scholarly journals Ekuitas Layanan Rawat Inap Rumah Sakit di Indonesia

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Devi Senja Ariani ◽  
Pujiyanto Pujiyanto
Keyword(s):  
Health Service ◽  
Program Implementation ◽  
Concentration Index ◽  
Secondary Data ◽  
Inpatient Service ◽  
Inpatient Services ◽  
Inpatient Utilization ◽  
The Difference ◽  
The Government ◽  
Index Value

Abstrak Dalam rangka mendorong tercapainya UHC di Indonesia, pemerintah menyelenggarakan program Jaminan Kesehatan Nasional (JKN). Salah satu tujuan program JKN adalah perbaikan akses dan ekuitas utilisasi pelayanan kesehatan. Penelitian ini bertujuan untuk menganalisis ekuitas utilisasi layanan rawat inap pada tahun 2015 dan 2016. Penelitian ini menggunakan data sekunder hasil SUSENAS tahun 2015 dan tahun 2016 dengan analisis menggunakan kurva konsentrasi dan indeks konsentrasi. Hasil penelitian menunjukkan bahwa utilisasi layanan rawat inap di rumah sakit pada kelompok peserta JKN meningkat pada tahun 2015 ke tahun 2016. Penduduk kaya lebih banyak memanfaatkan pelayanan rumah sakit dibandingkan dengan penduduk miskin, hal tersebut dibuktikan dengan kurva konsentrasi yang berada dibawah garis diagonal (garis ekuitas) dan nilai indeks konsentrasi yang bernilai positif yaitu 0.0336 pada tahun 2015 dan 0.0382 pada tahun 2016. Terjadi peningkatan inekuitas utilisasi layanan rawat inap di rumah sakit pada tahun 2015 ke tahun 2016 yang dilihat dari selisih nilai indeks konsentrasi sebesar 0.0045. Inekuitas utilisasi layanan rawat inap di rumah sakit yang pro kaya disebabkan oleh ketidaksetaraan umur, pendapatan, pendidikan, wilayah regional tempat tinggal serta kepemilikan JKN. Sedangkan variabel jenis kelamin dan pekerjaan mengurangi inekuitas dalam utilisasi layanan rawat inap di rumah sakit pada tahun 2015 dan 2016. Abstract In order to encourage the achievement of UHC in Indonesia, the government organized National Health Insurance (JKN) program. One of the objectives of the JKN program is the improvement of access and equity utilization of health services. This study aims to analyze Equity of Inpatient Utilization in Health Service in second and third year of JKN program implementation in 2015 and 2016. This study uses secondary data of SUSENAS in 2015 and 2016 with analysis using concentration curve and concentration index. The results showed that the Utilization of inpatient services in hospitals in the JKN group of participants increased in 2015 to 2016. The richer population utilizes more Health Service than the poor, as evidenced by concentration curves below the diagonal line (equity line) and the value of the positive concentration index of 0.0336 in 2015 and 0.0382 in 2016. There was an increase in inequity utilization in inpatient services in 2015 to 2016 which was seen from the difference of concentration index value of 0.0045. Pro-rich inequity caused by inequalities in age, income, education, regional residence and JKN ownership. While sex and job variables reduce inequality in inpatient service utilization in hospital by 2015 and 2016. 

scholarly journals Tenure Conflicts Resolution Of Colol Custom Community In Ruteng Recreation Park, Nusa Tenggara Timur

2019 ◽  
Vol 11 (1) ◽  
pp. 140-148
Author(s):  
Kriswoyo - Rofii
Keyword(s):  
Conflict Resolution ◽  
Agricultural Land ◽  
Secondary Data ◽  
Value Systems ◽  
Pull Out ◽  
Nature Park ◽  
The Difference ◽  
The Government ◽  
Depth Interviews ◽  
Rights Issues

AbstractDetermination of the Ruteng Recreation Nature Park had caused conflicts over tenure for Colol custom community have been in and around the area since before the establishment. Conflict was due for  access to agricultural land use and timber had closed by the management. The conflict resolution involves three elements, namely the government, customs and religion which are called the three pillars. This study aims to understand the stages of the tenure conflict, relevant stakeholders and the conflict resolution. The study was conducted Colol village in April to May 2016. Acquisition of data using observation, in-depth interviews with a purposive and snowball and secondary data. Analysis of data using conflict tree analysis, stakeholders and mapping conflicts. The results showed that the cause of the conflict is the difference in value systems that implicates disagreement land status and boundaries as well as the uncertainty of access due to rights issues and access. Conflict resolution is required is to build trust between the parties, improve communication to reduce the differences in perception, increased involvement of indigenous peoples in the management of Ruteng Recreation Park, reconstruction of recreation park boundaries involving the parties, especially the major stakeholders and optimizing the coordination and communication between the parties.Colol Custom Community determine their traditional territory option to pull out of the Ruteng Recreation Park. 

scholarly journals New Design of Raskin Program (Analysis Implementation RASDA in Kulonprogo Regency)

2016 ◽  
Vol 20 (1) ◽  
pp. 68
Author(s):  
Raden Rahman Asjhatri Fandaru
Keyword(s):  
Program Implementation ◽  
Program Analysis ◽  
Secondary Data ◽  
Policy Formulation ◽  
Social Rules ◽  
Fair Competition ◽  
Poor Households ◽  
Analysis Technique ◽  
The Government ◽  
Group Target

This thesis is an analysis of public policies based on the research carried out about the implementation of RASDA Program (local rice husbandry) in Kulonprogo in 2015. It is claimed as a new alternative offered to replace the Government RASKIN Program that is already running. This research aimed in determining how effective the implementation of the RASDA Program in Kulonprogo was and identifying the factors that cause RASDA program did not run as the expectation. The method used in this study was a qualitative method using two types of data, primary and secondary data. The data collection techniques used were observation, interview, and documentation with informants selection technique using the principle of purposive and snowball techniques. The data analysis technique was done through data reduction, data display, and data verification.The results showed that efforts to renew the RASKIN Program (cheap-priced rice) through RASDA program were not successfully done. The achievement of program outputs and outcome indicators were still far away from the expectation. The progress was not significantly improved, it still encountered the same problems as those in the implementation of the previous RASKIN Program. Meanwhile, farmers did not have any benefits from the uptake of the local rice because it was not optimally prepared.There are several factors that cause RASDA Program in Kulonprogro did not run well. The first reason was that it is difficult to link the concept of the program with the actual situation, seen from: (1) the farmers as the program target still thought conservatively causing the loss of the benefits that will be gained from the RASDA Program; (2) the intervention of political elites in the process of policy formulation; (3) the limited authority of the local government in the National RASKIN Program; and (4) the incoherency among the needs for resources in the factual conditions. The second cause, the conflict of interest among the holders cause the program implementation did not synchronize to each other, as seen from: (1) their efforts to make RASDA program as a springboard for “other” purposes; (2) the bias support of BULOG; (3) the lack of enthusiasm and initiatives among the holders/bureaucracy; and (4) the entrepreneurs’ mindset of business that dominated farmers community. The third reason is that there was not awareness on the characteristics of the group target to anticipate problems that arise.Based on these findings, the researcher suggested the government to focus in optimizing the current mechanisms of the food subsidies. The government should also concern in looking for other alternatives to optimize the potential of the local foods. The government should also  do some efforts to gain the welfare for farmers, by: (1) reconstructing values and norms in terms of social rules to support the program with the intensive socialization; (2) allocating the budget the APBD for the procurement of subsidized rice for poor households who are not registered; (3) monitoring the program up to the lowest level intensively; (4) encouraging small entrepreneurs to become BULOG’s partners to seek an access to the Capital; (5) maintaining fair competition among rice traders; (6) conducting studies on the possibility of establishing a integrated rice husbandry regional company; (7) encouraging the local rice branding.

scholarly journals Public Perception and Participation in Environmental Preservation of Watershed

2016 ◽  
Vol 4 (2) ◽  
pp. 147
Author(s):  
Andi Bustan
Keyword(s):  
Natural Resources ◽  
Public Perception ◽  
Secondary Data ◽  
Environmental Preservation ◽  
Illegal Mining ◽  
The People ◽  
People’S Perception ◽  
Financial Interests ◽  
The Difference ◽  
The Government

Environmental aspects have been some of the most argued about topics in society, including the role of the government as a stakeholder. Deforestation and illegal mining have been destroying the many ecosystems and rainforest habitats, including along the Katingan Watershed. The research objective is to describe public perception and participation in environmental preservation. The research used descriptive qualitative method and applying Spradley Domain Analysis. Primary and secondary data were obtained directly from field informants using interviews, observations and documentation. The research results show that the people’s perception and participation in environmental preservation was categorized into two groups. The first group one stated that they did contributed out of personal and financial interests, whilst the second groups were simply following the instructions of the government and local leaders. In general, locals have different perception on how they utilize the natural resources. The management of natural resources was perceived as being done for economic reasons, with the assumption that it were used sustainably. People’s involvement in preserving nature were affected their own needs either individually or collectively. Participation of the people in the conservation around the watersheds area was done for reasons of individual desire, solidarity, and to follow instructions from the government and Katingan Hilir leader. Environmental effort is carried out in activities aiming to protect and prevent damage to the area of the Katingan River. This lead to argue that diverse people’s perception to preserving environment generates the difference participation in their awareness.

scholarly journals Comparative Analysis of Education Policy Reforms of Khyber Pakhtunkhuwa (KP) Pakistan since 2008-18

2020 ◽  
Vol 3 (2) ◽  
pp. 165-173
Author(s):  
Shakeel Khan ◽  
Muhammad Hashim Khan ◽  
Dur-e-Nayab Gul
Keyword(s):  
Public Sector ◽  
Education Policy ◽  
Secondary Data ◽  
Educational Reforms ◽  
Policy Reforms ◽  
Independent Variables ◽  
Statistical Report ◽  
Multiple Regression Technique ◽  
The Difference ◽  
The Government

The aim of this study is to compare the educational reforms of two governments in public sector schools within the Khyber Pakhtunkhwa (KPK) region and finds the difference in educational reforms between the government elected in 2008 and government elected in 2013 in KPK. The study uses quantitative approach and used secondary data which is collected from the Annual statistical Report issued from 2009 to 2015. This research explains relationship between independent variables and dependent variable through linear and multiple regression technique. The analysis shows that three independent variables namely Basic facilities, Number of teachers, Number of institution has great impact on student’s enrollment which shows changes made by present government in the education policy has increased the student’s enrollment in public sector schools. The study focuses only on three independent variables while there are some other factors which can affect the student’s enrollment in public sector school.

scholarly journals DETERMINANTS OF THE UTILIZATION OF OUTPATIENT AMONG CHILD IN INDONESIA

2019 ◽  
Vol 10 (1) ◽  
pp. 67-73
Author(s):  
Lindia Herawati ◽  
Haerawati Idris
Keyword(s):  
Developing Countries ◽  
Health Service ◽  
Health Services ◽  
Parental Education ◽  
Design Research ◽  
Secondary Data ◽  
Outpatient Services ◽  
Cross Sectional ◽  
Family Approach ◽  
The Government

Background: Child’s health becomes the government concern in developing countries. Improving child’s health is a challenge for developing countries due to poor health care. Children tend to need more health services as they are more susceptible to various diseases. This study was aimed to determine the determinants influencing outpatient services utilization on children in Indonesia.  Method: This research was a descriptive with cross-sectional design research using quantitative approach. The data were obtained from secondary data of the Indonesian Family Life Survey (IFLS) 2014. The dependent variable was the number of health service visits on children. In this study, the samples were 2,472 0-14 years old individuals selected according to inclusion and exclusion criteria. The data were analyzed using binomial negative regression. Result: The study found out that child using health services at least one outpatient visit in the last 4 weeks was 75.77%.   Woman, perception of ill, parental formal employment, parental education (high), economic status were statistically related to utilization of health service for outpatient Conclusion: The perception of ill greatly affects the children in outpatient health service utilization, it is expected that government gives policy by family approach as the effort of family member caring, health protection and improvement especially for child.

scholarly journals Peranan Tiga Pilar dalam Penyelesaian Konflik Tenurial di Taman Wisata Alam Ruteng, Flores, Nusa Tenggara Timur

2019 ◽  
Vol 19 (1) ◽  
pp. 36
Author(s):  
Kriswoyo Kriswoyo ◽  
Jimmy Pello ◽  
Ludji M. Riwu Kaho
Keyword(s):  
Conflict Resolution ◽  
Resource Constraints ◽  
Secondary Data ◽  
Value Systems ◽  
Administrative Development ◽  
The Difference ◽  
The Government ◽  
Park Area

Manggarai communities has been in and around the area of Ruteng Recreation Parksince before the establishment. The determination of the area for conservation cause tenure conflictsfor the closure region for access to agricultural and the timber. The conflict resolution involves three elements, namely the government, customs and religion are called the three pillars. This study aims to understand the stages of the conflict tenure in Manggarai, relevant stakeholders and the role of the three pillars in conflict resolution. The study was conducted in four villages with village conflicting criteria and do not conflict in April to May 2016. Acquisition of data using observation, in-depth interviews with a purposive and snowball and secondary data. Analysis of data using analysis of tree conflicts, stakeholders and conflict mapping. The results showed that the cause of the conflict which is the difference value systems which have implications for the disagreement land status and boundaries as well as the uncertainty of access due to rights issues and access. Ruteng Recreation Park area assignment is not determined by the collective perception that lack of support of the parties. Ruteng Recreation Parksetting legislation and its implementation does not guarantee the security of rights and indigenous peoples' access due to constraints of knowledge and understanding of the laws and regulations, resource constraints, regulatory and administrative development issues. The concept of the three pillars was not optimal because it has not reduced the rate of destruction of Ruteng Recreation Park and there were still conflict of encroachment and illegal logging.

scholarly journals Leader, Government, and Market: The Economic Development of South Korea and Taiwan in the 70s and 80s

2018 ◽  
Vol 5 (2) ◽  
pp. 1
Author(s):  
Daehoon Han
Keyword(s):  
Economic Development ◽  
South Korea ◽  
Leadership Style ◽  
Secondary Data ◽  
Rare Type ◽  
Secondary Data Source ◽  
The Difference ◽  
The Government ◽  
High Level ◽  
Development Mechanism

South Korea and Taiwan experienced the extremely rare type of high-level, sustained postwar economic growth.While it has attracted the attention of many scholars who found out the identical pattern of economic developmentbetween South Korea and Taiwan by focusing on the similar structural conditions, relatively less attention has beengiven to the development mechanism South Korea and Taiwan employed to develop their economy. Furthermore,few studies have highlighted the role of actors in the process of economic development in South Korea and Taiwanbecause most of previous studies have focused on the structural conditions. This study aimed to examine how SouthKorea and Taiwan have developed their economy by discovering the type of a development mechanism employed.Based on using the set of secondary data source, this study found out that South Korea and Taiwan achieved aphenomenal economic development based on the export-oriented industrialization. However, South Korean economywas developed by the government-led development mechanism, while Taiwanese economy was developed by themarket-led development mechanism. And, the difference in the way of developing their economy was mainly causedby not only several structural conditions, such as the consensus between the government and private sector over thematter of economic development, the urgency of economic development, and the existence of vertical social system,but also the characteristics, such as the leadership style of key policy makers.

scholarly journals Reliability and Security in the Implementation of Digital Health Service Application with the Application of "Reliability Certification or Electronic Certification" based on Indonesian Law

2021 ◽  
Vol 8 (3) ◽  
pp. 417-438
Author(s):  
Charles Hanif
Keyword(s):  
Health Service ◽  
Health Services ◽  
Web Application ◽  
Health Workers ◽  
Digital Health ◽  
Rapid Change ◽  
Secondary Data ◽  
Legal Responsibility ◽  
Potential Problems ◽  
The Government

Societies are always changing rapidly. Initially, societies recognize ordinary health services. Now, people acknowledge web application based digital health services. This rapid change raises potential problems such as the sale of illegal drugs, user data theft, and illegal health workers. Unfortunately, the government has not provided actions to respond the issues quickly. There is no law that underlies the implementation of web application. It increases the possibility of other potential problems. Therefore, it is necessary to question the reliability and security of the implementation of the application and the form of legal responsibility of the organizer. This study used a normative juridical method, which is carried out by examining secondary data as the main study material. The study reveals that the reliability and security in the implementation of applications both as an electronic system and as a health service facility can still be optimized. There are two forms of legal responsibility for the application operator, namely liability in the form of obligations and in the form of sanctions.

scholarly journals Inequitable Utilization of Neonatal Health Services in Southwest Ethiopia: The Effects of Socioeconomic Disparities

2021 ◽  
Vol 58 ◽  
pp. 004695802110182
Author(s):  
Kiddus Yitbarek ◽  
Sarah Hurlburt ◽  
Terje P. Hagen ◽  
Melkamu Berhane ◽  
Gelila Abraham ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Health Service ◽  
Health Services ◽  
Service Utilization ◽  
Concentration Index ◽  
Binary Logistic Regression ◽  
Rural Setting ◽  
Neonatal Health ◽  
Southwest Ethiopia ◽  
Index Value

Low levels of neonatal health services utilization and high neonatal deaths are often concentrated among socially and economically disadvantaged groups, especially in low-income countries. Therefore the aim of this study was to assess inequity in the use of neonatal health services in Southwest Ethiopia. A community-based cross-sectional study was conducted in 8 districts located in Jimma Zone, Southwest Ethiopia from 19 March to 28 April 2018. A total of 835 mothers were included in the study with systematic random sampling. Principal component analysis was conducted to develop wealth quintiles of the households. Equity in neonatal health services was measured using rate-ratio, concentration curve, concentration index, and analyzed by binary logistic regression. Neonates from richer families were 1.25 times more likely to use neonatal health services than the poorer households with a concentration index value of 0.07. Neonates from highly educated mothers have better used the services and the corresponding concentration index value of 0.03. Neonatal service utilization was 1.32 times higher in the highest wealth quintile in rural settings. Similarly, services delivered at health posts and hospitals were used 2.4 and 2 times more by the wealthy, whereas services given at health centers are more utilized by the poorest. Outputs of binary logistic regression analysis indicated that neonates from middle quintile wealth households were found to be better neonatal health service users [AOR_1.72, 95% CI: 1.04, 2.82]. Neonate born from a secondary school attended mother [AOR_3.56, 95% CI: 1.90, 6.69] were more likely to use neonatal health services. Neonatal health service utilization in Southwest Ethiopia is more common among neonates from richer households and more educated mothers. There is a big difference among the wealthy and poorer in a rural setting and among those who used health posts. Working on the social-determinants of health will facilitate eliminating inequity.

scholarly journals Analisis Sebaran Tenaga Kesehatan Puskesmas di Indonesia berdasarkan Peraturan Menteri Kesehatan Nomor 75 Tahun 2014 tentang Puskesmas

2018 ◽  
Vol 4 (2) ◽  
pp. 114 ◽  
Author(s):  
Yuni Sari Romadhona ◽  
Kemal N. Siregar
Keyword(s):  
Health Service ◽  
Health Services ◽  
Health Workers ◽  
Health Centre ◽  
Secondary Data ◽  
Health Care Facilities ◽  
Public Health Services ◽  
Chi Square ◽  
Persistent Problem ◽  
The Government

The persistent problem faced by Indonesia is in adequate in number and maldistribution of health workers in Primary Health Centre (PHC) has resulted in disrupted health services to the community. The aims of this study is describe health workers in ratio PHC per 100,000 population and health workers distributionbyregions. This research is descriptive analytic. The data used are secondary data from the health workers in government health care facilities in the district/city and province in Indonesia collected by Sub Centre data and information of health ministry in June 2018 and analyzed using the chi-square. The fact that inadequate numbers and maldistributionare remaining problems of health workers in PHC. The ratio of physiciansis 10,17, midwifes 84,73, nurses 83, Public health services 11,09 and nutritionists 8,30 per 100,000 populations while Government standards are higher. Maldistributions of health workers in PHC occurred in central and east regions of Indonesia. The highest number of health workers at PHC in Indonesian is midwives and nurses, while the smallest workforce is dentists.  As in adequate numbers and maldistribution are the remaining problems of health workers in PHC, the recruitment of health workers should fulfil the community needs, geographic and avalaibility of health services. Providing the government scholarship to the locals in health schools with commitment to work for local government after graduation is one of the solution for this problem. E-health service is another solution, health service consultation can be carried out effectively and efficiently with remote health experts by taking the advantage of the internet.

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