Hermanu Joebagio
Faculty of Teaching and Educational Sciences, Sebelas Maret University

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The Role of Community Health Workers in Maternal and Child Health Surveillance to Optimize Maternal and Child Health in Pasuruan District, East Java Ninil Dwi Pangestu; Hermanu Joebagio; Setyo Sri Rahardjo
Journal of Health Policy and Management Vol. 2 No. 2 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

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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
Community Participation In Sanitation Kampung Program, Surakarta Anak Agung Alit Kirti Estuti Narendra Putri; Hermanu Joebagio; Dono Indarto
Journal of Health Promotion and Behavior Vol. 2 No. 3 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Indonesia ranks third in the world in the number of people with limited access to sanitation. Surakarta municipality government in collaboration with local drinking water supplier (PDAM) operate Indonesian Urban Water, Sanitation and Hygiene (IUWASH) to overcome sanitation problems in the form of Sanitation Kampung Program in Semanggi Village, Surakarta. This study aimed to review community participation in Sanitation Kampung Program, Semanggi Village.Subjects and Method: This was a qualitative study conducted at RW 23, Semanggi Village, Pasar Kliwon subdistrict, Surakarta, Central Java. Informants were selected purposively for this study comprising 12 community members as key informants, 2 community leaders, head of Sanitation Kampung Program, and 1 environmental health expert as supporting informants, The data were collected by in-depth interview, focus group discussion, and document review. Data credibility was checked by triangulation. The data were analyzed by content analysis.  Results: At the beginning of Sanitation Kampung Program planning there were some pros and cons from the community. Some of the community accepted the program but some others refused it due to negative perception that Sanitation Kampung Program would cause bad smell and pollute well water. In order to overcome community refusal toward Sanitation Kampung Program, IUWASH, Surakarta municipality government, and community leaders, carried out socialization, community approach, and study tour to other places. In the end, the community accepted Sanitation Kampung Program. Community members participated the program by providing support for water and sanitation facility development. Community members made use of the water and sanitation facility for daily activities. They also maintained the water and sanitation facility.Conclusion: By developing good and trustable collaboration, community participate in Sanitation Kampung Program from planning, developing, using,  and maintenance of the water and sanitation facility.Keywords: water, sanitation, community, participation, programCorrespondence: Anak Agung Alit Kirti Estuti Narendra Putri. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: kirtiestuti@gmail.com. Mobile: +6285643231616.Journal of Health Promotion and Behavior (2017), 2(3): 257-271https://doi.org/10.26911/thejhpb.2017.02.03.06