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Journal : Journal of Health Policy and Management

Exclusive Breast Feeding Management: Qualitative Study on Working Mothers in Kalibawang District, Kulon Progo Yogyakarta Putriningrum, Eva; Joebagio, Hermanu; P, Eti Poncorini
Journal of Health Policy and Management Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Coverage of exclusive breastfeeding in Kalibawang, Kulon Progo, Yogyakartawas 688 in mothers (69.8%)in 2015, which mean did not reach intended target set by Health Ministry of 80%. One of the factors that can affect the failure of exclusive breast feeding is the flurry of mother andstart working. This study was aimed to investigate the exclusive breast feeding lactation management of qualitative study on working mother.Subject and Methods: This was a qualitative study, conducted in Yogyakarta, in July-September 2016. A total of 12 mothers with breast feeding and start working and 4 midwives who came from four Posyandu in Kalibawang. The data collected using the in-depth interviews, observation, document, and the data analyzed was using interactive analysis Miles and Huberman.Results: The result showed that knowledge management of lactation nursing mothers on mother and started working pretty well. Lactation management socialization barriers still prevailing lack of consciousness of mothers against the practice of lactation management because of lack of support from family, while the barriers experienced by mothers and started working in the lactation management do was the lack of opportunity is flushed and the unavailability of facilities in the workplace, as well as the existence of the syndrome of exclusive breastfeeding for less.Conclusion: the implementation of lactation management on mom and started the work influenced factor, there is cake and family support. Mothers tagline enhanced his motivation for coming to the meeting heldby the Clinics in order to be knowledgeable about lactation management can better yet so that the scope of exclusive breast feeding can match target. belonging to the Ministry of health.Keywords: lactation management, exclusive breastfeeding, working mothersCorrespondence: Eva Putriningrum. School of Health and Sciences, STIKes Jenderal Ahmad Yani, Yogyakarta.Journal of Health Policy and Management (2016), 1(1): 13-19https://doi.org/10.26911/thejhpm.2016.01.01.03
Effectiveness of Counseling onthe Willingness to Use Intra-Uterine Device Contraceptive After Placenta Detachmentamong the Health Insurance Participants in Panembahan Hospital, Bantul Ariningtyas, Ristiana Eka; Joebagio, Hermanu; P, Eti Poncorini
Journal of Health Policy and Management Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Counseling on family planning and contraceptive use after deliverymay increase awareness of women to use contraceptives. Any use of contraceptives there are side effects, including in the use of contraceptives used in the uterus post placenta, side effects and failure was a factor that caused the acceptors are having dropped out of the methods used. This study aimed to determine the effectiveness of counseling on willingness to use intra-uterine device contraceptive after delivery.Subject and Methods: This was a qualitative study with case studies carried out in Bantul Yogyakarta. A total of 3 midwives and 3 contraceptive use in the uterus post placenta acceptor Panembahan Senopati hospital. The dependent variable was health insurance participant. The independent was contraceptive used in the uterus post placenta. The data collected by interview, observation, document. The informant was 3midwifery and 3 acceptor of post placenta.Results: Socialization and counseling is done always accompanied and informed consent when the pregnancy inspection. Midwives play a role in counseling process by involving the husband as support for potential acceptors. Such side effects are still within the limits of reasonable expulse. Contraceptives used in the uterus post placentainstallation carried out by a competent midwife by SPO. Midwives provide education and counseling reset when the client still complained of side effects.Conclusion: Socialization and counseling potential acceptors are effective to increase willingness to use intra-uterine device contraceptive among the health insurance participants.Keywords: counseling, intra-uterine device contraceptiveCorrespondence: Ristiana Eka Ariningtyas. STIKes Jenderal Ahmad Yani, Yogyakarta. Email: tyasarin1988@gmail.com. Mobile: 08985069979.Journal of Health Policy and Management (2016), 1(1): 8-12https://doi.org/10.26911/thejhpm.2016.01.01.02
The Role of Community Health Workers in Maternal and Child Health Surveillance to Optimize Maternal and Child Health in Pasuruan District, East Java Pangestu, Ninil Dwi; Joebagio, Hermanu; Rahardjo, Setyo Sri
Journal of Health Policy and Management Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Maternal mortality ratio, infant mortality rate, and underfive mortality rate are still high in Indonesia. Pasuruan is one of the districts in East Java with the highest infant mortality rate. One of the public health interventions that has been undertaken to address this issue is maternal and child health surveillance program with community health workers being the leading implementers. This study aimed to describe the role of community health workers in maternal and child health surveillance to optimize maternal and child health care services in Pasuruan District, East Java.Subjects and Method: This was a qualitative study using case study approach. It was conducted in Pasuruan, East Java. Key informants were selected by criterion sampling. The data were collected by in-depth interview, focus group discussion, observation, and document review. Data validity was checked by triangulation.Results: Community based maternal and child health surveillance program has been implemented for 4 years. However, only some of all community health workes have been trained in this program. The tasks of these community health workers included advocacy and monitoring of maternal and child health in the areas of posyandu. The implementation of these surveillance program had some obstacles, including low insentive of community health worker, inactive community health worker, lack of awareness among community members on maternal and child health issues, and medical factors of pregnant mothers that caused mortality.Conclusion: Community health workers help improve the quality of maternal and child health care by surveillance program, although their performances have yet to be enhanced.Keyword: maternal mortality rate, infant mortality rate, community health workersCorrespondence: Ninil Dwi Pangestu. Masters Program in Public Health, Sebelas Maret University,  Jl. Ir. Sutami No. 36A Surakarta 57126, Jawa Tengah. E-mail: pangestu.ninil@gmail.com. Mobile +62856553737.Journal of Health Policy and Management (2017), 2(2): 128-136https://doi.org/10.26911/thejhpm.2017.02.02.04
Public Transport Accessibility for People With Disabilities Wahyuni, Endang Sri; Murti, Bhisma; Joebagio, Hermanu
Journal of Health Policy and Management Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Data from the Ministry of Social Services Republic of Indonesia Social Ministry in 2009 showed there were 1,541,942 people with disability in the Indonesian population. Problems often arise regarding access to public-transportation services for people with disability. Despite the existence of UU No 4 in 1997 and UU No 25 in 2009 on accessibility for people with disability, public transport seemed to be poor for them. This study aimed to determine the public transport accessibility for people with disabilities and to provide alternative solutions.Subjects and Methods: This was a qualitative explorative study. Data were obtained from people with physical and mental disability, and provider (Division Head, Surakarta Public Transport Service Bureau). Data were analyzed using triangulation.Results: The local government of Surakarta has provided some transport facilities. However, these transport facilities are in low standard and non-accessible to people with disability. Transportation accessible to people with disability is not of priority. According to the provider this was because of limited budget. Consultation and coordination amongst the providers were on going in order to provide better transportation system accessible to people with disability.Conclusion: Transportation system was not accessible to people with disability. But the government provider in charge of transportation is planning to provide transportation system to people with disability.  Keywords: transportation, facility, accessibility, disability, public services transportation.Correspondence: Endang Sri Wahyuni. Department of Occupational Therapy, Health Polytechnic Surakarta.Journal of Health Policy and Management(2016), 1(1): 1-7https://doi.org/10.26911/thejhpm.2016.01.01.01
Relationship Between Motivation, Competence, Workload, and Nurse Performance, at Dr. Soediran Mangun Sumarso Hospital, Wonogiri, Indonesia Sutarto, Agus; Joebagio, Hermanu; -, Pawito
Journal of Health Policy and Management Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Health worker performance is one of the key elements that determine the quality of hospital service. Health worker performance therefore is the target forimprovement. This study aimed to analyze the relationship between motivation, competence, workload of nurses, and nurse performance.Subjects and Method: This was an analytical observational study with cross sectional design. This study was conducted at Dr. Soediran Mangun Sumarso Hospital, Wonogiri, Indonesia. A total of 50 nurses was sampled for this study.The independent variables consisted of motivation, competence, and workload. The dependent variable was performance of nurse. The data were collected by a questionnaire and analyzed by multiple linear regression model.Results: This study did not find relationship between motivation and performance of nurse (b = 0.02; 95% CI=-0.19 to 0.24; p= 0.823). Similarly there was no relationship workload and perfor­mance of nurse (b=0.05; 95% CI= -0.15 to 0.26; p = 0.607). There was a positive and statististically significant relationship between competence and performance of nurse (b = 1.10; 95% CI= 1.75 to 0.46; p= 0.001).Conclusion: There is a positive and statistically significant relationship between competence and performance of nurse.Keywords: motivation, competence, workload, performance, nurseCorrespondence: Agus Sutarto. dr. Soediran Mangun Sumarso Hospital, Wonogiri, East Java. Email: agus_skh70@yahoo.co.idJournal of Health Policy and Management (2016), 1(2): 78-94https://doi.org/10.26911/thejhpm.2016.01.02.03
Analysis of Patient Safety Management in Committee for Quality Improvement and Patient Safety at Sumbawa Hospital, West Nusa Tenggara Sulahyuningsih, Evie; Tamtomo, Didik Gunawan; Joebagio, Hermanu
Journal of Health Policy and Management Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Patient safety is a crucial issue and a focus of policy standard in internationally accredited organizations. The specific committee responsible for quality improvement in patient safety is the committee for quality improvement and patient safety (PMKP). Incidence of malpractice often occurs but are not reported. It indicates that the committee has not worked according to required accreditation standard. This study aimed to analyze patient safety management with the committee for quality improvement and patient safety at Sumbawa Hospital, West Nusa Tenggara. Subjects and Method: This was a qualitative study with phenomenology approach. Nine study participants were selected purposively, consisting of 3 committee members (chairperson, secretary, and patient safety sub-committee), 3 chiefs of ward (pediatrics, internal medicine, and surgery), and 4 nurses or midwives (pediatrics, surgery, ICU/ICCU, and obstetrics).Results: The committee for quality improvement and patient safety has been established at Sumbawa Hospital, West Nusa Tenggara to meet the requirement of hospital accreditation standard. It aimed to improve the quality of services and to assure patient safety. However, its work has not meet the required standard. The lack of knowledge among involving parties, including hospital management, PMKP member, medical professionals was identified as one important obstacle for the implementation of patient safety management. This has led to the incidence of malpractice at the hospital, sub-standard quality of services and patient safety.Conclusion: PMKP has been established at Sumbawa Hospital, West Nusa Tenggara. However, their work have not meet the required standard. The lack of knowledge among involving parties, including hospital management, PMKP, and health professional, has led to the incidence of malpractice at the hospital, sub-standard quality of services and patient safety.Keyword: quality improvement, patient safety management, committeeCorrespondence: Evie Sulahyuningsih. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Mobile: 08786410495.Journal of Health Policy and Management (2017), 2(2): 147-156https://doi.org/10.26911/thejhpm.2017.02.02.06 
Co-Authors Abdul Aziz Adi Prayitno Akhmad Arif Musadad Akhmad Musadad, Akhmad Alfi Hafidh Ishaqro, Alfi Hafidh Alifia, Latifah Nur Andang Firmansyah Anjar Mukti Wibowo, Anjar Mukti Ariningtyas, Ristiana Eka Asri, Sangkin Mundi Bhisma Murti Budiyono Budiyono Chairany Fitriah Didik Gunawan Tamtomo Djono Djono Dono Indarto Dwi Setyawan Endang Sri Wahyuni Esti Dwi Wardayati Esti Nurhayati, Esti Fredyastuti Andryana Herman J Waluyo Izzatul Fajriyah, Izzatul Jamil, Robit Nurul Jati, Linda Puspita Kabosu, Mario Yosef Leo Agung, Leo Maria Lodika Long, Maria Lodika Muhammad Akhyar Muhammad Azmi, Muhammad Muhammad Iqbal Birsyada, Muhammad Iqbal Naharani, Adrestia Rifki Nunuk Suryani Nur Fatah Abidin, Nur Fatah Nurdianto, Saifuddin Alif Nurpratiwi, Hany P, Eti Poncorini Pangestu, Ninil Dwi Pawito -, Pawito Prasetya, Hanung Pratiwi, Hany Primus Tanesi, Primus Putri, Anak Agung Alit Kirti Estuti Narendra Putriningrum, Eva Rahardjo, Setyo Sri Ratna Herna Purnamawati, Ratna Herna Ratnaningsih, Titin Reka Seprina, Reka Renny Pujiartati, Renny Riezal, Chaerol Riezal, Chaerol Riezal, Chaerol Rita Benya Adriani Saiful Bachri Sariyatun Sariyatun Sasmita, Gusti Garnis Sintawati, FR. R. Dewi Astika Indah Sintawati, FR.R. Dewi Astika Indah SRI ASTUTIK Sugeng Basuki, Sugeng Sulahyuningsih, Evie Sunardi Sunardi Supanti Supanti, Supanti Surasmini Surasmini, Surasmini Surgawi, Titis Surgawi, Titis Susanto Susanto Sutarto, Agus Sutimin, Leo Agung Suyahmo Suyahmo, Suyahmo Tri Utami Triyanto, Jefri Rieski Umi Hartati, Umi Warto Warto Wasino Wasino Wibowo, Subekty Wijaya, Manggara Bagus Satria Wijaya, Manggara Bagus Satriya Windiarti Dwi Purnaningrum Yusinta Tia Rusdiana