Evaluasi pelayanan persalinan oleh bidan desa selama pelaksanaan program jaminan persalinan di Puskesmas Salomekko kabupaten Bone Sulawesi Selatan tahun 2012
Date
2012
Journal Title
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Publisher
Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID
Abstract
Background: The delivery assurance (Jampersal) issued
from April 2011 aims to increase access to maternal delivery
assistance by health workers in health facilities by providing
financing guarantees. Delivery coverage by health workers in
Bone District in 2011 was 76.67%. Delivery by health workers
was only 60% done in health facilities and Salomekko Health
Center had the lowest figure which was 25%.
Objective: To evaluate service delivery by village midwives
during the implementation of Jampersal in Salomekko Health
Center of Bone District of South Sulawesi Province in 2012.
Methods: This study was observational using a qualitative
descriptive design that was evaluative in nature. The study
subjects were 8 village midwives in the work area of Salomekko
Health Center. The triangulation informants were the head and
midwife coordinator of Salomekko Health Center and the head
of MCH section of Bone Health office. Data was collected by
in-depth interviews and analyzed by content analysis.
Results: All midwives in the village did not perform service
delivery well because most of them had not joined APN training.
There was no Standard Operational Procedures (SOP), four
village health post buildings in the four villages were not
adequate (their width, no water or electricity and away from
settlements), four other villages had not yet Poskesdes, and
delivery equipment was also incomplete. The process of
planning, implementation, monitoring and supervision of
Jampersal was also not performed well. In 2011 and 2012
(January to April), all deliveries by health workers in the
Salomekko Health Center were funded by Jampersal although
deliveries took place in non-medical facilities. The culture of
siri was expected to encourage mothers to give birth at home.
The delivery rate by traditional birth attendants was still high.
Although there was no necessity, the mothers should pay
around 100,000 00 to midwives for consumables without the
knowledge of the health office. The application procedure for
Jampersal funds with certain administrative requirements was
perceived to be quite complicated.
Conclusion: Poskesdes needs to be built immediately in four
villages and, for the other four villages that already have
Poskesdes, the facilities need improving following the
completeness of equipment. APN training and Jampersal SOP
socialization should be improved and monitoring and
supervision by the health center in the village should be
increased. Levies should be removed and delivery by health
workers not at the health facilities cannot claim Jampersal.
Lastly, the claims of Jampersal process should be simplified.
Description
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Journal Article (peer-reviewed)
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Text
Keywords
INDONESIA, CHILDBIRTH, MATERNAL AND CHILD HEALTH, HEALTH FACILITIES, MIDWIVES, OUT-OF-POCKET PAYMENTS, HEALTH INSURANCE, PHYSICAL INFRASTRUCTURE, HEALTH FINANCING, OBSTETRICS, HUMAN RESOURCES DEVELOPMENT
Citation
Amirudin Amdadi, Z., Suryawati, C., & Tri Purnami, C. (2012). Evaluasi pelayanan persalinan oleh bidan desa selama pelaksanaan program jaminan persalinan di Puskesmas Salomekko kabupaten Bone Sulawesi Selatan tahun 2012. Jurnal Kebijakan Kesehatan Indonesia, 1(3): 173-179.