Indonesian Journal of Health Administration
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DATA TRANSPARENCY AND INFORMATION SHARING: CORONAVIRUS PREVENTION PROBLEMS IN INDONESIA
Get PDFBackground: Information and data of coronavirus outbreak from central government shared publicly was lacking. Such the lack of information and data has several negative impacts, such as confusion about the information experienced by local governments in accessing positive case data at the beginning of the pandemic and the red zone of the spread of the corona virus, "panic buying" by the community, and confusion on finding accurate data source to respond to the corona pandemic.Aim: This study analyzed the Indonesian Government's attitude in providing information and data transparency of the latest coronavirus outbreak to the public in Indonesia.Method: This study was qualitative research with a content analysis approach. Some information in this analysis was retrieved from COVID-19 official websites of the Indonesian Government and other Indonesian governmental institutions. To deepen the analysis, this study also featured South Korea and Singapore official websites. Other information was also obtained from mass media, social media, and policy briefs.Results: Coronavirus data transparency in Indonesia was still insufficient as seen from the information and data on the official COVID-19 website. Since the first coronavirus case was announced on March 2nd to March 17nd, 2020, the Government also did not provide comprehensive data on the outbreak through official speeches. The process of case tracking was also not carried out openly. Some case tracking innovations were also released late and massive coronavirus tests for tracking cases also did not run optimally. Information and data delivered to the public through policy speeches were inconsistent and closed in nature.Conclusion: Insufficient data transparency and information sharing can be seen from the availability of partial data on website, not optimal case tracking process, and inconsistent and instransparant information conveyed through policy messages. Keywords: Coronavirus, data transparency, information, prevention.
THE ANALYSIS OF VILLAGE MIDWIFE PERFORMANCE IN REDUCING MATERNAL AND INFANT MORTALITY RATE
Get PDFBackground: The most essential aspect to reduce the number of maternal and newborn mortality is midwife competence. Midwives have a great role to be able to handle variety of health services (antepartum, intrapartum, and postpartum) to avoid or decrease the maternal and infant mortality rate. Performance of health workers, particularly midwives, is the most crucial in affecting the quality and quantity of midwives' services to enhance the national health development.Aim: This study analyzed factors affecting village midwife performance for reducing maternal and infant mortality in seek for achieving Bone Bolango cemerlang or bright Bone Balango as the vision of Bone Bolango District in 2021.Methods: This study was an analytical survey with a cross-sectional approach. It was conducted from March to June 2019 in the working area of Bone Bolango District Health Office. There were 227 people from 19 primary healthcare centers as the population, and the sample size was 227 selected by using the total sampling technique. The data were collected by distributing questionnaires to the respondents and using secondary data. The data processing was done through chi-square test and multiple logistic regression with backward wald method.Results: Midwife performance in Bone Bolango District was assessed based on several variables. Most of them were ≥ 25 years old (80.6%); worked for ≥ five years (58,6%); mostly had not participated in any normal childbirth care training (76.7%); had a good competence (96.5%); had good resources/equipment (79.7%); had a good reward (92.5%); had a good attitude (76.2%); had a good motivation (90.7%). There were 12 maternal mortalities from 2017 to 2019 handled by only 11 midwives (4.8%). On the other hand, infant mortality rate (IMR) reached 25 cases in the same years; of 227 midwives, these cases were handled by only 21 midwives (9.3%).Conclusion: A midwife as a part of the health workers has an important role to increase the quality of maternal and child well-being program. Some variables that became indicators of midwife performance and had an effect on reducing the MMR and IMR included work period, reward, and motivation. This study recommends that all midwives have to be provided with a normal childbirth care training in the working area and increased rewards in the process of labor and delivery. Keywords: midwives, performance, maternal mortality rate, infant mortality rate
STRENGTHENING DISTRICT HEALTH MANAGEMENT IN LOW-MIDDLE INCOME COUNTRIES: REFLECTIONS AND WAY FORWARD
Get PDFIntroduction: Health systems in low-middle income countries are undergoing considerable changes in a context of ongoing health sector reforms. Districts have, therefore, been increasingly recognised as the level where health policies and health sector reforms are interpreted and implemented. At the same time, decentralisation in its different forms has become a popular reform in many countries, and this increases the importance of ensuring that districts have the organisational capacity to offer a good service.Aim: The article investigates the process, challenges and opportunities of health system development at district level in low-middle income countries.Discussion: While district strengthening is probably necessary in relation to the success of all other health reforms, it is argued that it has not been accorded the importance probably because it is not seen as glamorous. The district health management team must include both strengthening the capacity of individuals, but crucially also, improvement of systems. Many initiatives have been patchy and fail to provide a consistent national approach. The persistence of top-down approaches to health care works directly against districts being able to take charge of their own affairs.Conclusions: A shared vision of district strengthening must be achieved in order to progress with the achievement of Universal Health Coverage and Sustainable Development Goals. Keywords: district health strengthening, capacity building, low-middle income countries, universal health coverage
THE DETERMINANTS OF ACCESS TO ADOLESCENT- FRIENDLY HEALTH SERVICE: A CASE CONTROL STUDY
Get PDFBackground: Adolescents need to access Adolescent-Friendly Health Service (AFHS) to get it's benefit in order to improve adolescent health. However, the current adolescent access to that service remains low with the access prevalence under 50%).Aim: This study determined factors that affected adolescents' access to AFHS.Methods: This school-based case control study was conducted in 9 junior and senior high schools in the area of Sangkrah and Kratonan in Surakarta District. There were 162 cases (who accessed the AFHS by guidance from health professionals and peer educators) and 162 controls (those who did not) who were chosen using total sampling and proportionate random sampling technique, respectively. A multiple logistic regression analysis was used to assess the determinant factors of AFHS access.Results: Access to AFHS was significantly determined by knowledge of the program and perceived demand. A probability of finding adolescents who had knowledge of the program was 6 times higher in the case group than in control group with the OR value of 6.1 (95% CI 3.3-11.1).Conclusion: Overall, the low adolescents' access was mostly caused because of insufficient knowledge. Broadening information about the program and adolescents' access to the program through electronic media and peer educators is required. Keywords: access, adolescent, Adolescent-Friendly Health service, AFHS
DISTRIBUTION ANALYSIS OF DOCTORS IN INDONESIA
Get PDFBackground: The distribution of health workers in Indonesia raises an interesting discussion since Indonesia as an archipelagic country has a wide geography and challenges for fulfilling equitable health services.Aim: This study identified factors related to the distribution of doctors in provinces of Indonesia.Methods: Advanced analysis of secondary data was done and obtained from the "Data and Information: Indonesian Health Profile in 2017". The units analyzed in this study were all 34 provinces in Indonesia. The variables analysed were the number of doctors, population, density, percentage of poor population, the number of hospitals, and the number of primary healthcare centers.Results: Variability in the number of doctors was very wide. The more the population is, the more attractive it is for doctors to conduct practices in the provinces. The denser the population are, the more doctors are interested to work in the provinces. It also figured out that doctors tend to opt to work in the provinces which have more hospitals and primary healthcare centers.Conclusions: Out of five independent variables studied, there were four variables related to the number of doctors distributed in the provinces. Population, density, the number of hospitals, and the number of primary healthcare centers were positively related to the number of doctors. The results of this study were important for doctor redistribution policy in Indonesia. Keywords: distribution analysis, doctor distribution, health resources management, health workers
CRITICAL PREPAREDNESS, READINESS AND RESPONSE TO COVID-19 PANDEMIC: A NARRATIVE REVIEW
No full textBackground: The COVID-19 was declared as a pandemic by the World Health Organization (WHO). Globally, countries took actions to slow the spread and avoid overwhelming the health system. The WHO issued interim guidelines on critical preparedness, readiness and response actions against COVID-19 to assist level of preparedness and readiness.Aim: This study reviewed the work of Australia, Singapore, Sri Lanka and the United Kingdom on actions and priority areas of work as described in interim guidelines by the WHO in relation to the first two phases of disease transmission scenario.Methods: A non-systematic narrative review was conducted. Relevant documents available in selected websites were searched. The data generated were compiled, and information was synthesised within the WHO framework for critical preparedness, readiness and response actions against COVID-19. Further, scenarios of "no cases” and "sporadic cases” were analysed against the actions and priority areas of work of said framework.Results: Study revealed differences in implementation approach of strategic actions and priority areas of work, such as in terms of activation, timeliness of implementing emergency response plans, variations in case management strategies as seen in contact tracing, management of asymptomatic contacts, isolation, quarantine and selection of cohort for laboratory investigation. Besides, gaps were found in availability and activation of business continuity plans.Conclusion: Global political and health authorities need much robust mechanisms for preparedness, response and coordination of contagious diseases with similar nature. Even the occurrence of one case shall trigger stringent transmission prevention measures and initiate the actions and priority areas of work as stated in the WHO interim guideline.Keywords: pandemics, emergency response, health policy, COVID-19, emergency preparedness.
THE EFFECTIVENESS OF FORMING BREASTFEEDING SUPPORT GROUP PROGRAM TO IMPROVE EXCLUSIVE BREASTFEEDING
Get PDF Background: Exclusive breastfeeding is a problem of maternal and child health in Indonesia. With Breastfeeding Support Group, exclusive breastfeeding is expected to improve. Sugihwaras Village and Sumbergede Village have been initiating Breastfeeding Support Group program. However, the framework of Breastfeeding Support Group program and intervention methods for pregnant and breastfeeding mothers in both villages were different.Aim: It analyzed the effectiveness of forming Breastfeeding Support Group program and intervention programs for pregnant and breastfeeding mothers to improve exclusive breastfeeding in Sugihwaras Village and Sumbergede Village.Methods: This study used a case study approach to the formation of Breastfeeding Support Group program. Comparative analysis was done descriptively by selecting samples from the Fieldwork Report of Group 14 and 15 in the period of 2017/2018, Faculty of Public Health, Universitas Airlangga. This study applied total sampling technique and descriptive analysis by comparing community's characteristics (as input), a form of intervention and program management (as a process), and results of evaluating the formation of Breastfeeding Support Group (as an output).Results: Community's characteristics in both villages tend to be similar, and the average duration of each program was the same. Sumbergede Village focused on the readiness of forming cadres for Breastfeeding Support Group program, while Sugihwaras Village focused on breastfeeding mothers and their husbands. Indicator analysis of the program showed that Sumbergede Village (80.00% achieved) had a 5.71% higher percentage of attainment compared to Sugihwaras Village (85.71% achieved). Analysis of the program's strengths and weaknesses pointed out that Sumbergede Village had more values and power in resources in its region.Conclusion: The intervention program in Sumbergede Village tends to be more effective. It has greater potential to be a sustainable program in the following year to improve 100% exclusive breastfeeding. Keywords: Breastfeeding Support Group, exclusive breastfeeding, intervention, effectiveness
LITERATURE REVIEW: THE IMPLEMENTATION OF E-HEALTH AT PRIMARY HEALTHCARE CENTERS IN SURABAYA CITY
Get PDFBackground: The increasing number of patient visits in primary healthcare centers in Surabaya causes long duration of queue in a registration counter. To solve this problem, Surabaya Government has created an online registration system in each health service provider. The e-health is expected to give a positive impact on reducing the queue traffic at the registration counter.Aim: This study identified whether the online registration system or e-health which has been implemented by primary healthcare centers in Surabaya City is successful or not.Method: This study was a literature review which collected articles from Google Scholar databases published from 2015 until 2019. Fourteen articles were collected, but only 6 articles were discussed because of their relevant topics.Results: The review shows that e-health can simplify the process of patient registration and reduce patients' waiting time for health service delivery. The success indicators of e-health program include its well-established system, effective information system, and excellent service for community. Obstacles found in the e-health implementation involve lack of thorough socialization of e-health. In turn, the community prefers a manual registration to e-health.Conclusion: The e-health service in primary healthcare centers in Surabaya City gives a positive effect on giving a fast and easy process in the registration procedure. However, there are still obstacles in implementing e-health due to lack of socialization. Keywords : queue, e-health, queuing time, primary healthcare centers