Jakartans' Perceptions of Health Care Services

Abstract

Health Care Services (HCSs) should implement ongoing innovation and continuously improve their quality. However, in evaluating the quality of HCSs, too little attention has been given to the experience of the users concerning the acquired services. This study focused on how the community values the current services in order to improve HCSs in Indonesia, especially in Jakarta. Four focus group discussions were conducted among 45 community members in the Grogol Petamburan sub-district, in Jakarta. Participants were recruited using a convenience sampling and the data were analyzed using a combination of human coding and NVivo-12. Overall, we found that participants had a negative view of the government-mandated Community Health Centers (CHCs) and they preferred to visit private clinics and hospitals over the CHCs. Participants associated CHCs with unfriendly staffs, longer waiting times, shorter opening hours, and crowded visitors. At the same time, participants had a positive view on the affordability of the CHCs. Additionally, we found the reasoning of Jakartans' (i.e., the citizens of Jakarta city) on using self- and traditional treatments before visiting HCSs and they also expressed the need for psychological services at CHCs. The discussion focuses on the results as feedback on how the government and health care providers may facilitate the community's needs in providing HCSs in Indonesia, especially Jakarta. In brief, we recommend the policy-makers to improve the hospitality of the staff members and the quality of the medical equipment; also, to provide psychological services at CHCs. These efforts need to be done while paying more attention to the cultural aspects of medicinal uses.

Trends and sociodemographic inequalities in the use of caesarean section in Indonesia, 1987-2017

“…Indonesia’s insurance health system allows women to choose their health facility (public or private), provided that the facility has cooperated with the insurance company to accept insured patients and most private facilities do. 44 45 Preferences for private facilities due to reputation, especially in urban areas, 46 may translate in to higher proportions of women giving birth at private instead of public facilities. Unlike the trend on facility-based births; however, the CSRs were higher across time in public compared with private facilities, except in 2017, when the rates are similar.…”

“… 25 61 67 68 71 Furthermore, women living in urban areas with financial capabilities and not relying on JKN often bypass this system to give birth at private clinics. 46 …”

A Starting Mark of Health Promotion in Jakarta

“…The present study is a follow-up of our previous studies (Sokang et al, 2019c;Sokang, Westmaas, & Kok, 2019b;Sokang et al, 2019a), which found differences between the approach of health providers in promoting health and the values that are considered important by the people of Jakarta, Indonesia (Sokang et al, 2019c(Sokang et al, , 2019a. As a result, the community members preferred self-and traditional treatments, and only came to health services when the disease becomes more severe (Sokang et al, 2019b(Sokang et al, , 2019c. Therefore, the health providers proposed to involve community members, such as health cadres/ volunteers, key leaders, and religious leaders to promote health in the community (Sokang et al, 2019b).…”

“…This might be related to the community's perception of the CHCs as a place to get treatment (Sokang, Westmaas, & Kok, 2019c). At the same time, the lack of evaluation on the CHCs' performance makes it difficult for policy makers and health promoters to understand to what extent the CHCs' health promotion efforts have succeeded or failed.…”

“…On the other hand, the number of medical staff at CHCs is inadequate, with one doctor, one nurse and one midwife, who together are responsible for 5,000 people (Ministry of Health Republic of Indonesia, 2017b; Putri, 2013;WHO Country Office Indonesia, 2016). Another consequence of the lack of staff is the negative perspectives of the community towards health services in Jakarta as shown in previous research (Sokang et al, 2019c). One of the reasons is the long waiting hours to get examine because the doctor has a program to do outside the CHC.…”