COLLABORATIVE GOVERNANCE IN IMPLEMENTATION NATIONAL HEALTH INSURANCE PROGRAM IN BANDUNG CITY

International Journal of Advanced Research ◽

10.21474/ijar01/12007 ◽

2020 ◽

Vol 8 (11) ◽

pp. 279-284

Author(s):

Susniwati, M.Si. ◽

◽

Sri Suwitri, M.Si. ◽

Endang Larasati , M.S. ◽

Hartuti Purnaweni , M.Si ◽

...

Keyword(s):

Collaborative Governance ◽

Health Coverage ◽

Lack Of Information ◽

Process Collaboration ◽

Collaboration Dynamics ◽

Role Sharing ◽

Third Dimension ◽

Depth Interviews ◽

Universal Health ◽

Data Request

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.

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COLLABORATIVE GOVERNANCE IN IMPLEMENTATION NATIONAL HEATH INSURANCE PROGRAM IN BANDUNG CITY

International Journal of Advanced Research ◽

10.21474/ijar01/12097 ◽

2020 ◽

Vol 8 (11) ◽

pp. 1012-1017

Author(s):

Susniwati M.Si ◽

◽

Sri Suwitri M.Si ◽

Endang Larasati M.S ◽

Hartuti Purnaweni M.Si ◽

...

Keyword(s):

Collaborative Governance ◽

Health Coverage ◽

Lack Of Information ◽

Depth Interview ◽

Process Collaboration ◽

Collaboration Dynamics ◽

Role Sharing ◽

Third Dimension ◽

Universal Health ◽

Data Request

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.

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The Legislative Role of Universal Health Coverage Achievement in Kolaka Regency

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2020.5181 ◽

2020 ◽

Vol 8 (T2) ◽

pp. 41-46

Author(s):

Rahmat Anzari ◽

Sukri Palutturi ◽

Aminuddin Syam

Keyword(s):

Universal Health Coverage ◽

Health Sector ◽

Health Coverage ◽

Data Validity ◽

District Government ◽

Document Review ◽

Fully Functioning ◽

Depth Interviews ◽

Universal Health

BACKGROUND: The legislative role intended in accordance with the mandate of law number 17 of 2014 concerning the MPR, DPR, DPD, and DPRD in article 365 mentions three functions of the DPRD, namely, legislation, budgeting, and supervision. AIM: This study aimed to determine the legislative role in the achievement of Universal Health Coverage (UHC) in Kolaka Regency. METOHDS: This research method uses a qualitative with four informants selected by accidental sampling. Data obtained through in-depth interviews, observation, and document review. Data triangulation analysis is used to obtain data validity. RESULTS: The results showed that the role of the legislature in the legislative function had not been carried out properly because there were no regional regulations issued by the district government of Kolaka who supports the achievement of UHC and will only conduct academic studies related to JKN, the budgeting function has been carried out well because of Commission III of the District Parliament of Kolaka has provided full support regarding budgeting in the health sector and the oversight function is also well implemented. Parliamentary budget oversight in Kolaka is carried out 3 times a year/per quarter by the DPRD in collaboration with the inspectorate, BPK and APIP by comparing planning with reality on the ground. It was concluded that the legislative role in the achievement of UHC in Kolaka was not fully functioning properly. CONCLUSION: It is expected to immediately formulate and issue regional regulations that support the implementation of the JKN program as a manifestation of the achievement of UHC in Kolaka and involve academic experts in UHC/JKN in formulating the regional regulation.

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Local experience of using traditional medicine in northern Rwanda: a qualitative study

BMC Complementary Medicine and Therapies ◽

10.1186/s12906-021-03380-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mengxin Tan ◽

Yuko Otake ◽

Teisi Tamming ◽

Valerie Akuredusenge ◽

Beatha Uwinama ◽

...

Keyword(s):

Qualitative Study ◽

Health Services ◽

Traditional Medicine ◽

Universal Health Coverage ◽

Low Income ◽

Traditional Healers ◽

Health Coverage ◽

Community Members ◽

Depth Interviews ◽

Universal Health

Abstract Background The popular use of traditional medicine in low-income settings has previously been attributed to poverty, lack of education, and insufficient accessibility to conventional health service. However, in many countries, including in Rwanda, the use of traditional medicine is still popular despite the good accessibility and availability of conventional health services. This study aims to explore why traditional medicine is popularly used in Rwanda where it has achieved universal health coverage. Methods The qualitative study, which included in-depth interviews and participant observations, investigated the experience of using traditional medicine as well as the perceived needs and reasons for its use in the Musanze district of northern Rwanda. We recruited 21 participants (15 community members and 6 traditional healers) for in-depth interviews. Thematic analysis was conducted to generate common themes and coding schemes. Results Our findings suggest that the characteristics of traditional medicine are responding to community members’ health, social and financial needs which are insufficiently met by the current conventional health services. Participants used traditional medicine particularly to deal with culture-specific illness – uburozi. To treat uburozi appropriately, referrals from hospitals to traditional healers took place spontaneously. Conclusions In Rwanda, conventional health services universally cover diseases that are diagnosed by the standard of conventional medicine. However, this universal health coverage may not sufficiently respond patients’ social and financial needs arising from the health needs. Given this, integrating traditional medicine into national health systems, with adequate regulatory framework for quality control, would be beneficial to meet patients’ needs.

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Policy dialogue as a collaborative tool for multistakeholder health governance: a scoping study

BMJ Global Health ◽

10.1136/bmjgh-2019-002161 ◽

2020 ◽

Vol 4 (Suppl 7) ◽

pp. e002161

Author(s):

Emilie Robert ◽

Dheepa Rajan ◽

Kira Koch ◽

Alyssa Muggleworth Weaver ◽

Denis Porignon ◽

...

Keyword(s):

Health System ◽

Health Systems ◽

Universal Health Coverage ◽

Low Income ◽

Collaborative Governance ◽

Development Aid ◽

Policy Dialogue ◽

Health Coverage ◽

Scoping Study ◽

Universal Health

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.

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Lifestyle of hypertension patients who is participated in Jaminan Kesehatan Nasional (JKN) in Batang

Berita Kedokteran Masyarakat ◽

10.22146/bkm.8501 ◽

2016 ◽

Vol 32 (4) ◽

pp. 125

Author(s):

Mutmainah Bahrun ◽

Yayi Suryo Prabandari ◽

Yulita Hendrartini

Keyword(s):

Chronic Disease ◽

Universal Health Coverage ◽

Antihypertensive Drugs ◽

Health Coverage ◽

Service Programs ◽

Accessible Information ◽

And Behavior ◽

Depth Interviews ◽

Universal Health

Hypertension-related lifestyle and participation in chronic disease service programs in Batang districtPurposeThe purpose of this paper was to explore the behavior of hypertension patients who participated in the universal health coverage that forms a lifestyle in the prevention of complications due to hypertension.MethodsA qualitative-case study was conducted involving observations and depth interviews to 13 hypertension patients who participated in universal health coverage, including 2 wives and 1 husband of patients with hypertension, and also 3 doctors who were BPJS partners in Batang.ResultsThe study found that first, hypertension patients in Batang knew that they were potentially affected by complications due to hypertension. Second, there was a difference in experience and behavior among hypertension patients of prolanis (chronic disease service programs) members and non-prolanis members. The behavior of hypertension patients of prolanis members tended to be better than non-prolanis. Third, consumption of antihypertensive drugs was preferred in the prevention of complications due to hypertension rather than improving or modifying the behavior of hypertension patients.ConclusionThe positive experience of hypertension patients while being a JKN participant of prolanis and non-prolanis members formed a different lifestyle, and also had different prevention efforts. Innovative, adaptive and accessible information delivery needs to be considered in an effort to improve the lifestyle behavior of hypertension patients.

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