Creativity of Local Government Apparatus in Health Development for the Elderly and People with Disabilities in East Lombok and Serang Regencies
DOI:
https://doi.org/10.18502/kss.v10i16.19204Keywords:
elderly health, people with disabilities, apparatus creativity, community empowermentAbstract
This study aims to analyze the creativity of local government officials in developing health services for the elderly and people with disabilities in rural areas of East Lombok Regency and Serang Regency. The research design uses a multiple case study approach to explore health programs in both regencies without comparing them. Qualitative research methods are used to explore data from interviews with key informants in the Health Office, Social Service, and village officials in both regencies. The results show that East Lombok emphasizes collaboration with NGOs and the use of technology to support more effective health services for vulnerable groups. Meanwhile, Serang focuses on community empowerment through formal and informal training for caregivers. Both regencies show complementary approaches: East Lombok with a technology-based approach and external collaboration, and Serang with a community-based approach and local participation. In conclusion, a more inclusive and integrated combination of strategies that is tailored to the local context of each district is needed. Policy suggestions include increasing local capacity, cross-sector collaboration, and strengthening the national health information system to support sustainable and inclusive health services for the elderly and people with disabilities.
References
[1] Anhar, V. Y., Sholikah, S., & Wartono, W. (2020). Tantangan Dan Hambatan Pemberdayaan Masyarakat dalam Pengendalian Penyakit Tidak Menular di Daerah Semi-Perkotaan: Sebuah Evidence Based Practice di Padukuhan Samirono, Sleman Yogyakarta. Jurnal Kesmas Jambi, 4(2), 43–49.
[2] BPS. (2022). Indikator Kesejahteraan Rakyat Kabupaten Serang Tahun 2022 [Dataset]. https://web-api.bps.go.id/download.php?f=OQMH6pJ7BGLVcTterGvWoVp NZlp5NzZlMTNneTk4VnBmSTVaMVE2U0l1ZTRFSnBTSHQzTUZoM2JqN0V4M2JP QjRWTGFEU0pEdXpFWE8rK2RIU04zVGdoSXpSdlRoTXlqNmIxNmY4ZlhpVzRsSE 1IY3FWK2xNVndjY2JYeE1lS21LeDVjaVRSMytjU2o5QWJ6MERDNTRTbnoxYWFT SVZsZElZeS9uaUpzMDlBZ0tPcWxpak94T25vZUZZaGJieVY0SHdGZGY1QSs5ck13 d1lLVXB1MjdiMkR3dXozbFhMRGllR3BlQTFUNGYvaXFZaEtiMzBkM08zbk1Hd1g0O UlDeXRreC9vWXVZL1Q1a0wrNFNIeGhwcEZUbUsyOXJuQzFtV09ZSDBRPT0=
[3] BPS. (2023). Indonesia’s economic growth in Q3-2023 4.94 percent (y-on-y). BPS - Statistics Indonesia. https://www.bps.go.id/en/pressrelease/2023/11/06/2000/ indonesias-economic-growth-in-q3-2023-4-94-percent--y-on-y-.html
[4] BPS Banten. (2024). Indeks Kedalaman Kemiskinan (P1) dan Indeks Keparahan Kemiskinan (P2) Menurut Kabupaten/Kota di Provinsi Banten, 2022-2024. https: //banten.bps.go.id/id/statistics-table/2/NDI3IzI=/indeks-kedalaman-kemiskinanp1- dan-indeks-keparahan-kemiskinan-p2-menurut-kabupaten-kota-di-provinsibanten. html
[5] BPS Lombok Timur. (2024). Kabupaten Lombok Timur Dalam Angka 2024.
[6] BPS NTB. (2024). Indeks Kedalaman Kemiskinan (P1) dan Indeks Keparahan Kemiskinan (P2) di Provinsi Nusa Tenggara Barat Menurut Kabupaten/Kota, 2023-2024. https://ntb.bps.go.id/id/statistics-table/2/NDg3IzI=/indeks-kedalamankemiskinan- p1-dan-indeks-keparahan-kemiskinan-p2-di-provinsi-nusa-tenggarabarat- menurut-kabupaten-kota.html
[7] Brülhart, M., & Jametti, M. (2006). Vertical versus horizontal tax externalities: An empirical test. Journal of Public Economics, 90(10–11), 2027–2062.
[8] Cheema, G. S., & Rondinelli, D. A. (2007). From government decentralization to decentralized governance. Decentralizing Governance: Emerging Concepts and Practices, 326, 326.
[9] Christanti, N. D., & Pratiwi, R. D. (2016). Analisis penyebab kegagalan penggunaan sistem informasi manajemen puskesmas (simpus) dalam penerimaan pasien rawat jalan di puskesmas adimulyo kabupaten kebumen. Jurnal Kesehatan Vokasional, 1(1), 13–21.
[10] Creswell, J. W., & Creswell, J. D. (2018). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches (5th edition). Sage Publisher.
[11] Crouch, A., Bourke, L., & Pierce, D. (2022). Understanding health in rural settings (pp. 382–398). Cambridge Core. https://doi.org/10.1017/9781009047784.026
[12] Dabla-Norris, E. (2006). The challenge of fiscal decentralisation in transition countries. Comparative Economic Studies, 48, 100–131.
[13] Deswimar, D. (2014). Peran Program Pemberdayaan Masyarakat desa dalam pembangunan pedesaan. Jurnal El-Riyasah, 5(1), 41–52.
[14] Dewayanti, I., & Suryono, A. (2023). Perlindungan Sosial Terhadap Hak Atas Akses Pelayanan Kesehatan Bagi Penyandang Disabilitas. Jurnal Hukum Dan Pembangunan Ekonomi, 11(2), 225–241.
[15] Dewi, N. (2020). TINGKAT KEMANDIRIAN LANSIA DALAM PEMENUHAN KEBUTUHAN ADL. repository.stikeswiramedika.ac.id. https://repository.stikeswiramedika. ac.id/id/eprint/75
[16] Downs, A. (1967). Inside Bureaucracy.
[17] Falleti, T. G. (2010). Decentralization and subnational politics in Latin America. Cambridge University Press.
[18] GC, K. B. (2023). Social Determinants of Health in Rural and Urban Communities. Prāgyik Prabāha, 11(1), 44–50. https://doi.org/10.3126/pp.v11i1.55505
[19] Haryono, E. (2023). Economic Growth in Indonesia Remains Solid. Bank Indonesia. https://www.bi.go.id/en/publikasi/ruang-media/news-release/Pages/sp_2511423. aspx
[20] Hasibuan, S. U., & Ayuningtyas, D. (2021). A Literature Review: Gambaran Perwujudan Puskesmas Ramah Disabilitas pada Beberapa Wilayah di Indonesia. Jurnal Medika Hutama, 3(01 Oktober), 1390–1399.
[21] Hidayatullah, F., & Noer, K. (2021). Implementasi kebijakan rekrutmen tenaga kerja disabilitas tunanetra di BUMD DKI Jakarta. De Lega Lata …, Query date: 2023-04-26 14:01:30. http://download.garuda.kemdikbud.go.id/article.php?article= 2300633&val=11588&title=IMPLEMENTASI%20KEBIJAKAN%20REKRUTMEN% 20TENAGA%20KERJA%20DISABILITAS%20TUNANETRA%20DI%20BUMD% 20DKI%20JAKARTA
[22] Houghton, N., Bascolo, E., Cohen, R. R., Vilcarromero, N. L. C., Gonzalez, H. R., Albrecht, D., Koller, T. S., & Fitzgerald, J. (2023). Identifying access barriers faced by rural and dispersed communities to better address their needs: Implications and lessons learned for rural proofing for health in the Americas and beyond. Rural and Remote Health, 23(1), 1–12.
[23] Huwaida, N. (2021). ANALISIS KOORDINASI ANTARA SEKTOR DALAM PROSES PEMBANGUNAN KESEHATAN DI INDONESIA.
[24] Inayati, I., & Nuraini, S. (2021). Peran Pemerintah Desa Dalam Pelayanan Kesehatan Masyarakat di Desa Sukajaya Kecamatan Cibitung Kabupaten Bekasi. Governance, 9(2), 44–73.
[25] Joumard, I., & Kongsrud, P. M. (2003). Fiscal relations across government levels. OECD Economic Studies, 2003(1).
[26] Kalininskaya, A., Bakirova, E., Kizeev, M., Lazarev, A., Muftakhova, A., & Smirnov, A. (2022). The problems of rural health care and prospects of development. Problems of Social Hygiene, Public Health and History of Medicine, 30(6), 1224–1229.
[27] Kasim, S. S. (2022). Faktor-Faktor Pendorong dan Penghambat Pemanfaatan Pelayanan Kesehatan Primer pada Masa Pandemi Covid-19. NeoRespublica: Jurnal Ilmu Pemerintahan, 4(1), 1–11.
[28] Kemendesa PDTT. (2023). Hasil Rekomendasi IDM 2023. Kementerian Desa, Pembangunan Daerah Tertinggal Dan Transmigrasi Republik Indonesia. https://idm.kemendesa.go.id/view/detil/3/publikasi
[29] Konisky, D. M. (2007). Representative bureaucrats: Attitudinal congruence and agency expertise. Unpublished Article University of Missouri, Columbia.
[30] Kristian, I. (2023). Kebijakan Publik Dan Tantangan Implementasi Di Indonesia. Jurnal Dialektika: Jurnal Ilmu Sosial, 21(2), 88–98.
[31] Kristiani, I. S. D. H. S. (2013). Analisis Kebijakan dalam Mengatasi Kekurangan Bidan Desa di Kabupaten Natuna. Jurnal Kebijakan Kesehatan Indonesia: JKKI, 2(1).
[32] Li, Y. (2022). Social care for disabled elderly women in urban China: The roles of the community. Social Science & Medicine, 314, 115473.
[33] Lutfan, L. S. C. H. K. (2013). Dampak kebijakan pelayanan kesehatan gratis terhadap kepuasan pasien dalam menerima pelayanan kesehatan Puskesmas di Kota Ambon. Jurnal Kebijakan Kesehatan Indonesia: JKKI, 2(2).
[34] Mariyono, J., KUNTARININGSIH, A., & SUSWATI, E. (2008). Ketimpangan Jender dalam akses Pelayanan Kesehatan Rumah Tangga Petani Pedesaan: Kasus Dua Desa di Kabupaten Tegal, Jawa tengah. SOCA: Jurnal Sosial Ekonomi Pertanian, 8(2), 44038.
[35] Meier, K. J., & O’Toole, L. J. (2006). Bureaucracy in a democratic state: A governance perspective. JHU Press.
[36] Mufidah, S. N. (2021). Partisipasi Lansia dalam Program Posyandu Lansia Wreda Sumbaga Nologaten, Caturtunggal, Depok, Sleman. JSCE: Journal of Society and Continuing Education, 2(3), 287–296.
[37] Palifiana, D. A., Khadijah, S., Dewi, D. P., & Salamahu, L. (2023). Pemberdayaan Perempuan Penyandang Disabilitas Sebagai Upaya Meningkatkan Kualitas Hidup. GERVASI: Jurnal Pengabdian Kepada Masyarakat, 7(3), 1393–1403.
[38] Pan, H. (2016). Study on the Effect of Grassroots Community Services on Disabled Elderly Care System. 1539–1542.
[39] Pemda Serang. (2021). Hasil Analisis Data Pengukuran Stunting Tingkat Kabupaten Serang Tahun 2021. https://serangkab.go.id/berita/hasil-analisis-data-pengukuranstunting- tingkat-kabupaten-serang-tahun-2021
[40] Purwadinata, S. (2024). Analisis Kemiskinan Multidimensi di Kabupaten Lombok Timur. EKOMA: Jurnal Ekonomi, Manajemen, Akuntansi, 3(4), 1619–1627.
[41] Putra, G. M. & Supardi. (2024). Kasus Kematian Ibu di Lotim Terus Menurun, Dikes Gencarkan Edukasi. https://lombokpost.jawapos.com/selong/1505143524/kasuskematian- ibu-di-lotim-terus-menurun-dikes-gencarkan-edukasi
[42] Rahman, H., & Puspitasari, A. (2020). Membandingkan Ketimpangan Ketersediaan Tenaga Kesehatan Puskesmas Di Wilayah Indonesia Timur. Window of Public Health Journal, 31–37.
[43] Raranta, T., Lengkong, F. D., & Londa, V. (2020). Dampak Kebijakan Pembangunan Di Desa Pinamorongan Kecamatan Tareran Kabupaten Minahasa Selatan. Jurnal Administrasi Publik, 6(89).
[44] Rodriguez-Pereira, J., de Armas, J., Garbujo, L., & Ramalhinho, H. (2020). Health care needs and services for elder and disabled population: Findings from a Barcelona study. International Journal of Environmental Research and Public Health, 17(21), 8071.
[45] Salamah, U., & Rustiana, E. (2017). Meningkatkan mutu pelayanan medik melalui koordinasi antar unit dan profesionalisme petugas (Studi pada RSU Dr. Slamet-Garut). Jurnal Pembangunan Dan Kebijakan Publik, 1(2), 38–47.
[46] Sanusi, I. K., Fauziah, S. Z., Supriatno, M., Munawaroh, E., Safitri, S., Aisy, D. S., Fathurochman, M. T., Regusti, A., Febrian, Y., & Tadjudin, M. H. (2023). Efektivitas Pelaksanaan Program Penyuluhan Stunting dalam Meningkatkan Kesehatan Ibu dan Anak. Karimah Tauhid, 2(5), 1936–1943.
[47] Setiawan, W. (2015). Dampak PNPM Generasi Terhadap Status Kesehatan dan Pendidikan di Kabupaten Nganjuk. Jejaring Administrasi, 7, 749–751.
[48] Sharma, C. K. (2008). Emerging dimensions of decentralization debate in the age of globalization.
[49] Siswanto, Hendarwan, H., Kusumawardani, N., & Handayani, L. (2020). Kinerja Pembangunan Kesehatan di Indonesia: Tantangan, Masalah, dan Solusi [Bunga Rampai]. Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan. https://repository.badankebijakan.kemkes.go.id/id/eprint/4143/1/Buku% 20Kinerja%20Pembangunan%20Kesehatan%20di%20Indonesia.pdf
[50] Subekti, A. (2021). Analisis Faktor-Faktor Kendala di Dalam Penyelenggaraan Standar Pelayanan Minimal Bidang Kesehatan di UPT Puskesmas Palengaan Pada Dinas Kesehatan Kabupaten Pamekasan. Jurnal Ilmiah Mahasiswa FEB, 9(2).
[51] Sulaeman, E. S., Karsidi, R., Murti, B., Kartono, D. T., Waryana, W., & Hartanto, R. (2012). Model pemberdayaan masyarakat bidang kesehatan, studi program desa siaga. Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal), 7(4), 186–192.
[52] Sulistyowati, E. (2019). Interprofessional education (IPE) dalam kurikulum pendidikan kesehatan sebagai strategi peningkatan kualitas pelayanan maternitas. Jurnal Kebidanan, 8(2), 123–131.
[53] Suryantara, I. M. P., & Syahmat, M. Z. (2022). EFEKTIFITAS PELAKSANAAN PROGRAM KAMPUNG SEHAT DALAM RANGKA MENEKAN PENYEBARAN COVID- 19 (STUDI PADA KELURAHAN BINTARO, KOTA MATARAM). JURNAL EDUCATION AND DEVELOPMENT, 10(2), 125–131.
[54] Tao, X., Zeng, Y., Wang, S., Zheng, J., Ye, B., & Zheng, Y. (2023). Research on the impact of medical and old-age security on the utilization of medical services for the disabled elderly.
[55] Treisman, D. (2007). The architecture of government: Rethinking political decentralization. Cambridge University Press.
[56] Trisnantoro, L., & Zaenab, S. N. (2013). Penggunaan data kematian “absolut” untuk memicu penurunan kematian ibu dan ibu di kabupaten/kota [Pusat Kebijakan dan Manajemen Kesehatan Fakultas Kedokteran UGM]. Policy Brief. https://www. kebijakankesehatanindonesia.net/images/policy_paper/policy%20brief%20KIA.pdf
[57] Vabø, M., Zechner, M., Stranz, A., Graff, L., & Sigurðardóttir, S. H. (2022). Is Nordic elder care facing a (new) collaborative turn? Social Policy & Administration, 56(4), 549–562.
[58] Waliyudin, M. F., Widianingsih, I., & Susanti, E. (2022). Koordinasi Dalam Upaya Percepatan Penurunan Dan Pencegahan Stunting Di Kabupaten Kuningan. JANE (Jurnal Administrasi Negara), 14(1), 404–410.
[59] Widayatun, W., & Fatoni, Z. (2016). Permasalahan kesehatan dalam kondisi bencana: Peran Petugas kesehatan dan partisipasi Masyarakat. Jurnal Kependudukan Indonesia, 8(1), 37–52.
[60] Wididiati, P., Nurcahyanto, H., & Marom, A. (2022). Implementasi Kebijakan Penanganan Stunting di Kabupaten Lombok Timur (Studi Kasus Di Desa Lenek Duren Kecamatan Lenek). Journal of Public Policy and Management Review, 11(4), 379–394.
[61] World Bank. (2022). The World Bank in Indonesia. https://www.worldbank.org/en/ country/indonesia/overview
[62] Wulandari, R. D. (2019). Kesenjangan Pemanfaatan Puskesmas di Perdesaan Indonesia. Unair News. https://news.unair.ac.id/2019/12/19/kesenjanganpemanfaatan- puskesmas-di-perdesaan-indonesia/?lang=id
[63] Zhang, R., Zhang, Z., Peng, Y., Zhai, S., Zhou, J., & Chen, J. (2022). The multi-subject cooperation mechanism of home care for the disabled elderly in Beijing: A qualitative research. BMC Primary Care, 23(1), 186.
[64] Zulfikar, F. (2017). Partisipasi Kaum Difabel dalam Pembangunan Desa Inklusi (Studi Kasus Desa Sidorejo dan Desa Bumirejo, Kecamatan Lendah, Kabupaten Kulonprogo). Diambil Kembali Dari Repositori Universitas Muhammadiyah Yogyakarta: Http://Repository. Umy. Ac. Id/Bitstream/Handle/123456789/12200/j.% 20Naskah% 20Publikasi. Pdf.
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Saut Gracer Sijabat, Faza Dhora Nailufar, R. N. Afsdy Saksono, Frieska Yevrigoria Kombong

This work is licensed under a Creative Commons Attribution 4.0 International License.