Text

Kebijakan Jaminan Persalinan di Indonesia: Pendekatan Berbasis Budaya Untuk Meningkatkan Persalinan Oleh Tenaga Kesehatan di Perdesaan (Social Insurance for Delivery (Jampersal) Policy in Indonesia: Culture-Based Approach for Improving Delivery by Health Workers in Rural Areas)

---

ABSTRACT
Background: Jampersal program was launched in Indonesia in January of 2011 by Permenkes No.631/Menkes PER/111/2011. The aim was to improve the coverage of antenatal care. delivery, postpartum care, postnatal, and Tamil; planning by health professionals free of charge. After over a year Jampersal program runs, The ANC figures of Jamperss utilization were still very low. Methods: Quantitative and qualitative research on socio- cultural factors in relation ti the selection of health personnel by utilizing Jampersal conducted in 2012 which was then followed by a round WM discussion to review the policy options related to the Jampersal utilization of the 6 rural districts.

Results: Policy option suggested in Jampersal socialization activities need intersectoral Commitment: The Ministry of Home Affairs. Mm/sir of Religious Affairs, and BKKBN, followed by a clear and decisive political commitment. They need active partnership of the midwives. TBAs and cadres in Jampersal socialization. Midmives in the health center level should be prohibited from private practice, but the total amount of compensation of midwife in helping delivery should be adjusted. Regulations are required and procedures should be set for Jamkesmas, Jamkesda, and Jampersal; They need regulation on cooperation between the health centers staffs and village chiefs to further reinforce ID requirement; the transportation cost to refferal unit; TBAs services (devision of task and cost); financial restriction; Financial restriction to cover by Jampersal on second or third delivery. Additioally nee d a regulation of reward and punishment for midwives, TBAs and cadres involvement in serving pregnancy and delivery. In village level, they need to establish regulation, that TBAs and cadres should write the pregnat women dat a at board office of village chiefts. Lastly, MoU between head of district health center and midwife assosiation related to midwife understanding of culture approaches and on the job training for midwife should be established.

Conclusion: Culture-Based Approach has important role to improve Delivery By Health Workers in Rural Areas. Recommendation: Shorterm and longterm and logterm priority of policy should be set up.

Keywords: Jaminan Persalinan, Policy Options, Cultural, Delivery, Midwives – TBAs

---

Availability

Detail Information

Series Title

-

Call Number

Buletin Penelitian Sistem Kesehatan, 17 (4) 201

Publisher

: B., 2014

Collation

10p

Language

ISBN/ISSN

1410-2935

Classification

-

Content Type

-

Media Type

-

Carrier Type

-

Edition

-

Subject(s)

-

Specific Detail Info

-

Statement of Responsibility

-

Other version/related

File Attachment

Comments

---

You must be logged in to post a comment