Main Article Content
Abstract
The government issued Presidential Instruction No. 1 of 2022 concerning Optimizing the Implementation of the JKN Program. Coverage of JKN participants in Karimun Regency is 83.28%. This study aims to explore village government strategies with various levels of participant coverage in achieving UHC in Karimun Regency. The method used in this research is a qualitative approach based on thematic analysis. Data was collected through Focus Group Discussions, in-depth interviews, and literature reviews. The research subjects were village governments with the highest, medium, and lowest UHC achievements on Karimun Island in Karimun Regency. The village government's strategy in achieving UHC included data collection and identification of individuals whom JKN does not cover; actively involving the participation of cadres of Posyandu, Posbindu and village midwives; providing education and advice; proposing JKN for poor society to the local government, and collaborating with sub-district offices and the Health Office in submitting PBIs. Implementation of this strategy is constrained by the absence of regulations regarding using village funds for JKN registration, limited funds, and JKN budgeting requires significant funds. There is a gap between the highest and lowest UHC village government strategies, including the active involvement of community cadres in the highest UHC village government. It is recommended that the most subordinate UHC village government involve the active participation of cadres from the community. The BPJS Kesehatan are advised to socialize Presidential Instruction No. 1 of 2022 to the village government
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References
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References
Adewole, D. A., Adebayo, A. M., Udeh, E. I., Shaahu, V. N., & Dairo, M. D. (2015). Payment for Health Care and Perception of the National Health Insurance Scheme in a Rural Area in Southwest Nigeria. American Journal of Tropical Medicine and Hygiene, 93(3), 648–654. https://doi.org/10.4269/ajtmh.14-0245
Anjani, A. N. (2020). Peran Pemerintah Desa Dalam Program Jaminan Kesehatan Nasional (Studi Di Desa Mojogedang, Kecamatan Mojogedang, Kabupaten Karanganyar) [Universitas Katolik Soegijapranata Semarang]. In Universitas Katolik Soegijapranata Semarang. http://repository.unika.ac.id/id/eprint/23092
Cajaiba-Santana, G. (2014). Social innovation: Moving the field forward. A conceptual framework. Technological Forecasting and Social Change, 82(1), 42–51. https://doi.org/10.1016/j.techfore.2013.05.008
Hadiwijoyo, S. S. dkk. (2021). Strategi Salatiga Menuju Universal Health Care (UHC) Melalui Jaminan Kesehatan Nasional. Mimbar: Jurnal Penelitian …, 10(1), 55–74. https://doi.org/https://doi.org/10.32663/jpsp.v10i1.1537
Hakim, A. R., & Mahyuni, M. (2021). Implementasi Kebijakan Dana Desa Dan Konflik Sosial: Studi Kecamatan Paminggir, Kabupaten Hulu Sungai Utara. Jurnal Administrasi Publik Dan Pembangunan, 3(1), 36. https://doi.org/10.20527/jpp.v3i1.3841
Kusumaningrum, A., & Azinar, M. (2018). Kepesertaan Masyarakat dalam Jaminan Kesehatan Nasional Secara Mandiri. Higeia Journal of Public Health Research and Development, 2(1), 149–160. http://journal.unnes.ac.id/sju/index.php/higeia
Kwarteng, A., Akazili, J., Welaga, P., Dalinjong, P. A., Asante, K. P., Sarpong, D., Arthur, S., Bangha, M., Goudge, J., & Sankoh, O. (2020). The State of Enrollment on The National Health Insurance Scheme in Rural Ghana After Eight Years of Implementation. International Journal for Equity in Health, 0, 1–14. https://doi.org/doi.org/10.1186/s12939-019-1113-0
Mao, W., Tang, Y., Tran, T., Pender, M., Khanh, P. N., & Tang, S. (2020). Advancing universal health coverage in China and Vietnam: lessons for other countries. BMC Public Health, 20(1), 1–9. https://doi.org/10.1186/s12889-020-09925-6
Nicholson, D., Yates, R., Warburton, W., & Fontana, G. (2015). Delivering Universal Health Coverage : a Guide for Policymakers. In Report of the WISH Universal Health Coverage Forum 2015. https://www.imperial.ac.uk/media/imperial-college/institute-of-global-health-innovation/public/Universal-health-coverage.pdf
Ochalek, J., Manthalu, G., & Smith, P. C. (2020). Squaring the cube: Towards an operational model of optimal universal health coverage. Journal of Health Economics, 70, 102282. https://doi.org/10.1016/j.jhealeco.2019.102282
Odeyemi, I. A. (2014). Community-based health insurance programmes and the national health insurance scheme of Nigeria: Challenges to uptake and integration. International Journal for Equity in Health, 13(1), 1–13. https://doi.org/10.1186/1475-9276-13-20
Putra, M. H. A., Yudha, N. L., & Suarjana, N. (2019). Analisis Peran Pemerintah Daerah Terkait Optimalisasi Pelaksanaan Program Jaminan Kesehatan Nasional Bagi Masyarakat Miskin di Kabupaten Karangasem. Prosiding SINTESA (Seminar Ilmiah Nasional Teknologi, Sains, Dan Sosial Humaniora) 2019, 213–230. https://jurnal.undhirabali.ac.id/index.php/sintesa/article/view/837/734
Republik Indonesia. (2013). Peraturan Presiden Republik Indonesia Nomor 12 Tahun 2013 Tentang Jaminan Kesehatan. https://fiskal.kemenkeu.go.id/docs/inklusif/Perpres Nomor 12 Tahun 2013 tentang Jaminan Kesehatan.pdf
Sari, A., Zamzam, F., & Syamsudin, H. (2020). Pengaruh Kepemimpinan, Kompensasi, dan Motivasi terhadap Kinerja Karyawan. Jurnal Nasional Manajemen Pemasaran & SDM, 1(2), 1–18. https://doi.org/10.47747/jnmpsdm.v1i2.91
Subastian, T. (2016). Peran Perusahaan PT. PMM (Prima Mitrajaya Mandiri) Kelapa Sawit Dalam Peningkatan Ekonomi Masyarakat Di Desa Muara Kaman Ilir Kecamatan Muara Kaman Kabupaten Kutai Kartanegara. EJournal Ilmu Pemerintahan, 4(3), 1315–1326.
van Niekerk, L., Bautista-Gomez, M. M., Msiska, B. K., Mier-Alpaño, J. D. B., Ongkeko, A. M., & Manderson, L. (2023). Social innovation in health: strengthening Community Systems for Universal Health Coverage in rural areas. BMC Public Health, 23(1), 1–15. https://doi.org/10.1186/s12889-022-14451-8