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Journal of Health Policy and Management
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490281     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Journal of Health Policy and Management (JHPM) is an electronic, open-access, double-blind and peer-reviewed international multidisciplinary and integrative journal, focusing on health policy, health system, and healthcare management. It began its publication on October 21, 2015. The journal is published twice yearly. It aims to improve the design and implementation of health policies, health systems, and healthcare management, primarily in low- and middle-income countries. JHPM analyzes policy initiatives and healthcare systems and provides evidence-based research to guide policymaking and management decision-making.
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Articles 8 Documents
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Search results for , issue "vol. 4 no. 2 (2019)" : 8 Documents clear
The Urgency of Law Enforcement of Illegal Medicine Distributions in Indonesia Evelina Yuliani; Widodo T. Novianto; Hari Purwadi
Journal of Health Policy and Management Vol. 4 No. 2 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Medicine plays an important role and is an irreplaceable component in health. World Health Organization (WHO) statistics in 2015 stated that illegal medicine distributions in Indonesia are not less than 3 trillion rupiahs per year or 10 percent of all existing medicine distributions. These findings indicate that law enforcement against criminal acts of illegal medicines distribution is still not adequate. The distribution of illegal medicines including counterfeit medicines is a serious threat to the health of all Indonesian people. This study aimed to analyze the urgency of law enforcement of illegal medicine distribution in Indonesia.Subjects and Method: This was a qualitative study (descriptive non-doctrinal legal research) conducted in Sragen, Central Java. Five informants consist of the head of Loka BPOM Surakarta, the head of Sragendistric health office, a hospital director, a pharmacist in a community health center, and a pharmacy owner. Data collected by interview, observation, and documentary review. Data were analyzed by data reduction, presentation, and verification.Results: The investigations of the distribution of illegal medicines are carried out by PPNS from BPOM and accompanied by the police as supervisory coordinators. BPOM has a mapping of facilities and cases, as well as information from the community. If there is sufficient evidence, BPOM applies administrative sanctions, and if there is a criminal sanction, it will continue to other law enforcement officers. The regulations in the field of medicine are adequate, starting from Law number 36 of 2009 concerning Health, government regulations, the minister of health regulations, and BPOM regulations. The distribution of illegal medicines still occurs because there are demands from community and online medicine sales that have not been regulated by the government.Conclusion: Based on Lawrence M. Friedman’s theory, a legal substance, legal structure, and legal culture are a unity in carrying out law enforcement efforts, meaning that no matter how good a law is if it is not accompanied by a good implementing structure and a supportive culture it will be difficult to enforce the law. The society’s trust in the law enforcement officers in Indonesia that considered low should be restored with some improvement in structural and substantial aspects of law along with the presence of legal culture.Keywords: medicine, pharmacy, distribution, illegalCorrespondence: Evelina Yuliani. Masters Program in Law, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: eyuliani12@gmail.com. Mobile: 0811285066.Journal of Health Policy and Management (2019), 4(2): 76-85https://doi.org/10.26911/thejhpm.2019.04.02.01
Association between Socialization and the Use of Maternity Waiting Home in East Aceh, Indonesia Atika Triwulan Dari; Zulfendri Zulfendri; Destanul Aulia
Journal of Health Policy and Management Vol. 4 No. 2 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Maternity waiting homes are residential facilities where women who live remotely can wait before giving birth at a hospital or health center. The aim of imple­menting maternity waiting for home strategy is to reduce maternal and perinatal mortality by improving access to skilled birth attendance and emergency obstetric care, particularly for women in rural and remote areas. This study aimed to examine the association between socialization and the use of maternity waiting home in East Aceh.Subjects and Method: This was a cross-sectional study carried out at four community health centers (puskesmas), in East Aceh, Indonesia. A sample of 130 pregnant mothers was selected for this study by stratified random sampling. The dependent variable was the use of a maternity waiting home. The independent variable was socialization and family support. The data were collected by questionnaire and analyzed by multiple logistic regression.Results: Socialization was associated with increased use of maternal waiting home (OR= 14.17; p= 0.002), after controlling from the effect of family support.Conclusion: Socialization is associated with increased use of maternal waiting home, after controlling for the effect of family support.Keywords: maternity waiting home, socialization, family support.Correspondence: Atika Triwulan Dari. Masters Program in Public Health, Universitas Sumatera Utara, Jalan Universitas No. 21, Universitas Sumatera Utara, Medan 20155, North Sumatera, Indo­nesia. Email: atika.triwulandari@ymail.com.Journal of Health Policy and Management (2019), 4(2): 86-90https://doi.org/10.26911/thejhpm.2019.04.02.02
The Association between Motivation and Sanction on Hand Hygiene Compliance among Nurses at Dr. Pirngadi Hospital, Medan, North Sumatera Sondang Simanjuntak; Ida Yustina; Zulfendri Zulfendri
Journal of Health Policy and Management Vol. 4 No. 2 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Hand hygiene is an effective behavior to prevent infection among health workers. This study aimed to determine the associations of motivation and sanction on hand hygiene compliance among health workers at Dr. Pirngadi Hospital.Subjects and Method: A cross-sectional study was conducted at Dr. Pirngadi Hospital, Medan, North Sumatera, Indonesia. A sample of 33 health workers was selected for this study by total sampling. The dependent variable was hand hygiene obedience. The independent variables were sanction and motivation. The data were collected by questionnaire and analyzed by multiple logistic regression.Results: Hand hygiene compliance was associated with the presence of sanction (OR= 3.44; 95% CI= 1.22 to 4.95; p= 0.041) and motivation (OR= 4.77; 95% CI= 2.52 to 6.30; p= 0.029).Conclusion: Hand hygiene compliance is associated with sanction and motivation. Keywords: hand hygiene, compliance, sanction, motivationCorrespondence: Sondang Simanjuntak. Masters Program in Public Health, Universitas Sumatera Utara, Jl. Universitas 21, Medan 20155, North Sumatera, Indonesia. Email: sondangstarlyn@gmail.comJournal of Health Policy and Management (2019), 4(2): 91-95https://doi.org/10.26911/thejhpm.2019.04.02.03
Juridical Review of Presumed Consent as the Right of Patients in Emergency Conditions Rindy Alief Puspitasari; Isharyanto Isharyanto; Hari Purwadi
Journal of Health Policy and Management Vol. 4 No. 2 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Doctors and patients are two legal subjects who are bound in a therapeutic tran­saction. This transaction involves informed consent. Informed consent is the doctor's obligation and the patient's rights. There are exceptions to the application of informed consent in emergency situations. The doctor is still obliged to provide help even though the patient is in an unconscious condition and cannot give consent to the action. This is known as the Presumed Consent. This study aimed to explore presumed consent as the right of patients in emergency conditions using juridical review.Subjects and Method: This was a normative study with a law approach, case study, and concep­tual approach. Legal materials used are written documents and the results of interviews. The technique of analyzing legal materials by formulating principles and legal understanding and evaluating the results of interviews. Respondents consisted of 6 General Practitioners who worked in the emergency room, ICU, treatment room, and operating room at PKU Muhammadiyah Sukoharjo Hospital.Results: According to article 17 of the medical ethics code (KODEKI) in 2012, every doctor is obliged to carry out emergency assistance as a form of humanitarian duty. This was similar to Article 51 of Law No. 29 of 2004 concerning Medical Practice. Whereas, in article 29 paragraph (1c) of Law No. 44 of 2009 concerning Hospitals it is explained that the Hospital is also obliged to provide emergency care to patients according to their abilities. If the patient is considered unable to be treated, the doctor must refer to a doctor who is more competent after giving emergency care, but if the doctor has been able to take action according to professional standards and procedures, the doctor must provide an explanation after the patient is aware or to the closest family. The results of interviews with general practitioners at Muhammadiyah Hospital in Sukoharjo, Central Java from 6 respondents all stated that patients had the right to get emergency assistance according to the standard even though without written consent from patients and families. After being aware, the patient and/or family will continue to explain information about the condition and follow-up on its handling.Conclusion: In accordance with the laws and regulations on informed consent in emergency conditions or called presumed consent, patients are entitled to immediate emergency assistance and the doctor is obliged to carry out help in accordance with professional standards and procedures. The implementation of presumed consent as a patient's right by General Physician of PKU Muhammadiyah Sukoharjo Hospital has been running according to the standard.Keywords: Emergency, Patient Rights, Presumed Consent, Juridical Review.Correspondence: Rindy Alief Puspitasari. Master Program in Law, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, 57126, Surakarta, Central Java. Email : aliefprindy@gmil.com. Mobile: +6285701587295.Journal of Health Policy and Management (2019), 4(2): 96-104https://doi.org/10.26911/thejhpm.2019.04.02.04
Communication Barrier between Nurse and Patient at The Hospital: A Systematic Review Andriyanto Andriyanto
Journal of Health Policy and Management Vol. 4 No. 2 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Communication is a multi-dimensional, multi-factorial phenomenon and a dy­na­mic, complex process, closely related to the environment in a hospital or related places. Nurses in the hospital need to enhance their skill in communication to improve patient satisfac­t­ion. This study conducted a systematic review to describe the communication bar­rier bet­ween nurse and patient at the hospital.Subjects and Method: This was a systematic review conducted by searching databases from EBSCO e-journals, Elsevier Science Direct, CINAHL Complete, and Google Scholar, published from 2012 to 2017. The literature was analyzed using the critical appraisal tool.Results: Communication barriers included job dissatisfaction due to workload, uncontroll­ed patient family presence, distrust of nurse competency, gender incompatibility, nurse lack of attention, delay and carelessness in providing information, lack of nurse responsibility, difference in language, over workload, patient family disorder, nurse re­luc­tan­ce to com­mu­nicate, patient physical discomfort, physical and psychological com­plaint, language di­fficul­ty, limited nurse communication skill, insufficient time, busy envi­ron­ment, and noise. Com­munication barriers between nurse and patient affected the quality of health service.Conclusion: Communication barriers between nurse and patient affect the quality of health service.Keywords: communication barriers, nurses-patients, hospitalCorrespondence: Andriyanto. Masters Program in Communication Sciences, Universitas Diponegoro. Jl. Prof. H. Soedarto, Tembalang, Semarang 50275, Central Java. Email: andrebae139@gmail.com.Journal of Health Policy and Management (2019), 4(2): 105-110https://doi.org/10.26911/thejhpm.2019.04.02.05
Evaluation on Health Policy Implementation for Decreasing Maternal Mortality Rate through Prenatal Class Program in East Ogan Komering Ulu, South Sumatera Elfina Saragih; Hari Purwadi; Isharyanto Isharyanto
Journal of Health Policy and Management Vol. 4 No. 2 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: An indicator to determine public health is maternal mortality rate (MMR). Based on the Indonesian Demographic and Health Survey (IDHS) in 2012, MMR in Indonesia was still at 359 per 100,000 live births. Community participation is very supportive in efforts to reduce maternal mortality through prenatal class. This study aimed to explore the implementation of prenatal class as an effort to reduce maternal mortality.Subjects and Method: This was a qualitative descriptive study. The study was carried out in east Ogan Komering Ulu, South Sumatera, Indonesia. Key informants consisted of 5 subjects namely Head of east Ogan Komering Ulu Health Office, Head of family health section, Head of Rawa Bening Health Center, 10 midwives, and head village. The data were collected by in-depth inter­view, observation, and document review.Results: Prenatal class activities in Rawa Bening community health center have been imple­mented for a long time. Stakeholders worked together in accordance with their respective tasks and functions. Prenatal class activities have resulted in increased knowledge of mothers and families about pregnancy, postpartum care, newborn care, and family planning. However, pregnant women who were participated in prenatal class was still low.Conclusions: Prenatal class program in east Ogan Komering Ulu, has been implemented accord­ing to the implementation guidelines. However, pregnant women who were participated in prenatal class is still low.Keywords: maternal class program, maternal mortality rate, evaluationCorrespondence: Elfina Saragih. Masters Porgram in Law, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: elfinasaragih@gmail.com. Mobile: +628527066626 Journal of Health Policy and Management (2019), 4(2): 111-116https://doi.org/10.26911/thejhpm.2019.04.02.06
Problems in Legalizing Abortion as a Legal Protection for Rape Victims Noviyanti Ekatama; Widodo Trisno Novianto; Hari Purwadi
Journal of Health Policy and Management Vol. 4 No. 2 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Legalization of abortion in Law No. 36 of 2009 is only allowed by two criteria, namely indications of medical emergencies and / or pregnancy due to rape. The act of abortion due to rape can only be done if the gestational age is 40 days at the most, calculated from the first day of the last menstruation. In addition, this legal abortion can only be done by a competent doctor; and by including information from investigators, psychologists, and/or other experts regarding alleged rape. This raises a problem because every doctor adheres to the oath of office attached to each doctor and the period of time given by legislation is considered insufficient to guarantee legal protection for women, especially rape victims. This study aimed to explore problems in legalizing abortion as a legal protection for rape victims.Subjects and Method: This was a normative legal study and refers to the conceptual approach, and the statutory approach. The data were analyzed to give an analytical knife using syllogism deduction by placing two major premises and a minor premise.Results: First, this legal abortion action is in principle contrary to the oath and medical code of ethics which states that each doctor must respect every human life from the moment of conception. Second, related to the period of implementation of legal abortion, Government regulation No. 61 of 2014 provides a period of 40 days calculated from the first day of the last menstruation. The period of time is not enough to determine whether the rape case can be resolved or not because everyone applies a legal principle of the presumption of innocent and it will be very dangerous if the criminal proceedings are continued until the decision has a permanent legal force (inkracht van gewisde) which then states that the crime of rape has not been proven, even though the pregnancy has been carried out an abortion has been carried out by only attaching a certificate of alleged rape.Conclusion: The act of abortion was allowed based on two criteria, namely abortion on the indi­cation of medical emer­gencies and preg­nancy due to rape where the pregnancy would cause psychological trauma for the pregnant womanKeywords: abortion, legalization, rape crime, women's protectionCorrespondence: Noviyanti Ekatama. Masters Program in Law, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: noviyanti.ekatama@gmail.com. Mobile: +6281391041111.Journal of Health Policy and Management (2019), 4(2): 117-127https://doi.org/10.26911/thejhpm.2019.04.02.07
Recognizing Acupuncture Therapist and Services Chrise Wijanto; Didik Tamtomo; Hermanu Joebagyo
Journal of Health Policy and Management Vol. 4 No. 2 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Acupuncture services in Indonesia keep developing. Law No. 36 of 2014 concerning health personnel has confirmed the status of acupuncture in Indonesia. The regulation includes acupuncture health personnel in the physical therapy group not as traditional ones. However, there are still scientific publications in 2018 which state that acupuncture services are traditional health services. This study aimed to describe the services of acupuncture and acupuncture health personnel.Subjects and Method: This was a qualitative descriptive one. It was conducted in Surakarta City in November 2018-January 2019. It employed a purposive sampling technique to determine informants. The informants in this study consisted of 5 informants, namely 1 executive board of the Indonesian therapist acupuncture association (HAKTI) center, 1 Central Java HAKTI adminis­trator, 1 Surakarta Ministry of Health Polytechnic lecturer at the Acupuncture Department, and 2 therapists and acupuncture service providers. The data collection in this study was done using the technique of in-depth interviews, observation, and document analysis. The data analysis was conducted using the method of Miles and Huberman.Results: Acupuncture service is an effort to restore non-pharmacological health using therapy or needle stabbing to help smooth the flow of energy and blood so that the body can be healthier by acupuncturists with a minimum of three diploma education. Minister of Health Regulation No. 34 of 2018 is a special regulation on licensing and the practice of therapist acupuncturists. The purpose of this regulation is to provide a legal protection for health care personnel who are acupuncturists who are about to practice, both practice independently and join health care facilities. This regulation is appropriate because it writes health centers as one of the acupuncture services. receiving acupuncture services, until now the acupuncture service has no definite provisions regarding service fees.Conclusion: Acupuncture service is health recovery efforts using needle puncture techniques. Acupuncture therapists are acupuncturists in the physical ignition group.Keywords: acupuncture therapist, acupuncture serviceCorrespondence: Chrise Wijanto. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: chrisewijanto@yahoo.com. Mobile: +628­572­5873639.Journal of Health Policy and Management (2019), 4(2): 128-138https://doi.org/10.26911/thejhpm.2019.04.02.08

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