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Submitted
May 3, 2019
Accepted
August 20, 2019
Published
August 30, 2019
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Abstract

Background: Jaminan Kesehatan Nasional (JKN) is the health policy of the Indonesian government to achieve Universal Health Coverage (UHC), where each City or District has a varied regional policy in implementing it. Surakarta City is one of the regions that has been able to reach UHC. Policy analysis triangle is used to understand the various factors involved in each policy process.
Objective: This study aims to explore deeply the implementation of JKN policy in Surakarta City to be able to achieve UHC based on a policy analysis triangle.
Methods: This type of research is a qualitative study with a case study approach. The study was conducted in Surakarta City, Central Java, from September 2018 to March 2019. Data collection was carried out through in-depth interviews and document analysis. Sampling technique with criterion sampling. The research informants were five people who were the leaders of the Surakarta City Government, and 10 people from the Surakarta City community. Data validity was done by triangulation, member check, and peer debriefing.
Results: The implementation of JKN policy in the city of Surakarta to reach UHC was influenced by: actors who were highly committed and competent in the success of the JKN program, a dynamic process in adjusting central policy to the regions by implementing various strategies and innovations to increase JKN membership coverage; political factors with policy making that support the achievement of UHC, environmental factors where population density in Surakarta City is the most densely populated in Central Java, there is a high awareness and willingness of the people of Surakarta City to have JKN, and technological support that facilitates JKN coordination and implementation.
Conclusion: Achieving UHC in Surakarta City is the result of optimizing the four factors in the triangle analysis policy.

Keywords

Health Insurance Health Coverage City of Surakarta Policy Analysis Triangle

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Author Biography

Rizky Amalia Puspitaningrum, Master Program of Family Medicine, Universitas Sebelas Maret, Surakarta, Indonesia

Master Program of Family Medicine, Universitas Sebelas Maret

How to Cite
Puspitaningrum, R. A., Probandari, A., Pamungkasari, E. P., Ardyanto, T. D., & Fitriana, E. N. (2019). Achievement of universal health coverage in Surakarta city: policy analysis. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 10(2), 149–161. https://doi.org/10.20885/10.20885/JKKI.Vol10.Iss2.art7
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References

  1. World Health Organization. Tracking Universal Health Coverage - First Global Monitoring Report. 2015;1–86.
  2. Organization WH. Ministerial Roundtable?: Sustainable Development Goals ( SDGs ) and Universal Health Coverage ( UHC ). 2016;(September).
  3. BPJS Kesehatan. Jaminan Kesehatan Sudah Di Depan Mata. Januari. 2018;
  4. Bappenas. Indonesian health sector review. Jakarta: bappenas; 2014.
  5. Dinkes Papua Barat. Menjadi yang Ke Empat di Indonesia: UHC Papua Barat [Internet]. p. 2018. Available from: https://dinkespapuabarat.wordpress.com/2018/03/03/menjadi-yang-ke-empat-di-indonesia-uhc-papua-barat/
  6. Dinas kesehatan Surakarta. Laporan peserta BPJS Kesehatan bulan Desember 2018. Dinas kesehatan Surakarta; 2018.
  7. Minh VH, Pocock NS, Chaiyakunapruk N, Chorvann, Duc HA, Hanvoravongchai P, Lim J, Prisno PE, Nawi N, Phaholyothin N, Phonvisay A, Soe KM S V. Asean integration and its health implication: Progress toward universal health coverage in ASEAN. Global Health Action [Internet]. 7:25856. Available from: https://www.tandfonline.com/doi/pdf/10.3402/gha.v7.25856%40zgha20.2015.8.issue-s3
  8. Iyer HS, Chukwuma A, Mugunga JC, Manzi A, Ndayizigiye M, Anand S. A comparison of health achievements in Rwanda and Burundi. Health and Human Rights. 2018;20(1):199–211.
  9. Walt G, Gilson L. Reforming the health sector in developing countries: The central role of policy analysis. Health Policy and Planning. 1994;9(4):353–70.
  10. Lehmann U. Understanding and Analyzing Health Policy. Modul Guide. School of Public Health: University of the Western Cape. South Africa: School of Public Health: University of the Western Cape.; 2016.
  11. Massie R. Kebijakan Kesehatan: Proses, Implementasi, Analisis Dan Penelitian. Buletin Penelitian Sistem Kesehatan. 2012;12(4).
  12. Supriyantoro. Formulasi Kebijakan Integrasi Jaminan Kesehatan Daerah Ke Sistem Jaminan Kesehatan Nasional Menuju Universal Health Coverage Ringkasan. 2014;62.
  13. Ota MOC, Kirigia DG, Asamoah-Odei E, Drameh-Avognon PS, Olu O, Malecela MN, et al. Proceedings of the first African Health Forum: Effective partnerships and intersectoral collaborations are critical for attainment of Universal Health Coverage in Africa. BMC Proceedings. 2018;12.
  14. Agustina R, Dartanto T, Sitompul R, Susiloretni KA, Suparmi, Achadi EL, et al. Universal health coverage in Indonesia: concept, progress, and challenges. The Lancet. 2019;393(10166):75–102.
  15. Roesalya P. Hubungan Terpaan Sosialisasi Bpjs Kesehatan Dan Sikap Masyarakat Pada Program Dengan Keputusan Masyarakat. 2014;
  16. Rukmini R, Ristrini R, Tumaji T. Integrasi Jamkesda dalam JKN bagi PBI di Kota Blitar dan Kota Malang. Buletin Penelitian Sistem Kesehatan. 2017;20(1).
  17. Pisani E, Kok MO, Nugroho K. Indonesia’s road to universal health coverage: A political journey. Health Policy and Planning. 2017;32(2):267–76.
  18. Christiani C, Tedjo P, Martono B. Analisis Dampak Kepadatan Penduduk Terhadap Kualitas Hidup Masyarakat Provinsi Jawa Tengah. Jurnal Ilmiah Untag Semarang [Internet]. 2014;102–14.
  19. Obare V, Brolan CE HP. Indicators for Universal Health Cobverage: can Kenya comply with the proposed post 2015 monitoring recommendations?. International Journal for Equity in Health,. 2014;13:123.