Ekosistem Kewirausahaan Kesehatan Berbasis Komunitas: Kajian Sosiologis tentang Partisipasi dan Modal Sosial di Kabupaten Sinjai
DOI:
https://doi.org/10.51577/jhqd.v5i1.810Keywords:
Ekosistem Kewirausahaan Kesehatan, Partisipasi Masyarakat, Modal Sosial, Sosiologi KesehatanAbstract
Penelitian ini bertujuan untuk menganalisis dinamika ekosistem kewirausahaan kesehatan berbasis komunitas di Kabupaten Sinjai dengan meninjau peran partisipasi masyarakat dan modal sosial dalam pengembangannya. Pendekatan penelitian yang digunakan adalah kualitatif dengan paradigma sosiologis interpretatif. Data dikumpulkan melalui wawancara mendalam, observasi partisipatif, dan studi dokumentasi terhadap informan yang terdiri atas tenaga kesehatan komunitas, kader kesehatan, aparat desa, serta pelaku usaha kesehatan lokal. Hasi penelitian menunjukkan bahwa ekosistem kewirausahaan kesehatan di Kabupaten Sinjai tumbuh dari inisiatif masyarakat yang berorientasi pada peningkatan kesejahteraan dan kemandirian di bidang kesehatan. Partisipasi masyarakat terwujud dalam berbagai bentuk, mulai dari ide, tenaga, hingga partisipasi sosial yang didasari oleh nilai gotong royong dan solidaritas. Modal sosial — yang mencakup kepercayaan, jaringan sosial, dan norma lokal — berperan penting dalam memperkuat hubungan antaraktor dan menjaga keberlanjutan program. Terdapat hubungan timbal balik antara partisipasi dan modal sosial: partisipasi memperkuat jaringan kepercayaan, sementara modal sosial memotivasi keterlibatan masyarakat secara sukarela. Temuan ini menunjukkan bahwa pembangunan ekosistem kewirausahaan kesehatan tidak dapat dipisahkan dari konteks sosial-budaya masyarakat. Implikasi dari penelitian ini menegaskan pentingnya strategi pembangunan kesehatan berbasis komunitas yang memadukan pendekatan sosial, ekonomi, dan budaya lokal sebagai dasar penguatan ekosistem kewirausahaan kesehatan yang berkelanjutan.
References
Arnstein, S. R. (1969). A ladder of citizen participation. Journal of the American Institute of Planners, 35(4), 216–224.
Bourdieu, P. (1986). The forms of capital. In J. Richardson (Ed.), Handbook of Theory and Research for the Sociology of Education (pp. 241–258). Greenwood.
Coleman, J. S. (1990). Foundations of Social Theory. Harvard University Press.
Cometto, G., Ford, N., & Pfaffman-Zambruni, J. (2018). Health policy and system support to optimise community health worker programmes. The Lancet Global Health, 6(12), e1397–e1404.
Ehsan, A. M., Klaas, H. S., Bastianen, A., & Spini, D. (2019). Social capital and health: A systematic review of systematic reviews. International Journal for Equity in Health, 18, 36.
Gilmore, B., Ndejjo, R., Tchetchia, A., et al. (2023). Institutionalising community engagement for quality of care. Health Research Policy and Systems, 21, 64.
Granovetter, M. (1985). Economic action and social structure: The problem of embeddedness. American Journal of Sociology, 91(3), 481–510.
Hasanbasri, M., Tosepu, R., & Dhewantara, P. W. (2024). Analyzing primary healthcare governance in Indonesia: Perspectives of community health workers. International Journal of Environmental Research and Public Health, 21(3), 215.
Isenberg, D. J. (2010). How to start an entrepreneurial revolution. Harvard Business Review, 88(6), 40–50.
Isenberg, D. J. (2011). The entrepreneurship ecosystem strategy as a new paradigm for economic policy: Principles for cultivating entrepreneurship. Babson Global Working Paper.
Knowles, M., Khan, M., & Olayiwola, J. N. (2023). Community health worker integration with and essential role in health systems. Annual Review of Public Health, 44, 155–174.
Linde, S., Robinson, W. R., Berman, J., et al. (2023). Community social capital and population health outcomes. JAMA Network Open, 6(6), e2319628.
Miranda, A. V., et al. (2024). Improving stunting prevention through community health worker–led home-based monitoring in Indonesia. Paediatrica Indonesiana, 64(3), 160–168.
Ostrom, E. (1990). Governing the Commons: The Evolution of Institutions for Collective Action. Cambridge University Press.
Pretty, J. N. (1995). Participatory learning for sustainable agriculture. World Development, 23(8), 1247–1263.
Putnam, R. D. (1993). Making Democracy Work: Civic Traditions in Modern Italy. Princeton University Press.
Putnam, R. D. (2000). Bowling Alone: The Collapse and Revival of American Community. Simon & Schuster.
Randell, M., et al. (2024). “Of” the community but not “of” the health system: Translating cadre training into community care in Aceh, Indonesia. Discover Global Health, 2(1), 69.
Stam, E. (2015). Entrepreneurial ecosystems and regional policy: A sympathetic critique. European Planning Studies, 23(9), 1759–1769.
Van Iseghem, T., et al. (2023). The role of community health workers in primary healthcare: A scoping review. Primary Health Care Research & Development, 24, e8.
Villalonga-Olives, E., & Kawachi, I. (2017). The dark side of social capital: A systematic review of the negative health effects. Social Science & Medicine, 194, 105–127.
WHO. (2017). WHO community engagement framework for quality, people-centred and resilient health services. World Health Organization.
WHO. (2024). Community engagement for quality health services: Key resources and actions. World Health Organization.
Woolcock, M. (1998). Social capital and economic development: Toward a theoretical synthesis and policy framework. Theory and Society, 27(2), 151–208.
Yunus, M., & Weber, K. (2010). Building Social Business. PublicAffairs.
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