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Submitted
April 3, 2019
Accepted
August 29, 2019
Published
August 30, 2019
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Abstract

Background: Jaminan Kesehatan Nasional (JKN) is Indonesia's health policy to achieve universal health coverage (UHC). Towards 2019, not all regions have succeeded in achieving UHC. One of the reasons is the uneven distribution of information regarding JKN policies. Socialization is needed so that the JKN policy is understood by the people of Indonesia.
Objective: This research was design to describe the importance of JKN policy socialization to reach UHC.
Methods: Qualitative research was conducted in September 2018- February 2019 in two districts in Central Java, that were the district that had reached UHC and districts that had not yet reached UHC. The informants consisted of leaders of regional organizations and also the community. The researcher conducted an interactive model analysis on the interview transcript.
Results: In districts that had reached UHC, socialization was conducted directly and indirectly through the government, community cadres and BPJS cadres. The district government provided support by issuing circulars letters. The district socialization effectively increases JKN participants. Meanwhile, in districts that had not yet reached UHC, there was found differences between community and the government. The government said that they had conducted effective socialization. But the community said that the information provided has not been effective and there is no detailed information about JKN.
Conclusion: An effective socialization of JKN policies is needed to increase the understanding and awareness of the community to achieve UHC.

Keywords

Socialization. Jaminan Kesehatan Nasional. Universal Health Coverage

Article Details

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Author Biography

Ema Nur Fitriana, Master Program of Family Medicine, Universitas Sebelas Maret, Surakarta, Indonesia

Master Program of Family Medicine of Universitas Sebelas Maret
How to Cite
Fitriana, E. N., Probandari, A. N., Pamungkasari, E. P., Ardyanto, T. D., & Puspitaningrum, R. A. (2019). The importance of socialization in achieving universal health coverage: case study of Jaminan Kesehatan Nasional (JKN) implementation in two different region in Central Java province. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 10(2), 110–120. https://doi.org/10.20885/JKKI.Vol10.Iss2.art3
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References

  1. World Health Organization. United nations conference on sustainable development. 2012;(January):1–5.
  2. World Health Organisation. From MDGs to SDGs: General Introduction. Health in 2015: from MDGs to SDGs. 2015;1(1):1–13.
  3. Takian A, Akbari-Sari A. Sustainable health development becoming agenda for public health academia. Iran journal public health. 2016;45(11):1502–6.
  4. World Health Organization. Universal health covurnalerage (UHC). 2017. p. 1. Available from: http://www.who.int/en/news-room/fact-sheets/detail/universal-health-coverage-(uhc)
  5. Reich MR, Harris J, Ikegami N, Maeda A, Cashin C, Araujo EC, et al. Moving towards universal health coverage: Lessons from 11 country studies. Lancet.2016; 387(10020):811–6.
  6. Aulia P. Polemik kebijakan integrasi jaminan kesehatan daerah ke sistim jaminan kesehatan nasional. Jurnal kesehatan masyarakat andalas. 2017;8(2):93.
  7. Tim Nasional Percepatan Penanggulangan Kemiskinan. Perjalanan menuju jaminan kesehatan nasional. 2015. Available from: http://www.tnp2k.go.id/images/uploads/downloads/Final_JKN_Perjalanan Menuju Jaminan Kesehatan Nasional
  8. Badan Penyelenggara Jaminan Sosial. Jumlah peserta program jkn. 2018. p. 1. Available from: https://bpjs-kesehatan.go.id/bpjs/index.php/jumlahPeserta
  9. Humas BPJS Kesehatan. Jaminan Kesehatan Sudah Di Depan Mata. Januari. 2018; Available from: https://bpjs-kesehatan.go.id/bpjs/index.php/post/read/2018/639/Jaminan-Kesehatan-Semesta-sudah-di-Depan-Mata
  10. Pusat Informasi Pelayanan Publik Lembaga Administrasi Negara. Sosialisasi program jaminan kesehatan nasional ( JKN )?: Permasalahan dan rekomendasi. 2014;(3):1–4.
  11. KemenKes. Buku pegangan sosialisasi jaminan kesehatan nasional (jkn) dalam sistem jaminan sosial nasional. Buku Pegangan Sos Jaminan Kesehat Nas dalam Sist Jaminan Sos Nas. 2013;9–19.
  12. Dinas Kependudukan dan Catatan Sipil Kota A. Profil Perkembangan Kependudukan Kota A Tahun 2017. 2018;lV–1.
  13. Dinas Kesehatan Kota A. Laporan peserta BPJS Kesehatan bulan Desember 2018. Surakarta; 2018.
  14. Pemerintah Kabupaten B. Rencana pembangunan jangka menengah daerah Kabupaten B Tahun 2016-2021. 2016.
  15. Dinas Kesehatan Kabupaten B. Data capaian peserta jaminan kesehatan nasional (JKN) kabupaten B tahun 2016-2018. 2018. 1 p.
  16. Sumantri A. Metodologi penelitian kesehatan. Jakarta: Adhitya Andrebina Agung; 2011.
  17. Palinkas, Horwitz, Green, Wisdom, Duan H. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Administration and Policy in Mental Health and Mental Health. 2015;42(5):533–44.
  18. Matthew B. Milles, A. Michael Huberman J saldana. Qualitative Data Analysis-A Methodes Sourcebook [Internet]. SAGE Publication; 2014. Available from: https://books.google.co.id/books?id=3CNrUbTu6CsC&printsec=frontcover&hl=id&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false.
  19. Dinas Kesehatan Kota A. Profil Kesehatan Tahun 2017. 2018;
  20. Walikota A. Surat Edaran Nomor 440/571 tentang Universal health Coverage Kota A. 2018.
  21. Winarno. Kebijakan Publik?: Teori dan Proses. Yogyakarta: Media Pressiondo; 2002.
  22. Notoatmodjo S. Promosi Kesehatan dan Perilaku. Jakarta: Rineka Cipta; 2007.
  23. Mishra L. Focus Group Discussion in Qualitative Research. TechnoLearn: An International Journal of Educational Technology. 2016;6(1):1.
  24. Hajrah U, Imran Ahmad LA, Sakka A. The national health insurance implementation: socialization and the readiness of health facility in south konawe regency 2014. KnE Life Sci. 2019;4(10):223.
  25. Minh H Van, Lucero-Prisno III DE, Ng N, Phaholyothin N, Phonvisay A, Soe KM, et al. Progress toward universal health coverage in ASEAN. Global health action. 2015;8:1–12.
  26. Iyer HS, Chukwuma A, Mugunga JC, Manzi A, Ndayizigiye M, Anand S. A comparison of health achievements in Rwanda and Burundi. Health human rights. 2018;20(1):199–211.
  27. Agustina R, Dartanto T, Sitompul R, Susiloretni KA, Suparmi, Achadi EL, et al. Universal health coverage in Indonesia: concept, progress, and challenges. Lancet. 2019;393(10166):75–102.
  28. Yellaiah J. Awareness of health insurance in Andhra Pradesh. International Journal of Scientific and Research Publications ]. 2012;2(6):1–6.
  29. Khoiri A. Efektivitas sosialisasi program jaminan kesehatan terhadap pengetahuan dan sikap rumah tangga usaha pertanian non PBI di kabupaten Jember tahun 2015. Jurnal Ilmu Kesehatan Masyarakat. 2015; 11(2):104-113.
  30. Darker CD, Donnelly-Swift E, Whiston L. Demographic factors and attitudes that influence the support of the general public for the introduction of universal healthcare in Ireland: A national survey. Health Policy (New York). 2018;122(2):147–56.
  31. Setswe G, Muyanga S, Witthuhn J, Nyasulu P. Public awareness and knowledge of the national health insurance in South Africa. Pan African Medical Journal. 2015;22:1–10.
  32. Litawati H. Strategi perencanaan jaminan kesehatan semesta kabupaten Banyuwangi. Jurnal Ilmiah Administrasi Publik . 2019;2(1):46–56.
  33. Abiiro GA, Mbera GB, De Allegri M. Gaps in universal health coverage in Malawi: A qualitative study in rural communities. BMC health services research. 2014;14(1):1–10.
  34. Amu H, Dickson KS, Kumi-Kyereme A, Maafo Darteh EK. Understanding variations in health insurance coverage in Ghana, Kenya, Nigeria and Tanzania: Evidence from demographic and health surveys. PLoS One. 2018;13(8):1–14.