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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
 1 
Search results for , issue "Vol. 5 No. 1 (2020)" : 8 Documents clear
Contextual Effect of Community Health Center and Other Determinants of Midwife Performance in the Implementation in the Prevention Mother to Child Transmission Counselling and Testing: A Multilevel Model Evidence Sringatin, Sringatin; Budihastuti, Uki Retno; Sulaeman, Endang Sutisna
Journal of Health Policy and Management Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: High transmission of HIV from mother to child can contribute to an increase in the number of pandemic events. Transmission of HIV from mother to baby can be prevented by the PMTCT (Prevention of Mother to Child HIV Transmission) program. The purpose of this study is to analyze the implementation of PMTCT program policies by midwives.Subjects and Method: The design used in this study was observational analytic with cross sectional approach. The number of samples is 184 subjects. The sampling was done using total sampling. The independent variables included midwives' knowledge, midwife's age, job satisfac­tion, team performance, work environment, community support, training, and length of work. Meanwhile, the dependent variable is the implementation of PMTCT policies. Variable data collec­tion was performed using a questionnaire and analyzed using multilevel analysis with Stata 13.Results: The implementation of PMTCT policies increased influenced by period of working ≥8 years (b= 0.50; 95% CI= 0.61 to 0.85; p= 0.004), training ≥2 times (b= 0.44; 95% CI= -0.13 to 0.76; p= 0.005), good midwife knowledge (b= 0.65; 95% CI= 0.36 to 0.93; p<0.001), midwife satisfaction is good (b= 0.05; 95% CI= -0.21 to 0.31; p= 0.694), and midwife performance is good (b= 0.59; 95% CI= 0.25 to 0.93; p= 0.001). The implementation of PMTCT policies decreased influenced by bad working environment (b= -0.09; 95% CI= -0.36 to 0.16; p= 0.451), age ≥35 years (b= -0.51; 95% CI= -0.80 to -0.24; p<0.001), and small community support (b= -0.06; 95% CI= -0.38 to 0.25; p= 0.692). Public health ceneters have weak contextual influence on the implementa­tion of PMTCT program policies with ICC= 6.6%.Conclusion:The midwife's period of work, knowledge, training, midwife's performance, and midwife's satisfaction improve PMTCT implementation. Whereas midwives' age, work environ­ment and community support reduce PMTCT implementationKeywords: HIV / AIDS, implementation of PMTCT, multiple linear regression analysis.Correspondence:Sringatin, Dolopo Regional Public Hospital, Madiun, East Java. Jl. Raya Dolopo no.117 Dolopo, Madiun 63174, East Java. Email: sringatine22@gmail.com. Mobile: 081231683090Journal of Health Policy and Management (2020), 5(1): 35-47https://doi.org/10.26911/thejhpm.2020.05.01.04
The Association Between the Integrated Health Post Activity and the Performance of Community Health Workers in Child Growth and Development Care Service in Karanganyar, Central Java Kurniavie, Lidia Ekiq; Pawito, Pawito; Murti, Bhisma
Journal of Health Policy and Management Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Active integrated health post is an integrated health post that conducts routine activities every month and conducts additional activities. There are 61.32% active integrated health posts in Indonesia. Early detection of growth and development is one of the tasks of the cadres at the integrated health post. The role of the integrated health post cadre that is not optimal will have direct and indirect effects on children. This study aimed to analyze the effect of the integrated health post activity on cadre performance in children under five in Karanganyar Regency.Subjects and Method: This study used cross sectional design. This study was conducted in the integrated health post in Karanganyar from August-September 2019. There were 200 female college students involved as the sample of the study. They were selected by simple random sampling. The dependent variable was cadre performance of the integrated health post. The independent variables were cadre education, knowledge, attitude, employment status, years of service, training of children under five growth and development, facilities and infrastructure of the integrated health post, community support, and village government support. This study used questionnaires to collect the data. The data were analyzed by multiple logistic regression run on Stata 13.Results: Cadre performance in children under five growth and development in the integrated health post increased with high cadre education (OR=3.04; 95%CI=1.24 to 7.47; p=0.015), cadres who worked at home (OR=3.66; 95%CI=1.57 to 8.50; p=0.003), high knowledge (OR=4.11; 95%CI= 1.79 to 9.42; p=0.001), good attitude (OR=3.31; 95%CI= 1.31 to 8.38; p=0.011), parti­ci­pation in growth and development training by ≥2 times (OR=3.36; 95%CI=1.49 to 7.60; p=0.004), length of service of the cadres ≥10 years (OR=3.21; 95% CI=1.39 to 7.43; p=0.006), complete facilities and infrastructure of the integrated health post (OR=4.17 ; 95%CI=1.74 to 9.99; p=0.001), strong community support (OR=2.99; 95% CI=1.26 to 7.10; p=0.013), and high village government support (OR=2.76; 95% CI=1.17 up to 6.51; p=0.020).Conclusion: Cadre performance in children under five growth and development is affected by cadre education, cadre occupation, cadre knowledge, cadre attitude, training of growth and deve­lopment, length of service, facilities and infrastructure of the integrated health post, community support, and village government support.Keywords: cadre performance, integrated health post activity, growth and development, children under fiveCorrespondence:Lidia Ekiq Kurniavie. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ekiqlkv@gmail.com. Mobile: +62858525­40575.Journal of Health Policy and Management (2019), 5(1): 48-60https://doi.org/10.26911/thejhpm.2020.05.01.05
Contextual Effect of Integrated Health Post on the Community Health Personnel Performance: A Multilevel Evidence from Purworejo, Central Java Hidayati, Ulfah; Tamtomo, Didik Gunawan; Murti, Bhisma
Journal of Health Policy and Management Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Integrated health post (posyandu) is an effort to improve the health of the nearest in­fants in the community. The community health personnel are in charge of managing and carrying out posyandu activities. Community health personnel performance influences the success of the pos­yandu program. This study aimed to determine posyandu contextual factors on the per­for­man­ce of community health personnels in infant health services.Subjects and Method: This was a cross sectional study conducted at 25 posyandu in Purworejo Re­gency, Central Java, in October 2019. The sample consisted of 200 community health per­son­nels selected by simple random sampling. The dependent variable was community health per­son­nel performance. The independent variables were number of children, education, occupation, income, tenure, skills and work environment. The data was collected by questionnaire. The data were analyzed by multilevel multiple logistic regres­sion.Results: Posyandu community health personnel performance increased with the number of chil­dren <3 (b = 1.89; 95% CI= 0.51 to 3.26; p = 0.007), education ≥Senior high school (b= 1.88; 95% CI = 0.31 to 3.44; p= 0.019), community health personnels worked at home (b= 2.15; 95% CI= 0.48-3.82; p = 0.011), income ≥Rp 1,200,000 (b= 1.86; 95% CI= 0.19-3.54; p= 0.029), tenure ≥3 years (b= 2.29; 95% CI= 0.71 to 3.87; p= 0.005), good skills (b= 2.34; 95% CI= 0.53 to 4.16; p = 0.011), and good working environment (b= 1.54; 95% CI= 0.01 to 3.06; p= 0.048). Posyandu had a contextual effect on community health personnel performance with ICC= 34.98%.Conclusion: Community health personnel performance increases with the number of children <3, education ≥senior high school, community health personnels working at home, family income ≥Rp 1,200,000, working period ≥ 3 years, good skills, and good work environment. Posyandu has a contextual effect on community health personnel performance.Keyword: performance, community health personnels, posyandu, multilevel analysisCorrespondence: Ulfah Hidayati. Master Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: ulfahhidayatimg13@gmail.com. Mobile: +6285725932516.Journal of Health Policy and Management (2020), 5(1): 1-12https://doi.org/10.26911/thejhpm.2020.05.01.01
Application of Health Belief Model on Factors Affecting Participation in the National Health Insurance Scheme among Informal Sector Workers in Kudus, Central Java Prakoso, Anom Dwi; Sulaeman, Endang Sutisna; Suryono, Arief
Journal of Health Policy and Management Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Universal Health Coverage is the mandate of the Pancasila and 1945 Constitution. UHC's target on January 1st, 2019 is that all Indonesians are covered by the National Health In­su­ran­ce (JKN). Meanwhile, the participation of informal workers as of May 1, 2019 only reached 57%. The cross subsidy system is not optimal and the budget deficit will continue to be experienced because the­re are still many citizens who have not joined JKN. This study aimed to analyze the de­ter­mi­nants of the participation of informal workers in the national health insurance program in Kudus using the Health Belief Model.Subjects and Method: This was case control study,conducted in 5 sub-districts in Kudus Re­gen­cy, Cen­tral Java from September to October 2019. Total of 200 informal workers were selected by pur­posive sampling, it were devided into two groups including 100 in case group and a 100 in con­trol group. The dependent variable was the participation of informal workers in the JKN program. The independent variables were perception of vulnerability, perception of seriousness, perspective of be­nefits, family support, self-efficacy, and social environment. The data collection was per­for­med using a questionnaire and data analysis with logistic regression using stata 13.Results: The participation of informal workers in the JKN program increased with knowledge of ≥Senior high school (b = 5.09; 95% CI = 0.32 to 9.87; p = 0.036), high perception of vulnerability (b = 3.01; 95% CI = 0.26 to 5.75; p = 0.031), high perceived seriousness (b= 5.38; 95% CI = 2.14 to 8.61; p= 0.001), high perceived benefit (b= 3.86; 95% CI= 0.39 to 7.34; p= 0.029), strong family support (b= 7.26; 95% CI= 2.69 to 11.82; p= 0.002), strong self-efficacy (b = 3.98; 95% CI = 0.98 to 6.98; p= 0.009) and a supportive social environment (b = 4.51; 95% CI= 1.61 to 7.40; p= 0.002).Conclusion:Knowledge, perception of vulnerability, perception of seriousness, perceived use­ful­ness, family support and social environment influence the participation of informal workers in the JKN program.Keywords: universal health coverage, national health insurance, health belief modelCorrespondence: Anom Dwi Prakoso, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: anomdwiprakoso@gmail.com. Mobile: +62­895363­054­393.Journal of Health Policy and Management (2020), 5(1): 61-73https://doi.org/10.26911/thejhpm.2020.05.01.06
Multilevel Analysis of Community Health Center, Performance of Health Personnel: Evidence from Ngawi, East Java Zulaikah, Rahayu; Tamtomo, Didik; Sulaeman, Endang Sutisna
Journal of Health Policy and Management Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Quality health services are one of the priorities and development goals in the health sector. Community Health Center as the first-line public services in the health sector are expected to provide quality services for the community. The quality of health services in community health center can be seen from the performance of the health personnel. This study aims to determine the factors that determine the performance of health personnel in health centers.Subjects and Method: This study used an observational analytic method with a cross sectional approach. The study was conducted in 24 community health center in Ngawi, East Java on June-July 2019. The total sample of 216 health personnel of the community health center was selected based on proportional random sampling. The dependent variable of this study was the perform­ance of health personnel. The independent variables in this study were accreditation status, edu­cation, income, work length, motivation, satisfaction, and workload. The data collections used questionnaires and were analyzed using multilevel linear regression test with Stata 13.Results: The performance of health personnel significantly improved with good accreditation status (b = 2.87; 95% CI= 0.03 to 5.71; p= 0.048), high education (b= 0.63; 95% CI = 0.13 to 1.13; p= 0.013), and high workload (b= 0.86; 95% CI= 0.34 to 1.39; p= 0.001). There was a contextual effect of the performance health personnel (ICC= 53.69%).Conclusion: Good accreditation status, higher education and high work responsibilities increase the performance of the health personnel. There was a contextual effect of health centers on the health personnel.Keywords: performance of health personnel, community health center, multilevel linear regressionCorrespondence:Rahayu Zulaikah, Ngawi Health Office, Jl. S. Parman 25 A, Ngawi, East Java. Email: dokter­rahayu@yahoo.co.id. Mobile phone: 081946059306Journal of Health Policy and Management (2020), 5(1): 13-22https://doi.org/10.26911/thejhpm.2020.05.01.02
Effect of Leadership Style of the Head of the Community Health Center and Other Determinants on the Health Personnel Performance in Boyolali, Central Java Marwandi, David; Sulaeman, Endang Sutisna; Pawito, Pawito
Journal of Health Policy and Management Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Leadership in health services is needed to utilize resources efficiently, design management processes, and encourage health workers to work towards achieving common goals. The purpose of this study was to analyze the effect of leadership style of the head of community health center and other determinants on the performance of health personnel.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted in Boyolali, Central Java, from June to July 2019. A sample of 206 health personnel from 22 community health centers was selected for this study. The dependent variable was the performance of health personnel. The independent variables were perceived transforma­tional leadership, perceived income, type of community health center, accre­ditation status, educa­tion level, tenure, training, community health center, and employee status. The data were collected by questionnaire and analyzed by a multilevel multiple linear regression run on Stata 13.Results: Health personnel performance increased with transformational leadership style (b= 2.23; 95% CI= 0.94 to 3.52; p <0.001), type of health workers (b= 1.80; 95% CI= 0.10 to 3.49; p = 0.037), and accreditation status (b= 3.01; 95% CI= 0.58 to 5.44; p= 0.015). Health personnel performance increased with education ≥Diploma III (b= 0.55; 95% CI= -1.46 to 2.56; p= 0.592), tenure ≥3 years (b= 0.05; 95% CI= -1.49 to 1.59; p = 0.947), adequate income (b= 1.16; 95% CI= -0.10 to 2.42; p= 0.072), and had attended training (b= 0.67; 95% CI= -0.68 to 2.03; p= 0.329), but they were statistically non-significant. Health personnel performance decreased with the status of civil servant (b= -1.32; 95% CI= -3.82 to 1.16; p= 0.298) and treatment status of community health center with hospitalization (b= -2.97; 95% CI = -5.03 to -0.91; p = 0.005).Conclusion: Health personnel performance increases with transformational leadership style, type of health workers, accreditation status, educa­tion ≥Diploma III, tenure ≥3 years, adequate income, and had attended training. Health personnel performance decreases with the status of civil servant and treatment status of community health center with hospitalization.Keywords: transformational leadership style, health personnel, performance.Correspondence:David Marwandi. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: david.marwandi88@gmail.com. Mobile: +6281348789393Journal of Health Policy and Management (2020), 5(1): 74-84https://doi.org/10.26911/thejhpm.2020.05.01.07
Do Places of Delivery Have Contextual Effect on the Perceived Quality of Intrapartum and Postpartum Services? A Multilevel Evidence from Kebumen, Central Java Nurlaili, Helmi; Tamtomo, Didik; Murti, Bhisma
Journal of Health Policy and Management Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The maternal mortality rate (MMR) in Indonesia in 2015 was 305 per 100,000 live births. The majority of maternal deaths occur during labor and the puerperium. Increasing access to health services is not enough so that attention is more focused on the quality of services pro­vided. This study aimed to determine the determinants of the quality of childbirth and childbirth by midwives in Kebumen Regency.Subjects and Method: This study was a cross sectional study at 25 health facilities in Kebumen, Central Java, and was conducted during September-October 2019. The study sample consisted of 200 women giving birth and childbirth selected using the proportionate stratified sampling tech­nique. The dependent variable was the quality of childbirth and childbirth services. The inde­pen­dent variables were age, parity, education, occupation, family income, and type of financing. The data collection was performed using a questionnaire and the data analysis was performed using multilevel multiple linear regression with Stata 13.Results: The quality of childbirth and childbirth services increased with maternal age 34 years (b= 1.89; 95% CI = 0.48 to 3.31; p = 0.009), multiparaous (b = 2.20; 95% CI = 0.78 to 3.63; p = 0.002), and type JKN financing (b = 0.27; 95% CI = -0.94 to 1.47; p = 0.659). The quality of childbirth and childbirth services decreased with the education of high education (b= -0.87; 95% CI = -2.02 to 0.28; p= 0.139), working outside the home (b= -1.28; 95% CI= -2.64 to 0.08; p= 0.065), and family income of Rp 1,686,000 (b= -1.85; 95% CI= -3.24 to -0.47; p= 0.009). There was a con­textual influence of the place of delivery and postpartum on the quality of services received by mothers with ICC= 51.26%.Conclusion: The quality of childbirth and childbirth services has improved with the age of 34, multiparous, and JKN types of financing. The quality of childbirth and childbirth services declined with the education of mothers who were high school graduates, working outside the home, and family income of Rp1,686,000. There is a contextual influence of the place of delivery and postpartum on the quality of service received by the mother.Keywords: quality of service, childbirth, community health center, multilevel analysisCorrespondence: Helmi Nurlaili. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: helminurlaili@gmail.com. Mobile: 085869950546Journal of Health Policy and Management (2020), 5(1): 23-34https://doi.org/10.26911/thejhpm.2020.05.01.03
Barrier to Reproductive Health Services in Adolescents in Sukoharjo, Central Java Maryatun, Maryatun; Indarwati, Indarwati; Wahyuni, Endang Sri; Hermawati, Hermawati
Journal of Health Policy and Management Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Adolescent reproductive health in­for­mation and services (KRR) are right, teen­agers are helped to recognize themselves and m­at­ters relating to reproductive health. By having co­rrect information, adolescents can equip them­selves with behaviors and skills that can protect themselves from various reproductive health risks. This study aimed to analyze the factors that in­­fluence barriers to adolescent reproductive health services in schools.Subjects and Method: This was a cross sec­ti­onal study was conducted at high schools in Su­ko­­harjo, Central Java, from April to May 2018. The sample was 281 students selected by purpo­sive sampling. The dependent variable is barriers to adolescent reproductive health services. The in­dependent variables are attitude, information, dis­tance of service, ability of service personnel, and utilization of health service facilities. Data were analyzed using Chi square.Results: The use of reproductive health services increased with knowledge of reproductive health (OR= 4.06; 95% CI= 1.8 to 9.2; p <0.001), posi­tive attitude towards reproductive health (OR= 2.43; 95% CI= 1.2 to 5.1; p= 0.016), get in­for­mation on KRR services (OR= 2.15; 95% CI= 1.05 to 4.4; p= 0.034), easy access to KRR services (OR= 2.2; 95% CI= 1.5 to 4.6; p= 0.033), the abi­li­ty of officers in provide services (OR= 2.47; 95% CI= 1.2 to 5.2; p= 0.014), and utilization of health ser­­vice facilities (OR= 1.5; 95% CI= 0.78 to 3.1; p= 0.21).Conclusion: Low service barriers are influenced by knowledge of reproductive health, positive at­ti­tudes towards reproductive health, obtaining in­formation on KRR services, easy access to KRR services, the ability of officers to provide services, and utilization of health service facilities.Keywords: service barriers, adolescent repro­duc­tive healthCorrespondence: Maryatun. Study Program of Nursing, School of Health Sciences Aisyiyah, Surakarta. Email: tun­mar­yatun76@gmail.com.Journal of Health Policy and Management (2020), 5(1): 85-88https://doi.org/10.26911/thejhpm.2020.05.01.08

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