Penulis:
Hartini Retnaningsih
Tri Rini Puji Lestari
Rahmi Yuningsih
Nur Sholikah Putri Suni
Editor:
Abu Huraerah
ii Universal Health Coverage (UHC)
Judul:
Universal Health Coverage (UHC):
Perspektif Kesehatan dan Kesejahteraan
Perpustakaan Nasional:
Katalog Dalam Terbitan (KDT)
xvi+122 hlm.; 15,5 x 23 cm
ISBN: 978-623-92324-3-6
Cetakan Pertama, 2019
Hak cipta dilindungi oleh Undang-Undang
All rights reserved
Penulis:
Hartini Retnaningsih
Tri Rini Puji Lestari
Rahmi Yuningsih
Nur Sholikah Putri Suni
Editor:
Abu Huraerah
Desain Sampul dan Tata Letak:
Tim Kreatif Lingkar Muda Mandiri
Diterbitkan oleh:
Pusat Penelitian Badan Keahlian DPR RI
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www.intranspublishing.com
Kata Pengantar
iii
iv Universal Health Coverage (UHC)
Pengantar Editor
DPR RI, buku ini dapat menjadi bahan kritik dalam rapat-rapat
bersama pemerintah terkait Program JKN.
Selamat membaca.
Wassalamualaikum Warahmatullahi Wabarakatuh
Editor
vii
Daftar Isi
Prolog .......................................................................... 1
BAB I
UNIVERSAL HEALTH COVERAGE (UHC)
DAN PEMANFAATAN PELAYANAN JAMINAN
KESEHATAN NASIONAL
Hartini Retnaningsih
vii
viii Universal Health Coverage (UHC)
BAB II
DAMPAK PENCAPAIAN UNIVERSAL HEALTH
COVERAGE (UHC) TERHADAP MUTU PELAYANAN
PUSKESMAS DI CIREBON
Tri Rini Puji Lestari
I. Pendahuluan ......................................................................... 41
II. Pencapaian Universal Health Coverage (UHC) di Puskesmas
Cirebon ................................................................................. 44
III. Dampak pada Pelayanan Puskesmas ..................................... 51
IV. Penutup .................................................................................. 54
Daftar Pustaka ............................................................................... 55
BAB III
PERAN TENAGA KESEHATAN DI PUSKESMAS
DALAM MENDUKUNG JAMINAN KESEHATAN
NASIONAL
Rahmi Yuningsih
I. Pendahuluan .......................................................................... 59
II. Dinamika Kebijakan Tenaga Kesehatan ................................ 63
III. Tenaga Kesehatan di Puskesmas ............................................ 70
IV. Peran dan Dukungan Tenaga Kesehatan di Puskesmas
di Era JKN ............................................................................ 72
4.1. Komunikator ................................................................. 73
4.2. Motivator ....................................................................... 75
4.3. Fasilitator ....................................................................... 76
4.4. Konselor ........................................................................ 77
V. Penutup .................................................................................. 78
Daftar Pustaka ............................................................................... 79
Daftar Isi ix
BAB IV
TRANSISI EPIDEMIOLOGI DAN DAMPAKNYA
TERHADAP PENCAPAIAN UNIVERSAL HEALTH
COVERAGE (UHC)
Nur Sholikah Putri Suni
I. Pendahuluan .......................................................................... 83
II. Transisi Epidemiologi ............................................................ 85
III. Pencapaian Universal Health Coverage (UHC) ................... 91
IV. Transisi Epidemiologi sebagai Tantangan UHC ................... 95
V. Penutup ................................................................................. 101
Daftar Pustaka ............................................................................... 103
Daftar Tabel
BAB I
Tabel 1. Capaian Kepesertaan Program JKN di Wilayah Kerja
BPJS Kesehatan KC Balikpapan (s.d 31 Desember
2019) ............................................................................. 15
Tabel 2. Jumlah Peserta Program JKN s.d 1 Agustus 2019 ....... 16
Tabel 3. Pemanfaatan FKTP di Wilayah Kerja BPJS Kesehatan
KC Cirebon Tahun 2018 .............................................. 29
Tabel 4. Data Pemanfaatan (Kunjungan) FKTP di Wilayah Kerja
BPJS Kesehatan KC Balikpapan Tahun 2018 .............. 30
Tabel 5. Jumlah Fasilitas Kesehatan Program JKN s.d 1 Agustus
2019 .............................................................................. 31
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xii Universal Health Coverage (UHC)
xiii
Daftar Gambar
BAB II
Gambar 1. Pencapaian Peserta JKN di Kota Cirebon pada
Tahun 2018 ............................................................ 48
Gambar 2. Pertumbuhan Peserta JKN di Kota Cirebon
Berdasarkan Jenis Kepesertaan Pada Tahun 2018 ... 48
BAB III
Gambar 1. Jumlah Sumber Daya Manusia Kesehatan di
Puskesmas Tahun 2017 ............................................ 70
Gambar 2. Kepatuhan Klien ...................................................... 74
BAB IV
Gambar 1. Transisi Epidemiologi di Indonesia ......................... 86
Gambar 2. Lima Peringkat Teratas Penyebab Kematian Tahun
1990, 2007 dan 2017 di Indonesia ....................... 87
Gambar 3. Enam Belas Indikator Universal Health Coverage ... 92
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xiv Universal Health Coverage (UHC)
xv
Daftar Grafik
BAB I
Grafik 1. Capaian Kepesertaan Program JKN di Wilayah
Kerja BPPJS Kesehatan KC Cirebon (s.d 31
Desember 2018) ...................................................... 14
Grafik 2. Evaluasi DPR 2014-2019 ...................................... 35
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xvi Universal Health Coverage (UHC)
1
Prolog
1
2 Universal Health Coverage (UHC)
Epilog
107
108 Universal Health Coverage (UHC)
Indeks
A H
asuransi sosial 6, 8, 9, 17, 19, hipertensi 88, 91, 99
20, 21 I
C implementasi 2, 4, 18, 59, 93,
capaian 4, 7, 14, 18, 43, 44, 45, 96, 99
47, 49, 50, 51, 52, 53, 54, indikasi 21, 23, 36, 108
55, 56, 57, 59, 77, 86, 92, indikator UHC 93
96, 97, 98, 100, 108, 111
ischemic heart disease 88
Cirrhosis 88
iuran 2, 6, 9, 12, 16, 20, 25,
D 26, 44
Deklarasi Astana 78, 109 J
E Jaminan Kesehatan Daerah
era JKN 72, 75, 78, 79, 109, 110 (Jamkesda) 18, 38
F Jaminan Kesehatan Nasional
Fasilitas Kesehatan Rujukan Tingkat (JKN) 18, 38, 41, 44, 62, 81
Lanjut (FKRTL) 25 Jaminan Sosial 1, 5, 6, 9, 21, 32,
Fasilitas Kesehatan Tingkat Pertama 38, 40, 42, 44, 57
(FKTP) 3, 10 JKN-KIS Award 43, 54, 108
fasilitator 73, 77, 79, 110 K
G Kanker 25, 84
Gerakan Masyarakat (Germas) 91 Kardiovaskuler 84
Global Conference on Primary Kartu Indonesia Sehat (KIS) 26
Health Care 59 kebijakan tenaga kesehatan 63, 69
114 Universal Health Coverage (UHC)
kepesertaan 2, 3, 7, 9, 10, 11, 13, 65, 67, 70, 71, 72, 73, 74,
16, 17, 19, 20, 28, 29, 37, 76, 78, 79, 81, 84, 85, 86,
45, 49, 52, 94, 95 89, 90, 91, 92, 93, 94, 95,
kesehatan 1, 2, 3, 4, 5, 6, 7, 8, 9, 96, 97, 98, 99, 100, 102,
10, 11, 12, 13, 16, 17, 18, 103, 108, 109, 110, 111
19, 20, 21, 22, 23, 25, 26, M
27, 28, 29, 30, 31, 32, 33, Malaria 84
34, 36, 37, 39, 40, 41, 42, masyarakat 1, 2, 3, 4, 5, 6, 7, 8,
43, 44, 45, 46, 47, 49, 50, 9, 10, 11, 12, 13, 17, 18, 19,
51, 52, 53, 54, 55, 56, 59, 20, 21, 22, 23, 24, 25, 26,
60, 61, 62, 63, 64, 65, 66, 27, 28, 29, 30, 31, 32, 33,
67, 68, 69, 70, 71, 72, 73, 34, 36, 37, 39, 41, 42, 43,
74, 75, 76, 77, 78, 79, 80, 44, 45, 49, 50, 51, 52, 53,
81, 83, 84, 85, 86, 88, 89, 54, 59, 60, 61, 62, 63, 64,
90, 91, 92, 93, 94, 95, 96, 66, 67, 70, 71, 73, 76, 77,
97, 98, 99, 100, 101, 102, 78, 79, 84, 85, 90, 91, 92,
103, 108, 109, 110, 111 95, 96, 97, 98, 99, 102,
kesejahteraan 33, 34, 36, 52, 108 108, 109, 110, 111
klien 63, 64, 73, 74, 75, 79, 109 Model klasik 89
komunikator 75 Model percepatan 90
konselor 73, 77, 79, 110 Model tertunda 90
Kredensialing 49 motivator 73, 76, 79, 110
L multifaktor 84
layanan 1, 2, 3, 4, 5, 6, 7, 10, 11, mutu 3, 4, 7, 13, 21, 42, 43, 44,
12, 13, 18, 19, 21, 22, 23, 45, 47, 49, 50, 51, 52, 53,
24, 25, 26, 27, 28, 29, 30, 54, 55, 65, 93, 94, 96, 109
31, 32, 33, 34, 36, 37, 39, N
40, 41, 42, 43, 44, 45, 46,
new emerging infectious disease 89
47, 49, 50, 51, 52, 53, 54,
55, 57, 59, 60, 61, 62, 64,
Indeks 115
pemanfaatan 2, 6, 7, 10, 11, 12, promotif 43, 50, 52, 54, 60, 75,
13, 21, 22, 23, 25, 26, 27, 85, 91, 93, 94, 96, 97, 99,
28, 29, 30, 32, 37, 39, 54 100, 101, 102, 103, 110, 111
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