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Pemanfaatan Jaminan Persalinan untuk Pelayanan Kesehatan Ibu dan Anak di 12 Kabupaten/Kota: Mengeliminasi Kendala Sosial Budaya dalam Persalinan Aman {Utilization of Service Delivery Insurance (Jampersal) for Maternal and Child Health Services in 12 Districts/Cities: Eliminate the Socio-cultural Obstacle on Safe Delivery)

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The Government launched Jampersal as one of efforts to suppress the number of Maternal and Infant Mortality Ratio (MMR & IMR) as well as a booster to achieve the MDGs by 2015. Delivery assistance seek are influenced by many factors including a socio-cultural factor. This research aimed to provide a study on the socio-cultural role inimproving the utilization of Service Delivery Insurance (Jampersal).

Data about Jampersal was collected through in-depth interviews, focus group discussion to community leaders, traditional birth attendants, midwives and head of the health center. In addition, as a supporting data, a quantitative survey to mothers who gave birth in the last year was also conducted. The research was located in 6 province in Indonesia. Each covered one health center in a rural area and one in a urban area.

The result of this research showed a strong evidence that rituals or traditions were still mostly conducted. So the role of traditional birth attendants were still needed. Lack of transportation was to be the main obstacle to acces health facilities. Mean while, social interaction in rural area and a well-developed infrastructure in urban area were important to enable the accessibility to access health facilities. Midwives were well-accepted by the people who had a good knowledge on health despite having less formal education both in rural or urban area. Labor financing by utilizing Jampersal are good but not maximized or tend to be low in certain urban areas.

People prefered to chose midwives as birth attendants financed by Jampersal although some delivered at home. TBAs are still needed for maternal and baby care as well as to assist the implementation of rituals. Midwife-TBAs partnerships already on the right track but the labor financing by Jampersal only support health care practitioner.

Jampersal also support social and cultural-related financing, such as honorarium for TBAs who are in partner to midwives; transportation cost and alsoMCH health education and community outreach to involve TBAs and community leaders.

Keywords: Jampersal, socio cultural determinant, safe delivery, Midwives-TBAs

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Ketersediaan

Informasi Detail

Judul Seri

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No. Panggil

Buletin Penelitian Sistem Kesehatan, 16 (4): 419-4

Penerbit

Surabaya : Pusat Humaniora, Kebijakan Kesehatan dan Pemberdayaan Masyarakat., 2013

Deskripsi Fisik

9p

Bahasa

ISBN/ISSN

1410-2935

Klasifikasi

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Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

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Subjek

midwifery
insurance, health
CHILD HEALTH SERVICES

Info Detail Spesifik

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Pernyataan Tanggungjawab

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Versi lain/terkait

Lampiran Berkas

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