ANALYSIS OF STRATEGY TO FULFILL THE NEED OF THE POPULATION OF JEMBER REGENCY FOR UNIVERSAL HEALTH COVERAGE IN REDUCING STUNTING, MATERNAL DAN INFANT MORTALITY RATES

Febriana Maya Puspitasari(1*)
(1) RSD dr. Soebandi Pemerintah Kabupaten Jember
(*) Corresponding Author

Abstract

This policy paper aims to analyze strategies for fulfillment the needs of the population of Jember Regency for Universal Health Coverage in reducing stunting, maternal and infant mortality. This is motivated by the results of the 2022 Indonesian Nutrition Status Survey which stated that Jember Regency was ranked highest in the prevalence of stunting under five in East Java Province and the East Java Provincial Health Service stated that Jember Regency's maternal and infant mortality rate was the highest in East Java Province. Meanwhile, the sustainable development goals (SDGs) in 2030 target reducing the maternal mortality rate to less than 70 per 100,000 live births, reducing the infant mortality rate (IMR) to 12 per 1,000 live births, reducing stunting by 14% by 2024. On the other hand , the population of Jember Regency who are JKN-KIS participants has only reached 66% of the total population, while Law Number 40 of 2004 concerning the National Social Security System (SJSN) and Presidential Instruction (Inpres) Number 1 of 2022 concerning Optimizing the Implementation of the Health Insurance Program National mandates that the entire population be protected by Universal Health Coverage of at least 98% by 2024. The analysis technique used in this policy paper is SWOT analysis. The strength of the internal factors is that the Jember Regency Government pays special attention to handling high stunting, maternal and infant mortality rates, including free services, continuous monitoring and evaluation, providing a budget, and making reducing stunting and maternal and infant mortality a priority for development in the health sector. and also the existence of Presidential Instruction Number 1 of 2022. The weaknesses are internal factors, namely the Universal Health Coverage budget allocation for the population of Jember Regency which is not enough, the Universal Health Coverage budget is also not yet a priority in the APBD budget allocation, the J-Pasti Kuereen program which can trigger participants Independent JKN-KIS does not pay its contributions, and there is a lack of interest among residents in becoming independent JKN-KIS participants. Meanwhile, the threat from external factors is that the JKN-KIS membership achievement of the Jember Regency population in June 2023 is still 66% of the target in 2024 of 98%, the public's demand for the quality of health services is increasing, the Maternal and Infant Mortality and Stunting rates in Jember Regency are the highest in all time. East Java Province. And the opportunity for external factors is the high attention of the Jember Regency Government to handling high levels of stunting, maternal and infant mortality, providing budget allocations in order to handle reducing stunting, maternal and infant mortality as well as the government's encouragement to realize Universal Health Coverage in Jember Regency. So that the proposed alternative strategy can be formulated, namely making Universal Health Coverage a priority in Jember Regency APBD budgeting in order to reduce stunting, maternal and infant mortality rates so that health services can be implemented preventively, promotively, curatively and rehabilitatively in order to create a health program that is covered by the JKN budget. -KIS so that it can be carried out in a comprehensive and integrated manner. There is APBD support in the budget allocation to support Universal Health Coverage for the residents of Jember Regency and a shift in the free health services budget to the Universal Health Coverage budget.

References


Arlius, A., Sudargo, T., & Subejo. (2017). Hubungan ketahanan pangan keluarga dengan status gizi balita (Studi di Desa Palasari dan Puskesmas Kecamatan Legok, Kabupaten Tangerang). Jurnal Ketahanan Nasional, 23(3): 359-375.

Astutik, Rahfiludin, M. Z., & Aruben, R. (2018). Faktor risiko kejadian stunting pada anak balita usia 24-59 bulan (Studi Kasus di Wilayah Kerja Puskesmas Gabus II Kabupaten Pati Tahun 2017). Jurnal Kesehatan Masyarakat (e-Journal), 6(1), 409–418. Retrieved from https://ejournal3.undip.ac.id/index.php/jk m/article/view/19900

Bull World Health Organ. (2019). Retrieved from http://dx.doi.org/10.2471/BLT.18.222638 621

BPKP. (2022). Instruksi Presiden Nomor 1 Tahun 2022 tentang Optimalisasi Pelaksanaan Program Jaminan Kesehatan Nasional

Departemen Kesehatan Republik Indonesia. (2013). Laporan Riset Kesehatan Dasar tahun 2013. Jakarta: Balitbangkes.

Duran, A., & Kutzin, J. (2010). Financing of public health services and programmes: Time to look into the black box. In J. Kutzin, C. Cashin, & M. Jakab (Eds.), implementing health financing reform (pp. 247-268).

GSK public policy positions. Universal health coverage. Retrieved from http://www.gsk.com/media/280908/universal-health-coverage-policy.pdf GlaxoSmithKline. (n.d.). Save the Children partnership. Retrieved from http://www.gsk.com/en-gb/about-us/corporate-partnerships/save-the-children-partnership/ GlaxoSmithKline. (2014). GSK public policy positions. Tiered pricing approach for vaccines. Retrieved from http://www.gsk.com/media/280905/tiered-pricing-for-vaccines-policy.pdf

Frenk, J., & de Ferranti, D. (2012). Universal health coverage: Good health, good economics. Lancet, 380, 862-864. https://doi.org/10.1016/S0140-6736(12)61341-5

Kullu, V. M., Yusnani, & Lestari, H. (2018). Faktor-faktor yang berhubungan dengan kejadian stunting pada balita usia 24-59 bulan di desa Wawatu kecamatan Moramo Utara kabupaten Konawe Selatan tahun 2017. Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat, 3(2), 1–11.

Mesfin, F., Berhane, Y., & Worku, A. (2015). Prevalence and association factors of stunting among primary school children in Eastern Ethiopia. Nutrition and Dietary Supplement, 7:61-68.

Ni`mah, K., & Nadhiroh, S. R. (2015). Faktor yang berhubungan dengan kejadian stunting pada balita. Media Gizi Indonesia, 10(1): 13-19.

Peraturan Presiden Nomor 72 Tahun 2021 tentang Percepatan Penurunan Stunting yang holistik, integratif, dan berkualitas melalui koordinasi, sinergi, dan sinkronisasi di antara pemangku kepentingan. Perpres ini merupakan pengganti Peraturan Presiden Nomor 42 Tahun 2013 tentang Gerakan Nasional Percepatan perbaikan Gizi. https://cegahstunting.id/download/3308/

Peraturan Presiden No. 18/2020 tentang Rencana Pembangunan Jangka Menengah Nasional Tahun 2020-2024 file:///C:/Users/Asus%20X415/Downloads/Perpres-Nomor-18-Tahun-2020-Lamp.-IV.pdf

Prendergast, A. J., & Humphrey, H. (2014). The stunting syndrome in developing countries. Paediatric and International Child Health, 34(4): 250-265.

Rahayu, R, M., Pamungkasari, E. P., & Wekadigawan, CSP. (2018). The Biopsychosocial Determinants of Stunting and Wasting in Children Aged 12-48 Months. Journal of Maternal and Child Health, 3(2): 105-118. https://doi.org/10.26911/thejmch.2018.03 .02.03 Marmot, M. (2013). Universal health coverage and social determinants of health. Lancet, 382, 1227-1228. https://doi.org/10.1016/S0140-6736(13)61791-2

Undang-Undang Nomor 40 Tahun 2004 tentang Sistem Jaminan Sosial Nasional (SJSN) tentang Sistem Jaminan Sosial Nasional (SJSN)

WHO. (2014). Consultative Group on Equity and Universal Health Coverage. Making fair choices on the path to universal health coverage. Geneva: World Health Organization.

WHO. (2005). World Health Assembly Resolution: Sustainable health financing, universal coverage and social health insurance. 58th World Health Assembly; Geneva, Switzerland, May 16-25.

WHO, & World Bank. (2013). Monitoring progress towards universal health coverage at country and global levels. Geneva: World Health Organization.


Article Statistic

Abstract view : 52 times
PDF views : 31 times

Dimensions Metrics

The PDF file you selected should load here if your Web browser has a PDF reader plug-in installed (for example, a recent version of Adobe Acrobat Reader).

If you would like more information about how to print, save, and work with PDFs, Highwire Press provides a helpful Frequently Asked Questions about PDFs.

Alternatively, you can download the PDF file directly to your computer, from where it can be opened using a PDF reader. To download the PDF, click the Download link above.

Fullscreen Fullscreen Off

Full Text: PDF

How To Cite This :

Refbacks

  • There are currently no refbacks.