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Strategic Contribution of Health Services in the Indonesia‑Malaysia Border to the National Resilience: Analysis of Implementation in the West Kalimantan Province


Affiliations
1 National Resilience Strategic Study, Strategic and Global Study School, Universitas Indonesia, Indonesia
2 Department of Health Policy and Administration, Faculty of Public Health, Universitas Indonesia, Indonesia
     

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Background: The length of “open access” areas from Indonesia which leads to the vulnerability state is the factor that influence terrorism, disease, and other transnational crimes. This study aims to analyze the contribution strategies made by the Government of Indonesia in efforts to equalize health services in the Indonesia‑Malaysia border region in order to strengthen health resilience as an important part that is inseparable from national security. Method: The method used in this study is narrative review of published articles and news related to the policy environment and health service facilities in the border regions of Indonesia and in the other countries that have been published in Scopus‑accredited and indexed journals. Results: It was found that there were obstacles faced by the health providers during the implementation process, including the lack of availability of human resources as health workers as well as health facilities in the border area. As such, many Indonesians living on the border choose to seek treatment in Malaysia. The entry and exit routes from neighbor countries are inevitably becoming vulnerable areas which need attention to prevent various threats from entering the border line which will have an impact on National Resilience. Conclusions: The fulfillment of human resources availability for health workers and health facilities in the border area has not been maximized due to the difficulty of distribution and limited access. Managing the Indonesian border by relying solely on security and military approaches is not enough, that it requires a multi‑sector approach that involves all relevant stakeholders. Good management of border areas is needed as an effort to strengthen Indonesia’s national security.

Keywords

Cross‑Border; Health Sector; Health Personnel; Health Facility; National Resilience.
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  • Strategic Contribution of Health Services in the Indonesia‑Malaysia Border to the National Resilience: Analysis of Implementation in the West Kalimantan Province

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Authors

Dwi Rachmatullah
National Resilience Strategic Study, Strategic and Global Study School, Universitas Indonesia, Indonesia
Dumilah Ayuningtyas
Department of Health Policy and Administration, Faculty of Public Health, Universitas Indonesia, Indonesia
Raden Roro Mega Utami
Department of Health Policy and Administration, Faculty of Public Health, Universitas Indonesia, Indonesia

Abstract


Background: The length of “open access” areas from Indonesia which leads to the vulnerability state is the factor that influence terrorism, disease, and other transnational crimes. This study aims to analyze the contribution strategies made by the Government of Indonesia in efforts to equalize health services in the Indonesia‑Malaysia border region in order to strengthen health resilience as an important part that is inseparable from national security. Method: The method used in this study is narrative review of published articles and news related to the policy environment and health service facilities in the border regions of Indonesia and in the other countries that have been published in Scopus‑accredited and indexed journals. Results: It was found that there were obstacles faced by the health providers during the implementation process, including the lack of availability of human resources as health workers as well as health facilities in the border area. As such, many Indonesians living on the border choose to seek treatment in Malaysia. The entry and exit routes from neighbor countries are inevitably becoming vulnerable areas which need attention to prevent various threats from entering the border line which will have an impact on National Resilience. Conclusions: The fulfillment of human resources availability for health workers and health facilities in the border area has not been maximized due to the difficulty of distribution and limited access. Managing the Indonesian border by relying solely on security and military approaches is not enough, that it requires a multi‑sector approach that involves all relevant stakeholders. Good management of border areas is needed as an effort to strengthen Indonesia’s national security.

Keywords


Cross‑Border; Health Sector; Health Personnel; Health Facility; National Resilience.



DOI: https://doi.org/10.37506/v11%2Fi1%2F2020%2Fijphrd%2F193978