Penguatan Administrasi Kesehatan untuk Mewujudkan Pelayanan Kesehatan yang Merata dan Adaptif di Propinsi Papua Tengah
Abstract
The establishment of Central Papua Province in 2022 separated eight regencies, namely Nabire, Paniai, Mimika, Puncak Jaya, Puncak, Dogiyai, Deiyai, and Intan Jaya, from Papua Province. However, health administration capacity in this newly established region remains underdeveloped and faces challenges related to equitable service delivery, extreme terrain, shortages of health workers, and limited digital connectivity. This systematic review synthesizes evidence from 2016–2026 on strengthening health administration to achieve equitable and adaptive health services, focusing on Papua and comparative regions in eastern Indonesia. The reporting followed PRISMA 2020. Searches conducted through Scopus, PubMed, Web of Science, SINTA, DOAJ, and Google Scholar on September 20, 2026, identified 46 records, of which 13 articles from Scopus- and SINTA-indexed journals met the criteria for thematic synthesis across five dimensions: governance and leadership, health workforce, financing and equitable access, referral systems, and digital and geographical adaptation. The findings indicate disparities in the distribution of health workers and referral facilities, limited health insurance coverage among vulnerable groups, and suboptimal digital transformation due to connectivity, data governance, and financing constraints. Health administration in Central Papua needs to strengthen institutional capacity, region-based workforce retention, primary healthcare services, air referral systems, and the integrated utilization of special autonomy funds.
