Inequality in the distribution of health workers, a challenge for disabled groups during a pandemic – The COVID-19 pandemic provides layered vulnerabilities for marginalized groups, including people with disabilities. Article 33 Indonesia researcher, Yusuf Faisal Martak, explained how the pandemic had an impact on mobility and accessibility for health services for persons with disabilities as a referral service.

“The unequal presence of health workers, there is no standard operating procedure (SOP) for disability health services during the pandemic and the unavailability of valid data regarding the number of people with disabilities are problems with access and quality of health services for people with disabilities during this pandemic.” Yusuf said in his statement, Wednesday (23/2/2022).

Responding to this, Researcher at the Center for Health Policy and Management, Universitas Gadjah Mada (PKMK UGM), M. Faozi Kurniawan, explained the quality of the implementation of the National Health Insurance for the poor and marginalized and how to encourage structural changes to increase the reach of services that are more inclusive and equitable. .

Persons with disabilities use the 'text telephone DNA' tool for persons with disabilities at the Bundaran HI MRT Station, Jakarta, Friday (12/3/2021). [ANTARA FOTO/Muhammad Adimaja]
Persons with disabilities use the ‘text telephone DNA’ tool for persons with disabilities at the Bundaran HI MRT Station, Jakarta, Friday (12/3/2021). [ANTARA FOTO/Muhammad Adimaja]

“Research, studies, public discussions, and publications of the National Health Insurance (JKN) and the Health System are needed on a regular basis and within the national-provincial-district/city scope. This needs to be done to carry out quality control and measure the impact of JKN and the Health System.” Faozi said.

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Meanwhile, Director of Productive Age and Elderly Health, Directorate General of Public Health, Ministry of Health, Kartini Rustandi, said the importance of synergies and collaboration of knowledge from various parties (universities, research institutions, private parties and also the community) was integrated by the government to improve quality. , inclusiveness, and resilience of health services in Indonesia.

“The Ministry of Health is preparing a roadmap or six health transformation strategies. The first is related to primary services, where services are promotive and preventive. Second, the transformation of secondary services, namely hospital referrals. Third, related to regulations in health financing, considering the trend in terms of age is changing with the increasing age of the young rather than the elderly,” he said.

Furthermore, Kartini said it was important to focus on the transformation of human resources (HR) where the focus was on improving the quality and equitable distribution of the number of health workers in the regions.

“Last is the transformation of health technology which is divided into two, namely the transformation of health information and the transformation of health technology.” Kartini said.

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