Benarkah puskesmas PONED efektif?
Date
2012
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID
Abstract
Background: Every pregnancy and birth is a risky event;
therefore, every pregnant woman and maternity must be
located as close as possible to the basic emergency obstetric
care. As a health care unit, near and reachable health centers
are expected to provide basic emergency neonatal and
obstetric care (PONED or EmOC in primary health level). In
Bantul District, there are six PONED health centers. Health
centers in their implementation need an evaluation to improve
or maintain a mechanism to measure whether they are good or
not good. This study aimed to determine the implementation of
PONED in the health centers of Bantul District.
Method: This was a qualitative descriptive study. The analysis
unit was service providers such as doctors, midwives, nurses,
laboratory and driver as well as the head of Bantul District
Health Office. The research instrument was the researcher
and the tools used were cameras, tape recorders, checklists
and interview guides.
Results: PONED health centers were viewed more as a routine
work because the service provider had not been able to
understand the purpose of a good service. Emergency obstetric
and neonatal care had not been fully able to be served at six
health centers. Sewon I Health Center was the only PONED
health center with available support system, but the availability
of the service such as tools, medicine and infrastructure had
not yet fully available. This was because of the rare cases of
obstetric and neonatal complications handled so that the drugs
and equipment available were expired and damaged.
Management of emergency obstetric and neonatal referral had
not been going well according to the case; thus, early referral
was frequently preferable.
Conclusion: The management of PONED health center’s
services was more on the bureaucracy not based on the
setting of emergency obstetric and neonatal care, so that the
orientation of service providers was seen as a routine job.
Support from the government and incentives were still very
influential on service providers’ work motivation.
Description
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Journal Article (peer-reviewed)
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Text
Keywords
INDONESIA--BANTUL, HEALTH-CARE DELIVERY, MATERNAL AND CHILD HEALTH, CHILDBIRTH, OBSTETRICS, EMERGENCY MEDICINE, HEALTH ADMINISTRATION, HOSPITAL MANAGEMENT, HEALTH FACILITIES
Citation
Pernatun Kismoyo, C., Hakimi, M., & Hasanbasri, M. (2012). Benarkah puskesmas PONED efektif?. Jurnal Kebijakan Kesehatan Indonesia, 1(2): 93-102.