Evaluasi kebijakan jaminan persalinan di provinsi daerah istimewa Yogyakarta tahun 2012

Date

2013

Journal Title

Journal ISSN

Volume Title

Publisher

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

Abstract

Background: The Ministry of Health made a breakthrough through delivery care scheme as one solution to reducing the MMR and IMR called Jampersal. This policy is a delivery assurance scheme intended for all pregnant women and new mothers in Indonesia who are not covered by any insurance yet. Delivery care assurance scheme consist prenatal care, postnatal care including family planning postpartum and newborn care. This program also applied in the special region of Yogyakarta as one of the program in improving the health of mothers and children. During the implementation in Yogyakarta, the program still has some obstacles. Objective: This study aimed to evaluate the delivery care assurance policy in the province of Yogyakarta. Methods: The research design used case study design. The research was conducted in the province of Yogyakarta. which The sampling technique used was stratified sampling. The unit of analysis in this study is the health districts / municipalities, general hospitals, health centers and private practice midwives who administer Jampersal. Data collected by in-depth interviews. Results: The result of this research shows that there are many problems in terms of input, process and output. In terms of input, the problems are related to human resources, financial, means and policy. In terms of process, the problems are related to socialization, regulations of patient, process of claiming, referral system and funding. In terms of output, the problem is related to overcrowding, patient refusal, and complains from the consumer. Conclusion: This program is a good program for reduction of infant and maternal mortality rates, but still needs some improvement. Improvements are needed in terms of strengthening cross-sector coordination, socialization of the program should be optimized, stregthening the electronic-based referral system, strengthening the commitment and motivation of personnel and improvement of health infrastructures.

Description

Keywords

MATERNAL AND CHILD HEALTH, PROGRAMME EVALUATION, INDONESIA--YOGYAKARTA, REFERRAL AND CONSULTATION, ORGANIZATION AND ADMINISTRATION, INFORMATION NETWORKS, INSURANCE BENEFITS, COMPENSATION, HEALTH PERSONNEL, CARE STANDARDS

Citation

Khair, U. (2013). Evaluasi kebijakan jaminan persalinan di provinsi daerah istimewa Yogyakarta tahun 2012. Jurnal Kebijakan Kesehatan Indonesia, 2(3): 141-150.

DOI