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All Journal Jurnal Gizi dan Pangan Jurnal Kebijakan Kesehatan Indonesia Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Kesehatan Masyarakat Jurnal Riset Kesehatan Jurnal Kebijakan dan Administrasi Publik Amerta Nutrition Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Jurnal Kesehatan Jurnal Sehat Mandiri Jurnal Kesehatan Indonesia Health Sciences and Pharmacy Journal JURNAL ONLINE KEPERAWATAN INDONESIA Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Narra J Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Journal of Information Systems for Public Health Berita Kedokteran Masyarakat Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) Al Gizzai: Public Health Nutrition Journal Indonesian Journal of Community Development JKAP (Jurnal Kebijakan dan Administrasi Publik) Media Penelitian dan Pengembangan Kesehatan

Mubasysyir Hasanbasri

Departemen Biostatistik, Epidemiologi, Dan Kesehatan Populasi, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan Universitas Gadjah Mada

Author-ID : 277914

Arts Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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PELAKSANAAN KEBIJAKAN OBAT GENERIK DI APOTEK KABUPATEN PELALAWAN PROVINSI RIAU Aini Suryani; Mubasysyir Hasanbasri; Nunung Priyatni
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 2 (2013)
Publisher : Center for Health Policy and Management

Background: Medicine is an integral part of community healthservice. Therefore it must be available in sufficient quantity,types and adeqaute quality, properly distributed and accessiblefor community when its needed. In order to meet thecommunity’s need for medicine and to guarantee medicineaccessibility, the government released generic medicine policy.Although the price of the generic medicine has already beenset up and fixed by government, there are variety of the pricestill can be found on implementation of the generic medicinesold in the pharmacy store or in the market, and can causeprice uncertainty for community in finding medicine they need.That is why a research needs to be conduct towardimplementation of the generic medicine price policy on thedistribution channel especially at the pharmacy store.onPelalawan District in Riau Province.Method: This research is non experimental/observationalresearch with qualitative and quantitative method using crosssectional design, data analyzed descriptively.Result: Research result indicates that access to genericmedicine at pharmacy store for available medicine are 99,3%,for un available medicine are 0,7% and for replaced medicineare 0,5%. Average availability of the medicine at the pharmacystore are 4-7,3 months. Highest availability rate for medicine isHidrocortison cream 2,5% for 7,3 months and the lowest isPirazinamid tablet 500 mg for 4 months. Pharmacy store thathave an expired medicine are PR (0,7%) and KH (2%). Everypharmacy store have no damaged medicine, 0% percentage.Almost all pharmacy store experiencing out of supply formedicine between 4 to 90 days. Price of the medicine soldaveragely increasing from its pharmacy store Highest RetailPrice (HRP). But there are several medicine that sold under theHRP The highest price medicine that are sold higher than itsHRP is Clorfeniramin Maleat (CTM) tablet by 515,4% increaseand Dexametason tablet is the lowest price sold under HRP by65,2%. Even so they are Alopurinol, Digoksin, and Ranitidin.From in depth interviews with patients, can be learn that theyhave a purchase ability for generic medicine.Conclusion: Implementation of generic drug price on Pelalawandistrict is good. It can be seen from generic medicine accessby community that are high after the release of regulation fromHealth Department of Republic Indonesia, the level of availabilityof generic medicine on pharmacy store at Pelalawan Districtare low but there are no expired or damaged medicine. Theprice of generic medicine at Pelalawan District are variable butthe community still can afford to buy them.Keyword: Generic medicine, availability and affordability.

ANALISIS UNTUK PENERAPAN KEBIJAKAN: ANALISIS STAKEHOLDER DALAM KEBIJAKAN PROGRAM KESEHATAN IBU DAN ANAK DI KABUPATEN KEPAHIANG Iswarno Iswarno; Mubasysyir Hasanbasri; Lutfan Lazuardi
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 2 (2013)
Publisher : Center for Health Policy and Management

Background: Maternal, neonatal and child health (MNCH)program is a national priority programs in health development.In 2006 the Ministry of Health to provides the largest budgetallocation to the KIA programs. This policy was taken in orderto accelerate the decline in maternal mortality and infant throughthe implementation of the making pregnancy safer strategy(MPS) with focus on some activities that are considered to becost effective. MNCH sustainability of the program dependson political commitment and support from stakeholders in theregion. Therefore, stakeholder analysis is important for theimplementation of policy to support the MNCH program.Objectives:Assessing the political commitment of the localgovernment to MNCH program in Kepahiang Regency.Methods: This research is a descriptive, qualitative designwith a case study. Unit of analysis is a research MNCH programstakeholder. How do the data with the brainstorming, depthinterviews, reports and documents, and direct observation.Results: Political commitment of the local government tomaternal, neonatal and child health program is still low, this isevidenced by the lack of budget allocation maternal, neonataland child health program. Essentially all stakeholders agreeand support the program. The involvement of local stakeholdersin the process of planning and budgeting programs is still lacking.Coordination among health agencies with key stakeholders inthe planning and budgeting also are not running well, so oftenthere are differencesin understanding the program. Besidesthe quality planning activities are still considered low, and thereis still weak advocacy capacity of health district office.Conclusion: The small budget allocation for the programshows the commitment to maternal, neonatal and child healthprogram of the local government is still low. This problem wasmore due to the quality of the program planning (design) that isnot well-developed. Also the role and involvement ofstakeholders in the planning process is still lacking.Keywords: Stakeholder, MNCH policy

Evaluasi kebijakan pembangunan puskesmas pembantu di Propinsi Kalimantan Tengah Kus Winarno; Mubasysyir Hasanbasri; Deni Kurniadi Sunjaya
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 2 (2013)
Publisher : Center for Health Policy and Management

Background: The objective of health development is improving community health status through increasing public access to health services. One of strategy is by supporting facilities forhealth service by developing auxiliary health center for all remote district at Central Kalimantan Province. Central Kalimantan Province with 1,9 million of population, consisted of 14 district, 1348 villages, 805 auxiliary health center. It means that only 59% village have facilities for health service such as auxiliary health center.Objectives: This research aimed to know how formulation process and implementation of policy of developing auxiliary health center by using provincial funds.Method: It was descriptive case study using mainly method qualitative designed by semi structured in-depth interview and document study. Research subject is stakeholder at levelprovince and chosen district. This research executed in Province Public Health Service of Central Kalimantan and one chosen district.Result: Development of secondary health center in Central Kalimantan Province is the realization of Central Kalimantan Province local decree number 12 and 13 year 2005 fulfilmenton RPJPD and RPJMD. Initially, the budgeting concept was planned by Tugas Pembantuan mechanism, but this mechanism was not agreed. This scheme was a top down program fromprovince government. Problems occurred in the implementation are 1). Bad monitoring, 2). Lack of reporting by developer, 3). Remote location of, 4). Varieties in cost of production, 5). Shortage health care workforce, 6). Equipments unmatched the need of health care provider. Evaluation is executed, but only concerning physical progress problem. In the meantime, there was increased allocation of DAK fund in each district.Conclusion: Development of auxiliary health center in Central Kalimantan Province which funded by province fund, is not required by district. There was no agenda surrounding development of auxiliary health center. The role of stakeholder in compilation of agenda setting for this policy was only a normative role.

Pelatihan seperti apa yang dapat mendukung implementasi kebijakan: perspektif peserta - evaluasi training manajer mid-level untuk imunisasi di Kota Banda Aceh Alfian R Munthe; Mubasysyir Hasanbasri; Hari Kusnanto
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 1 (2013)
Publisher : Center for Health Policy and Management

Background: Training is an effort to develop knowledge andskills and change attitudes through learning experiences toachieve effective perfomance in an activity or range ofactivities. Tsunami disaster on December, 26th 2004 attackedAceh Province, in 2007-2009, the Ministry of Health incollaboration with UNICEF/PATH conducted mid levelmanagement training on immunization in Aceh Province withthe main objective to improve performance of health workerswho served as manager in implementing the policy of nationalprogram on immunization service at the provincial level, district/city and clinic.Research: This is a case study design using descriptivequalitative and quantitative analysis. The unit of analysis is themanagers of the immunization in District Health Office and inthe health centres that have been trained in Banda Aceh. Themethods of data collection are brainstorming, in-depthinterviews, focus group discussions, reports and documents,and assesment.Result: Immunization managers have a good knowledge ofmanagement and type of the vaccine, vaccine logistics, placeand schedule of vaccinations. The number of cases ofdiseases preventable by immunization have decreased andresults coverage of routine immunization has been increasingafter mid-level management training.Conclusion: Trainees have a positive reaction to training,results of immunization coverage and knowledge wereincreased and behavioral change occured.Keywords: Evaluation, Training Mid Level Management,Immunization.

Hambatan Birokrasi dan Manajerial dalam Implementasi Kebijakan Asi Eksklusif di Kota Binjai Eka Nenni Jairani; Yayuk Hartriyanti; Detty S. Nurdiati; Mubasysyir Hasanbasri
Jurnal Kebijakan Kesehatan Indonesia Vol 7, No 1 (2018)
Publisher : Center for Health Policy and Management

Background: The coverage of exclusive breastfeeding in Indonesia is still not satisfactory. Based on data from Riskesdas in 2010, exclusive breastfeeding coverage 31,0% and 30,2% in 2013. As for the less than an hour process of breastfeed in 2010 amounted to 29.3% and 34.5% in 2013. Some policies those concerning about exclusive breastfeeding and early initiation of breastfeeding has been established. The established policies at the central level should be implemented and under surveillance in order to have an impact and achieve the goals set. There are many factors that influence the process of implementation including implementing perception, communication, budget, resources, facilities and infrastructure, bureaucratic structures, and unclear technical implementation guidelines. Objective: This research aimed to obtain a representation of the implementation of exclusive breastfeeding policy at Binjai city North Sumatera as well as surveillance and the factors that influence its implementation. Methods: This research use a qualitative method with case study approach. Data collected by indepth interviews, focus groups discussion, observation and document study. Results: Implementation of exclusive breastfeeding policy is still not implemented. This can be seen by inexistence of surveillance to the policy implementation and there are different interpretations in implementing the policy by the policy implementers. Moreover, there is no communication channel, basic quantity of budget, the training for midwives, facilities and supporting infrastructure, bureaucratic structure, as well as the guidelines of technical implementation in this implementation of policy. Conclusion: The implementation of exclusive breastfeeding policy should be initiated with the establishment of derivative policies at the local level so that there are clear regulations in the implementation.ABSTRAKLatar Belakang: Cakupan ASI eksklusif di Indonesia masih belum memuaskan. Berdasarkan data Riskesdas 2010 cakupan ASI eksklusif sebesar 31,0% dan 30,2% pada tahun 2013. Sedangkan untuk proses menyusu kurang dari satu jam (IMD) pada tahun 2010 sebesar 29,3% dan pada tahun 2013 sebesar 34,5%. Beberapa kebijakan mengenai ASI eksklusif dan Inisiasi Menyusu Dini (IMD) telah ditetapkan pemerintah. Kebijakan yang telah ditetapkan dengan baik di tingkat pusat seharusnya diimplementasikan dan dilakukan pengawasan dalam proses implementasinya, agar mempunyai dampak dan mencapai tujuan yang telah ditetapkan. Ada banyak faktor yang mempengaruhi proses implementasi diantaranya persepsi pelaksana, komunikasi, anggaran, sumber daya, sarana dan prasarana, struktur birokrasi, dan pedoman pelaksanaan teknis yang kurang jelas. Tujuan: Penelitian ini bertujuan untuk memperoleh gambaran implementasi kebijakan ASI Eksklusif di Kota Binjai Sumatera Utara serta pengawasannya dan faktor-faktor yang mempengaruhi implementasinya. Metode: Penelitian ini menggunakan metode kualitatif dengan pendekatan studi kasus. Penelitian dilaksanakan di Puskesmas Binjai Kota pada bulan Mei-Juni 2015. Pengumpulan data dilakukan dengan indepth interview, focus group discussion, observasi, dan studi dokumen. Hasil: Implementasi kebijakan ASI Eksklusif masih belum dilaksanakan dengan baik. Tidak adanya pengawasan terhadap implementasi kebijakan, penafsiran yang berbeda dalam mengimplementasikan kebijakan oleh implementer kebijakan. Selain itu tidak adanya saluran komunikasi, besaran anggaran, pelatihan bagi bidan, sarana dan prasarana pendukung, struktur birokrasi, serta pedoman pelaksanaan teknis, menyebabkan belum tercapainya tujuan kebijakan yang diharapkan. Kesimpulan: Implementasi kebijakan ASI Eksklusif sebaiknya diawali dengan dibuatnya kebijakan turunan di tingkat daerah sehingga ada regulasi yang jelas dalam pelaksanaannya.

Maksimasi, Free Rider dan Kegagalan Implementasi Kebijakan Mubasysyir Hasanbasri
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 3 (2012)
Publisher : Center for Health Policy and Management

Jika mempelajari policy making process, kita belajar tentang rational choice theory - bahwa setiap individu dalam organisasi akan mengutamakan kepentingan pribadi mereka. Dalam implementasi, kepentingan dari penduduk sering dikalahkan oleh kepentingan pribadi dari penyelenggara layanan. Jadi implementasi kebijakan sering gagal karena adanya kepentingan pribadi dari penyelenggara layanan. Implementasi kebijakan bagian penting dari policy analysis. Jika kebijakan berhasil dibuat dengan susah payah, tidak selalu berarti kebijakan itu akan terimplementasi begitu saja. Ada banyak tantangan yang membuat kebijakan itu tidak berarti apa-apa - kebijakan di atas kertas - tidak ada implementasinya. Kebijakan yang gagal jika implementasinya tidak ada. Kegagalan implementasi adalah termasuk kegagalan kebijakan. Implementasi adalah ranah dari manajer program. Jika kebijakan ingin berhasil, ia membutuhkan manajer yang efektif. Mereka membuat kebijakan menjadi operasional dan dapat menyajikan layanan kepada penduduk yang membutuhkannya.

Benarkah Rumahsakit Pemerintah Menggunakan Manajemen Keluhan Pasien untuk Melindungi Pembayar Pajak? Studi Reformasi Birokrasi di Rumahsakit Bantul DIY Siti Suryati; Mubasysyir Hasanbasri; Retna Siwi Padmawati
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 2 (2012)
Publisher : Center for Health Policy and Management

Rumah sakit pada umumnya bergerak kearah sistem manajemen berdasarkan konsep usaha yang mengarah pada mekanisme pasar dan prinsip efisiensi. Kepedulian terhadap para pelanggan ditunjukkan dengan adanya mekanisme untuk mengenali apa yang dipersyaratkan oleh pelanggan dan ditujukkan dalam perilaku pemberi layanan yang mencerminkan tata nilai yang berlaku dalam organisasi. Indikator pelayanan (BOR) di RSUD Panembahan Senopati Bantul 89,28%, hal ini menunjukkan bahwa pemanfaatan tempat tidur sudah melebihi standar yang ada. Kondisi demikian ini apabila tidak disertai dengan pelayanan yang bermutu baik dari sisi sarana dan prasarana termasuk pengelolaan manajemennya, bukan tidak mungkin akan mengalami hal-hal yang tidak diinginkan.Tujuan penelitian ini adalah untuk mengetahui strategi penanganan keluhan pelanggan dan bagaimana keluhan pelanggan dikelola dalam rangka pelaksanaan sistem manajemen mutu di RSUD Panembahan Senopati BantulPenelitian studi kasus dengan subyek penelitian pelanggan rawat jalan dan rawat inap dipilih secara purposive sampling dan wawancara terhadap manajemen meliputi direktur, kepala bagian pengembangan, humas, serta melakukan observasi. Analisa data dilakukan secara deskriptif dan kualitatif.Pemerintah Kabupaten dan direksi telah mengimplementasikan Total Quality Management, walaupun belum dilaksanakan secara optimal. Prosedur tetap dan tim khusus yang menangani keluhan belum semuanya ada. Berbagai macam fasilitas untuk menyampaikan keluhan telah tersedia antara lain melalui kotak saran, SMS center, telephone, web, email, dialog melalui radio maupun televisi, dan media cetak. Pelanggan eksternal lebih menyukai penyampaian langsung apabila ada keluhan, namun kenyataannya pelanggan eksternal lebih banyak menyampaikan keluhan melalui SMS center. Cara penanganan keluhan yang sudah ditetapkan oleh direktur belum dilaksanakan secara totalitas terutama dalam hal tindak lanjut.Agar pengelolaan keluhan pelanggan dapat dilaksanakan secara optimal maka perlu ada tim khusus atau unit yang menangani keluhan dilengkapi dengan prosedur tetap dan pelaksanaan prosedur tetap tersebut di semua lini.

Peran Puskesmas dalam Pengembangan Desa Siaga di Kabupaten Bantul Lucia Sri Rejeki; Mubasysyir Hasanbasri; Guardian Yoki Sanjaya
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 3 (2012)
Publisher : Center for Health Policy and Management

Health Center’s Role Alert Village’s Development in Bantul RegencyBackground: Alert village is a village where the residents have the readiness of resources, the ability, and the intention to independently prevent and overcome health problems or threats, disaster, and emergency. Health center has a duty as the facilitator of the alert village’s development, where besides providing basic medical care, health center is expected to be able to carry out the mobilization and the community empowerment. If the facilitation process succeeded, it can evoke intentions and community independence in health, so that alert village’s liveliness comes from community’s initiative and is not from health center. This kind of development strategy leads to community development. Objective: This research aims to review the role of health center within alert village’s development, especially towards the facilitation of alert village’s development. Method: This research uses the qualitative descriptive method along with a case study design, to describe health center’s perception towards alert village’s development and health center’s role as the alert village’s facilitator. The subjects of this research are the heads of health centers and midwife coordinators, as well as the community leaders: the heads of the public’s welfare affair and the chief of village’s women organization. The datas are collected through in-depth interviews. Results: This research showed various activities of Community-Based Health Efforts as the form of alert village’s implementation. The facilitation which health center provides to actualize active alert village had not showed community development, but rather a social mobilization. The obstructions are that health center has not been provided with facilitation techniques and the community’s culture is less independent in health. Conclusion: Alert village’s development towards community development has not been utterly well responded by the community.Keywords: Facilitation, Alert village, Community development.Latar Belakang: Pengembangan masyarakat menjadi salah satu topik yang paling populer didalam konteks intervensi ke- sehatan masyarakat. Di Indonesia, Desa Siaga merupakan ben- tuk pengembangan masyarakat di bidang kesehatan. Desa Sia- ga adalah desa yang penduduknya memiliki kesiapan sumber- daya dan kemampuan serta kemauan untuk mencegah dan mengatasi masalah/ancaman kesehatan, bencana dan kega- watdaruratan secara mandiri. Puskesmas memiliki tugas seba- gai fasilitator pengembangan desa siaga, dimana selain mem- berikan pelayanan medis dasar, diharapkan mampu melaksana- kan tugas penggerakan dan pemberdayaan masyarakat. Fasili- tasi pengembangan desa siaga ini tergantung kemampuan pus- kesmas, disini diharapkan puskesmas mampu menerapkan prin- sip-prinsip fasilitasi yang efektif. Apabila proses fasilitasi ber- hasil akan menumbuhkan kemauan dan kemandirian masya- rakat di bidang kesehatan, sehingga keaktifan desa siaga ber- asal dari inisiatif masyarakat bukan dari puskesmas. Fasilitasi pengembangan seperti ini mengarah pada community devel- opment. Tujuan: Penelitian ini bertujuan untuk melakukan kajian terha- dap peran puskesmas dalam fasilitasi pengembangan desa siaga. Metode: Penelitian ini menggunakan metode deskriptif kualitatif dengan rancangan studi kasus, untuk mendeskripsikan peran puskesmas sebagai fasilitator desa siaga. Subyek penelitian adalah kepala puskesmas dan bidan koordinator, serta tokoh masyarakat : kepala bagian kesejahteraan rakyat desa, ketua Tim Penggerak PKK desa, dan kader kesehatan. Data dikumpul- kan melalui wawancara mendalam dan observasi. Hasil: Desa siaga telah dilaksanakan dengan berbagai kegiatan Upaya Kesehatan Bersumberdaya Masyarakat (UKBM), namun belum semuanya berjalan seperti yang diharapkan. Puskesmas telah berupaya dalam mendampingi pengembangan desa siaga, namun fasilitasi yang dilakukan puskesmas belum mewujudkan community development, melainkan lebih kearah mobilisasi sosial. Kesimpulan: Pengembangan desa siaga kearah community development belum terwujud dalam masyarakat.Kata Kunci : Fasilitasi, Desa siaga, Community development.

Evaluasi Implementasi Kebijakan Persalinan bagi Masyarakat Miskin oleh Bidan Praktik Swasta di Kota Tanjungpinang Elfrida Tambun; Mubasysyir Hasanbasri
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 2 (2013)
Publisher : Center for Health Policy and Management

Latar belakang: Faktor ekonomi merupakan salah satu faktor yang menghambat akses masyarakat dalam pemanfaatan pelayanan kesehatan. Dalam upaya menjamin akses masyarakat miskin terhadap pelayanan kesehatan pemerintah menyelenggarakan jaminan kesehatan masyarakat. Adanya keterbatasan jam kerja puskesmas mengakibatkan jam pelayanan terbatas. Mengatasi hal ini pemerintah menetapkan praktek bidan swasta salah satu pelayanan kesehatan yang dapat digunakan masyarakat miskin dengan biaya pelayanan ditanggung oleh pemerintah. Kebijakan pemerintah ini belum berhasil meningkatkan cakupan pertolongan persalinan oleh tenaga kesehatan. Untuk itu perlu dilakukan suatu evaluasi untuk mengetahui fenomena yang terjadi di masyarakat agar dapat dicarikan pemecahan masalah dalam upaya perbaikan pelayanan kesehatan di masa mendatang.Tujuan Penelitian: Untuk mengetahui gambaran implementasi kebijakan pertolongan persalinan bagi masyarakat miskin oleh bidan swasta di Kota Tanjungpinang.Metode: Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan kualitatif dengan rancangan studi kasus. Subjek penelitian adalah bidan PNS yang melakukan praktek kebidanan, Kepala Puskesmas, Kepala Dinas Kesehatan, Kepala Bidang Kesehatan Keluarga, dan ibu bersalin pengguna kartu askeskin. Pemilihan responden untuk bidan dan ibu bersalin digunakan tehnik purposive sampling. Jenis data yang dikumpulkan meliputi data primer yang diperoleh dari hasil wawancara mendalam dengan menggunakan panduan wawancara, sedangkan data sekunder diperoleh dengan telaah dokumen. Data dianalisis secara kualitatif. Hasil: Kebijakan persalinan masyarakat miskin di Kota Tanjungpinang belum mendapat dukungan secara optimal dari pemerintah daerah. Plafon biaya yang kecil membuat tidak semua bidan bersedia menolong pasien askeskin dengan klaim biaya ke puskesmas. Bidan praktek swasta melakukan iur biaya dari pasien askeskin. Tidak ada perbedaan jenis pertolongan yang diberikan bidan praktek swasta antara pasien askeskin dan masyarakat umum. Pasien askeskin merasa puas dengan pelayanan yang diberikan bidan praktek swasta.Kesimpulan: Bidan praktek swasta tidak semuanya bersedia memberikan pelayanan pertolongan persalinan bagi masyarakat miskin dengan mengajukan klaim ke puskesmas. Dukungan Pemerintah Kota Tanjungpinang terhadap implementasi askeskin diwujudnyatakan dengan pengembangan dua unit puskesmas menjadi puskesmas perawatan. Pelayanan pertolongan persalinan bagi masyarakat miskin yang diberikan bidan praktek swasta tidak berbeda dengan pasien umum. Plafon klaim biaya jasa persalinan bagi masyarakat miskin dinilai para bidan praktek swasta terlalu minim dan mengakibatkan adanya iur biaya dari pasien. Pengajuan klaim biaya jasa pertolongan persalinan oleh bidan praktek swasta cepat dan mudah. ABSTRACT: BIrth delivery practices for the poor in Tanjung Pinang Indonesia: evaluation of private midwife practitionersBackground: Economy factor is one of the factors that could hampered community’s access in the utilization of health service. In the guarantee effort of poor community access toward health service, the government was conducted managed program. The limitation of working hours in primary health care was causing limited service hours. Therefore, in order to solve the problem, the government stated that private midwife practice as one of the health services could be utilized by poor community with budget that was covered by government. The government’s policy has not yet able to improve the coverage of delivery attendant by health care provider. Hence, an evaluation to find out the phenomenon occurred in the community is necessary to solve this problem in order to improve the health service in the future.Objective: This research was aimed to find out the description of delivery assistance policy implementation for poor community by private midwife in Tanjungpinang Municipality.Method: This was a descriptive research that used qualitative approach with case study design. The research subject was civil servant midwife who had midwifery practice, head of primary health care, head of health office, head of family health division, and mothers who delivered and had askeskin (health insurance for poor community) card. The selection for midwife and mothers who delivered was using purposive sampling technique. Furthermore, the data was collected by using primary data that was obtained from indepth interview result that used interview guidance, while the secondary data was obtained from document observation, and the data will be analysed qualitatively.Result: The policy of delivery for poor community in Tanjungpinang Municipality has not yet obtained optimal support.The small bugdet availability affected not all of the midwives were willing to assist askeskin patient with cost claim to primary health care. Private practice midwife asked for fee from askeskin patient. There was no difference the treatment given between askeskin patient and common people. However, askeskin patient was satisfied with the service given by private practice midwife.Conclusion: The implementation of delivery policy for poor community by private practice midwife has not yet optimal as there was a lack of support from municipality government, administratively or financially.

PERAN SERTA RUMAH SAKIT SWASTA DALAM PROGRAM KESEHATAN IBU DAN ANAK STUDI KASUS DI RUMAH SAKIT ISLAM YOGYAKARTA PDHI Widodo Wirawan; Mubasysyir Hasanbasri; Mohammad Hakimi
Jurnal Kebijakan Kesehatan Indonesia Vol 4, No 1 (2015)
Publisher : Center for Health Policy and Management

ABSTRACT Background: Government limitations in the implementation of health care becomes an obstacle to modify individual factors in utilizing community MCH services. The private setor, such as private hospitals, has their own role in MCH services. This role can not be ignored because the number of private hospitals is more than the number of public hospital and the growth is also faster.. Objectives: This study was conducted to explore and understand the participation of the private hospitals in the government’s MCH program through case studies in Yogyakarta Islamic Hospital PDHI, and exploring the feasibility of private hospitals as a service provider of the MCH program.. Method: The study used a qualitative method with case study design. The variables measured were the resources, participation, barriers and challenges, as well as the strategic value. Data is collected through in-depth interviews to respondents from PDHI Foundation board, directors, manager, medical staffs, and the patient or their family, as well as field observations, and document tracking. Result: Private hospital has a major role in government MCH program through MCH services its self, facilities and infrastructure, and resources doctors and paramedics. Private hospitals encountered the obstacles in implementing MCH programs, such as the amount of government insurance payments that are not in accordance with the cost of private hospital services and there is tariff discrimination based on hospital class. The government also is not optimal in socializing MCH program guideline in private hospitals, while the referral systems between health facilities are still not smooth. Conclusion: The participation of the private hospitals in the MCH program is not optimal, influenced by financing for MCH programs, weak referral systems, and government lack of facilitation for the infrastructure development and medical personnel, and lack of socialization MCH program guideline

Co-Authors A Tudiono A.A. Ketut Agung Cahyawan W Abdullah, Fadila Achmad Nursyandi Affan, Auf Ahmad Watsiq Maula Ahmad Zacky Anwary Aini Suryani Alfian R Munthe Alvi Purwati Andina Vita Sutanto Andina Vita Sutanto Andri Satriadi Firmana Aphrodite Nadya Nurlita Arjuna, Tony Aulawi Aulawi Azis Bustari Bagian PKMK, Fakultas Kedokteran UGM Bagian Prodi Kesehatan Masyarakat, FKM UNISKA Bagian Prodi S2 Ilmu Kesehatan Masyarakat, Fakultas Kedokteran UGM Bambang Hastha Yoga Batubara, Irwan Bayu, Yoni Setyo Nugroho BSA, Amira Candra Candra Christantie Effendy Christina Pernatun Kismoyo Citra Widya Kusuma Darwito, Darwito Deni Kurniadi Sunjaya Detty S. Nurdiati DEWI HERAWATI Dian Mawarni Djaswadi Dasuki Djoko Mardijanto Djonny Sinaga Eko Nugroho Eko Nugroho Eko Sriyanto Elfrida Tambun Emy Huriyati Ester Febe Eva Rusdianah Fahri, Kharis Vidi Faisal Mansur Fauziah, Saidatul Febria Rahmi Fitriani Mediastuti Ghani Ikhsan Majid Ghosyasi, Arfiny Guardian Yoki Sanjaya Gufria D.Irasanty Hamdiah, Irma Hari Kusnanto Hari Kusnanto Hari Kusnanto Hariawan, Muhammad Hafizh Heri Priyatmoko Hieronimous Amandus Ignasius Luti Inriyani Takesan Isak Iskandar Radja Ishak SKM., MPH Isnaini Putri Iswarno Iswarno Jairani, Eka Nenni Jati Untari Jumarko Jumarko Juraidin JURAIDIN JURAIDIN JURAIDIN krisnawati, arini Kus Winarno Laksono Trisnantoro Lely Lusmilasari, Lely Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Lucia Sri Rejeki Lussy Messiana Gustantini Lussy Messiana Gustantini, Lussy Messiana Lutfan Lazuardi Lutfan Lazuardi Lutfan Lazuardi Lutfan Lazuardi Lutfan Lazuardi Maria Wigati Marnaza Yusman Mohamad Hakimi Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Monica Dara Delia Suja Musa Musa Mustofa Mustofa Nana Diana Nina Rahmadiliyani Ningrum, Ema W. Nisa, Syifa Nisa Novi Inriyanny Suwendro Noviana Nur Sari Nunung Priyatni Ova Emilia Pandawa, Rugaya Pandawa, Rugaya Munawar Pratiningsih, Widya Ayu Priyatni, Nunung Purwandari, Ari Retno Heru Riris Andono Ahmad Riska Novriana Rofiatun Rofiatun Rofiatun Rofiatun Rofiatun, Rofiatun Rossi Sanusi Said Muntahaza Setyaningrum, Vernika Evita Setyaningrum, Veronika Evita Shofan Ardianto Siti Helmyati Siti Suryati Siwi Padmawati, Retna Sri Surahmiyati Sri Wiyanti Sudiyo, Sudiyo Suka, Veronika Sulistyo, Dwi Handono Supriyati Susi Irawati Syamsinar Tiara Marthias Titik Nuryastuti Tri Wahyudi Tri Wibawa Upiek Sumanti Utami Putri Kinayungan Vena Jaladara Veronika Evita Setianingrum Veronika Suka Vicka Oktaria Wahyudi Wahyudi Wahyudi Wahyudi Widodo Wirawan Yayuk Hartriyanti Yodi Mahendradata Yuliastuti Saripawan Yundari, Yundari Zahra Anggita Pratiwi Zul Afril

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