Strengthening the Health System to Address the COVID-19 Surge: An Empirical Study in South Kalimantan Province, Indonesia

Authors

  • Gurendro Putro Research Center for Public Health and Nutrition, Health Research Organization, National Research and Innovation Agency, Indonesia
  • Ristrini Ristrini Research Center for Public Health and Nutrition, Health Research Organization, National Research and Innovation Agency, Indonesia
  • Masdalina Pane Research Center for Public Health and Nutrition, Health Research Organization, National Research and Innovation Agency, Indonesia
  • Noor Edi Widya Sukoco Research Center for Public Health and Nutrition, Health Research Organization, National Research and Innovation Agency, Indonesia
  • Nita Rahayu Research Center for Public Health and Nutrition, Health Research Organization, National Research and Innovation Agency, Indonesia
  • Rustika Rustika Research Center for Public Health and Nutrition, Health Research Organization, National Research and Innovation Agency, Indonesia
  • Muhammad Nirwan Research Center for Public Health and Nutrition, Health Research Organization, National Research and Innovation Agency, Indonesia
  • Dea Anita Ariani Kurniasih Research Center for Public Health and Nutrition, Health Research Organization, National Research and Innovation Agency, Indonesia
  • Lusy Noviani Department of Pharmacy, School of Medicine and Health Sciences Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
  • Musthamin Balumbi Department of Biology Education, Faculty of Teacher Training and Education, Halu Oleo University, Indonesia https://orcid.org/0009-0009-7030-3182

DOI:

https://doi.org/10.6000/1929-6029.2025.14.23

Keywords:

Health system, health services, community empowerment, health budget, health worker, drugs and health supplies, and health management

Abstract

The COVID-19 case entered South Kalimantan Province on May 12, 2020, and spread throughout all districts/cities. This research aims to examine the ability of the South Kalimantan Provincial Health System to address the COVID-19 pandemic. This study analyses secondary data from the South Kalimantan Provincial Health Office and in-depth interviews with policymakers. This study assesses the capacity of the South Kalimantan health system in managing the COVID-19 pandemic. Findings reveal significant challenges, including hospital bed shortages, high infection rates among health workers (10.02%), and limited ventilator availability. Despite allocating 23.27% of the health budget to the pandemic response, key subsystems such as human resources, drug supply, and coordination mechanisms remained under strain. Strengthening these subsystems is essential for better preparedness in future health emergencies. In conclusion, strengthening the health system is very important in overcoming the COVID-19 pandemic, and it is hoped that the lessons of the COVID-19 pandemic will make the health system more prepared to address the disease pandemic.

References

Søvold LE, Naslund JA, Kousoulis AA, Saxena S, Qoronfleh MW, Grobler C, Münter L. Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority. Front Public Heal 2021; 9. DOI: https://doi.org/10.3389/fpubh.2021.679397

Ballard M, Bancroft E, Nesbit J, Johnson A, Holeman I, Foth J, et al. Prioritizing the role of community health workers in the COVID-19 response. BMJ Glob Heal 2020; 5. DOI: https://doi.org/10.1136/bmjgh-2020-002550

Moreno C, Wykes T, Galderisi S, Nordentoft M, Crossley N, Jones N, et al. How mental health care should change as a consequence of the COVID-19 pandemic. The Lancet Psychiatry 2020; 7: 813-24. DOI: https://doi.org/10.1016/S2215-0366(20)30307-2

Petersson L, Larsson I, Nygren JM, Nilsen P, Neher M, Reed JE, Tyskbo D, Svedberg P. Challenges to implementing artificial intelligence in healthcare: a qualitative interview study with healthcare leaders in Sweden. BMC Health Serv Res 2022; 22: 850. DOI: https://doi.org/10.1186/s12913-022-08215-8

Santomauro DF, Mantilla HAM, Shadid J, Zheng P, Ashbaugh C, Pigott DM, et al. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet 2021; 398: 1700-12. DOI: https://doi.org/10.1016/S0140-6736(21)02143-7

Boniol M, Kunjumen T, Nair TS, Siyam A, Campbell J, Diallo K. The global health workforce stock and distribution in 2020 and 2030: a threat to equity and ‘universal’ health coverage? BMJ Glob Heal 2022; 7: e009316. DOI: https://doi.org/10.1136/bmjgh-2022-009316

Webb E, Hernández-quevedo C, Williams G, Scarpetti G. S Providing health services effectively during the first wave of COVID-19: A cross-country comparison on planning services, managing cases, and maintaining essential services. Health Policy (New. York) 2022; 5: 382-390. DOI: https://doi.org/10.1016/j.healthpol.2021.04.016

Dedewanou FA, Allin S, Guyon A, Pawa J, Ammi M. Prioritization of public health financing, organization, and workforce transformation: a Delphi study in Canada. BMC Public Health 2023; 23: 544. DOI: https://doi.org/10.1186/s12889-023-15373-9

Powell-Jackson T, King JJC, Makungu C, Spieker N, Woodd S, Risha P, Goodman C. Infection prevention and control compliance in Tanzanian outpatient facilities: a cross-sectional study with implications for the control of COVID-19. Lancet Glob Heal 2020; 8: e780-9. DOI: https://doi.org/10.1016/S2214-109X(20)30222-9

Moynihan R, Sanders S, Michaleff ZA, Scott AM, Clark J, To EJ, et al. Impact of COVID-19 pandemic on utilization of healthcare services: a systematic review. BMJ Open 2021; 11: e045343. DOI: https://doi.org/10.1136/bmjopen-2020-045343

Remuzzi A, Remuzzi G. COVID-19 and Italy: what next? Lancet 2020; 395: 1225-8. DOI: https://doi.org/10.1016/S0140-6736(20)30627-9

Goentzel J, Russell T, Carretti HR, Hashimoto Y. Vaccine network design to maximize immunization coverage. J Humanit Logist Supply Chain Manag 2023; 13: 140-56. DOI: https://doi.org/10.1108/JHLSCM-10-2021-0101

Boulle AA, Davies M, Hussey H, Morden E, Vundle Z, Zweigenthal V, et al. Risk factors for COVID-19 death in a population cohort study from the Western Cape Province, South Africa | Clinical Infectious Diseases | Oxford Academic Clin Infect Dis 2020; 1-31. DOI: https://doi.org/10.1101/2020.07.02.20145185

Malik AA, McFadden SM, Elharake J, Omer SB. Determinants of COVID-19 vaccine acceptance in the US. E Clinical Medicine 2020; 26: 100495. DOI: https://doi.org/10.1016/j.eclinm.2020.100495

Driggin E, Madhavan MV, Bikdeli B, Chuich T, Laracy J, Biondi-Zoccai G. Cardiovascular Considerations for Patients, Health Care Workers, and Health Systems During the COVID-19 Pandemic. J Am Coll Cardiol 2020; 75: 2352-71. DOI: https://doi.org/10.1016/j.jacc.2020.03.031

Gao Y, Cai GY, Fang W, Li HY, Wang SY, Chen L, et al. Machine learning based early warning system enables accurate mortality risk prediction for COVID-19. Nat Commun 2020; 11: 1-10. DOI: https://doi.org/10.1038/s41467-020-18684-2

Rubin GD, Ryerson CJ, Haramati LB, Sverzellati N, Kanne JP, Raoof S, et al. The Role of Chest Imaging in Patient Management during the COVID-19 Pandemic: A Multinational Consensus Statement from the Fleischner Society. Radiology 2020; 296: 172-80. DOI: https://doi.org/10.1148/radiol.2020201365

Price-Haywood EG, Burton J, Fort D, Seoane L. Hospitaliza-tion and Mortality among Black Patients and White Patients with Covid-19 N. Engl J Med 2020; 382: 2534-43. DOI: https://doi.org/10.1056/NEJMsa2011686

Fink G, Orlova-Fink N, Schindler T, Grisi S, Ferrer APS, Daubenberger C, Brentani A. Inactivated trivalent influenza vaccination is associated with lower mortality among patients with COVID-19 in Brazil. BMJ Evidence-Based Med 2021; 26: 192-3. DOI: https://doi.org/10.1136/bmjebm-2020-111549

Al-Aly Z, Xie Y, Bowe B. High-dimensional characterization of postacute sequelae of COVID-19. Nature 2021; 594: 259-64. DOI: https://doi.org/10.1038/s41586-021-03553-9

Wijesinghe MSD, Gunawardana BMI, Weerasinghe WMPC, Karunarathne SASC, Vithana VCN, Rajapaksha RMNU, et al. Empowering Communities During the COVID-19 Pandemic Through Mothers’ Support Groups: Evidence From a Community Engagement Initiative in Sri Lanka. Glob Heal Sci Pract 2023; 11. DOI: https://doi.org/10.9745/GHSP-D-22-00402

Aberese-Ako M, Doegah PT, Kpodo L, Ebelin W, Kuatewo M, Baba AA, et al. The role of community engagement toward ensuring healthy lives: a case study of COVID-19 management in two Ghanaian municipalities. Front Public Heal 2024; 11. DOI: https://doi.org/10.3389/fpubh.2023.1213121

Corbin JH, Oyene UE, Manoncourt E, Onya H, Kwamboka M, Amuyunzu-Nyamongo M, et al. A health promotion approach to emergency management: effective community engagement strategies from five cases. Health Promot Int 2021; 36: i24-38. DOI: https://doi.org/10.1093/heapro/daab152

Al Siyabi H, Al Mukhaini S, Kanaan M, Al Hatmi S, Al Anqoudi Z, Al Kalbani A, et al. Community Participation Approaches for Effective National COVID-19 Pandemic Preparedness and Response: An Experience From Oman. Front Public Heal 2021; 8. DOI: https://doi.org/10.3389/fpubh.2020.616763

Siregar KN, Kurniawan R, Nuridzin DZ, BaharuddinNur RJ, Retnowati, Handayani Y, et al. Strengthening causes of death identification through community-based verbal autopsy during the COVID-19 pandemic. BMC Public Health 2022; 22: 1607. DOI: https://doi.org/10.1186/s12889-022-14014-x

Ma X, Vervoort D, Reddy CL, Park KB, Makasa E. Emergency and essential surgical healthcare services during COVID-19 in low- and middle-income countries: A perspective. Int J Surg 2020; 79: 43-6. DOI: https://doi.org/10.1016/j.ijsu.2020.05.037

Yap JM, Barat AH, Kiszl P. Identifying knowledge practices in an infodemic era: Rediscovering the professional identities of LIS professionals in an infodiverse environment. Heal Inf Libr J 2023; 40: 319-25. DOI: https://doi.org/10.1111/hir.12498

Carrera-Hueso FJ, Álvarez-Arroyo L, Poquet-Jornet JE, Vázquez-Ferreiro P, Martínez-Gonzalbez R, El-Qutob D, et al. Hospitalization budget impact during the COVID-19 pandemic in Spain. Health Econ Rev 2021; 11: 43. DOI: https://doi.org/10.1186/s13561-021-00340-0

Parreiras Martins MA, Fonseca DMA, Dias CDAlC, Moreira RAM. Preparedness of pharmacists to respond to the emergency of the COVID-19 pandemic in Brazil: a comprehensive overview. Drugs Ther Perspect 2020; 36: 455-62. DOI: https://doi.org/10.1007/s40267-020-00761-7

Tope SA. From Epidemic to Pandemic: Covid-19, Insecurity and Development in the Sahel. Africa Dev 2023; 48. DOI: https://doi.org/10.57054/ad.v48i2.5080

Desdiani NA, Sabrina S, Husna M, Budiman AC, Afifi FAR, Halimatussadiah A. Local Budget Resilience in Times of COVID-19 Crisis: Evidence from Indonesia. Economies 2022; 10: 108. DOI: https://doi.org/10.3390/economies10050108

Capolongo S, Gola M, Brambilla A, Morganti A, Mosca EI, Barach P. COVID-19 and healthcare facilities: A decalogue of design strategies for resilient hospitals. Acta Biomed 2020; 91: 50-60.

Salama S, Ahmed SF, Ibrahim II, Alroughani R. Impact of coronavirus disease (COVID-19) pandemic on multiple sclerosis care. Clin Neurol Neurosurg 2020; 197: 106203. DOI: https://doi.org/10.1016/j.clineuro.2020.106203

Kandel N, Chungong S, Omaar A, Xing J. Health security capacities in the context of COVID-19 outbreak: an analysis of International Health Regulations annual report data from 182 countries. Lancet 2020; 395: 1047-53. DOI: https://doi.org/10.1016/S0140-6736(20)30553-5

Afriyie DK, Asare GA, Amponsah SK, Godman B. COVID-19 pandemic in resource-poor countries: challenges, experiences and opportunities in Ghana. J Infect Dev Ctries 2020; 14: 838-43. DOI: https://doi.org/10.3855/jidc.12909

Piatek OI, Ning JC, Touchette DR. National drug shortages worsen during COVID-19 crisis: Proposal for a comprehensive model to monitor and address critical drug shortages. Am J Heal Pharm 2020; 77: 1778-85. DOI: https://doi.org/10.1093/ajhp/zxaa228

Shuman AG, Fox E, Unguru Y. Preparing for COVID-19-related Drug Shortages. Ann Am Thorac Soc 2020; 17: 928-31. DOI: https://doi.org/10.1513/AnnalsATS.202004-362VP

Uwizeyimana T, Hashim HT, Kabakambira JD, Mujyarugamba JC, Dushime J, Ntacyabukura B. Drug supply situation in Rwanda during COVID-19: issues, efforts and challenges. J Pharm Policy Pract 2021; 14: 12. DOI: https://doi.org/10.1186/s40545-021-00301-2

Miller FA, Young SB, Dobrow M, Shojania KG. Vulnerability of the medical product supply chain: the wake-up call of COVID-19. BMJ Qual Saf 2021; 30: 331-5. DOI: https://doi.org/10.1136/bmjqs-2020-012133

Lucero-Prisno DE, Elhadi YAM, Modber MAA, Musa MB, Mohammed SEE, Hassan KF, et al. Drug shortage crisis in Sudan in times of COVID-19. Public Heal Pract 2020; 1: 100060. DOI: https://doi.org/10.1016/j.puhip.2020.100060

Lam W, Mey A, King MA, Woods P. The nature of conflict in community pharmacy - A pilot study of pharmacists’ experiences during the COVID-19 pandemic. Res Soc Adm Pharm 2022; 18: 3164-73. DOI: https://doi.org/10.1016/j.sapharm.2021.09.002

Paudyal V, Cadogan C, Fialová D, Henman MC, Hazen A, Okuyan B, Lutters M, Stewart D. Provision of clinical pharmacy services during the COVID-19 pandemic: Experiences of pharmacists from 16 European countries. Res Soc Adm Pharm 2021; 17: 1507-17. DOI: https://doi.org/10.1016/j.sapharm.2020.11.017

Wang R, Kong L, Xu Q, Yang P, Wang X, Chen N, Li L, Jiang S, Lu X. On-ward participation of clinical pharmacists in a Chinese intensive care unit for patients with COVID-19: A retrospective, observational study. Res Soc Adm Pharm 2021; 17: 1853-8. DOI: https://doi.org/10.1016/j.sapharm.2020.06.005

Dawoud D. Emerging from the other end: Key measures for a successful COVID-19 lockdown exit strategy and the potential contribution of pharmacists. Res Soc Adm Pharm 2021; 17: 1950-3. DOI: https://doi.org/10.1016/j.sapharm.2020.05.011

Zheng SQ, Yang L, Zhou PX, Li HB, Liu F, Zhao RS. Recommendations and guidance for providing pharmaceutical care services during COVID-19 pandemic: A China perspective. Res Soc Adm Pharm 2021; 17: 1819-24. DOI: https://doi.org/10.1016/j.sapharm.2020.03.012

Xiao H, Dai X, Wagenaar BH, Liu F, Augusto O, Guo Y, Unger JM. The impact of the COVID-19 pandemic on health services utilization in China: Time-series analyses for 2016-2020. Lancet Reg Heal - West Pacific 2021; 9: 100122. DOI: https://doi.org/10.1016/j.lanwpc.2021.100122

Das AK, Islam MN, Billah MM, Sarker A. COVID-19 pandemic and healthcare solid waste management strategy - A mini-review. Sci Total Environ 2021; 778: 146220. DOI: https://doi.org/10.1016/j.scitotenv.2021.146220

Sharifi A, Khavarian-Garmsir AR. The COVID-19 pandemic: Impacts on cities and major lessons for urban planning, design, and management. Sci Total Environ 2020; 749: 142391. DOI: https://doi.org/10.1016/j.scitotenv.2020.142391

Nicola M, O’Neill N, Sohrabi C, Khan M, Agha M, Agha R. Evidence-based management guideline for the COVID-19 pandemic - Review article. Int J Surg 2020; 77: 206-16. DOI: https://doi.org/10.1016/j.ijsu.2020.04.001

Bailey K, Breslin D. The COVID‐19 Pandemic: What can we learn from past research in organizations and management? Int J Manag Rev 2021; 23: 3-6. DOI: https://doi.org/10.1111/ijmr.12237

Gasmi A, Noor S, Tippairote T, Dadar M, Menzel A, Bjørklund G. Individual risk management strategy and potential therapeutic options for the COVID-19 pandemic Clin Immunol 2020; 215: 108409. DOI: https://doi.org/10.1016/j.clim.2020.108409

Nuriana S, Balqis, Palutturi S, Indar, Thamrin Y, Stang, Mallongi A. Analysis of Policy Recommendations in Efforts to Control Positive COVID-19 Cases in South Sulawesi Province, Indonesia. Pharmacogn J 2023; 15: 1230-5. DOI: https://doi.org/10.5530/pj.2023.15.223

Downloads

Published

2025-04-24

How to Cite

Putro, G. ., Ristrini, R. ., Pane, M. ., Widya Sukoco, N. E. ., Rahayu, N. ., Rustika, R. ., Nirwan, M. ., Ariani Kurniasih, D. A. ., Noviani, L. ., & Balumbi, M. . (2025). Strengthening the Health System to Address the COVID-19 Surge: An Empirical Study in South Kalimantan Province, Indonesia. International Journal of Statistics in Medical Research, 14, 237–248. https://doi.org/10.6000/1929-6029.2025.14.23

Issue

Section

General Articles