Evaluation of the Implementation of the Healthy Special Authority Card Program (KO Sehat) Health Services at BLUD RSUD Nabire
DOI:
https://doi.org/10.55927/fjst.v4i5.68Keywords:
Healthcare Access, Indigenous Papuans, Health Policy, Special Autonomy, Healthcare EquityAbstract
This qualitative case study examines the implementation of the Special Autonomy Health Card (KO SEHAT) program at BLUD RSUD Nabire in Central Papua Province, Indonesia. The research investigates the program's effectiveness in improving healthcare access for Indigenous Papuans, identifying implementation challenges, and analyzing its impact on healthcare service quality. Utilizing a purposive sampling approach, the study gathered data through in-depth interviews with 12 key informants, including hospital management, healthcare professionals, patients, and local health officials. The findings reveal that while the KO SEHAT program has significantly enhanced healthcare accessibility for Indigenous Papuans, several critical challenges persist. These include insufficient program socialization, administrative barriers, limited funding, and communication gaps between healthcare providers and beneficiaries. The study highlights the program's positive contributions to healthcare equity, while also identifying key areas for improvement in implementation and service delivery.
References
Bambra, C., et al. (2020). The COVID-19 pandemic and health inequalities. Journal of Epidemiology and Community Health, 74(11), 964-968.
Baum, F., et al. (2019). Doing critical health research differently. Health Promotion International, 34(5), 1069-1077.
Bhugra, D., & Bhui, K. (2021). Cultural identity, marginalization, and health inequalities. Public Health Reviews, 42, 1-11.
Blas, E., & Kurup, A. S. (2019). Equity, social determinants and public health programmes. World Health Organization.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101.
Charmaz, K. (2014). Constructing grounded theory (2nd ed.). Sage Publications.
Crisp, N., et al. (2018). Global health partnerships and human resources. The Lancet, 391(10132), 1716-1725.
Denzin, N. K., & Lincoln, Y. S. (2017). The Sage handbook of qualitative research (5th ed.). Sage Publications.
Farmer, P., et al. (2020). Reimagining global health: An introduction. University of California Press.
Guillemin, M., & Gillam, L. (2004). Ethics, reflexivity, and "ethically important moments" in research. Qualitative Inquiry, 10(2), 261-280.
Hardianto, D., & Sulistyowati, E. (2023). Intersectional approaches to healthcare policy in Indigenous populations. Health Policy and Planning, 38(4), 456-470.
Julianty, R., et al. (2021). Healthcare accessibility in remote Indonesian regions. International Journal of Health Planning and Management, 36(2), 287-299.
Kvale, S. (2007). Doing interviews. Sage Publications.
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Sage Publications.
Marmot, M., et al. (2020). Health equity in a globalizing world. The Lancet, 396(10257), 1153-1162.
Maxwell, J. A. (2012). A realist approach for qualitative research. Sage Publications.
Miles, M. B., Huberman, A. M., & Saldaña, J. (2014). Qualitative data analysis: A methods sourcebook (3rd ed.). Sage Publications.
Moniaga, V., & Sahetapy, J. (2022). Local health initiatives and Indigenous healthcare in Indonesia. Health Policy and Society, 45(3), 312-328.
Paradies, Y., et al. (2015). Racism as a determinant of health. PLoS ONE, 10(9), e0138122.
Patton, M. Q. (2015). Qualitative research & evaluation methods (4th ed.). Sage Publications.
Peters, B. G. (2019). Institutional theory in political science: The new institutionalism (4th ed.). Edward Elgar Publishing.
Renwarin, P., et al. (2020). Healthcare disparities in Papua: A comprehensive analysis. Journal of Public Health Policy, 41(3), 345-361.
Roulston, K. (2010). Reflective interviewing: A guide to theory and practice. Sage Publications.
Sen, G., & Ostlin, P. (2020). Gender equity in health: A life course perspective. International Journal of Public Health, 65(7), 1007-1016.
Sen, G., et al. (2018). Advancing health equity through gender responsiveness. Global Public Health, 13(10), 1525-1543.
Stake, R. E. (2010). Qualitative research: Studying how things work. Guilford Press.
von Bertalanffy, L. (1950). The theory of open systems in physics and biology. Science, 111(2872), 23-29.
Wahyuni, T., et al. (2019). Community-based health insurance in Indonesia. Health Policy and Planning, 34(6), 436-447.
Widyaningsih, Y., et al. (2021). Local health insurance models in Indonesia. Social Science & Medicine, 272, 113722.
Willis, C. D., et al. (2021). Community engagement in health system governance: A realist synthesis. Health Research Policy and Systems, 19(1), 1-20.
Yin, R. K. (2018). Case study research and applications: Design and methods (6th ed.). Sage Publications.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Merlina Saalino, Sarce Makaba, Yacob Ruru, Hasmi Hasmi, Agus Zainuri, Muhammad Akbar Nurdin
This work is licensed under a Creative Commons Attribution 4.0 International License.
