This study aims to identify gaps in Indonesia’s national social health insurance scheme (Jaminan Kesehatan Nasional or JKN) in meeting the right to health for disabled persons in the country and to propose strategies to mitigate the gaps. This study employed descriptive qualitative methodologies. A questionnaire survey and structured interviews were undertaken from the period of October to December 2021, with a purposive sample of 317 disabled persons at their working age. Data collection also included on-site observations to sample of healthcare providers in six provinces and focused group discussions with key stakeholders. This study found that JKN is the primary source of hope for disabled persons. Nevertheless, approximately ten percent of disabled persons have been omitted from the scheme. Moreover, respondents of the survey expressed notably lower satisfaction level compared to the national average. Meanwhile, 25% of them also reported that JKN did not cover certain disability-specific benefits. The findings suggest that the national social health insurance scheme is not well prepared to offer disability-inclusive services. Thereby, policymakers should implement various interventions to improve the admission processes for disabled persons and to develop a system to identify disabled members based on their specific disabilities. Additionally, stipulating standards for disability-friendly minimum services for healthcare providers and incorporating the standards into the credentialing systems, providing regular training on disability-friendly services for healthcare personnel, also enhancing benefits coverage for disabled members in the Indonesian Case Base Groups (INA-CBGs) are the necessary strategies to mitigate the gaps.
Increasing levels of everyday cycling has many benefits for both individuals and for cities. Reduced traffic congestion, improved air quality and safer spaces for all vulnerable road users are among the significant benefits for urban developments. Despite this, public opposition to cycling infrastructure is common, particularly when it involves reprioritising road space for cycles instead of vehicles. The purpose of the research was to examine various stakeholders’ perspectives on proposed cycle infrastructure projects. This study utilised an innovative data collection approach through detailed content analysis of 322 public consultation submissions on a proposed active travel scheme in Limerick City, Ireland. By categorising submissions into support, opposition, and proposals, the study reveals the nuanced public perceptions that influence behavioural adaptation and acceptance of sustainable transport infrastructure. Supportive submissions, which outnumbered opposition-related submissions by approximately 2:1, emphasised the need for dedicated cycling infrastructure, enhanced cyclist safety, and potential improvements in environmental conditions. In contrast, opposition submissions focused on concerns over car parking removal, decreased accessibility for residents, and safety issues for vulnerable populations, particularly the elderly. Proposal submissions suggested design modifications, including enhanced safety features, provisions for convenient car parking, and alternative cycle routes. This paper highlights the value of structured public consultation data in uncovering behavioural determinants and barriers to cycling infrastructure adoption, offering policymakers essential insights into managing public opposition and fostering support. The methodology demonstrates how qualitative data from consultations can be effectively used to inform policy by capturing community-specific needs and enhancing the design of sustainable urban mobility systems. These findings underscore the need for innovative, inclusive data collection methods that reveal public sentiment, facilitating evidence-based transport policies that support climate-neutral mobility.
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