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"ABSTRAKPenelitian ini bertujuan untuk meneliti tentang akses pelayanan kesehatan bagi peserta JKN khususnya kepala keluarga perempuan dari keluarga miskin. Program Jaminan Kesehatan JKN di Indonesia secara umum belum efektif pelaksanaannya karena masih banyak warga yang memiliki Kartu JKN namun tidak dapat menggunakannya sebagaimana mestinya. JKN memprioritaskan warga yang memang memiliki masalah finansial sehingga tidak mampu untuk mendapatkan layanan kesehatan yang sesuai kebutuhannya dengan memberikan bantuan iuran. Serta membuka akses pelayanan bagi semua kalangan masyarakat. Namun, kualitas pelayanan kesehatan yang masih rendah. Bahkan di DKI Jakarta sebagai ibukota negara kualitas pelayanan JKN bagi masyarakat terutama bagi masyarakat miskin masih memperoleh kritik. Penelitian ini memilih lokus penelitian di Kelurahan Kapuk, Kecamatan Cengkareng, Kota Jakarta Barat yang merupakan salah satu daerah dengan penduduk miskin tertinggi setelah Kepulauan Seribu dan memiliki kepala keluarga perempuan paling tinggi. Perempuan menjadi salah satu pihak yang paling rentan terhadap kemiskinan sehingga tujuan dalam skripsi ini untuk menggambarkan tentang akses pelayanan kesehatan bagi keluarga miskin dengan kepala keluarga perempuan dalam program JKN di Kelurahan Kapuk Kecamatan Cengkareng Jakarta Barat. Penelitian ini menggunakan pendekatan positivist dengan teknik pengumpulan data kualitatif melalui wawancara mendalam dan kuantitatif berupa survei. Penelitian ini menggunakan teori yang menyatakan bahwa akses dapat ditinjau dari 5 dimensi yakni, availability, acessability, affordability, adequacy, dan acceptability. Hasil penelitian menemukan bahwa indikator akses telah terpenuhi pada semua dimensi kecuali dimensi affordability.

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ABSTRACT This study aims to analyze about the access of women as head of the family in poor households. Generally, National Health Insurance in Indonesia is not as effective as it should be because many citizens with JKN membership cannot access health services. National Health Insurance prioritizes poor citizen who could not afford the health service they deserve by providing financial assistance. Even in DKI Jakarta as the capital city of Indonesia, the problem about health services and JKN are still remaining. The locus of this study is Kapuk village, Cengkareng Sub district, West Jakarta that has one of the most poorly populated areas after the Kepulauan Seribu and has the highest female head of household. Women are one of the most vulnerable group to poverty, hence, this study discusses health service access for poor families with women as the head of the family in National Health Insurance in Kapuk village Cengkareng Sub district, West Jakarta. This study uses a positivist approach, with both qualitative and quantitative design through in depth interviews and survey. The theory in this study is a ldquo five dimensional theory rdquo which includes availability, accessibility, affordability, adequacy, and acceptability. Furthermore, the result of this study shows that all accessibility dimension are fulfilled except the affordability dimension. "

"ABSTRAKPenelitian ini, bertujuan untuk meneliti tentang pelaksanaan pelayanan program Ketuk Pintu Layani Dengan Hati bagi warga miskin. Program KPLDH secara umum sudah efektif pelaksanaannya akan tetapi masih kurang diberbagai aspek terutama dalam jumlah sumber daya manusia. KPLDH adalah program yang memfokuskan pada tindakan prefentif dan promotif kepada warga-warga yang berada di kampung deret atau padat penduduk. Peneliti memilih lokus penelitian di Kelurahan Kapuk Kecamatan Cengkareng Jakarta Barat, yang dimana wilayah ini memiliki julukan kumuh dan padat Kudat dan kumuh dan miskin kumis. Penelitian ini menggunakan pendekatan post positivist dengan pengumpulan data kualitatif melalui wawancara dan kuantitatif berupa survey. Penelitian ini menggunakan teori yang menyatakan bahwa pokok pelayanan kesehatan dapat ditinjau dari 5 dimensi yakni, available and continuous, acceptable and appropriate, accessible, affordable, dan Quality. Hasil penelitian menemukan bahwa pokok pelayanan kesehatan telah terpenuhi pada semua dimensi kecuali accessible.

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ABSTRACTDoor Knocks Serve with hearts for the poor. The KPLDH program in general must be effective but will be lacking in various aspects of human resources. KPLDH is a program that focuses on preventive and promotive actions for residents who are in a row or densely populated village. The researcher chose the research locus in Kapuk Sub-District, Cengkareng Sub-District, West Jakarta, where the region had a slum and a dense and poor nickname. This study uses post-positivity by collecting qualitative data through interviews and quantitative surveys. This study uses a theory that states that health services can be viewed from 5 dimensions, available and sustainable, acceptable and appropriate, accessible, affordable and quality. Can be obtained, accessed by basic research."

"Penelitian ini bertujuan untuk mendeskripsikan hubungan antara komunikasi keluarga dan akses kesehatan terhadap akses kesehatan di RW 5, Kelurahan Kalianyar, Tambora, Jakarta Barat. Studi-studi sebelumnya telah menunjukkan korelasi yang positif antara kepadatan penduduk, dinamika komunikasi dalam keluarga, akses kesehatan, dan tingkat morbiditas. Penelitian ini menggunakan metodologi kuantitatif dengan RW 5 sebagai wilayah penelitian. Sampel diacak dari wilayah RT 3, RT 5, dan RT 6 yang berjumlah total sebanyak 100 responden, ditentukan menggunakan rumus Slovin dengan margin of error sebesar 10%. Hasil penelitian menunjukkan bahwa variabel komunikasi keluarga signifikan secara statistik dengan p-value sebesar 0,003, di bawah ambang batas kesalahan 0,1. Selain itu, dua dimensi komunikasi keluarga juga masing-masing memiliki p-value sebesar 0,021 dan 0,011. Sebaliknya, variabel akses kesehatan dan lima dimensinya tidak signifikan secara statistik. Semua kekuatan hubungan bersifat lemah atau hampir tidak ada. Hasil dari variabel komunikasi keluarga mendukung studi sebelumnya sedangkan hasil variabel akses kesehatan berkontradiksi dengan hasil penelitian sebelumnya karena skor yang tidak signifikan secara statistik. Maka dari itu, studi selanjutnya harus lebih berhati-hati dalam menentukan model analisis dan mengevaluasi variabel yang ada. Secara praktis, hasil penelitian ini dapat menjadi basis awal untuk meningkatkan kualitas Pusat Kesehatan Masyarakat (Puskesmas), perkembangan komunikasi keluarga, dan untuk kebijakan kesehatan masyarakat di perkotaan oleh pemerintah.

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This study aims to describe the relationships between family communication and health access on the morbidity level in RW 5, Kalianyar, Tambora, West Jakarta. Previous research has demonstrated a positive correlation between population density, the dynamics of family communication, health access, and morbidity levels. This research employs quantitative methodology, with RW 5 serving as the study area. The sample was randomly selected from RT 3, RT 5, and RT 6, resulting in a total of 100 respondents, determined using Slovin's formula with a margin of error of 10%. The findings indicate that family communication is statistically significant, with a p-value of 0.003, which is less than the 0.1 threshold. Additionally, two dimensions of family communication have p-values of 0.021 and 0.011, respectively. In contrast, the health access variable and its five dimensions are not statistically significant. All directional measures are considered weak or negligible. While the results regarding family communication support previous studies, the findings related to health access contradict earlier research due to the insignificant scores. Consequently, future studies should carefully re-examine the research model and evaluate the variables. For practical purposes, the findings serve as a basis for improving Primary Health Care services, family development, and the government in relation to health policy in the urban areas."

"Tuberkulosis (TB) Paru adalah penyakit infeksi yang menular melalui udara. Penelitian ini bertujuan untuk mengetahui hubungan antara keberadaan ART dengan riwayat terkena TB Paru (≤ 9 bulan) terhadap kejadian kasus sekunder TB Paru di rumah tangga permukiman kumuh Kelurahan Kapuk, Kecamatan Cengkareng, Kota Administrasi Jakarta Barat tahun 2018. Penelitian ini menggunakan desain studi potong-lintang dengan variabel independen adalah keberadaan ART dengan riwayat terkena TB Paru (≤ 9 bulan) dan variabel perancu mencakup perilaku penggunaan ventilasi buatan, frekuensi membuka jendela, frekuensi mengganti sprei dan sarung bantal, frekuensi menjemur kasur dan bantal, etika batuk, kepadatan hunian rumah, dan persentase ventilasi permanen dan ventilasi insidentil. Analisis dilakukan dengan uji Chi-square hingga analisis > 2 variabel. Analisis statistik memberikan hasil proporsi kejadian kasus sekunder TB Paru sebanyak 1%. Variabel yang berhubungan secara signifikan dan sekaligus menjadi variabel dominan secara statistik adalah keberdaan ART dengan riwayat terkena TB Paru (≤ 9 bulan) (23,7 (95% CI = 2,1-270,5).

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Pulmonary tuberculosis is an infectious disease transmitted through the air. This study aims to determine the relationship between the existence of household members with history of pulmonary TB (≤9 months) with the incidence of secondary cases of pulmonary TB in slum household of Sub-district of Kapuk, District Cengkareng, West Jakarta in 2018. This study uses a cross-sectional study design with independent variable is the existence of household member with a history of pulmonary TB (≤ 9 months) and confounding variabels included the using of artificial ventilation, opening window frequency, changing of bed sheets and pillowcase frequency, drying mattress and pillow, cough ethics, house density, and the percentage of permanent and incidental ventilation. The analysis was done by Chi-square test until analysis > 2 variables. Statistical analysis show that secondary cases of pulmonary TB proportion is 1%. Variable of the existence of household member with a history of pulmonary TB (≤ 9 months) is the only statistically significant variable and being statistically influential variable (23,7 (95% CI = 2,1-270,5)."

"[ABSTRAKDalam UUD 1945 menyebutkan bahwa setiap orang berhak memperolehpelayanan kesehatan dan Negara bertanggung jawab atas penyediaan fasiltaskesehatan dan fasilitas umum yang layak. Untuk memenuhi dan mewujudkan hakbagi setiap warga negara dalam mendapatkan pelayanan kesehatan yang layak dankewajiban pemerintah penyediaan fasilitas kesehatan sebagai amanat UUD 1945maka pemerintah pusat menyelenggarakan program jaminan kesehatan nasional(JKN) dan untuk pemerintahan daerah khusus Ibukota (DKI Jakarta)menyelenggarakan jaminan kesehatan daerah yang dikenal dengan nama KartuJakarta Sehat (KJS). RSCM adalah rumah sakit milik pemerintah pusat yang salahsatu visinya adalah menjadi rumah sakit pusat rujukan nasonal terkemuka di AsiaPasifik tahun 2014. RSCM diharapkan dapat melayani masyarakat dari seluruhpenjuru Indonesia dengan sistem rujukan berjenjang dengan optimal sesuaidengan standar pelayanan kesehatan dan peraturan yang berlaku. Penelitian inimembahas mengenai indeks kepuasan masyarakat miskin terhadap pelayanan diRSCM dalam program JKN dan KJS. Program kesehatan JKN dan KJS ini tidaklepas dari permasalahan dalam pelaksanaannya, salah satunya adalah mengenaipelayanan di rumah sakit dalam pelaksanaan program tersebut. Tujuan dalampenelitian ini adalah untuk mengukur nilai indeks kepuasan masyarakat miskin diRSCM dalam pelaksanaan program JKN dan KJS serta untuk mengetahui unsurunsuryang sudah baik dan yang masih membutuhkan peningkatan kualitaspelayanannya. Hasil dari penelitian kuantiatif menilai bahwa indeks kepuasanmasyarakat miskin di RSCM adalah sangat baik, tetapi ada beberapa pelayananyang perlu menjadi perhatian dan atau perbaikan yang didapat dari hasil penelitiankualitatif.

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ABSTRACTIndonesia Constitution (UUD 1945) states that every citizen has the right to obtainmedical care and the Government is responsible for the provision of health andadequate public facilities. In order to satisfy and fulfil the right of every citizen ingetting proper health care as mandated by the Constitution, The centralgovernment has issued the National Health Insurance Program (JKN) whereas theJakarta Provincial Government has issued a Regional-based Health InsuranceProgram known as the Jakarta Health Card (KJS). National General Hospital Dr.Cipto Mangunkusumo (RSCM) is one of the hospitals owned by the centralgovernment and one of its visions is to become regional referral hospitals in AsiaPacific in 2014. RSCM is expected to serve people from all over Indonesiaaccordance with the standard of health services and regulations. This studydiscusses the satisfaction index of the poor with regard to services in RSCMespecially on the implementation of the JKN and KJS. The problem of theimplementation of JKN and KJS are still occurred, one of the problems is thehospital services in the implementation of the programs. The purpose of thisresearch is to measure the value of the satisfaction index of the poor in RSCM onthe implementation of JKN and KJS as well as to determine the factors that aregood and which are still in need of improvement of service quality. The results ofthe quantitative study is conclude that the satisfaction index of the poor in RSCMis ?very good?, yet there are some services that need to be improved derived fromthe results of qualitative research.;Indonesia Constitution (UUD 1945) states that every citizen has the right to obtainmedical care and the Government is responsible for the provision of health andadequate public facilities. In order to satisfy and fulfil the right of every citizen ingetting proper health care as mandated by the Constitution, The centralgovernment has issued the National Health Insurance Program (JKN) whereas theJakarta Provincial Government has issued a Regional-based Health InsuranceProgram known as the Jakarta Health Card (KJS). National General Hospital Dr.Cipto Mangunkusumo (RSCM) is one of the hospitals owned by the centralgovernment and one of its visions is to become regional referral hospitals in AsiaPacific in 2014. RSCM is expected to serve people from all over Indonesiaaccordance with the standard of health services and regulations. This studydiscusses the satisfaction index of the poor with regard to services in RSCMespecially on the implementation of the JKN and KJS. The problem of theimplementation of JKN and KJS are still occurred, one of the problems is thehospital services in the implementation of the programs. The purpose of thisresearch is to measure the value of the satisfaction index of the poor in RSCM onthe implementation of JKN and KJS as well as to determine the factors that aregood and which are still in need of improvement of service quality. The results ofthe quantitative study is conclude that the satisfaction index of the poor in RSCMis ?very good?, yet there are some services that need to be improved derived fromthe results of qualitative research., Indonesia Constitution (UUD 1945) states that every citizen has the right to obtainmedical care and the Government is responsible for the provision of health andadequate public facilities. In order to satisfy and fulfil the right of every citizen ingetting proper health care as mandated by the Constitution, The centralgovernment has issued the National Health Insurance Program (JKN) whereas theJakarta Provincial Government has issued a Regional-based Health InsuranceProgram known as the Jakarta Health Card (KJS). National General Hospital Dr.Cipto Mangunkusumo (RSCM) is one of the hospitals owned by the centralgovernment and one of its visions is to become regional referral hospitals in AsiaPacific in 2014. RSCM is expected to serve people from all over Indonesiaaccordance with the standard of health services and regulations. This studydiscusses the satisfaction index of the poor with regard to services in RSCMespecially on the implementation of the JKN and KJS. The problem of theimplementation of JKN and KJS are still occurred, one of the problems is thehospital services in the implementation of the programs. The purpose of thisresearch is to measure the value of the satisfaction index of the poor in RSCM onthe implementation of JKN and KJS as well as to determine the factors that aregood and which are still in need of improvement of service quality. The results ofthe quantitative study is conclude that the satisfaction index of the poor in RSCMis “very good”, yet there are some services that need to be improved derived fromthe results of qualitative research.]"

"ABSTRACTFenomena tawuran merupakan suatu tindakan yang termasuk dalam kategori perilaku agresif yang dapat membahayakan keselamatan diri baik bagi individu yang melakukan atau bagi orang lain disekitarnya. Fenomena ini kerap terjadi di permukiman apalagi permukiman kumuh padat yang kondisinya serba marjinal. Fenomena ini biasa dilakukan oleh remaja yang sedang berada dalam masa pencarian jati diri, penuh tekanan dan kerap dilanda stress. Dibutuhkan suatu keterampilan dalam diri individu untuk mencegah atau tidak dilakukannya tindakan tersebut. Salah satu kemampuan atau keterampilan tersebut ialah keterampilan sosial dalam aspek perilaku asertif. Perilaku asertif merupakan suatu perilaku yang didominasi oleh kemampuan-kemampuan yang membuat individu dapat menampilkan perilaku yang tepat dalam situasi yang diharapkan. Penelitian ini bertujuan untuk mendeskripsikan perilaku asertif remaja yang pernah melakukan perilaku agresi yaitu tawuran di RW 16 Kelurahan Kapuk Cengkareng Jakarta Barat. Penelitian ini merupakan penelitian kualitatif dengan jenis penelitian deskriptif. Hasil dari penelitian ini mejelaskan bahwa mereka yang pernah melakukan tindak agresif tawuran masih memiliki perilaku asertif yakni berupa sikap keterbukaan, menghargai, menolak sesuatu yang tidak rasional dan mengekspresikan kekecewaan atau kemarahan di situasi atau kondisi yang tepat.

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ABSTRACTThe phenomenon of brawl is an action that is included in the category of aggressive behavior that may endanger the safety of themselves better for individuals who do or for others around him. This phenomenon often occurs in the settlements let alone the slums of the solid condition all round marginal. This phenomenon is commonly done by teenagers who are in the search of identity, full of pressure and often hit by stress. It takes a skill in the individual to prevent or did not commit such actions. One of the abilities or skills is social skills in the aspect of assertive behavior. Assertive behavior is a behavior which is dominated by the ability the ability that makes the individual can show proper behavior in a situation that is expected. This study aims to describe the assertive behavior of adolescents who ever did the behavior of aggression, namely the brawl at the RW 16 Kelurahan Kapuk Cengkareng, West Jakarta. This research is qualitative research with descriptive research type. The results of this study explain that they ever do follow aggressive brawl still has assertive behavior."

"Penelitian ini bertujuan untuk mendapatkan gambaran karakteristik dan factor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan dasar puskesmas oleh keluarga miskin peserta JPKMM di Kecamatan Warungkondang Kabupaten Cianjur Tahun 2005.Penelitian ini menggunakan rancangan cross sectional dengan tujuan melihat hubungan ll variabel independent sikap petugas, keberadaan dokter, jam buka pelayanan, ketersediaan dan kecukupan obat, pendidikan, pengetahuan, persepsi sakit, persepsi tentang kualitas puskesmas,jarak, sarana transportasi dan biaya transport dengan pemanfaatan puskesmas.Responden pada penelitian ini adalah keluarga miskin peserta JPKMM yang tersebar di Kecamatan Warungkondang Kabupaten Cianjur dengan jumlah sample sebanyak 100 responden dari 5 desa yang dipilih secara acak sederhana.Penelitian ini memiliki banyak kelemahan antara lain jumlah responder; yang terbatas, reslko selection bias dan recall bias yang tinggi dibandingkan dengan penelitian kohort dan case control.Hasil penelitian menunjukkan bahwa factor sikap petugas, keberadaan dokter, pengetahuan, persespsi sakit dan persepsi tentang kualitas puskesmas berhubungan dengan pemanfaatan puskesmas. Sementara factor jam buka pelayanan, ketersediaan dan kecukupan obat, pendidikan, jarak, sarana transportasi dan biaya transport tidak berhubungan dengan pemanfaatan puskesmas.Dari kelima faktor yang berhubungan dengan pemanfaatan puskesmas, ternyata sikap petugas, pengetahuan dan keberadaan dokter yang paling dominan hubungannya dengan pemanfaatan puskesmas dengan nilai OR masing-masing 10,261 ; 5,722 ; dan 3,481.Melihal hal diatas maka perlu ditingkatkan akses keluarga miskin terhadap pelayanan kesehatan dasar puskesmas. Hal ini dapat ditingkatkan melalui pendekatan supply dan demand. Dari sisi supply adalah dengan cara mendekatkan akses keluarga miskin terhadap pelayanan kesehatan scpcrti penempatan dokter di puskesmas, adanya bidan di desa dan mengaktifkan kembali puskesmas keliling serta meningkatkan pemberdayaan masyarakat dengan melibalkan masyarakat menjadi fasilitator masyarakat dalam bidang kesehatan. Dari sisi demand adalah dengan meningkatkan pembinaan ke puskesmas dari Dinas Kesehatan Kabupaten Cianjur dan penyuluhan-penyuluhan yang bemanfaat dalam meningkatkan pengetahuan masyarakat tentang JPKMM dan hak-haknya.

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This research aims to gain a picture of the characteristics and factors related to the utilization of Primary Health Care service by poor families participated in HMSPC in Warungkondang sub district, Cianjur District in 2005.

The research used the cross sectional metl1od in order to observe the relations of eleven independent variables considered reliable in the utilization of PHC service. These eleven variables are the attitude of service providers (officers, nurses, and doctors), doctor?s availability, the opening hours, medicines availability, education background (of the service users), perception of illness, perception of the quality of the service, distance, transportation methods and transport fees.

The respondents of the research were the poor families who join the HMSPC in Warungkondang in Cianjur District. There are 100 respondents taken randomly from live villages in that sub district.

However, this study has several flaws such as the limited number of respondents, high risks of selection and recall bias compared to research using cohort and case control.

The research shows that the factors of the attitude of the service givers, doctors availability, knowledge, perceptions on illness and on the quality of the PHC are related to the utilization of the clinic. Whereas factors such as opening hours, medicines availability, education background, distance, means of transport and transportation fees are not related to the utililization of the health center.

From the five related factors above, it appears that the attitude of service providers, knowledge and doctors? availability are the most dominant factors here, each with the following OR value: 10,261 (for attitude of service providers), 5,722 (for knowledge) and 3,481 (forthe doctor?s availability).

Based on the finding above, it is necessary to improve the access of poor families in receiving, the basic health service in PHC, and this can be achieved through the supply and demand approach. By supplying, we bring the services closer to them such as providing doctors in PHC and midwives in villages, reactivating the mobile clinics and improving the empowemient of communities by involving them as health facilitators. On the demand, we can cultivate trainings in PHC by the Health Council of Cianjur District. and administer educational sessions for the community in order to improve their knowledge about HMSPC and their rights."

"This paper is a literature review laying out empirical evidence of healthcare access inequity within an implementation of social health insurance (SHI) programs. The research question of this paper is: in what way, and how, inequity in healthcare access potentially happens, even if a type of SHI covers the whole, or most, of a society. This paper is mainly motivated by the implementation of Jaminan Kesehatan Nasional (JKN), an SHI program in Indonesia. Even though the program aims to create better equity in healthcare access, the existing health system and the program’s design may prevent the achievement of this goal. By laying out evidence on how healthcare access inequity in other countries remains within an SHI mechanism, this paper illuminates that JKN may face the same risk. In reviewing the papers, this study applied Goddard and Smith’s (2001) concept of healthcare access inequity in the area of availability, quality, cost, and information. The findings suggest that healthcare access inequity could happen despite the implementation of an SHI program. Four types of circumstances that might have led to healthcare access inequity include geographical disparities of health facilities; adequacy of insurance program’s reimbursement and healthcare providers’ financial motive; healthcare providers’ prejudices toward patients; and unequal personal advantages of health treatment seekers. When applied to the context of JKN implementation in Indonesia, the risks of healthcare access inequity are imminent, mostly due to the uneven concentration of health facilities, the program’s segmented tariff rates, and the socioeconomic diversity among JKN members. The findings imply that JKN members might be at risk of healthcare access inequity. While the risks are plausible, this study is limited to predicting the potential inequity within JKN, mirroring from the empirical evidence. This study signifies the need for further empirical research on this area, which will potentially inform policymakers to improve the program."

"Tugas Karya Akhir ini membahas mengenai implementasi program JKN di tingkat pelayanan kesehatan primer dalam aspek SDM kesehatan. Pelayanan kesehatan primer merupakan gerbang utama dalam mengakses pelayanan kesehatan di era Jaminan Kesehatan Nasional. Pelayanan kesehatan primer merupakan kata kunci untuk melihat keberhasilan program JKN. Penelitian ini bertujuan untuk mengetahui implementasi program JKN di tingkat pelayanan kesehatan primer dalam aspek SDM Kesehatan. Teori yang digunakan untuk menjelaskan penelitian ini antara lain implementasi kebijakan publik, jaminan kesehatan, dan pelayanan kesehatan. Penulisan Tugas Karya Akhir ini merupakan penelitian desk research dengan metode pengumpulan data melalui studi kepustakaan. Hasil penelitian ini adalah implementasi program JKN di tingkat pelayanan kesehatan primer dalam aspek SDM Kesehatan belum berjalan dengan baik. Hal ini dapat dilihat dari jumlah, jenis, distribusi, dan mutu yang belum terpenuhi

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This final task discusses about the implementation of the program JKN at the level of primary health care in the aspects of health human resources. Primary health care is a major gateway in accessing health services in the era of National Health Insurance. Primary health care is the key to seeing success the program. This study aims to determine the implementation of the program JKN at the level of primary health care in the aspect of health human resources. The theories used to explain this study include implementation of public policy, health insurance, and health services. This final task is a study desk research with methods of data collection through the study of literature. The result of this research is the implementation of the program JKN the level of primary health care in the aspect of health human resources is not gone well. It can be seen from the quantity, type, distribution, and quality that has not been fulfilled."

"Kesehatan sebagai salah satu unsur kesejahteraan umum yang harus diwujudkan melalui berbagai upaya kesehatan dalam rangkaian pembangunan kesehatan secara menyeluruh dan terpadu yang didukung oleh sistem kesehatan nasional.Untuk mendukung hal tersebut Pemerintah Daerah Khusus Ibukota Jakarta telah menetapkan bahwa iuran program sistem jaminan sosial bagi fakir miskin dan orang tidak mampu dibayar oleh pemerintah. Program yang dijalankan adalah melalui program Kartu Jakarta Sehat (KJS) sebagai pengganti program yang sebelumnya yaitu Jaminan Pemelihataan Kesehatan Keluarga Misiskin (JPK-Gakin). Tujuan dari penelitian ini adalah mencari alternatif program mana yang lebih efektif dari sisi pembiayaan mengingat adanya kenaikan anggaran dari yang sebelumnya dan terjadi kenaikan cakupan (pasien). Jenis penelitian ini adalah Descriptive-Komparative dengan metode studi kasus dan kombinasi kuantitatif serta kualitatif. Lokasi Penelitian adalah UP Jamkesda Dinas Kesehatan Provinsi DKI Jakarta dengan menggunakan data sekunder dan data primmer dari 2 RSUD dan 1 RS swasta. Hasil dari penelitian ini adalah terjadi peningkatan pembiayaan mencapai 168,33% yang semula Rp.2.482.382.808 untuk JPK-Gakin menjadi Rp.4.178.716.437,- untuk KJS. Berdasarkan cakupan program dan uji sensitivitas dengan menggunakan rata-rata lama hari rawat didapatkan bahwa program JPK-Gakin lebih efektif dibandingkan program KJS. Rekomendasi / saran yang dapat diberikan untuk efisiensi pembiayaan program KJS adalah pembuatan petunjuk teknis yang jelas dan kriteria terperinci siapa saja yang boleh menggunakan fasilitas KJS, penyempurnaan kembali sistem rujukan yang ada, melengkapi sarana dan prasarana di Rumah Sakit termasuk perekrutan / penambahan SDM serta peningkatan insentif mengingat beban kerja meningkat.

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Health as one element of the common good to be realized through a variety of health measures in the series overall health and development are supported by an integrated health system that supports nasional.Untuk Jakarta Capital City Government has determined that the system of social security contribution program for the poor and people are not able to be paid by the government. Is a program run through the Jakarta Health Card (KJS) as a replacement for the previous program Pemelihataan Family Health Insurance Misiskin (JPK-Gakin).

The purpose of this study is to find alternatives which programs are more effective in terms of financing in light of the increase from the previous budget and an increase in coverage (the patient). This research is Descriptive-Komparative with the case study method and a combination of quantitative and qualitative. Study Site is UP Jamkesda Jakarta Health Agency using secondary data and data primmer from 2 hospitals and 1 private hospital.

Results of this study was an increase in funding of 168.33% which was originally Rp.2.482.382.808 to JPKGakin Rp.4.178.716.437, - to KJS. Based on the scope of the program and test sensitivity using the average length of stay was found that the JPK-Gakin more effective than programs KJS.

Recommendation / advice that can be given to the efficiency financing program KJS is making technical instructions are clear and detailed criteria for who may use the facilities KJS, further refinements of existing referral system, complete infrastructure and facilities at the Hospital including recruitment / HR additions as well as increased incentives given the increased workload."