Health as a Social Issue: a Narrative of Service Amidst Unequal Access to Medical Services

Authors

  • Lyna M. N. Hutapea Universitas Advent Indonesia. Bandung Author
  • Dwight Mahaputera Marulitua Hutapea Universitas Prima Indonesia Author

DOI:

https://doi.org/10.62872/54w1ph19

Keywords:

Health, Social Rights, Inequality of Access, Health Workers, Social Justice

Abstract

Health is understood as a universal basic right that is inseparable from human existence and requires state guarantees through fair and equitable access to services. Fulfillment of this right is not only related to the availability of medical facilities, but also to ensuring equal access without discrimination based on social, economic, or geographic status. The phenomenon of health service inequality in Indonesia shows the concentration of modern facilities in urban areas, while communities in rural and remote areas face structural barriers, including limited infrastructure, medical personnel, and funding. This condition not only increases morbidity and mortality but also reinforces social exclusion rooted in the unfair distribution of resources. On the other hand, narratives of the dedication of health workers in marginalized areas demonstrate dedication that transcends material limitations and becomes a form of social solidarity in fighting for the public's right to health. These narratives simultaneously critique the unequal distribution of health care systems and inspire the integration of empathy and compassion into medical services. This research uses a qualitative approach through a literature review, examining academic journals, policy documents, and international reports to identify key themes related to inequality in access and the social dimensions of health. The analysis was conducted using content analysis to reduce data, categorize issues, and synthesize relevant narratives to obtain a comprehensive picture of the links between health, social justice, and sustainable development. The study's findings confirm that health should be viewed as a strategic investment and a pillar of social justice, requiring data-driven policies, proportional resource distribution, and active community participation. Therefore, equitable fulfillment of the right to health is a crucial foundation for building a more equal, inclusive, and competitive nation

Downloads

Download data is not yet available.

References

1. World Health Organization (WHO). (2022). Social Determinants of Health: The Solid Facts. Geneva: WHO Press.

2. Kementerian Kesehatan Republik Indonesia. (2023). Profil Kesehatan Indonesia 2023. Jakarta: Kemenkes RI.

3. Sen, Amartya. (1999). Development as Freedom. New York: Oxford University Press.

4. Marmot, Michael. (2005). Social Determinants of Health Inequalities. The Lancet, 365(9464), 1099–1104.

5. Kusnanto, H. (2021). Ketimpangan Akses Layanan Kesehatan di Indonesia. Yogyakarta: Gadjah Mada University Press.

6. Notoatmodjo, Soekidjo. (2020). Promosi Kesehatan dan Ilmu Perilaku. Jakarta: Rineka Cipta.

7. World Bank. (2021). Indonesia Health Sector Review. Washington, D.C.: The World Bank Group.

8. Green, L. W., & Kreuter, M. W. (2005). Health Program Planning: An Educational and Ecological Approach. New York: McGraw-Hill.

9. Djumhana, N. (2022). “Pengabdian Masyarakat di Bidang Kesehatan: Studi Kasus di NTT.” Jurnal Pengabdian Nusantara, 7(2), 112–128.

10. Rifai, A. (2021). Kesehatan Masyarakat dalam Perspektif Sosiologis. Malang: UB Press.

11. UNICEF Indonesia. (2023). Child Health and Equity Report. Jakarta: UNICEF.

12. Badan Pusat Statistik (BPS). (2023). Indeks Pembangunan Manusia 2023. Jakarta: BPS RI.

13. Putra, D. (2022). “Ketimpangan dan Aksesibilitas Kesehatan di Daerah 3T.” Jurnal Sosial dan Kesehatan, 9(1), 45–60.

14. Nugroho, P. (2020). Keadilan Sosial dalam Sistem Kesehatan Nasional. Jakarta: LP3ES.

15. Kementerian Koordinator Bidang Pembangunan Manusia dan Kebudayaan (Kemenko PMK). (2023). Rencana Pembangunan Kesehatan Berbasis Daerah Tertinggal. Jakarta: Kemenko PMK.

Downloads

Published

2025-10-22

How to Cite

Health as a Social Issue: a Narrative of Service Amidst Unequal Access to Medical Services. (2025). Oshada, 2(5), 85-95. https://doi.org/10.62872/54w1ph19

Similar Articles

51-60 of 114

You may also start an advanced similarity search for this article.