INCLUSIVE HEALTH CARE ACCESSS OF SHACKLING– FREE PROGRAM
Devi Eka Ariyani (a), Kristina Setyowati(b), Rutiana D Wahyunengseh(b)

a)Postgraduate Program, Master of Public Administration, Faculty of Social and Political Science, Sebelas Maret University Jalan Ir. Sutami No.36A, Jebres, Kota Surakarta, Jawa Tengah 57126

Abstract

This paper discusses the research experience to be conducted on access of inclusive health care in Ponorogo District. The inclusive health care access is a form of shackling free program intended for all schizophrenics or other terminology called Persons in Psychiatric Problems (ODMK). The objective of shackling-free program is to eliminate the existence of shackling and neglecting practice toward mental disorder in order to obtain health care. The existence of auxiliary community health center on Mental Health is essentially very helpful in health care access, however, this past year, it precisely turned into public health center, breaking MOU RSJ of Lawang with RSUD Ponorogo In 2015 related to medicine and referrals and limited of health facilities in community health center or regional hospital, and negative stigma from society that resulted some of the people have not used optimal health care, so there are still people with schizophrenia or ODMK had to be shackled, isolated and chained. Access to health care for schizophrenic patients is strongly influenced by predisposing factors, support and the need toward health care. This relates to the demographic characteristics, the sociocultural and the trust of health care. In addition, economic conditions, the availability of health care facilities, the quality of services provided, the availability of resources and affordable health care facilities also affect access to health care. The results of this pre-study survey found that the Free Shackling Program conducted from 2014 to 2017 has not been fully accessible to the public, 126 of the total number of ODMK patients shackled , 96 have been released and 30 are still forced to be shackled. The purpose of this study was to analyze the inhibiting and supporting factors of the inclusive health care access in the shackling-free program. This study uses a qualitative approach. Data is collected by observation, documentation and in-depth interview method, and the analysis is done by descriptive-analytical process.

Keywords: access;inclusive health service;schizophrenia or ODMK;shackling-free program

Topic: The Role of Citizens in Strengthening Democratic Citizenship and Human Rights