Simbolon, DemsaChalidyanto, DjazuliErnawati2015-04-282015-04-282013Simbolon, D., Chalidyanto, D., & Ernawati (2013). Determinan kinerja pelayanan kesehatan ibu dan anak di rumah sakit pemerintah Indonesia (analisis data rifaskes 2011). Jurnal Kebijakan Kesehatan Indonesia, 2(4): 202-214.2089-2624http://hdl.handle.net/10625/54060http://jurnal.kebijakankesehatanindonesia.net/15-jurnal/jurnal-vol-2-2013/115-vol-2-no-04-desember-2013Background: The hospital has quite an important role in reducing IMR and MMR because hospitals as providers of plenary personal health services including maternal and child health (MCH). However, until now the IMR and MMR Indonesia is still high compared to other ASEAN countries. The main causes of maternal mortality are obstetric complications or disease as a complication that arises during pregnancy, childbirth and postpartum. This factor was experienced by approximately 20% of all pregnant women, while complication cases that were treated well are less than 10%. Objective: The research aims to identify the effect of hospital characteristics, management of MCH services, human resources for MCH, MCH services, and MCH equipment on the performance of MCH services in government hospitals in Indonesia. Methods:Research is using secondary data of Health Facilities Research 2011 (RIFASKES) with a cross sectional study. Population and sample is the entire Indonesian government hospitals (685 hospitals). The research variables were identified from the available variables in the questionnaire RIFASKES. Performance measurement of the composite variable proportion of maternal deaths due to hemorhage d” 1%, d” 10% pre-eclampsia, sepsis d” 0.2%, d” 20% secaria section, the proportion of stillborn d” 4%, and the proportion of LBW handling 100% based SPM hospital. Multivariate logistic regression was used to obtain a model determinants of performance MCH services. Results: The majority (66.3%) government hospitals in Indonesian has less than optimal performance. As the determinant is unaccredited status (OR = 2.99: 1.43 to 6.28), the hospital is not a vehicle of education (OR = 1.78; 1.11 to 2.85), team PONEK is incomplete (OR = 1.89; 1.27 to 2.82), there is no PONEK-trained doctor in the ER (OR = 1.89; 1.27 to 2.82), there is no team ready to perform the operation or task though on call (OR = 2.16; 1.32 to 3.53). The most dominant factor is the unaccredited status. Conclusions: Suboptimal performances of MCH at Indonesian government hospitals are influenced by the low hospital service characteristics and incomplete of human resources. The Ministry of Health needs to support improvement in all types of services to complete an accredited hospitals (16 types of services), not just 5 or 12 services. They also need to make the government hospital as a vehicle of education, increase the quantity and quality of human resources are trained in PONEK-skill, ensure availability of PONEK-trained doctor in emergency, provide the team that are ready to perform the operation or task though on call, and increase organizational commitment to overall performance improvement.Text1 digital file (p. 202-214)application/pdfidHOSPITALSINDONESIAPERFORMANCE STANDARDSMATERNAL MORTALITYHUMAN RESOURCES DEVELOPMENTORGANIZATION AND ADMINISTRATIONACCREDITATIONREFERRAL AND CONSULTATIONTASK PERFORMANCE AND ANALYSISJournal Article (peer-reviewed)