Analysis the Healthy School Campaign in Indonesia: A Health Policy Triangle Approach
Abstract
The School Health Program policy was initiated by the Indonesian government in 2014. However, by 2021, student health service coverage was still suboptimal. The Healthy Schools Campaign Program was introduced in 2022 as an alternative policy to revitalize the School Health Programme. The study aimed to analyze the Healthy School Campaign Program using the health policy triangle framework, which includes actors, content, process, and context. This research uses qualitative methods with secondary data sourced from electronic document searches. The main actors in this policy involve official government institutions, supported by collaboration with non-government partners. Policy selection is based on situational, structural, cultural and international contextual factors. The program content focuses on physical health, healthy nutrition, and student immunization. The conclusion is that the selection of content is influenced by how actors identify health problems in the early stages of policy preparation. Implementation of this program requires a clear collaboration system as a reference for its implementation in educational units. Teacher and parent involvement is also very important to increase the effectiveness and sustainability of the program.
References
Kemenkes RI. Hasil Riset Kesehatan Dasar Tahun 2018. Kementrian Kesehatan RI. 2018; 53:89-99.
GYTS. Global Youth Tobacco Survey Lembar Informasi Indonesia [Internet]. 2019. Available from: https://cdn.who.int/media/docs/default-source/searo/indonesia/indonesia-gyts-2019-factsheet-(ages-13-15)-(final)-indonesian-final.pdf?sfvrsn=b99e597b_2
Kemdikbudristek RI. Surat Edaran Direktorat Jenderal Pendidikan Anak Usia Dini, Pendidikan Dasar, dan Pendidikan Menengah Nomor 4447/C/HK.04.01/2023 Tentang Kampanye Sekolah Sehat [Internet]. 2023. Available from: http://kemdikbud.go.id/main/?lang=id
Kemendikbudristek RI. Pedoman Kampanye Sekolah Sehat [Internet]. 2023. Available from: https://ditpsd.kemdikbud.go.id/sekolahsehat/bahan-advokasi/index.html
Kemendikbudristek RI, Kemenag RI, Kemenkes RI, Kemendagri RI. Peraturan Bersama antara Menteri Pendidikan dan Kebudayaan RI, Menteri Kesehatan RI, Menteri Agama RI, dan Menteri Dalam Negeri RI Nomor 6/X/PB/2014 tentang Pembinaan dan Pengembangan Usaha Kesehatan [Internet]. 2014. Available from: https://uks.kemdikbud.go.id/sekolah-sehat
Buse K, Mays N, Colombini M, Fraser A, Khan M, Walls H. Making Health Policy, 3e: (3rd edition). Third edition. UK: McGraw Hill; 2023.
Kemendikbudristek RI, Kemenag RI, Kemenkes RI, Kemendagri RI. Keputusan Bersama Menteri Pendidikan, Kebudayaan, Riset, dan Teknologi, Menteri Kesehatan, Menteri Agama, dan Menteri Dalam Negeri Republik Indonesia No: 03/KB/2022 Tahun 2022 tentang Penyelenggaraan Peningkatan Status Kesehatan Peserta Didik. 2022. Available from: https://ayosehat.kemkes.go.id/peraturan---skb-menteri-tentang-penyelenggaraan-peningkatan-status-kesehatan-peserta-didik
Kemendikbudristek. Surat Edaran Menteri Pendidikan, Kebudayaan, Riset, dan Teknologi Nomor 7 Tahun 2022 Tentang Diskresi Pelaksanaan Keputusan Bersama 4 (Empat) Menteri Tentang Panduan Penyelenggaraan Pembelajaran di Masa Pandemi Coronavirus Disease 2019 (COVID-19). 2022. [Internet]. Available from: https://www.kemdikbud.go.id/main/blog/2022/08/kemendikbudristek-terbitkan-se-nomor-7-tahun-2022-perihal-diskresi-skb-4-menteri
Permenko RI. Rencana Aksi Nasional Peningkatan Kesejahteraan Anak Usia Sekolah dan Remaja [Internet]. 2022. Available from: www.peraturan.go.id
Zahidie A; Iqbal M; Asif S. Building on the Health Policy Analysis Triangle: Elucidation of the Elements. Pakistan journal of medical sciences. 2023;39(6): 1865-8.
Buse K, Mays N, Walt G. Making Health Policy. Second Edition. UK: McGraw Hill; 2012.
Kemendikbudristek RI. UKS Kampanye Sekolah Sehat [Internet]. 2023. Available from: https://uks.kemdikbud.go.id/sekolah-sehat
Presiden RI. Undang-Undang Republik Indonesia Nomor 36 Tahun 2009 tentang Kesehatan. 2009 [Internet]. Available from: https://peraturan.bpk.go.id/Details/38778/uuno-36-tahun-2009.
Khodayari‐Zarnaq R, Alizadeh G. Cardiovascular diseases preventive policy‐making process in Iran: A framework‐based policy analysis. World Medical & Health Policy. 2022 Dec;14(4):679-97.
Mondal S; Van Belle S; Bhojani U; Law S; Maioni A. Policy Processes in Multisectoral Tobacco Control in India: The Role of Institutional Architecture, Political Engagement and Legal Interventions. International Journal of Health Policy and Management. 2021;11(9): 1703-14.
Van Bavel JJ; Cichocka A; Capraro V; Sjåstad H; Nezlek JB; Pavlović T; et al. National identity predicts public health support during a global pandemic. Nature Communications. 2022;13(1): 517-25.
Scott AJ. The longevity society. The Lancet Healthy Longevity. 2021 Dec 1;2(12): e820-7.
Glassgold JM; Wolff JR. Expanding psychology training pathways for public policy preparedness across the professional lifespan. American Psychologist. 2020;75(7): 933 -44.
Russell Jonsson K; Taylor-Robinson DC; Schultz Straatmann V; Melis G; Adjei NK. Health behaviors and subsequent mental health problems during the COVID-19 pandemic: A longitudinal analysis of adults in the UK. Frontiers in Public Health. 2023;10(1): 1-14
Hasanzadeh S; Alishahi M. Public Health Shock, Intervention Policies, and Health Behaviors: Evidence from COVID-19. Review of Economic Analysis. 2022;14(1): 71-88.
UNICEF. What We Do? UNICEF Indonesia [Internet]. 2023. Available from: https://www.unicef.org/indonesia/what-we-do
Behzadifar M; Ghanbari MK; Ravaghi H; Bakhtiari A, et al. Health policy analysis in Eastern Mediterranean region using a health policy triangle framework: Historical and ethical insights from a systematic review. Journal of preventive medicine and hygiene. 2022;63(2): 351-73.
BPS RI. Statistik Indonesia 2022 [Internet]. 2022. Available from: https://www.bps.go.id/indicator/6/715/1/jumlah-penduduk-usia-15-tahun-ke-atas-menurut-golongan-umur.html.
Raoofi A; Takian A; Akbari Sari A; Olyaeemanesh A; Haghighi H, Aarabi M. COVID-19 Pandemic and Comparative Health Policy Learning in Iran. Archives of Iranian Medicine. 2020;23(4): 220-34.
Sentell T; Vamos S; Okan O. Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19. International Journal of Environmental Research and Public Health. 2020;17(9): 1-13.
Dorosti A; Karamouz M; Rahimi VA; Azimzadeh S, et al. Mental Health Services Integration in Primary Health Care in Iran: A Policy Analysis. Iranian Journal of Psychiatry. 2023;19(1): 57–69.
Mueller D. Addressing the challenges of implementing a Health Technology Assessment Policy Framework in South Africa. International journal of technology assessment in health care. 2020 Aug 13;36(4): 453–8.
Ooi JY; Yoong SL; Sutherland R; Wrigley J, et al. Prevalence of current school‐level nutrition policies and practices of secondary schools in NSW, Australia. Health Promotion Journal of Australia. 2021;32(2): 216-26.
Liu CH; Chang FC; Niu YZ; Liao LL, et al. Students’ perceptions of school sugar-free, food and exercise environments enhance healthy eating and physical activity. Public Health Nutrition. 2022;25(7): 1762-70.
Chote B; McKelvie-Sebileau P; Swinburn B; Tipene-Leach D, et al. Culture of Healthy Eating and Food Environments, Policies, and Practices in Regional New Zealand Schools. International Journal of Environmental Research and Public Health. 2022;19(11): 1-12.
Gillies C; Farmer A; Maximova K; Willows ND. First Nations students’ perceptions of school nutrition policy implementation: A mixed methods study. Nutrition & Dietetics. 2018;75(5): 533-40.
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