HAS INCLUSIVE HEALTH ACCESS IN JAKARTA'S PUBLIC HEALTH CENTER BEEN FULFILLED?

Jurnal Administrasi Kesehatan Indonesia Pub Date : 2023-12-05 DOI:10.20473/jaki.v11i2.2023.311-321

Jane Kartika Propiona

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Abstract

Background: Each individual, including persons with disabilities, has a guaranteed right to access healthcare services. Indonesia has ratified the United Nations Convention on the Rights of Persons with Disabilities (CRPD) through Law No. 19 of 2011. However, PWDs still experience difficulties and restrictions in accessing health services. Aims: Examine the fulfillment of inclusive health access for PWD in public health services as a form of inclusivity in health development in Jakarta. This research will finally analyze whether local regulations have accommodated the fulfillment of health rights for PWDs. Method: Using qualitative and descriptive methods by raising case studies that are used in-depth and thoroughly. This study was conducted in three public health centers in South Jakarta. The reason for choosing the location is because Jakarta is an area that has regional regulations on PWD, and the proportion of PWD is 22.1% nationally. The informants in this study were selected by purposive sampling techniques involving 15 informants who conducted in-depth interviews. Results: The mandate of local regulations has not realized inclusive health services for PWD. Marked by lack of information, the absence of health services specifically even though there has been social assistance in the form of KPDJ (Jakarta Disability Card), accessibility that is not yet disability-friendly, and commitment from local governments that are lacking because there is no evaluation, especially in the health sector so that the environment is not inclusive. Conclusion: Providing access to health services for PWD in South Jakarta public health centers is still not inclusive. Policy evaluation is needed, considering that local regulations on PWD have been revised in 2022. Data collection on the number of PWDs in the Puskesmas work area needs to be carried out to meet their health needs. Keywords: access, disability, health, inclusive, public health center

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雅加达公共医疗中心是否实现了包容性医疗服务？

背景：包括残疾人在内的每个人都享有获得医疗保健服务的受保障权利。印度尼西亚通过 2011 年第 19 号法律批准了联合国《残疾人权利公约》（CRPD）。目标：研究雅加达公共卫生服务中残疾人包容性医疗服务的实现情况，以此作为卫生发展的一种包容性形式。本研究将最终分析地方法规是否满足了残疾人健康权利的实现：方法：采用定性和描述性方法，通过深入和全面的案例研究。本研究在雅加达南部的三个公共医疗中心进行。选择该地点的原因是雅加达是一个对残疾人有地区性规定的地区，全国残疾人的比例为 22.1%。本研究的信息提供者是通过有目的的抽样技术选出的，共有 15 名信息提供者参与了深入访谈：结果：地方法规的授权并未实现对残疾人的包容性医疗服务。结果：地方法规的授权并没有实现对残疾人的包容性医疗服务，其特点是缺乏信息，即使有以 KPDJ（雅加达残疾人卡）形式提供的社会援助，也没有专门的医疗服务，无障碍设施还不是残疾人友好型的，地方政府缺乏承诺，因为没有评估，特别是在卫生部门，所以环境不是包容性的：结论：南雅加达公共医疗中心为残疾人提供的医疗服务仍不具有包容性。考虑到有关残疾人的地方法规已于 2022 年进行了修订，因此需要进行政策评估。为满足残疾人的医疗需求，需要对公共医疗中心工作区域内的残疾人数量进行数据收集。

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