. A qualitative approach was used to collect and analyse the data. Specifically, in-depth interviews and observation were deployed to explore participants’ lived experiences, the relationship between location, livelihoods and ability to pay for health insurance services. The article found that flat rate contributions for populations in the informal sector of the economy and lack of flexibility and adaptability of timing premium collections to the needs of rural residents make the cost of membership disproportionately higher for them, and this situation contradicts the vertical equity objectives of the NHIS. The study concludes that the current payment regimes serve as important deterrence to poor rural residents enrolling in the scheme. Based on this, we advocate strict adherence and implementation of the scheme’s vertical equity measures through the adoption of the Ghana National Household Register (GNHR) as a tool for ensuring that contributions are based on income, and collection is well-timed

scholarly journals To a question on crisis of social hygiene and evolution of concept of public health services

2008 ◽  
Vol 7 (5-1) ◽  
pp. 77-79
Author(s):  
I. V. Vasilyev ◽  
A. V. Kalinichenko
Keyword(s):  
Public Health ◽  
Health Services ◽  
Social Study ◽  
The State ◽  
Economic Conditions ◽  
Public Health Services ◽  
Social Hygiene ◽  
The Government ◽  
The Right

Change of political and economic conditions should change a subject and methods of social study essentially. In postreorganization Russia the purposes of the state, methods and forms of the government, a subject and methods of a science have changed «Social hygiene» Were transformed unsystematically and till today's time are not certain. This circumstance has caused crisis of social hygiene as sciences. It is necessary to define a subject and methods of a science «Public health and public health services» on the basis of the right.

scholarly journals Women’s and Health Officer’s Knowledge on Access to Reproductive and Sexual Health Services Covered by the National Health Insurance: Surveys in 15 Districts-Cities in Indonesia

2019 ◽  
Vol 24 (3) ◽  
pp. 259
Author(s):  
Herna Lestari ◽  
Atnike Nova Sigiro
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Sexual Health ◽  
National Health Insurance ◽  
National Health ◽  
Sexual And Reproductive Health ◽  
Longitudinal Research ◽  
Access To Health Services ◽  
Access To Health ◽  
Reproductive And Sexual Health

<p>The availability of reproductive and sexual health services provided by the National Health Insurance (Jaminan Kesehatan National/JKN) in Indonesia could expand women’s access to reproductive and sexual health services. However, the knowledge of community and service provider will determine to what extent women will access the reproductive and sexual health services provided by JKN. This article assesses and analyzes the knowledge of women and health officers about the availability of reproductive and sexual health services provided in JKN. The article elaborates for main findings from the research that was conducted by women organizations that are members of the Women’s Health Care Network (Jaringan Perempuan Peduli Kesehatan or JP2K). JP2K conducted longitudinal research with a series of surveys in 2015, 2016, and 2017 in 15 regions of districts/cities in Indonesia on knowledge and access to reproductive and sexual health services provided by JKN. The surveys show limited knowledge of the respondents, both women and health officers, about forms and scope of reproductive and sexual health services that are covered by JKN. The research concludes that one of the important agendas for encouraging women’s access to health services covered by JKN is through intensifying the socialization of the scope of sexual and reproductive health to women and health facility officers.</p>

Sign in / Sign up

Export Citation Format

Share Document