Assessment Study of Motivation and Commitment Midwives Puskesmas in Utilization MCH Handbook in Indonesia (A case study in Batu, Cianjur and East Belitung Regency)

Suharmiati, Suharmiati; Handayani, Lestari; Rukmini, Rukmini; Effendi, Diyan Ermawan; Nugroho, Arief

doi:10.22435/hsr.v18i4.4568.355-363

Cited by 2 publications

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“…The same problem was also found in previous studies which showed that the error rate of data recording increased and the compliance of recording staff decreased due to a large number of MCH data recording forms. [11,12] This condition was not unnoticed by the data recording staff.…”

Section: Behavioral Problemsmentioning

confidence: 98%

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Challenges in Maternal and Child Health Routine Data Administration in Indonesia: A Qualitative Study

Arief Priyo Nugroho,

Diyan Effendi,

Zulfa Auliyati Agustina

et al. 2021

Indian Journal of Forensic Medicine & Toxicology

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Background: Maternal and child health (MCH) routine data is essential in making a good health-related policy. However, the quality of MCH routine data in Indonesia is doubted, and thus the Indonesian government relies heavily on the survey data for policymaking. This condition raises questions about where the problems exist in routine data recording stages. This study aims to explore the barriers and strategies of MCH routine data recording by the administrators in the primary healthcare center.Method: This study was qualitative research conducted in Buru Regency, Ambon City, Purworejo Regency, and Surakarta City from May to November 2020. The data collections were intended to understand administrators' efforts to deal with the data recording problems. Data triangulation was performed through in-depth interviews with primary healthcare center staff and observations on daily routine data administration practices.Results: The study demonstrated challenges in the MCH routine data administration context. The first problem is behavioral contexts lead to incorrect input and delay data submission. Second, technical determinant shows the lack of integration that leads to repetitive data recording and data fragmentation. The third was the organizational problem such as lack of inter and intra-departmental coordination in data sharing, infrastructure, and human resource shortage.Conclusion: The findings elucidate the problem of administrative structures in the implementation of routine data policy. A comprehensive response to cope with routine data policy implementation context is needed. Existing maternal and child healthcare routine data requires structural administration refinement that provides a context for implementing reliable routine data recording of maternal and child health.

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Section: Behavioral Problemsmentioning

confidence: 98%

“…As discussed above, the number of recording systems both online and offline has caused a decrease in the level of compliance in filling in data and increased input errors. [11,12] many of which with the same variables cause the workload of midwives at the primary healthcare centers to increase.…”

Section: Routine Data Recording Simplificationmentioning

confidence: 99%

Challenges in Maternal and Child Health Routine Data Administration in Indonesia: A Qualitative Study

Arief Priyo Nugroho,

Diyan Effendi,

Zulfa Auliyati Agustina

et al. 2021

Indian Journal of Forensic Medicine & Toxicology

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“…Berbeda dengan BKIA, PPKIA berisi standard pelayanan KIA oleh nakes (Suharmiati et al, 2015) Penggunaan kata dan kalimat yang jelas serta penanda semiotik dalam BKIA dan PPKIA berhubungan erat dengan penggunaan bahasa dalam berkomunikasi. Bahasa adalah salah satu aspek penting dalam pelayanan kesehatan yang menentukan keberhasilan pengobatan (Ferguson & Pawlak, 2011).…”

Section: Metodeunclassified

“…Sementara itu, perumusan metode sosialisasi yang efektif hendaknya melibatkan pihakpihak berkepentingan baik di tingkat pusat maupun daerah dengan mempertimbangkan ketersediaan sumber daya, sasaran, dan tujuan yang ingin dicapai (Agustina, Laksmiarti, & Effendi, 2018). Sosialisasi yang baik serta pemerataan kepemilikan BKIA dan PPKIA oleh ibu hamil dan nakes terbukti berkorelasi positif dengan tingkat pemanfaatan buku tersebut (Suharmiati et al, 2015;Widagdo & Husodo, 2009). Penggunaan BKIA oleh ibu hamil akan mendorong pemanfaatan layanan pre-natal dan ante-natal di fasilitas pelayanan kesehatan (Bhuiyan et al, 2017;Hikita et al, 2018) serta memberikan dampak positif dalam perilaku masyarakat (Mori et al, 2015).…”

Section: Manajerialunclassified

“…Analisis tentang kebutuhan dan pemanfaatan BKIA dari perspektif pengguna (pasien) telah dilakukan oleh penyedia layanan dan akademisi (Farida, 2016;Osaki, Kosen, Indriasih, Pritasari, & Hattori, 2015;Wulandari & Laksono, 2019), demikian pula dengan pemanfaatan BKIA oleh tenaga kesehatan (Mahmudah, Cahyati, & Wahyuningsih, 2013;Sistiarani et al, 2014). Salah satu diantaranya menunjukkan bahwa pemenuhan kebutuhan tenaga kesehatan terutama dokter dan bidan dalam menjalankan program KIA sangat dianjurkan untuk menjaga motivasi dan komitmen mereka sebagai pelaksana kebijakan (Suharmiati, Handayani, Rukmini, Effendi, & Nugroho, 2015). Oleh karena itu, penting menggali kebutuhan dan pemanfaatan buku dan PPKIA di puskesmas.…”

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Analisis Kebutuhan dan Pemanfaatan Buku Serta Pedoman Pelayanan KIA di Puskesmas: Studi Kualitatif

Effendi¹,

Nugroho²,

Suharmiati³

et al. 2020

hsr

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The high rate of maternal (MMR) and infant mortalities (IMR) is a detrimental health development challenge in Indonesia. The use of the Maternal and Child Health (MCH) handbook and MCH service guidelines are the government’s eﬀ orts in reducing the MMR and IMR. However, the reduction of MMR and IMR is still slow. The ﬁ nding of the previous study asserts the need for MCH handbook and MCH service guidelines modiﬁ cations to be suited to the needs of users, both health workers, and expectant mothers. Therefore, this study mainly aims to analyze the needs and use of MCH handbook and service guidelines by doctors and midwives in the primary health centers. The method was qualitative needs analysis with 137 informants from 12 health centers in three regions of Indonesia. The results revealed that the needs of health workers were clustered in three signiﬁ cant aspects; instrumental (language and book-making materials), managerial (procurement, distribution, and dissemination) and operational (ease of access to MCH handbook and service guidelines as well as the availability of SOP). The fulﬁ llment of these three aspects is expected to improve the MCH program’s achievement, especially in cities where the research took place and other areas with similar characteristics. Abstrak Tingginya Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) masih menjadi masalah dalam pembangunan kesehatan di Indonesia. Penggunaan buku Kesehatan Ibu dan Anak (KIA) serta pedoman pelayanan KIA merupakan upaya pemerintah dalam penurunan AKI dan AKB. Meskipun demikian, penurunan AKI dan AKB dinilai masih lambat. Hasil penelitian sebelumnya menunjukkan perlunya modiﬁ kasi buku dan pedoman pelayanan KIA disesuaikan dengan kebutuhan pengguna, baik tenaga kesehatan maupun ibu hamil. Oleh sebab itu, penelitian ini bermaksud menganalisis kebutuhan dan pemanfaatan buku dan pedoman pelayanan KIA oleh dokter dan bidan di puskesmas. Metode yang digunakan adalah analisis kebutuhan kualitatif dengan 137 informan dari 12 puskesmas di tiga Kabupaten/kota di Indonesia. Hasil analisis menunjukkan kebutuhan nakes terkelompok pada tiga aspek utama, yaitu instrumental (bahasa dan bahan pembuat buku), manajerial (pengadaan, pemerataan distribusi dan sosialisasi) dan operasional (kemudahan akses pada buku dan pedoman layanan KIA dan ketersediaan SOP). Pemenuhan terhadap tiga aspek tersebut diharapkan mampu memperbaiki capaian program pelayanan KIA khususnya di wilayah tempat penelitian.

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Assessment Study of Motivation and Commitment Midwives Puskesmas in Utilization MCH Handbook in Indonesia (A case study in Batu, Cianjur and East Belitung Regency)

Cited by 2 publications

References 0 publications

Challenges in Maternal and Child Health Routine Data Administration in Indonesia: A Qualitative Study

Challenges in Maternal and Child Health Routine Data Administration in Indonesia: A Qualitative Study

Analisis Kebutuhan dan Pemanfaatan Buku Serta Pedoman Pelayanan KIA di Puskesmas: Studi Kualitatif

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