Problem dan tantangan puskesmas dan rumah sakit umum daerah dalam mendukung sistem rujukan maternal di kabupaten Karimun provinsi Kepri tahun 2012

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dc.contributor.authorZulhadi
dc.contributor.authorTrisnantoro, Laksono
dc.contributor.authorNoor Zaenab, Siti
dc.date.accessioned2015-04-28T18:37:43Z
dc.date.available2015-04-28T18:37:43Z
dc.date.issued2013
dc.description.abstractBackground: Strengthening referral system is a method to accelerate decrease of maternal mortality rate. The main factors affecting referral system are facilities, staff, team work, and budget that need seroius attention from all stakeholders involved in the program of maternal health. By strengthening the system of maternal health the problem and the challenge of health center to support of maternal referral can be addressed. Objective: The study aimed to evaluate referral system of maternal health at District of Karimun Province of Kepulauan Riau. Method: This was a qualitative case study undertaken at Karimun Hospital and 2 health centers with high maternal and infant mortality rate, i.e. Meral and Moro Health Center that were located at both urban and rural areas. Data were obtained through in-depth interview, focus group discussion, observation, checklist and document study. Result: The result of the study showed there was limitation of resources at primary health service such as facilities and equipments and hospital limited ability to provide comprehensive emergency neonatal and obstetric management despite being operated 24 hours. There were lack of team coordication across referral levels involving district health office, hospital and health centers, incomplete standard operating procedures, weak information system and bypassing referral procedure. Community participation in referral system was very high though some labor was assisted by traditional childbirth attendants. This condition was mainly due to cultural factors/ reasons. Conclusion: There are some problems and challenges in both primary health service and hospitals to support maternal referral system in Karimun District. Some policies are required as a first step toward better referral system in Karimun District, for instance accelerating a functioning CMOC hospital, strengthening the teamwork across referral system, and establishing SOP for maternal cases including its referral procedures.en
dc.formatTexten
dc.format.extent1 digital file (p. 189-201)en
dc.format.mimetypeapplication/pdf
dc.identifier.citationZulhadi, Trisnantoro, L., & Noor Zaenab, S. (2013). Problem dan tantangan puskesmas dan rumah sakit umum daerah dalam mendukung sistem rujukan maternal di kabupaten Karimun provinsi Kepri tahun 2012. Jurnal Kebijakan Kesehatan Indonesia, 2(4): 189-201.en
dc.identifier.issn2089-2624
dc.identifier.urihttp://hdl.handle.net/10625/54059
dc.identifier.urihttp://jurnal.kebijakankesehatanindonesia.net/index.php/petunjuk-bagi-penulis/17-link-terbit-sejak/89-2013
dc.language.isoid
dc.publisherPusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, IDen
dc.subjectMATERNAL AND CHILD HEALTHen
dc.subjectREFERRAL AND CONSULTATIONen
dc.subjectINDONESIA--KARIMUNen
dc.subjectORGANIZATION AND ADMINISTRATIONen
dc.subjectHEALTH FACILITIESen
dc.subjectCHILDBIRTHen
dc.subjectTRANSPORTen
dc.subjectGEOGRAPHICAL CONDITIONSen
dc.subjectMEDICAL INDIGENCYen
dc.subjectMATERNAL MORTALITYen
dc.subjectINFORMATION NETWORKSen
dc.subjectHOSPITALIZATIONen
dc.titleProblem dan tantangan puskesmas dan rumah sakit umum daerah dalam mendukung sistem rujukan maternal di kabupaten Karimun provinsi Kepri tahun 2012en
dc.title.alternativeProblem and challenge of primary health service and Distric goverment hospital to support maternity referral system in Karimun regency province Kepri in 2012en
dc.typeJournal Article (peer-reviewed)en
idrc.dspace.accessOpen Accessen
idrc.project.componentnumber106920001
idrc.project.number106920
idrc.project.titleStrengthening the Indonesia's Health Policy Network to Promote Equity and Social Protectionen
idrc.recordsserver.bcsnumberIC01-10814-4
idrc.rims.adhocgroupIDRC SUPPORTEDen

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