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Selamat datang di Kelurahan Sukabumi Utara

Selasa, 13 November 2012

Sosialisasi Kartu Jakarta Sehat (KJS)


Sosialisasi Kartu Jakarta Sehat
Alur Penggunaan Kartu Jakarta Sehat

Bertepatan dengan Hari Pahlawan, 10 November 2012, Pemerintah Provinsi DKI Jakarta meluncurkan Kartu Jakarta Sehat (KJS), namun hingga saat ini masih banyak masyarakat yang kurang faham cara atau alur penggunaan KJS.
Banyak masyarakat/pasien yang ingin berobat dengan cara langsung mendatangi Rumah Sakit terdekat dengan menunjukkan KJS atau KTP Jakarta, adapun alur atau tahapan penggunaan KJS adalah dimulai dari Puskesmas terdekat, jika pasien tidak bisa ditangani di Puskemas maka sang pasien akan dirujuk ke Rumah Sakit terkait dengan sakit yang diderita pasien.
Berikut beberapa hal yang wajib diketahui oleh Pasien KJS:
MEKANISME PENDAFTARAN KJS :
Peserta KJS adalah warga DKI Jakarta, dibuktikan dengan KTP / KK, 
diutamakan yang miskin dan kurang mampu
Mendaftarkan diri secara aktif ke Puskesmas terdekat
Kartu Gakin / Kartu Jamkesda lama dapat digunakan
SYARAT ADMINISTRASI UNTUK BEROBAT :
Membawa KTP DKI / KK (bagi yang belum mempunyai KTP)
HARUS berobat ke Puskesmas, jika diperlukan, baru akan diberikan rujukan ke RS
MANFAAT :
UGD Puskesmas atau RS
Rawat Jalan
Rawat inap di Puskesmas dan RS (kelas III)
Perawatan di ICU, ICCU, NICU, PICU, HCU, Isolasi
Tindakan penunjang dan Operasi
Penggunaan Ambulans (Puskesmas/RS/AGD Dinas Kesehatan)
Alur Pelayanan dan Rujukan KJS:




Ibu-Ibu PKK Kelurahan Meruya Selatan









Ringkasan materinya sebagai berikut :





SOSIALISASI  PADA TOKOH MASYARAKAT














Senin, 12 November 2012

KARTU JAKARTA SEHAT


Free Medical Program (Kartu Jakarta Sehat)
Not a guarantee of the Community Health Status Improvement
By: Muhammad Ali

  1. Free Services Program is still a mainstay of electoral campaign
Incessant free programs usually appear in the era of Indonesia political campaigns and especially in a regional head election, those programs free services include: free food, free education and free medical care, these activities take place from a situational programs during the campaign to a post elections or the realization of the promise of the campaign, in the other hand, meaning of “free” in view of the public assumption is "no expense I spend" to get the free goods or services.
The term of "free" for goods and services in the social life of the community is the fact that the transfer of financing. Community connoisseurs free products or free services does not take money out of his own pocket but there are others (individuals, private or government) funding, a simple example such as groceries purchased by the organizers and given to the community, as well as for medical services usually covered / funded by the government to be paid to the hospital.

One side we will see connoisseurs free public excitement and on the same time we have also seen social righteousness form public / private providers of free services, but behind it all there was a problem that often arise from programs that smelled "free", especially the "treatment Free "is the extent to which the quality of service from the service provider resulting from claims procedures between hospitals and finance administrators sometimes result in disruption of medical supplies in the hospital, and the question of excessive use of the service recipients, people become hypersensitive to health problems but not offset by the prevention of disease, in the science of health insurance known as "moral hazard" that bad behavior arising from the financing of the health system "not out of my pocket".
Cililitan Public Health Center (megapolitan.compas.com)

Pangkalan bun Kalimantan (antarafhoto.com)

Who is the real and most obligated to pay for treatment? community itself or the government? many local governments have argued that the obligation to bear the medical expenses territory. However, it should be more emphasized the role of the community to maintain their health, and even public health experts agree that individuals should be responsible for the health, for the most dominant factor affecting the health care but not the behavior of individuals to carry out the concept of Healthy Living.
                                 (madacutie.wordpres.com)



My Experience while on duty in the office of Kelurahan (Kantor Lurah) at west Jakarta City Government,  I often encounter citizens requesting to made Certificate of UnAbility to Pay (Surat Keterangan Tidak Mampu/SKTM) for the treatment of their children to the health center, ironically, a head of the family pleaded not afford (read: will not) pay for his family to go to a public clinic (Puskesmas) which costs no more for 3 of cigarettes, but was able to buy 3 boxes of cigarettes a day for him, That is a concrete example of "moral hazard" of free medication program, maybe this person believes that if he got illness then government must be responsible for that.
Another case when I see people not able to queue to buy “rice for the poor” (Beras miskin/raskin) whose quality is sometimes not suitable for consumption because of the smell of bug-infested that cost even Rp.1.600 / kgs, I noticed a father who lined up to buy cheap rice while he  smoked, where cigarette prices more expensive than the price of 1 kilogram of rice with excellent quality.
The next case is the lack of awareness in the prevention of diseases such as dengue fever (DHF), local governments sometimes willing to provide a huge budget to eliminate dengue treatment when it entered the category "Exceptional Circumstances"(Kejadian Luar biasa/KLB), while Figures Free Flick (Angka Bebas Jentik/ABJ) as a strong connected to DHF but lack of concern and sometimes have no effective action by the Government, Even Government give  an attention but is not accompanied by adequate prevention portion of the budget.

dhiez.wordpress.com

azharmind.blogspot.com

As a Public Health officer who work at Kelurahan office (kantor lurah) I always visit to the DHF patient’s house and often find mosquito larvae in his house (in water reservoirs),such as bath, flower vases, bottles, no fish ponds and stagnant water around the home where mosquitoes lay their eggs as, those are the root cause of the onset of DHF.
That's a simple example which turns social programs should also consider their social impact, especially on people's behavior, and the program should be able to resolve the problems caused by source (upstream) instead of focusing on the problems seen today (downstream), a program that over- rather aimed at the welfare of the community is plunged society into a society that does not have the independence to help themselves which makes it healthy or sick.


  1. Health Paradigm
The Health concept of L.Blum Hendrick is still relevant to be applied. To achieve good health requires a harmony in maintaining a healthy body. HL Blum explained that there are four factors that affect people's health. The fourth factor consists of lifestyle factors / behavior, environmental factors (social, economic, political, cultural), health provider/health Services factors and heredity factor (genetics). These four factors interact that affect the health of individuals and the health of the community.


                                             ( syaidahtuddiniyah.blogspot.com )

Among these factors, human behavior and environmental factors are the major determinant influence on the health status of 30% for behavior factor and 45% environmental factors while 20% of Health Services and is a descendant of the smallest factor of 5%, of the concept is clear that the behavior of individuals and more environmental influence on health than health services factor, and is then a basic change in the concept of "sick paradigm " that health efforts focused on the treatment of switching to the concept of "health paradigm" that health efforts is seen as a measure to maintain and improve the health of individual or society.
Unfortunately in Indonesia, where the concept of health paradigm is already well understood and agreed by health experts, but rather, in many areas of the hospital paradigm used. Local government policy-oriented treatment, should such an attempt has long been abandoned as financially in the long term detriment of local finance. Is health experts not involved in the program?
Should we look for answers as to “why the budget for the free treatment is increasing every year ?”, even in one of the provincial budget (Jakarta) for the free medical service for the poor to Spend money more than 500 billion just to treat, then where is the success? What indicators of success? the growing number of people sick? Increasing the amount of medical expenses portrait of the growing number of people sick, and of course no matter how prepared this year's budget will never be enough for next year, because there is no limit to the cost of treatment.
Of the various programs that are sorely lacking right as free or cheap rice and medication without being accompanied by public awareness programs on the importance of the role of the family in prevention and promote health  result many people who are malnourished, the cost of drugs to health centers and hospitals to increase, the treatment is not rational (moral hazard provider ), environmental pollution and latent corruption due to uncontrolled financial system.