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All Journal Jurnal Manajemen Kesehatan Indonesia Berita Kedokteran Masyarakat
Dewi, Bella Rossana
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Decision Sciences, Operations Research & Management Health Professions Nursing Public Health

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QUALITY OF CARE AND TREATMENT ON EMERGENT THREATS FOR MATERNAL AND NEWBORN Iwamizu, Yuko; Dewi, Bella Rossana; Lisnawati, Naintina; Sriatmi, Ayun
Jurnal Manajemen Kesehatan Indonesia Vol 12, No 3 (2024): Desember 2024
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.12.3.2024.275-282

Abstract

Pregnant women and newborns are particularly vulnerable during public health emergencies in Indonesia, where there is a lack of specific guidance to support these groups when emergent threats (ET) arise. Health workers, crucial in delivering maternal and newborn health (MNH) services, often fail to anticipate and address the needs of these vulnerable populations adequately.A literature review analyzing 24 articles from PubMed, Dimension, and Web of Science published between 2016 and 2024 focused on emerging infectious diseases, maternal and newborn health, quality of care, referral systems, and small vulnerable newborns. The review identified substantial gaps in the skills and competencies needed to provide high-quality MNH services globally and in Indonesia. Key issues include non-compliance with existing guidelines, inefficient referral coordination, insufficient monitoring of sick mothers, and a lack of preparedness for emergent threats, all contributing to suboptimal MNH outcomes.These gaps could be addressed by adopting improved training and referral systems, as proposed in the new SVN conceptual framework. Essential actions to enhance MNH outcomes include improving guideline compliance, enhancing referral systems, and ensuring comprehensive training for healthcare providers. Developing an integrated tool tailored to Indonesia's needs that includes SVN, sick mothers, infrastructure, referral systems, and infectious disease management is vital. Implementing these strategies can significantly reduce adverse outcomes and enhance care quality for women and newborns during public health crises.
Response time and length of stay in obstetric emergency management: A study in public hospital of Central Kalimantan Dewi, Bella Rossana; Sriatmi, Ayun; Widjanarko, Bagoes
BKM Public Health and Community Medicine Vol 41 No 04 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i04.18631

Abstract

Purpose: This study aims to examine the relationship between response time and the length of stay (LOS) in obstetric emergency management at the public hospital of Central Kalimantan. Methods: A cross-sectional observational study was conducted using 205 medical records of pregnant women treated for obstetric emergencies between July and September 2024. Data on three types of response time—initial emergency action, obstetrician consultation, and patient disposition—were analyzed using univariate and Pearson correlation tests to assess their association with the LOS in the emergency department. Results: All patients received an initial emergency response within five minutes, indicating good early management. However, over 60% of patients experienced delays in obstetrician consultation. Most patients received timely disposition decisions, which showed the most decisive influence on patient LOS. Statistical analysis revealed a weak positive correlation between initial response time and LOS (r=0.33), a very weak negative correlation with obstetrician consultation time (r= -0.098), and a perfect positive correlation with disposition time (r=1.000). These results suggest that the speed of disposition decisions plays a critical role in determining how long patients remain in the emergency room. Conclusion: Disposition efficiency plays the most pivotal role in determining LOS. Improving administrative processes, increasing human resources, and optimizing infrastructure are essential. These findings provide practical insights for strengthening emergency service protocols and can guide health policy interventions to enhance maternal care quality in referral hospitals across Indonesia.
Co-Authors Ayun Sriatmi Bagoes Widjanarko Iwamizu, Yuko Naintina Lisnawati