Prospective Universal Health Coverage Towards the SDG-s 2025 in Selayar Islands Regency: A Qualitative Study
Amran Razak (a*), Sukri Palutturi (a), Alwy Arifin (a), Ratno Adrianto (b), Alfiah Ramadhani Amran (c)
a) Department of Administration and Health Policy, Faculty of Public Health, University Hasanuddin, Makassar, South Sulawesi, Indonesia
b) Faculty of Public Health, Mulawarman University, Samarinda, West Kalimantan, Indonesia
c) Postgraduate Magister Program, Postgraduate School of Hasanuddin University, Makasssar, South Sulawesi, Indonesia
Abstract
Introduction: Since January 1, 2019, Indonesia has entered into an ongoing era of Universal Health Coverage. This success is considered an innovation in coverage, almost all people can now access available health services. In several districts/cities JKN/KIS membership has included 100 percent, as well as the Selayar Islands Regency which has received the 2018 Universal Health Coverage (UHC) Award for successfully covering 100% of the populations health insurance. The coverage of 100% of the population in the JKN/KIS membership is an encouraging thing. However, it cannot be interpreted that the basic rights of the population have been fulfilled in accessing quality health services, and financially protected. There are three dimensions of UHC that must be fulfilled; population coverage; service coverage; and financial protection. This means that the UHC award only meets one dimension, namely population coverage. Objectics : To study the prospective implementation of Universal Health Coverage, especially coastal communities in the Selayar Islands Regency to support the achievement of SDGs 2025. Mehtods: There are two focus groups (FGD) each of 12 participants, based on the geographical categories of their villages, namely coastal villages and island villages. FGD participants are generally fishermen or fishermens wives. In addition, in-depth interviews included 4 key informants and 10 other informants. Content analysis was used to analyze the phenomena found in this study. Findings: Demands for special transportation for emergency patients from island villages are the main issue to get adequate health care facilities. The availability of marine ambulances in the form of medium capacity boats, managed by the community, and easy to use is expected to increase access to quality health services. The complexity of the utilization and claims of ambulance services for patients who are less capable referrals, creates its own economic difficulties. The efforts to prevent disease at the district level have been in line with the goals of SDGs 2025. Likewise with promotive efforts such as Non-Smoking Areas (KTR), car-free days, mass sports, and morning gymnastics in schools, have been running well. The development of disease prevention efforts and village-based health promotion has not been initiated. Conclusions: Marine ambulance with moderate capacity and managed by local communities will make it easier to access health services, especially emergency patients. There has not yet been the development of innovative creative efforts in village-based prevention and health promotion.
Keywords: universal health coverage dimension, selayar islands regency, marine ambulance.
Topic: Social Health Insurance