Analisis implementasi kebijakan jaminan persalinan dalam meningkatkan cakupan persalinan tenaga kesehatan di kabupaten Situbondo tahun 2013

Date

2013

Journal Title

Journal ISSN

Volume Title

Publisher

Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID

Abstract

Background:The policy of Maternity Benefit for the Uninsured (Jampersal) is based on the philosophy to reduce maternal mortality and infant. The Minister of Health Regulation number 2562/Menkes/Per/XII/2011 on A Maternity Benefit for the Uninsured Persons’s Technical Guidelines ensures that the government provides services to pregnant women with antenatal care (ANC), parturition and post-parturition for free, including the use of contraceptives post parturition. Objective:To know the confidence’s level of pregnant women in seeking help for parturition from the health provider, the provider commitment to Jampersal policy, and Jampersal socialization in the community. Methods: Cross-sectional and purposive sampling are used for descriptive analysis. Data collection is conducted with interview using a questionnaire to 40 mothers and 40 midwives in the district Situbondo. Data is also collected through secondary data from the district health office Situbondo and hospital. Results: From the 40 respondents that had been interviewed, 92.5% ask for help to providers, but as much as 7.5% ask for partus help from traditional birth attendants. In addition, the Jampersal still charged costs to maternal care to as many as 12 people (30%). This is non-conforming to Jampersal policy of giving free maternal care. In Jampersal implementation in Situbondo, 50% of midwives have good commitment. While 27.5% showed medium commitment and the remaining 22.5% is less committed. The magnitude of this commitment varies. Respondents with the age of 30-39 years shows excellent commitment ( 55%), and those who work for 1-9 years are committed (50%). Socialization of Jampersal policy hasn’t been optimal. Jampersal is still not known by all pregnant women yet. The term “free treatment” is confused with the health card policy. Conclusion: There is a high trust level in pregnant women who asks for partus help (92.5%). Commitment of provider in running the Jampersal policy is still high. Jampersal socialization hasn’t reached the optimal level because people still do not understand the conditions of Jampersal. Suggestion: Since birth delivery by the traditional birth attendants is still common, the midwife should work with traditional birth attendants in terms of infant care such as bathing, and give incentives when collaborating in handling after partus. There is a need to improve midwife skills in detecting the risk of pregnancy and childbirth. Socialization Jampersal need to involve community leaders, and religion leaders.

Description

Keywords

MATERNAL AND CHILD HEALTH, HEALTH BENEFITS, INSURANCE BENEFITS, OUT-OF-POCKET PAYMENTS, SOCIAL ADMINISTRATION, POLICY MONITORING, CHILDBIRTH, MIDWIVES, INDONESIA--SITUBONDO

Citation

Putro, G. (2013). Analisis implementasi kebijakan jaminan persalinan dalam meningkatkan cakupan persalinan tenaga kesehatan di kabupaten Situbondo tahun 2013. Jurnal Kebijakan Kesehatan Indonesia, 2(3): 112-117.

DOI