Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) <p>Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) is a scientific journal that contains commentary, original articles, literature reviews, and letter to editor related to the scope of the management, organization and leadership in health institutions. This journal is supported by practitioners and scientists from various institutions which involve expertises in health management and health organization. Indonesian Journal of Health Administration (<a title="p-issn" href="" target="_blank" rel="noopener">p-ISSN 2303-3592</a>, <a title="e-issn" href="" target="_blank" rel="noopener">e-ISSN 2540-9301</a>) has mission in developing knowledge in health administration through publication. Indonesian Journal of Health Administration<strong> </strong>aims to contribute to health system strengthening in developing countries by connecting reasearchers and policy makers to share their ideas and scientific studies in order to improve the quality of healthcare.</p> <p>Indonesian Journal of Health Administration (IJHA) is published by <a href="" target="_blank" rel="noopener">Universitas Airlangga</a> in<a href="" target="_blank" rel="noopener"> collaboration with The Indonesian Public Health Union (PERSAKMI).</a> The editorial board is based in Surabaya, Indonesia. The 1st edition was published in January-March 2013. In the first publication, IJHA only published original research articles. By its developing popularity, editorial board decided to receive literature reviews as well. JAKI published the 1st and 2nd volumes and regularly published articles four times a year in the early years. In pursuing the quality improvement, IJHA has only published articles twice a year since 2015. The publication is issued twice a year (June and December). Today, it has successfully been attracting more than thousands of readers.</p> <p>We welcome all of experts, practitioners, and academicians who are interested in health administration to submit their articles. Articles in this journal discuss various current issues in healthcare administration. Submitted articles will be reviewed by Indonesian and international experts in health administration. Authors can submit articles by following the schedule publication of IJHA on June and December. Articles could be written in either English or Bahasa Indonesia. Every edition will be indexed and abstracting in the main database, such as <a href="">SINTA (S2)</a>,<a href="" target="_self"> DOAJ</a>, <a href="" target="_blank" rel="noopener">Portal Garuda</a>, <a href="" target="_blank" rel="noopener">PKP Index,</a> <a href="" target="_blank" rel="noopener">Indonesia One Search</a>, <a href=";hl=id" target="_blank" rel="noopener">Google Scholar</a>, <a href=";j_init=J&amp;p=8&amp;type=all">Hinari</a>, <a href=";Find=Jurnal+Administrasi+Kesehatan+Indonesia&amp;GetResourcesBy=QuickSearch&amp;resourceTypeName=allTitles&amp;resourceType=&amp;radioButtonChanged=">EBSCO</a>, <a href=";id=33">ASEAN Citation Index (ACI)</a>, <a href="" target="_blank" rel="noopener">Publons</a> Peer Review Analytics and listed on <a href="">ICMJE (International Committe Medical Journal Editor)</a> and <a href="">SHERPA/ROMEO</a> aggregator.</p> Universitas Airlangga en-US Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) 2303-3592 <p><strong>1. As an author you (or your employer or institution) may do the following:</strong></p><ul><li>make copies (print or electronic) of the article for your own personal use, including for your own classroom teaching use;</li><li>make copies and distribute such copies (including through e-mail) of the article to research colleagues, for the personal use by such colleagues (but not commercially or systematically, e.g. via an e-mail list or list server);</li><li>present the article at a meeting or conference and to distribute copies of the article to the delegates attending such meeting;</li><li>for your employer, if the article is a ‘work for hire’, made within the scope of your employment, your employer may use all or part of the information in the article for other intra-company use (e.g. training);</li><li>retain patent and trademark rights and rights to any process, procedure, or article of manufacture described in the article;</li><li>include the article in full or in part in a thesis or dissertation (provided that this is not to be published commercially);</li><li>use the article or any part thereof in a printed compilation of your works, such as collected writings or lecture notes (subsequent to publication of the article in the journal); and prepare other derivative works, to extend the article into book-length form, or to otherwise re-use portions or excerpts in other works, with full acknowledgement of its original publication in the journal;</li><li>may reproduce or authorize others to reproduce the article, material extracted from the article, or derivative works for the author’s personal use or for company use, provided that the source and the copyright notice are indicated.</li></ul><p>All copies, print or electronic, or other use of the paper or article must include the appropriate bibliographic citation for the article’s publication in the journal.</p><p> </p><p><strong>2. Requests from third parties</strong></p><p>Although authors are permitted to re-use all or portions of the article in other works, this does not include granting third-party requests for reprinting, republishing, or other types of re-use. </p><p> </p><p><strong>3. Author Online Use</strong></p><ul><li>Personal Servers. Authors and/or their employers shall have the right to post the accepted version of articles pre-print version of the article, or revised personal version of the final text of the article (to reflect changes made in the peer review and editing process) on their own personal servers or the servers of their institutions or employers without permission from JAKI;</li><li>Classroom or Internal Training Use. An author is expressly permitted to post any portion of the accepted version of his/her own articles on the author’s personal web site or the servers of the author’s institution or company in connection with the author’s teaching, training, or work responsibilities, provided that the appropriate copyright, credit, and reuse notices appear prominently with the posted material. Examples of permitted uses are lecture materials, course packs, e-reserves, conference presentations, or in-house training courses; </li></ul><p> </p> THE EFFECT OF PARTICIPATION IN JKN ON UNMET NEEDS FOR HEALTHCARE SERVICES <p><strong>Background:</strong> The National Health Insurance or <em>Jaminan Kesehatan Nasional</em> (JKN) program is one of the steps taken by the Indonesian government in developing Universal Health Coverage (UHC). However, increased participation in the National Health Insurance is not followed by an increase in met needs for healthcare services.</p> <p><strong>Aims:</strong> This study aimed to examine the effect of participation in the National Health Insurance on unmet needs for healthcare services in poor and non-poor population groups.</p> <p><strong>Methods:</strong> This study used data from the 2018 National Socio-Economic Survey/ <em>Survei Sosial Ekonomi Nasional </em>(SUSENAS) and Village Potential Survey/ <em>Survei Potensi Desa (PODES).</em> Data were processed using binary logistic model analysis to identify the effect of participation in the National Health Insurance on the unmet needs for healthcare services.</p> <p><strong>Results:</strong> Participation in the National Health Insurance, including beneficiary program for poor groups could reduce the risks of unmet needs for healthcare services by 7.7%, while non-beneficiary program could reduce the risks of unmet needs for health services for non-poor groups by 10.4%.</p> <p><strong>Conclusion:</strong> Both beneficiaries and non-beneficiaries affect the unmet needs for health services for both poor and non-poor groups. However, the non-beneficiary program is more elastic than beneficiary program to fulfill needs for both sample groups.</p> <p><strong>Keywords</strong>: Healthcare services, national health insurance, logit, unmet need</p> Farikh Alfa Firori I Dewa Gede Karma Wisana Copyright (c) 2023 Farikh Alfa Firori, I Dewa Gede Karma Wisana 2023-10-25 2023-10-25 11 2 186 195 10.20473/jaki.v11i2.2023.186-195 CHALLENGES AND POLICY SUPPORTS IN INDONESIAN PHARMACEUTICAL RAW MATERIALS INDUSTRY <p><strong>Background:</strong> Indonesian pharmaceutical industry is experiencing many challenges, spesficically their raw materials mostly are imported products. Several factors that cause the pharmaceutical raw materials industry to be challenging are lack of mastery of technology, lack of government support, low budget for R&amp;D, high costs of development and time consuming, and low innovation incentives.</p> <p><strong>Aims:</strong> This study aims to conduct a study on the strategies for developing the pharmaceutical raw material industry in Indonesia</p> <p><strong>Methods:</strong> This study employed a qualitative method, the data triangulation gathered from interviews and discussions with several industries and institutions. The study was conducted for six months in 2022.</p> <p><strong>Results:</strong> The policies that are required to be implemented to make the pharmaceutical raw materials industry thrive are (i) the presence of a clear grand strategy, (ii) determining the priority of pharmaceutical raw materials based on industrial needs, (iii) protecting domestic products, (iv) increasing health spending, (v) strengthening basic chemical product, and (vi) increasing the budget for R&amp;D.</p> <p><strong>Conclusion:</strong> Some policies that can be enhanced include providing incentives and policies that favor the local pharmaceutical raw material industry, ranging from regulated prices, putting an end to dependence on imported products, tax incentives, domestic products protection through import tariff policies, energy subsidies, technology transfers, et cetera.</p> <p><strong>Keywords</strong>: pharmaceutical raw materials, policy, pharmaceutical</p> Erwan Hermawan Nur Anis Hadiyati Adiarso Adiarso Ermawan Darma Setiyadi Siti Zunuraen Dudi Hidayat Anwar Wahyudi Hartini Ahadiyatur Ru’yi Copyright (c) 2023 Erwan Hermawan, Nur Anis Hadiyati, Adiarso, Ermawan Darma Setiyadi, Siti Zunuraen, Dudi Hidayat, Anwar Wahyudi 2023-11-09 2023-11-09 11 2 196 211 10.20473/jaki.v11i2.2023.196-211 DIFFERENCES IN PARENTS’ READINESS TO ACCEPT CHILDREN’S COVID-19 VACCINATION IN PATI REGENCY <p><strong>Background: </strong>The coverage of COVID-19 vaccination for children in Pati Regency was still low at 37% in February 2022 compared to the 75% target. Some preliminary studies in Kudus showed that parents who received socialization about children’s COVID-19 vaccination experienced concerns affecting their responses negatively to the program.</p> <p><strong>Aims: </strong>This study aims to analyze differences in parental acceptance of the COVID-19 vaccination for children in Pati Regency.</p> <p><strong>Methods: </strong>This study was quantitative research with a cross-sectional approach. The variables consisted of 7Cs components (Confidence, Complacency, Constraints, Calculation, Collective Responsibility, Compliance, Conspiracy) and acceptance of COVID-19 vaccination. The total sample of respondents was 372 parents divided into two independent groups obtained by cluster and proportional sampling. Data were collected using a questionnaire via Google Forms and analyzed using the Mann-Whitney test.</p> <p><strong>Results: </strong>The results showed differences in parental acceptance of COVID-19 vaccination (sig = 0.006) regarding constraints (sig = 0.000), collective responsibility (sig = 0.012), compliance (sig = 0.012), confidence (sig = 0.019), complacency (sig = 0.020), calculation (sig = 0.027), and conspiracy (sig = 0.037).</p> <p><strong>Conclusion: </strong>Some differences were found between parents whose children received the vaccine and those whose children did not receive the COVID-19 vaccine. Parents whose children received the COVID-19 vaccine were likely to have a good perception of the COVID-19 vaccination. Meanwhile, parents whose children did not get vaccinated would likely have a bad perception. Educational and consulting services possibly increase vaccination coverage.</p> <p><strong>Keywords</strong>: COVID-19 vaccination for children; different acceptance; 7Cs components</p> Margaretha Inadyas Verganza Ayun Sriatmi Nurhasmadiar Nandini Copyright (c) 2023 Margaretha Inadyas Verganza, Ayun Sriatmi, Nurhasmadiar Nandini 2023-11-23 2023-11-23 11 2 212 220 10.20473/jaki.v11i2.2023.212-220 FACTORS ASSOCIATED WITH THE UTILIZATION OF PUBLIC HEALTH CENTER IN CENTRAL JAVA <p><strong>Background:</strong> The Public Health Center (PHC) is a gatekeeper to formal healthcare in Indonesia. PHCs in Central Java have met the basic health facility readiness standard, but there are still numerous challenges to increasing the utilization of PHCs.</p> <p><strong>Aims:</strong> This study aimed to analyze the factors related to the utilization of PHC in Central Java.</p> <p><strong>Methods:</strong> This cross-sectional study used secondary data from the 2018 Indonesia Basic Health Research, with 63,118 total samples. The independent variables were residence, age, gender, marital status, education, insurance, and socioeconomic, while the dependent variable was the utilization of PHC. The data were analyzed using a binary logistic regression.</p> <p><strong>Results:</strong> The average rate of utilization of PHC in Central Java in 2018 was 5.7%. Those aged 46-65 and &gt;65 years old, women, married and widowers, and those with health insurance had a higher possibility of utilizing PHC. Meanwhile, those who graduated from secondary and tertiary school, the employed, and the wealthiest group had a lower possibility of utilizing PHC.</p> <p><strong>Conclusion:</strong> The factors related to the utilization of PHC in Central Java are age group, gender, marital status, education level, working status, health insurance ownership, and socioeconomic status.</p> <p><strong>Keywords</strong>: basic health service, health service access, public health, public health center</p> Marizka Khairunnisa Agung Dwi Laksono Sidiq Purwoko Sri Sulasmi Afi Nursafingi Copyright (c) 2023 Marizka Khairunnisa, Agung Dwi Laksono, Sidiq Purwoko, Sri Sulasmi, Afi Nursafingi 2023-11-15 2023-11-15 11 2 221 230 10.20473/jaki.v11i2.2023.221-230 FACTORS INFLUENCING EXPECTANT MOTHERS' CONTINUED USE OF DIGITAL HEALTH INFORMATION <p><strong>Background:</strong> Expectant women receive healthcare education at antenatal care (ANC) clinics, but it is noteworthy that expectant mothers tend to seek information from various sources beyond their primary healthcare providers.</p> <p><strong>Aims:</strong> The study aims to investigate determinants influencing expectant mothers' continuous use of digital media for pregnancy information. </p> <p><strong>Methods:</strong> The study involves participants of expectant women who attend ANC clinics in five municipal hospitals. The hypotheses were tested with 580 responses using Structural Equation Modeling (SEM) via SmartPLS version 4.</p> <p><strong>Results:</strong> The findings revealed that social media healthcare information usage, perceived severity, and emotional support on social media influence expectant mothers' decisions to continue using digital media for healthcare purposes. However, the effect of perceived vulnerability on social media healthcare information usage was insignificant. </p> <p><strong>Conclusion:</strong> This study concludes that expectant mothers will continue to adopt digital platforms to access healthcare information. The findings provide recommendations to help healthcare providers advance antenatal care.</p> <p><strong>Keywords</strong>: Emotional support, healthcare, expectant women, SMHIC, social media</p> Philomina Pomaah Ofori Kumangkem Kennedy Kubuga Dominic Kofi Louis Copyright (c) 2023 Philomina Pomaah Ofori, Kumangkem Kennedy Kubuga, Dominic Kofi Louis 2023-11-23 2023-11-23 11 2 231 241 10.20473/jaki.v11i2.2023.231-241 A LONG AND WINDING ROAD OF THE TOBACCO-FREE AREAS IMPLEMENTATION IN SEMARANG <p><strong>Background:</strong> The Tobacco-Free Areas (TFA) policy is an effective way to control the negative effects of smoking on the community, especially passive smokers. Semarang has had a TFA policy since 2013. However, some people still smoke freely in some areas, such as workplaces, kindergartens, and other public places.</p> <p><strong>Aims:</strong> Identifying the implementation of Semarang City Local Government Regulation Number 3 of 2013 concerning Tobacco-Free Areas.</p> <p><strong>Methods:</strong> This was qualitative research using the case study method. Data were collected using in-depth interviews with some key informants according to the inclusion criteria. Triangulation was conducted through observation and in-depth interviews with some informants. Data were analyzed using content analysis.</p> <p><strong>Results:</strong> Some violations still occurred, mostly at the workplace and educational places, including government offices and schools. Violations happened due to inadequate support of the office’s heads, insufficient workers and the society’s awareness, policy rejection, inadequate financial support, lack of media exposure, and obscurity of the regulation articles, which led to misinterpretation. For example, Article 7, verse 3 states that the TFA regulation will be regulated by the mayor's decree. This statement weakens the regulation itself since the mayor's decree is not as strong as the local regulation.</p> <p><strong>Conclusion:</strong> The implementation of Semarang City Local Government Regulation Number 3 of 2013 concerning Tobacco-Free Areas has not been carried out properly in all of the TFA areas. Violations were still found in many areas.</p> <p><strong>Keywords</strong>: regulation, secondhand smokers, smoking, tobacco-free areas</p> Novia Handayani Bagoes Widjanarko Kusyogo Cahyo Abdillah Ahsan Dian Kusuma Copyright (c) 2023 Novia Handayani, Bagoes Widjanarko, Kusyogo Cahyo, Abdillah Ahsan, Dian Kusuma 2023-11-27 2023-11-27 11 2 242 251 10.20473/jaki.v11i2.2023.242-251 NURSE BURNOUT PREDICTORS IN HEALTHCARE UNITS DURING COVID-19 IN EAST JAVA, INDONESIA <p><strong>Background:</strong> As frontline health service providers, nurses are important in directly caring for patients during the COVID-19 pandemic. Nurses are very vulnerable to infection, and this causes ongoing anxiety and ultimately causes burnout.</p> <p><strong>Aims:</strong> This study aims to identify factors that may lead to nurse burnout in various East Java healthcare facilities.</p> <p><strong>Methods: </strong>This research used correlational analysis with a cross-sectional approach. The approach of purposive sampling was applied to select nurses from various health units in East Java with 200 respondents. The Maslach Burnout Syndrome Inventory-Human Services Survey (MBI-HSS) questionnaire was used for burnout variables and questionnaires for efficacy, job stress, and fear variables. Data analysis used multiple logistic regression with the ENTER method.</p> <p><strong>Results:</strong> The findings indicated that the variable that had a significant relationship with burnout was work stress. The Odds Ratio (OR) analysis results <span style="font-size: 0.875rem;">for the job stress variable are 2.860, meaning that respondents who experience high job stress have a 3-fold risk of experiencing burnout compared to those who do not experience high stress.</span></p> <p><strong>Conclusion:</strong> Job stress is predicted to be the most dominant variable causing burnout during the COVID-19 pandemic. Respondents with high job stress are more at risk of experiencing burnout.</p> <p><strong>Keywords</strong>: burnout, COVID-19 pandemic, nurse</p> Windu Santoso Sri Sudarsih Copyright (c) 2023 Windu Santoso, Sri Sudarsih 2023-11-28 2023-11-28 11 2 252 263 10.20473/jaki.v11i2.2023.252-263 DO ANTI-SMOKING ADVERTISEMENTS INFLUENCE STUDENTS TO QUIT SMOKING? <p><strong>Background:</strong> The prevalence of adolescent smoking in Indonesia increased from 2013 to 2018.</p> <p><strong>Aims:</strong> This study examines the influence of pro and anti-cigarette advertising on students' smoking cessation.</p> <p><strong>Methods:</strong> The study uses the Global Youth Tobacco Survey Indonesia 2019 data. The sample was students aged 13-15 years who had smoked. The dependent variable is quitting smoking, and the independent variables are pro-cigarette and anti-smoking ads: chi-square and logistic regression tests with a 95% confidence interval and a p-value of 0.05.</p> <p><strong>Results:</strong> The total sample was 1023 students, and 79.32% wanted to quit smoking. In the anti-smoking ads variables: anti-smoking messages in various media (OR=1.63, 95% CI=1.14-2.34); pictorial health warnings (PHW) on cigarette packs (OR=3.46, 95% CI=2.40-4.97); feeling afraid when seeing health warnings on packaged cigarettes (OR=3.03, 95% CI=2.16-4.26); education about harmful of cigarette consumption (OR=1.40, 95% CI=1.00 – 1.96) had a significant association to quit smoking. The most dominant factor in multivariate analysis was pictorial health warnings on cigarette packs (OR=2.53, 95% CI=1.67-3.81).</p> <p><strong>Conclusion:</strong> Most student smokers express a desire to quit smoking. Pictorial health warnings are significantly associated with quitting smoking among students.</p> <p><strong>Keywords</strong>: cigarette ads, GYTS, pictorial health warning, students</p> Debri Rizki Faisal Tati Suryati Copyright (c) 2023 Debri Rizki Faisal, Tati Suryati 2023-11-30 2023-11-30 11 2 264 275 10.20473/jaki.v11i2.2023.264-275 PROBLEMATIC OF AUTONOMY REVIEW OF THE COVID-19 VACCINATION INFORMED CONSENT <p class="Normal1"><strong>Background:</strong> Not all public approval to receive COVID-19 vaccination is based on understanding the right information, which is considered insufficient motivation. It is also related to inadequate government policies.</p> <p class="Normal1"><strong>Aims:</strong> This study was to identify the implementation of informed consent in COVID-19 vaccination, in terms of the autonomy of the vaccine recipients, so that the necessary policy could be recommended.</p> <p class="Normal1"><strong>Methods:</strong> The research was conducted at Surabaya in June-December 2021 with descriptive qualitative methods through in-depth interviews with five vaccinators and five vaccine recipients using purposive sampling. Data were analyzed from interview transcripts by coding, making categories and themes, and then compared to relevant references.</p> <p class="Normal1"><strong>Results:</strong> The results showed that 60% of the implementation of the COVID-19 vaccination informed consent was inadequate. It was found that incomplete information disclosure is often not even given information, and vaccinations are carried out without a signature of informed consent. These findings suggest that respect for the autonomy of COVID-19 vaccine recipients has not been made.</p> <p class="Normal1"><strong>Conclusion:</strong> Inadequate respect for the autonomy of vaccine recipients risks causing a medical conflict in the future if there are unexpected effects. Thus, the government must make standard informed consent procedures for COVID-19 vaccination and collaborate with the local government.</p> <p><strong>Keywords</strong>: Covid-19 vaccination, informed consent, information disclosure, respect for autonomy</p> Ervin Dyah Ayu Masita Dewi Hwian Christianto Copyright (c) 2023 Ervin Dyah Ayu Masita Dewi, Hwian Christianto 2023-11-30 2023-11-30 11 2 276 287 10.20473/jaki.v11i2.2023.276-287 EARLY STRESS DETECTION DURING PREGNANCY USING E-HEALTH IN THE PANDEMIC <p><strong>Background</strong><strong>:</strong> Women are more prone to stress during pregnancy than during the postpartum period. Stress during pregnancy is correlated with pregnancy and birth outcomes. Early detection using the e-health system is an alternative to health services during the pandemic.</p> <p><strong>Aims:</strong> The research objective was to produce innovation in early stress detection using an information system based on the e-Health system.</p> <p><strong>Methods:</strong> This study was conducted in the Ngaliyan Primary Healthcare Centre with 34 pregnant women. This study utilized both qualitative and quantitative research. Qualitative research used the System Development Life Cycle (SDLC), while quantitative research used an experimental design with a one-shot case study approach.</p> <p><strong>Results:</strong> The e-Health system could automatically identify stress during pregnancy, with the TAM questionnaire yielding a very effective result of 85.4%. The average time needed to detect pregnant women’s stress was 230.94 seconds. This system can analyze 374 pregnant women within one day (24 hours), provide services, and report pregnant women’s stress detection results.</p> <p><strong>Conclusions:</strong> The e-Health system effectively conserves time and can be used to record and report early stress in pregnant women.</p> <p><strong>Keywords:</strong> early detection, information system, pregnancy, smartphone, stress</p> Runjati Runjati Sri Rahayu Copyright (c) 2023 Runjati Runjati; Sri Rahayu 2023-12-02 2023-12-02 11 2 288 298 10.20473/jaki.v11i2.2023.288-298 DETERMINE THE TARGET TO INCREASE PRIMARY HEALTHCARE UTILIZATION IN INDONESIA'S DISADVANTAGED AREAS <p><strong>Background: </strong>Primary health care (PHC) is the closest institution known to people in disadvantaged areas.</p> <p><strong>Aims:</strong><strong> </strong>The study determines the policy target based on the demographic characteristics to increase PHC utilization in a disadvantaged area.</p> <p><strong>Methods: </strong>The cross-sectional research explored 42,644 respondents. In addition to PHC utilization, the study examined eight independent variables: residence, gender, marital, age, wealth, insurance, education, and travel time. We employed a binary logistic regression in the last stage.</p> <p><strong>Results:</strong> Live in urban areas had 1.967 more likely to utilize the PHC (95%CI 1.942-1.992). Males could be 1.412 higher than females (95%CI 1.402-1.421). All marital types had more chances than never married. All education was more likely than no education. The employed had 0.972 less likely than the unemployed (95%CI 0.965-0.980). All wealth groups had less possibility than the poorest. Those with government-run insurance were likelier than other types. The ≤10 minutes travel time was more likely than the &gt;10 minutes.</p> <p><strong>Conclusion: </strong>There were seven policy target characteristics to increase PHC use in disadvantaged areas in Indonesia: live in a rural area, female, never married, have no education, employed, not the poorest, don't have government-run insurance, and have a travel time of more than ten minutes.</p> <p><strong>Keywords:</strong> disadvantaged area, healthcare evaluation, primary health care, public health</p> Ratna Dwi Wulandari Agung Dwi Laksono Nikmatur Rohmah Leny Latifah Hadi Ashar Copyright (c) 2023 Ratna Dwi Wulandari, Agung Dwi Laksono, Nikmatur Rohmah, Leny Latifah, Hadi Ashar 2023-12-03 2023-12-03 11 2 299 310 10.20473/jaki.v11i2.2023.299-310 HAS INCLUSIVE HEALTH ACCESS IN JAKARTA'S PUBLIC HEALTH CENTER BEEN FULFILLED? <p><strong>Background</strong>: Each individual, including persons with disabilities, has a guaranteed right to access healthcare services. Indonesia has ratified the United Nations Convention on the Rights of Persons with Disabilities (CRPD) through Law No. 19 of 2011. However, PWDs still experience difficulties and restrictions in accessing health services.</p> <p><strong>Aims</strong><strong>: </strong>Examine the fulfillment of inclusive health access for PWD in public health services as a form of inclusivity in health development in Jakarta. This research will finally analyze whether local regulations have accommodated the fulfillment of health rights for PWDs.</p> <p><strong>Method</strong><strong>:</strong> Using qualitative and descriptive methods by raising case studies that are used in-depth and thoroughly. This study was conducted in three public health centers in South Jakarta. The reason for choosing the location is because Jakarta is an area that has regional regulations on PWD, and the proportion of PWD is 22.1% nationally. The informants in this study were selected by purposive sampling techniques involving 15 informants who conducted in-depth interviews.</p> <p><strong>Results:</strong> The mandate of local regulations has not realized inclusive health services for PWD. Marked by lack of information, the absence of health services specifically even though there has been social assistance in the form of KPDJ (Jakarta Disability Card), accessibility that is not yet disability-friendly, and commitment from local governments that are lacking because there is no evaluation, especially in the health sector so that the environment is not inclusive.</p> <p><strong>Conclusion:</strong> Providing access to health services for PWD in South Jakarta public health centers is still not inclusive. Policy evaluation is needed, considering that local regulations on PWD have been revised in 2022. Data collection on the number of PWDs in the Puskesmas work area needs to be carried out to meet their health needs.</p> <p><strong>Keywords</strong><strong>:</strong> access, disability, health, inclusive, public health center</p> Jane Kartika Propiona Copyright (c) 2023 Jane Kartika Propiona 2023-12-05 2023-12-05 11 2 311 321 10.20473/jaki.v11i2.2023.311-321 VACCINATION ATTITUDE AMONG HEALTHCARE WORKERS AT THE EARLY PHASE OF COVID-19 IN MALAYSIA <p><strong>Background:</strong> Healthcare workers’ (HCWs) vaccination hesitancy during a pandemic can be problematic for the health system as these workers need to be fully vaccinated.</p> <p><strong>Aims:</strong> This study aimed to determine the level of vaccine hesitancy and its associated factors among HCWs at the beginning of the COVID-19 pandemic.</p> <p><strong>Methods:</strong> A cross-sectional study was conducted among randomly selected HCWs of a tertiary hospital in the state of Selangor, Malaysia, using an online questionnaire. The questions were designed to collect information on HCWs’ sociodemographic and health status and attitude towards vaccination. Higher scores for the four scales on attitude towards vaccination denote a higher level of vaccine hesitancy.</p> <p><strong>Results:</strong> Of the 380 respondents (98% response rate), the overall score depicted low vaccine hesitancy despite the scores being slightly higher on worrying over unforeseen future effects and concerns about commercial profiteering. Women demonstrated a lower preference for natural immunity compared to men.</p> <p><strong>Conclusion:</strong> In the context of this study, vaccine hesitancy among HCWs was low, which may indicate good acceptance. However, concerns about unforeseen future effects and commercial profiteering need to be addressed, and health education and promotion activities on the male workers in terms of preference for natural immunity need to be enhanced.</p> <p><strong>Keywords</strong>: attitude, COVID-19, healthcare workers, vaccine hesitancy</p> Aidalina Mahmud Maha Abdullah Niazlin Mohd Taib Muhammad Mohd Isa Cheah Yoke Kqueen Liyana Amirah Azman Copyright (c) 2023 Aidalina Mahmud, Maha Abdullah, Niazlin Mohd Taib, Muhammad Mohd Isa, Yoke Kqueen Cheah , Liyana Amirah Azman 2023-12-11 2023-12-11 11 2 322 332 10.20473/jaki.v11i2.2023.322-332 SEVERAL PILLARS OF HEALTH TRANSFORMATION IN INDONESIA: FROM RESILIENCE PHARMACEUTICAL SUPPLY, HEALTH INSURANCE, PRIMARY HEATH CARE, TO DIGITAL HEALTH <p>Indonesian Government is currently focusing on several efforts to accelerate the achievement of health goals through the implementation of health transformation initiatives. In November 2022, the Indonesian Minister of Heath announced six pillars for health transformation, which are: (1) transformation of primary service; (2) transformation of referral service; (3) health resilience system transformation; (4) transformation of health financing system; (5) health human resources transformation; (6) transformation of health technology.</p> Nur Atika Copyright (c) 2023 Nur Atika 2023-12-11 2023-12-11 11 2 183 185 10.20473/jaki.v11i2.2023.183-185 HUMAN RIGHTS-BASED LEGAL PROTECTION FOR HEALTH WORKERS IN CONFLICT ZONES <p><strong>Background:</strong> One of the human rights issues in the health sector is legal protection in conflict areas. The obstacles faced were the limited number of security personnel on guard and the long distance between the security post's location and the conflict's location.</p> <p><strong>Aims:</strong> This study aims to determine how legal protection for health workers in conflict areas is.</p> <p><strong>Methods:</strong> The method of this study is a literature review. The nature of this study is descriptive. The data collection method used is the literature study method, namely by collecting secondary data related to the issues raised.</p> <p><strong>Results:</strong> The results of this study show that the central and regional governments have not been maximal in protecting health workers in conflict areas.</p> <p><strong>Conclusion</strong>: Based on the results and discussion of this study, the recommendations are to make a grand design for health, security, and occupational safety for health workers, specifically in conflict areas, and to make standard operating procedures for handling cases of attacks on health workers in conflict areas.</p> <p><strong>Keywords</strong>: Human Rights, Legal Protection. Health Workers.</p> Maria Lusyana Br Ginting Copyright (c) 2023 Maria Lusyana Br Ginting 2023-11-20 2023-11-20 11 2 333 343 10.20473/jaki.v11i2.2023.333-343 PHYSICIANS AND DISRUPTION ON TELEMEDICINE: A SYSTEMATIC LITERATURE REVIEW <p><strong>Background:</strong> Telemedicine has developed rapidly since the COVID-19 pandemic. Telemedicine applications have marked significant transformations in healthcare. Rapid changes in healthcare services inevitably affect health service providers, specifically physicians.</p> <p><strong>Aims:</strong> This study examines physicians' responses to a disruptive era in the healthcare industry.</p> <p><strong>Methods:</strong> This paper applies a systematic literature review approach to characterize physicians’ experiences, challenges, and obstacles in managing disruption in the health service delivery context. A comprehensive literature review was conducted using the Scopus database and borrowing PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) method. There were 78 articles included in the analysis.</p> <p><strong>Results:</strong> This study found that doctors who use telemedicine experience several types of disruption. The studies that examine physicians’ experience in health service disruption tend to be dominant in 4 (four) out of 5 (five) disruption types. First, disruption to the current delivery mode. Second, disruption to clinical practice role and responsibility. Third, disruption to clinical practice role and responsibility. Fourth, disruption to the work environment. Meanwhile, the disruption in personal life becomes less elaborated in the telemedicine studies debate.</p> <p><strong>Conclusion:</strong> It is essential to pay close attention to the disruptions that have an effect on physicians' personal lives. Personal life is essential because it benefits physicians and directly supports the quality and sustainability of telemedicine services.</p> <p><strong>Keywords</strong>: Disruption, Physician, and Telemedicine.</p> Arief Priyo Nugroho Ardanareswari Ayu Pitaloka Copyright (c) 2023 Arief Priyo Nugroho, Ardanareswari Ayu Pitaloka 2023-11-12 2023-11-12 11 2 244 353 10.20473/jaki.v11i2.2023.244-353 Front Matter Redaksi Copyright (c) 2023 2023-12-11 2023-12-11 11 2 Back Matter Redaksi Copyright (c) 2023 2023-12-11 2023-12-11 11 2