Evaluasi implementasi kebijakan persalinan bagi masyarakat miskin oleh bidan praktek swasta di kota Tanjungpinang
Date
2013
Journal Title
Journal ISSN
Volume Title
Publisher
Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID
Abstract
Background: Economy factor is one of the factors that could
hampered community’s access in the utilization of health service.
To guarantee effort of poor community access toward
health service, the government was conducted managed program.
The limitation of working hours in primary health care
was causing limited service hours. Therefore, in order to solve
the problem, the government stated that private midwife practice
as one of the health services could be utilized by poor
community with budget that was covered by government. The
government’s policy has not yet able to improve the coverage
of delivery attendant by health care provider. Hence, an evaluation
to find out the phenomenon occurred in the community is
necessary to solve this problem in order to improve the health
service in the future.
Objective : This research was aimed to find out the description
of delivery care for poor community by private midwife in
Tanjungpinang Municipality.
Method: This was a descriptive research that used qualitative
approach with case study design. The research subject
was civil servant midwife who had midwifery private practice,
head of primary health care, head of health office, head
of family health division, and mothers who delivered and had
askeskin (health insurance for poor community) card. The
selection for midwife and mothers who delivered was using
purposive sampling technique. Furthermore, the data was
collected by using primary data that was obtained from indepth
interview result that used interview guidance, while the secondary
data was obtained from document observation, and
the data will be analysed qualitatively.
Result: The policy of delivery for poor community in
Tanjungpinang Municipality has not yet obtained optimal
support.The limited bugdet availability affected in a way that
not all of the midwives were willing to assist askeskin patient
with cost claim to primary health care. Private practice midwife
asked for fee from askeskin patient. There was no difference
the treatment given between askeskin patient and private/
paying patient. However, askeskin patient was satisfied
with the service given by private practice midwife.
Conclusion: The implementation of delivery policy for poor
community by private practice midwife has not yet optimal as
there was a lack of support from municipality government,
administratively or financially.
Description
item.page.type
Journal Article (peer-reviewed)
item.page.format
Text
Keywords
PRIVATE PRACTICE, MIDWIVES, SOCIAL CONDITIONS, MEDICAL PERSONNEL, DISTRIBUTION, CHILDBIRTH, POVERTY, FEES AND CHARGES, ACCOUNTABILITY, INDONESIA
Citation
Tambun, E., & Hasanbasri, M. (2013). Evaluasi implementasi kebijakan persalinan bagi masyarakat miskin oleh bidan praktek swasta di kota Tanjungpinang. Jurnal Kebijakan Kesehatan Indonesia, 2(2): 61-70.