Jurnal Khazanah Intelektual

Multi-Hazard Preparedness In Indonesian Health System Resilience: Literature Review

Nelsi Merella, Astri Maretta, Riswandy Wasir — Mon, 10 Aug 2026 00:00:00 +0000

Background: Health system resilience is increasingly important in the context of multi-hazard risks, where infectious disease outbreaks, hydrometeorological disasters, and climate-related threats may occur simultaneously or sequentially. In Indonesia, preparedness policies have expanded, but available evidence remains fragmented across policy, organizational, and service-delivery levels. Objective: This review aimed to synthesize evidence on Indonesia’s preparedness for multi-hazard risks within a health system resilience framework. Methods: A literature review with thematic narrative synthesis was conducted using articles from PubMed, Scopus, ScienceDirect, and Google Scholar, complemented by official government documents. Sources published between 2021 and 2026 in Indonesian or English were included if they addressed preparedness, health system resilience, policy, implementation, or evaluation related to multi-hazard risks in Indonesia. Results: Preparedness has developed at both policy and operational levels through health transformation policies, crisis regulations, contingency planning, and climate-health adaptation agendas. However, implementation remains uneven and is more visible at hospital and workforce levels than across the health system as a whole. Enabling factors included training, disaster experience, organizational support, leadership, and disaster management systems, while barriers included limited trained personnel, inadequate funding, insufficient facilities, non-specific procedures, and weak coordination. Strengthening strategies emphasized routine training, simulations, contingency planning, stronger management systems, integrated information systems, and cross-sector coordination, with evaluation indicators covering workforce capacity, facility and logistics readiness, procedures, coordination, and adaptive capacity. Conclusion: Multi-hazard preparedness in Indonesia has progressed, but it has not yet been fully institutionalized as an integrated systemic capacity.

Keywords: health system resilience; preparedness; multi-hazard; policy implementation; Indonesian

The Paradox of Capital Expenditure Effectiveness on GRDP Per Capita: Poverty, HDI, and Fiscal-Social Decoupling in Jambi Province

isma tio, Nurfitri Martaliah, Muhammad Ismail, Asti Harkeni — Mon, 31 Aug 2026 00:00:00 +0000

This study aims to examine the effect of capital expenditure, poverty, and the Human
Development Index (HDI) on GRDP per capita across 11 regencies/municipalities in Jambi
Province during 2017–2024. Secondary panel data (88 observations) from Statistics Indonesia
(BPS) Jambi Province and the Directorate General of Fiscal Balance were analyzed using panel
data regression, with model selection through the Chow and Hausman tests. The tests establish
the Fixed Effect Model (FEM) as the best model (Chow: Prob. Cross-section Chi-square =
0.0000; Hausman: Prob. Cross-section random = 0.0474). Simultaneously, capital expenditure,
poverty, and HDI significantly affect GRDP per capita (Prob. F-statistic = 0.000000), with high
explanatory power (R-squared = 0.703572; Adjusted R-squared = 0.615086). Partially,
however, none of the three variables is statistically significant (Prob. t of 0.9353, 0.7573, and
0.6815, respectively), with capital expenditure and poverty showing negative coefficients and
HDI a positive one. This pattern suggests that the model's high explanatory power is driven
largely by cross-sectional fixed effect time-invariant structural characteristics of each
regency/municipality rather than by the annual dynamics of the three policy variables
themselves. These findings are interpreted through the lens of Fiscal-social decoupling: a
disconnection between annual fiscal-social instruments and regional economic outcomes, in
light of Jambi's economic structure, which remains dominated by primary and commodity-based
sectors. The novelty of this study lies in operationalizing decoupling through the pattern of
partial insignificance amid a strong joint model, read as policy evidence of the dominance of
regional structural factors rather than mere model failure. The article recommends shifting
capital expenditure from an input-based to an outcome-based approach, strengthening
productive infrastructure linked to leading sectors, integrating poverty-reduction and HDI
programs with regional economic strategy, and using economic-benefit indicators in local
budget evaluation. These findings should be read within the limitations of a model that has not
yet incorporated structural variables, private investment, commodity prices, or lagged capital
expenditure.

Analysis of Factors Influencing The Sustainability of MSME Performance in Jambi Province

Mon, 10 Aug 2026 00:00:00 +0000

Usaha Mikro, Kecil, dan Menengah (UMKM) memiliki peran penting dalam mendorong pertumbuhan ekonomi daerah, menciptakan lapangan kerja, serta mendukung upaya pengentasan kemiskinan. Meskipun demikian, keberhasilan dan keberlanjutan UMKM masih menghadapi berbagai tantangan, seperti keterbatasan akses permodalan, rendahnya pemanfaatan teknologi digital, serta belum optimalnya dukungan kelembagaan dan kapasitas kewirausahaan. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi keberhasilan UMKM serta kaitannya dengan pengentasan kemiskinan di Provinsi Jambi, khususnya di Kabupaten Kerinci, Bungo, dan Tanjung Jabung Barat. Penelitian menggunakan pendekatan kuantitatif dan kualitatif dengan melibatkan 406 pelaku UMKM yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan melalui kuesioner skala Likert dan dianalisis menggunakan Partial Least Squares-Structural Equation Modeling (PLS-SEM) erta analisis deskriptif. Hasil penelitian menunjukkan bahwa 78% UMKM berada pada kategori bertahan dan berkembang, sedangkan 22% terindikasi menuju kegagalan. Adopsi teknologi terbukti berpengaruh positif dan signifikan terhadap keberhasilan UMKM, sementara sumber daya keuangan tidak menunjukkan pengaruh yang signifikan. Orientasi kewirausahaan berpengaruh terhadap adopsi teknologi, dan dukungan pemerintah berperan sebagai faktor penguat dalam meningkatkan akses terhadap sumber daya keuangan dan teknologi. Oleh karena itu, diperlukan strategi pemberdayaan yang terintegrasi melalui penguatan kapasitas kewirausahaan, digitalisasi usaha, akses pembiayaan, serta kolaborasi antara pemerintah, perguruan tinggi, dan komunitas usaha guna meningkatkan keberlanjutan UMKM dan mempercepat pengentasan kemiskinan di Provinsi Jambi.

Kata Kunci: UMKM, Keberhasilan Usaha, Adopsi Teknologi, Orientasi Kewirausahaan

Analysis of the Sustainability Status of Independent Oil Palm Farming in Pemayung District, Batanghari Regency

Happy Blessing Sarumaha, Mirawati Yanita, M. Farandika Akbar — Mon, 31 Aug 2026 00:00:00 +0000

This study aims to (1) analyze the sustainability status of independent oil palm farming in Pemayung District, Batanghari Regency. (2) analyze the sensitive attributes that influence the sustainability status of independent oil palm farming in Pemayung District, Batanghari Regency.

Data analysis used descriptive analysis to describe the farming conditions, the Rap-PalmOil method with a Multidimensional Scaling (MDS) approach to assess sustainability status across ecological, economic, and social dimensions, and leverage analysis to analyze the most sensitive attributes. The results show that independent oil palm farming is managed on a small scale with an average area of ??2.3 ha and an average plant age of 12 years. The multidimensional sustainability status is considered moderately sustainable with an index of 73.24. The economic dimension is considered sustainable (89.66), while the social (73.26) and ecological (66.06) dimensions are considered moderately sustainable. The most sensitive attributes are plantation sanitation (ecology), farm feasibility (economic), and innovation adoption (social).

Keywords: : Sustainability, Independent Palm Oil, Rap-PalmOil, MDS, Farming

The Role of Whole-of-Government and Whole-of-Society in Strengthening Health System Resilience in Indonesia: A Literature Review

Regia Puspa Astari, Jazzy Dwi Arimurti, Riswandy Wasir — Mon, 10 Aug 2026 00:00:00 +0000

Background: Health system resilience in Indonesia requires cross-sectoral governance capable of integrating the roles of government, communities, and multiple stakeholders in responding to health crises. Whole-of-Government (WoG) and Whole-of-Society (WoS) approaches are increasingly recognized as important for strengthening coordination, accountability, and response capacity within the health system. However, literature specifically examining how these approaches operate in the Indonesian context remains limited. Objectives: This study aimed to analyze the mechanisms of WoG and WoS in strengthening health system resilience in Indonesia, identify enabling and constraining factors in the implementation of cross-sectoral governance, and formulate strengthening strategies relevant to improving coordination and accountability during crises. Method: This study employed a literature review design using a thematic narrative synthesis approach. The literature search was conducted through PubMed, Scopus, ScienceDirect, Google Scholar, and official documents from relevant authoritative institutions. A total of 12 sources met the inclusion criteria and were analyzed. Result: The findings show that WoG mechanisms in Indonesia are primarily reflected in coordination across ministries, government institutions, and subnational authorities, while WoS is reflected in the involvement of non-governmental partners, the Health Cluster, and the One Health approach. Key enabling factors include policy frameworks, coordination platforms, and capacity strengthening, whereas the main barriers include uneven subnational capacity, suboptimal data integration, and underdeveloped cross-sector accountability. Conclusion: Strengthening cross-sectoral governance should therefore focus on institutionalizing coordination, enhancing subnational capacity, standardizing operational mechanisms, and sustaining response learning.

Keywords: health system resilience; whole-of-government; whole-of-society; cross-sectoral governance; coordination; Indonesia