Search Repository Universitas Fort De Kock

Universal Health Coverage (UHC) merupakan kebijakan global yang
diimplementasikan sejak 2005. di Indonesia, pemerintah telah aktif
mensosialisasikan dan mengimplementasi sejak 2014. Melalui program UHC,
diharapkan akses dan jaminan pelayanan kesehatan yang berkualitas meningkat.
Penelitian ini bertujuan untuk menganalisis program rujukan Universal Health
Coverage (UHC) dari aspek Policy Analysis Triangle dengan melihat keterkaitan
antara aktor, konten, konteks dan proses. Penelitian ini menggunakan jenis
penelitian kualitatif yang dilakukan di Kabupaten Tanah Datar tahun 2025.
Informan penelitian ini terdiri dari 2 Informan utama dan 8 Informan tambahan.
Pengumpulan data menggunakan metode observasi dan wawancara mendalam
serta dilakukan metode triangulasi. Analisis data kualitatif diperoleh dari data
reduction, data display dan conclusion. Hasil penelitian menunjukkan bahwa peran
masing-masing informan sesuai dengan bidang kerjanya, adanya anggaran yang
cukup, namun tidak semua pasien mendapatkan konseling tentang JKN.
Berdasarkan Konten, semua pelayanan promotif, preventif, kuratif dan rehablitatif
ditanggung UHC. Tidak ada perbedaan pelayanan pasien umum dan pasien UHC.
Pelayanan non cut off sudah berjalan dengan baik, namun ada beberapa kendala di
system rujukan. Berdasarkan Konteks, semua Masyarakat wajib tercover UHC.
Kabupaten/Kota bisa menganggarkan pembiayaan UHC sesuai Perpres nomor 83
tahun 2018. Semua Penyakit menular dan penyakit tidak menular tercover UHC.
Tidak ada diskriminasi layanan di faskes tingkat pertama. Berdasarkan proses,
perencanaan UHC di maret 2024 terealisasi aktif di bulan Oktober 2024. Faktor
pendorong UHC adalah pengintegrasian data DTKS serta sosialisasi dan advokasi
yang dilakukan terus menerus. Saran yaitu meningkatkan intensitas dan
diversifikasi sosialisasi mengenai UHC, terutama kepada masyarakat yang belum
terdaftar sebagai peserta UHC, serta dapat melibatkan berbagai media, termasuk
media sosial, untuk mencapai audiens yang lebih luas.

Universal Health Coverage (UHC) is a global policy that has been implemented
since 2005. In Indonesia, the government began actively promoting and
implementing UHC in 2014, aiming to improve access to and guarantee the
provision of quality healthcare services for all citizens. This study aims to analyze
the referral system under the UHC program in Tanah Datar Regency, using the
Policy Analysis Triangle framework, which comprises four main components:
actors, content, context, and process.A qualitative research approach was
employed, conducted in 2025. The study involved two key informants and eight
additional informants. Data were collected through observations and in-depth
interviews, with triangulation methods used to enhance data validity. Data
analysis followed three stages: data reduction, data display, and conclusion
drawing. Actors: All stakeholders fulfilled their respective roles, supported by
adequate budget allocations. However, not all patients received appropriate
counseling regarding the National Health Insurance (JKN). Content: The UHC
program covers a full spectrum of health services, including promotive,
preventive, curative, and rehabilitative care. No significant differences were
observed between services provided to general patients and UHC participants.
Non-cut-off services have been effectively implemented, although several
challenges remain in the referral system. Context: All citizens are mandated to be
covered under UHC. Local governments (districts and cities) are permitted to
allocate UHC funding in accordance with Presidential Regulation No. 83 of
2018.: UHC planning, which commenced in March 2024, was fully implemented
by October 2024. Key enabling factors included the integration of DTKS and
ongoing socialization and advocacy efforts. This study recommends enhancing
both the intensity and diversity of UHC-related socialization efforts, particularly
targeting individuals who have not yet enrolled in the program. A variety of
communication channels including social media should be utilized to reach a
broader audience and increase public awareness and participation.