The Urgency of Integrating Healthy Cities Policy Within Health Transformation in Indonesia
DOI:
https://doi.org/10.59188/eduvest.v6i3.53004Keywords:
healthy cities, kabupaten/kota sehat, health policy, health transformation, healthy regionsAbstract
Contemporary health development in Indonesia demands a paradigmatic shift from curative-centric focus toward strengthening promotive and preventive measures through regional-based approaches. This article aims to analyze the implementation of Healthy Cities (KKS) and formulate a strategic integration model into the National Health Transformation agenda. Utilizing a descriptive-analytical design with a literature-based policy study method, this research evaluated national policy documents, regional reports from Boyolali Regency and South Tangerang City, and Scopus-indexed international literature. Analysis indicates that while KKS has contributed to improved sanitation access and Green Open Space (RTH), implementation remains fragmented due to weak intersectoral policy coherence and limited performance indicators. As a solution, this study proposes "5 Pillars of Integration" encompassing intersectoral governance, healthy environment, healthy lifestyle behavior, promotive-preventive systems, and community participation. This synthesis demonstrates that KKS must be positioned as an upstream platform supporting the success of Pillar 1 (Primary Care) and Pillar 5 (Health Resilience) in health transformation. In conclusion, strengthening KKS through multi-level governance frameworks is crucial for creating resilient and sustainable health systems at the local level.
References
Boeing, G., Higgs, C., Liu, S., Giles-Corti, B., Sallis, J., Cerin, E., & Lowe, M. (2022). Using open data to develop spatial indicators of urban design for healthy cities.
Environment and Planning B: Urban Analytics and City Science .Budiman, A. S., et al. (2021).
Evaluasi Kebijakan Kabupaten Sehat dalam Perspektif Tata Kelola Pemerintahan di Indonesia. Jurnal Kebijakan Kesehatan Indonesia (Sinta 2).
de Leeuw, E. (2017). Engagement of sectors other than health in integrated health governance. International Journal of Health Policy and Management.
Giles-Corti, B., et al. (2016). City planning and population health: A global challenge.
The Lancet .Kickbusch, I., & Gleicher, D. (2012). Governance for health in the 21st century. World Health Organization.Marwati, T., & Amika, N. D. (2019). Analisis Implementasi Program Kabupaten Sehat pada Tatanan Kawasan Permukiman. Jurnal Kesehatan Masyarakat (Sinta 2).
Nieuwenhuijsen, M. (2020). Urban planning pathways to healthy cities. Nature Sustainability. Pramono, H., et al. (2020). Tantangan Koordinasi Lintas Sektor dalam Penyelenggaraan Kota Sehat di Indonesia. Jurnal Administrasi Publik (Sinta 2) .
Rydin, Y., et al. (2012). Shaping cities for health: Complexity and planning of the urban environment in the 21st century.
Ager, A., & Metzler, J. (2017). Community engagement and health systems resilience. Global Public Health, 12(4), 456–467. https://doi.org/10.1080/17441692.2017.1281472
Atun, R., de Jongh, T., Secci, F., Ohiri, K., & Adeyi, O. (2018). Integration of targeted health interventions into health systems: A conceptual framework for analysis. Health Policy and Planning, 33(7), 727–737. https://doi.org/10.1093/heapol/czy040
Balabanova, D., McKee, M., & Mills, A. (2019). What can global health institutions do to help strengthen health systems in low‑ and middle‑income countries? Health Policy and Planning, 34(6), 418–430. https://doi.org/10.1093/heapol/czz027
Baum, F., Delany‑Crowe, T., & MacDougall, C. (2017). It's not just what we do, it's the way that we do it: Leading complex public health change. BMC Public Health, 17(1), 1–11. https://doi.org/10.1186/s12889-017-4722-3
Frenk, J., Gómez‑Dantés, O., & Knaul, F. M. (2019). The health system: Not just curative care. The Lancet, 393(10168), 2473–2476. https://doi.org/10.1016/S0140-6736(19)31209-0
Giles‑Corti, B., Vernez‑Moudon, A., Foster, S., et al. (2016). City planning and population health: A global challenge. The Lancet, 388(10062), 2912–2924. https://doi.org/10.1016/S0140-6736(16)30066-6
Gilmore, B., Ndejjo, R., Tchetchia, A., et al. (2020). Community engagement for COVID‑19: Lessons from Ebola and other outbreaks. BMJ Global Health, 5(11), e003430. https://doi.org/10.1136/bmjgh-2020-003430
Kruk, M. E., Gage, A. D., Arsenault, C., et al. (2018). High‑quality health systems in the Sustainable Development Goals era: Time for a revolution. The Lancet Global Health, 6(11), e1196–e1252. https://doi.org/10.1016/S2214-109X(18)30386-3
Kringos, D. S., Boerma, W., Hutchinson, A., et al. (2015). The breadth of primary care: A systematic literature review of the content and delivery of primary care services.
Kurniawan, A., Hidayana, I., & Susanti, H. (2020). Implementasi Kabupaten/Kota Sehat di Indonesia: Tantangan dan peluang. Jurnal Kesehatan Masyarakat, 16(2), 123–134.
Kementerian Kesehatan Republik Indonesia. (2018). Peraturan Bersama tentang Kabupaten/Kota Sehat. Kementerian Kesehatan RI. https://www.kemkes.go.id
Levesque, J.‑F., Harris, M. F., & Russell, G. (2019). Patient‑centred access to health care: Conceptualizing access at the interface of health systems and populations. International Journal for Equity in Health, 18(1), 1–9. https://doi.org/10.1186/s12939-019-1035-8
Marmot, M., Allen, J., Goldblatt, P., et al. (2018). Health equity in England: The Marmot review 10 years on. BMJ, 362, k3646. https://doi.org/10.1136/bmj.k3646
Nieuwenhuijsen, M. J. (2021). Urban and transport planning, environmental exposures and health—New concepts, methods and tools to improve health in cities. Environment International, 158, 106852. https://doi.org/10.1016/j.envint.2021.106852
Rahayu, S., Sari, P. I., & Putri, L. P. (2021). Evaluasi keberlanjutan program Kabupaten/Kota Sehat: Studi kasus beberapa kabupaten di Indonesia. Jurnal Administrasi Kesehatan, 12(1), 45–58.
Rasanathan, K., Montesinos, E. V., Matheson, D., et al. (2017). Primary health care and intersectoral action for healthy environments: A narrative review. The Lancet Planetary Health, 1(9), e342–e349. https://doi.org/10.1016/S2542-5196(17)30160-2
Sallis, J. F., Cerin, E., Conway, T. L., et al. (2016). Physical activity in relation to urban environments in 14 cities worldwide: A cross‑sectional study. The Lancet, 387(10034), 2207–2217. https://doi.org/10.1016/S0140-6736(15)01284-2
Siregar, H., Putra, A., & Haryanti, N. (2019). Faktor penunjang dan penghambat implementasi Kabupaten/Kota Sehat: Analisis kebijakan lokal. Jurnal Kebijakan Kesehatan Indonesia, 8(3), 201–215.
Solar, O., & Irwin, A. (2016). A conceptual framework for action on the social determinants of health. Commission on Social Determinants of Health. World Health Organization.
Spicer, N., Agyepong, I. A., Ottersen, T., et al. (2020). 'It's far too complicated': Why fragmentation persists in global health. Globalization and Health, 16(1), 1–8. https://doi.org/10.1186/s12992-020-00588-2
Vlahov, D., Freudenberg, N., Proietti, F., et al. (2017). Urban health: Evidence, challenges, and opportunities. Annual Review of Public Health, 38, 355–374. https://doi.org/10.1146/annurev-publhealth-031816-044216
World Health Organization. (2020). Global strategy on health, environment and climate change. WHO. https://www.who.int/publications/i/item/9789240000377
United Nations. (2015). Transforming our world: The 2030 Agenda for Sustainable Development. https://sdgs.un.org/2030agenda
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