Journal of Health Policy and Management (JHPM)
Not a member yet
212 research outputs found
Sort by
Factors Affected Low Coverage of Exclusive Breast Feeding in Cilacap Tengah, Central Java, Indonesia
Full text linkBackground: Human resources (HR) quality is a requirement of absolute attainment of development in all fields. Nutritional status of being one of the very important factors in the quality of human resources is mainly associated with intelligence, productivity and creativity. To achieve an optimum between flower growing by giving breast milk to infants from birth in the early minutes of life until the age of 6 months exclusive breast milk given without other food. This study was aimed to determine the cause of the low coverage of breast milk exclusively and the factors that affected it.Subject and methods: This was a case study with qualitative design, was carried out in July-August 2016 in Cilacap, Central Java. A total sample of parents with infants aged 7-24 months of age, the mother/mother-in-law and health workers. The data was collected by interviews, observation and documents, and analyzed with data presentation, data reduction, and the withdrawl of the conclusion.Results: Pre-disposing Factors good motivation, attitudes, education and employment of the informant was indeed affect Exclusive breast feeding in the process. Enabling Factors are readily available and easily accessible due to the support of the party giver services though in terms of infrastructure there are still shortcomings in various things. While Reinforcing factors demonstrates the role of health workers and the people closest to either mother or mother-in-law strongly affect the behavior ofthe mother in giving breast feedingexclusively. Restricting factors namely wrong beliefs about the incessant promotion of baby food, infant formula and health problems in the mother and the baby. In addition, the existence of the recording and reporting of less fit so that it affects the actual coverage figures in society.Conclusion: the cause of the low coverage of exclusive breast feeding include knowledge of mother/mother-in-law limited about breast milk exclusively, the role of health workers that is not optimal, the existence of a mistaken beliefs and culture in the community about BREAST MILK exclusively and recording and reporting factors that still need to be addressed so that Exclusive breast feeding data in accordance with the conditions in the community.Keywords: exclusive breast feeding, coverageCorrespondence: Pemi Sunarsih Ruhyana. Midwifery Academic Graha Mandiri Cilacap, Jl. Dr. Soetomo No. 4B Cilacap. Email: [email protected] of Health Policy and Management (2016), 1(1): 20-28https://doi.org/10.26911/thejhpm.2016.01.01.0
Evaluation on the Implementation of Regional Mapping Referal System in the National Health Insurance Primary Care Services in Boyolali, Central Java
Full text linkBackground: Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan finance preventive, promotive, curative, rehabilitative services. The referal system is needed to enhance services and to assure patient safety. The purpose of this study is to evaluate the implementation of regional mapping referal system of the national health insurance, at the primary care level.Subjects and Method: This was a qualitative study with fenomenology approach. This study was conducted at Wonosegoro I and Karanggede Community Health Centers, type C Boyolali Pandanarang district hospital, type D Boyolali Simo hospital, and Boyolali District Health Office. Data were collected by in-depth interview, direct observation, and document review.Results: Regional mapping referal system in Boyolali district was implemented under the head of the District Health Office regulation no 440/4214/15 /2014. The number of personal in charge of referal system in Wonosegoro I and Karanggede Community Health Centers, which provided inpatient care was lacking. The infrastructure and equipment were insufficient to address common diseases that consist of 155 diagnoses. The information and communication system has not connected to the referal system facilities. Telephone was used to check about the hospital bed of availability. Therefore, patient information could not be sent to the hospital beforehand.Conclusion: The current infrastructure and equipment at Community Health Centers in Boyolali, Central Java are insufficient to support the regional mapping referal system.Keywords: mapping, referal system, BPJS Kesehatan, primary care.Correspondence: Linda Widyaningrum. School of Medical Records, APIKES Citra Medika, Surakarta, Central Java. Email: [email protected] of Health Policy and Management 1(2): 95-101https://doi.org/10.26911/thejhpm.2016.01.02.0