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Nurina, Rr. Listyawati
Universitas Nusa Cendana
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Journal : Journal of Social Research

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Does Facilitative Supervision Made Difference in PHC Readiness to Provide Emergency Maternal and Newborn Care: an Operational Research at Primary Health Centre of Ende District, Eastern Indonesia Sangguana Marthen Jacobus Koamesah; Idawati Trisno; Nicholas Edwin Handoyo; Rr. Listyawati Nurina
Journal of Social Research Vol. 2 No. 8 (2023): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v2i8.878

Abstract

Purpose: Government of Indonesia (GOI) has commitment to ensure that basic obstetric and newborn care is provided as to standard of care, through a pilot project of facilitative supervision conducted at 5 Primary Health Centre (PHC) of Ende district, in a series of combined online and onsite supervision during a period of 7 months, ended in December 2021. This operational research examined PHC’ readiness in providing emergency obstetric and newborn care, comparing intervened and control PHC. Methods: This present study used quasi experimental method, with Post-test Only Control Group design. Intervention of facilitative supervision only provided in one group, and assessment conducted in those 2 groups, comparing results between those groups. Unit analysis was PHC, 2 PHCs selected as intervened PHC, and 2 PHCs as control. Data were collected through direct observation using check list, assessment of patient’s records, and interview with several health workers. Results: In this operational study we compared the service coverage and readiness in providing emergency obstetric neonatal care, between PHC that received and not received intensive facilitative supervision in the previous 7 months. PHC in urban area handling very few obstetric complications but referred more cases to District Hospital (>90). However, intervened PHC provide obstetric complication care two times higher (8.33%) than control PHC (4.17%). Both intervened and control PHC in rural area, provide far more obstetric complication care (>60%) compared to those in urban area, with the coverage of referral case around 30-35% from total obstetric complication cases. Intervened PHC in rural area managing all neonatal complication cases, and shows the lowest percentage of neonatal death (1,2%) compare to other PHCs. Control PHC in rural area also managed 88.89% of neonatal complication cases, but has the highest percentage of neonatal death (4.17%). The significant difference between intervened and control PHC in the input side, lies in the availability of emergency team which should be minimal of 3 health workers consist of doctor, midwife and nurse; and availability of neonatal emergency kit. In the process side, the difference between intervened and control PHC is more obvious in rural area, the main difference lies in the unavailability of algorithm and SOP for post-partum bleeding, pre/eclampsia, and neonatal resuscitation at control PHC Conclusions: There is difference in the readiness of providing emergency maternal neonatal between intervened and control PHC only in rural area, indicate by higher compliance level value in the intervened PHC (77.14%) compared to control PHC (40%). The difference in the quality of care only obvious in rural area and in emergency neonatal care, indicate by 3,5x lower percentage of neonatal death in intervened PHC compared to the control PHC
Co-Authors Adang, Gottfrieda Patiencia Taeng-Ob Anggraini, Thalitha Ayu Angsar, Abigail Eugelia Veterine Anita Amat Anita Lidesna Shinta Amat Aprio Ngga, Yoseph Mariano Arley Sadra Telussa Arley Telussa Christina Olly Lada Conrad L. H. Folamauk Damanik, Efrisca M. Br Damanik, Efrisca M. Br. Damanik, Efrisca Meliyuita Br. Debora Shinta Liana Deri Riskiyanti Tallo Manafe Dupe, Shita Anggenella Elli Arsita Febrianti, Ika Fitriyah, Nur Laelatul Folamauk, Conrad L.H. Folamauk, Conrad Liab Hendricson Ginting, Almido Almido Haryanto Ginting, Almido H. Gregorius Kenang Widyantoro Handoyo, Nicholas E. Hewen, Wilhelmina W.M. Hutasoit, Regina Marvina Idawati Trisno Idawati Trisno Idawati Trisno Ika Febianti Buntoro Ika Febrianti Ikun, Elisabeth Sri Intan Indra Wardana, I Gede Aprilian Indriarini, Desi Kareri, Dyah Gita Rambu Kedang, Elisabeth Flora S. Klau, Maria Luz Clarita Koamesah, Sangguana M J Koamesah, Sangguana Marthen Jacobus Kolobani, Mathias Nathaniel Kote, Angel Eddelweist Yubertina Febrina Bida Lalandos, Jansen Loudwik Lerrick, Riky Alberth Levina Sari Setianingrum, Elisabeth Luh Komang Ayu Shinta Dewi, Ni Manongga, Fidriati Olivia Maria Agnes Etty Dedy Mariana Archoon Sailana Mory, Ogy Rya Muhajirin Dean Muntasir, Muntasir Nicholas Edwin Handoyo Nugraha, Rahmat Nurwan Paceli, Verena Pakan, Prisca D. PAKAN, PRISCA DEVIANI Pala, Maria Gemma Theovila Pao, Ressa Patricia Permatasari, Rr. Lilis Intan Prisca Deviani Pakan PRISCA DEVIANI PAKAN Purnasari, Cahyani Rambu Kareri, Dyah Gita Ratu, Kristian Regaletha, Tadeus Andrea Lada Riantoby, Raphaeline Murtiastari Rini, Desi Indria Riwu, Magdarita Sagita, Sidarta Salean, Tjieci Yuniar Sangguana Marthen Jacobus Koamesah Sangguana Marthen Jacobus Koamesah Sare, Maria Claudya Nere Sari, Dewi Fadhilah Seran, Stefania Danita Dwi W. M. Setianingrum, Elisabeth Levina Setiawan, I Made Buddy Sibero, Peniel Peranta Reynaldi Tarigan Sidauruk, Debora Maryke Idawati Sion Benu Sun, Diana Maximiliany Tanto, Ayu Cyntia Teguh Dwi Nugroho, Teguh Dwi Turupadang, Welem Ullu, Arah Murni Adi Upa, Nurul Fatmawati Pua Wahda Dwi Sari Wahyuningrum, Stefany Adi Woda, Rachel Rara Woda, Rahel Rara Wungouw, Herman P L