The Universal Health Coverage Program of Medan Blessing Health Insurance (UHC JKMB) to Improve Public Health Services in Medan City from a Regional Autonomy Perspective

https://doi.org/10.23960/administratio.v15i2.430

Authors

Keywords:

Local Government, Regional Autonomy, Universal Health Coverage

Abstract

Universal Health Coverage (UHC) is a program designed to ensure access to quality healthcare services without financial hardship for all people. In the context of regional autonomy, the Medan City government is responsible for managing the health sector according to local needs, including implementing an ID card-based health service program. This study aims to analyze the success rate of UHC implementation in Medan City by assessing four key indicators: human resources, financial capacity, equipment and supplies, and organization and management. The research employs a descriptive qualitative method, with data collected through interviews, observations, and documentation. The study was conducted at the Medan City Health Office and involved various stakeholders, including community members. The results indicate that Medan City has met or exceeded targets across all four indicators. The budget allocation for UHC by the Medan City government surpassed the minimum requirement, positively impacting the availability of healthcare services by expanding access for the community. Additionally, health organizations and management demonstrated significant efficiency despite challenges in inter-agency coordination, as communication relied primarily on essential platforms like WhatsApp groups, needing a more integrated and real-time online information system. While financial commitment and resource management have supported the success of UHC, there still need to be more public awareness, as evidenced by the limited understanding of UHC among community members. These findings suggest that the success of UHC in Medan could be further enhanced by implementing an online information system to improve inter-organizational coordination and increase public awareness of the benefits of UHC.

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References

Aminah, A., Gantyowati, E., Winarna, J., Khairudin, K., & Redaputri, A. P. (2021). Implementation of The Effectiveness of Regional Autonomy in Indonesia. Jejak, 14(1), 123–133. https://doi.org/10.15294/jejak.v14i1.26811

Cyriacus, I. E., & Ibrahim, Y. (2024). NIGERIA ’ S LOCAL GOVERNMENT AUTONOMY : ISSUES AND IMPLICATIONS FOR THE COUNTRY ’ S DEVELOPMENT. 2(3), 48–60.

Derakhshani, N., Rezapour, R., Azami-Aghdash, S., Nafar, H., Soleimanpour, S., Tahmazi Aghdam, E., & Maleki, M. (2024). Factors affecting private sector engagement in achieving universal health coverage: a scoping review. Global Health Action, 17(1). https://doi.org/10.1080/16549716.2024.2375672

Djunaidi, D. (2023). Regional Autonomy and Development in South Sumatra. JMKSP (Jurnal Manajemen, Kepemimpinan, Dan Supervisi Pendidikan), 8(1), 439–450. https://doi.org/10.31851/jmksp.v8i1.12224

Farhan, A. (2023). Inovasi Pelayanan Publik pada Pemerintah Daerah di Indonesia. Matra Pembaruan, 7(2), 111–123. https://doi.org/10.21787/mp.7.2.2023.111-123

Halimah, C. N. (2022). Regional Autonomy In Health Perspective Law 23 Year 2014. 19–23.

Hou, R., Xiao, J., Zhu, B., Peng, W., & Dan, H. (2024). Research on the Optimization Path of Regional Innovation “Dualization” Effect Based on System Dynamics. Sustainability (Switzerland) , 16(11). https://doi.org/10.3390/su16114869

Lim, M. Y., Kamaruzaman, H. F., Wu, O., & Geue, C. (2023). Health financing challenges in Southeast Asian countries for universal health coverage: a systematic review. Archives of Public Health, 81(1), 1–12. https://doi.org/10.1186/s13690-023-01159-3

Mboi, N. (2015). Indonesia: On the way to universal health care. Health Systems and Reform, 1(2), :91-97. https://doi.org/10.1080/23288604.2015.1020642

Moonti, R. M. (2019). Regional Autonomy in Realizing Good Governance Roy Marthen Moonti. Substantive Justice, International Jurnal Of Law, 2(1), 43–53.

Nguyen, M. P., Tariq, A., Hinchcliff, R., Luu, H. N., & Dunne, M. P. (2023). Contribution of private health services to universal health coverage in low and middle-income countries: Factors affecting the use of private over public health services in Vietnam. International Journal of Health Planning and Management, 38(6), 1613–1628. https://doi.org/10.1002/hpm.3689

Pantow, S. C. J., & Lambelanova, R. (2023). Performance of The State Civil Apparatus In Public Services In National Unity And Regional Political. Scientia Journal, 12(4), 1034–1041.

Presiden Republik Indonesia. (2022). Instruksi Presiden Republik Indonesia Nomor 1 Tahun 2022. Sekretariat Kabinet RI, 1–23.

Radiansyah, R. R. (2019). Faktor-Faktor Yang Mempengaruhi Pelaksanaan Otonomi Daerah Pada Sektor Bidang Kesehatan Di Kabupaten Bandung Barat. Jisipol, 3(1), 1. http://ejournal.unibba.ac.id/index.php/jisipol/article/view/12

Randini, H. P., & Muslim, M. A. (2024). Public Service Innovation: Drawing Inspiration from The Success of Developed Countries to Improve Public Services in Indonesia. Journal Research of Social Science, Economics, and Management, 3(8), 1682–1686. https://doi.org/10.59141/jrssem.v3i8.637

Saputro, C. R. A., & Fathiyah, F. (2022). Universal Health Coverage: Internalisasi Norma di Indonesia. Jurnal Jaminan Kesehatan Nasional (JJKN), 2(2), 204–216. https://doi.org/10.53756/jjkn.v2i2.108

UCLG. (2016). UCLG Policy Paper -The Role of Local Governments in Territorial Economic Development. 1–33. www.bogota2016.uclg.org

Wira, T., Suryawijaya, E., Jatmiko, A., & Safitri, M. (2024). the Effectiveness of Achieving 100% Universal Health Coverage (Uhc) in the City of Semarang Through Public Service Innovation “Pangeran Diponegoro.” Journal of Administration Studies, 1(2), 61–72. https://asas-ins.com/index.php/err/

Yakub, A., Abdul Ghani, A. B., & Anwar, M. S. (2020). Urgency of Political Decentralization and Regional Autonomy in Indonesia: Local Perspectives. Journal of International Studies, 14, 141–150. https://doi.org/10.32890/jis.14.2018.8003

Zein, A. M., Yunanto, S., Nurhayati, I., & ... (2022). A Journey of Regional Autonomy in Indonesia: From the Independence Day to The Reform Era. The Social Perspective …, 2(1), 23–44. https://doi.org/10.53947/tspj.v2i1.406

Published

2024-11-26

How to Cite

Genia Salsabila, & Februati Trimurni. (2024). The Universal Health Coverage Program of Medan Blessing Health Insurance (UHC JKMB) to Improve Public Health Services in Medan City from a Regional Autonomy Perspective. Administratio, 15(2), 51–69. https://doi.org/10.23960/administratio.v15i2.430

Issue

Vol. 15 No. 2 (2024): Administratio: Jurnal Ilmiah Administrasi Publik dan Pembangunan

Section

Articles
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