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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 253 Documents
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Path Analysis on the Deterninants of Health Cadres Ability in Early Detection and Management of Pregnancy Risk Factors in Sleman, Yogyakarta, Indonesia Istri Yuliani; Bhisma Murti; Endang Sutisna Sulaeman; Tedjo Danudjo Oepomo
Journal of Health Policy and Management Vol. 4 No. 1 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Every pregnant woman has the potential to experience risk, so it is necessary to get serious attention and special treatment by health workers, family, and community. One role of the community is as the health cadres. This study aimed to examine the determinants of health cadre ability in early detection and management of pregnancy risk factors.Subjects and Method: The research used quantitative method and cross-sectional approach. There were 269 health cadres participating as research samples. The sampling technique used is multistage cluster random sampling. Data were collected using a questionnaire with a Likert scale. Data analysis is done using path analysis.Results: Cadre’s ability in early detection of pregnancy risk factors was affected by attitude (b= 0.38; SE=0.10; p<0.001), experience (b=0.38; SE=0.10; p<0.001), motivation (b=0.63; SE=0.14; p<0.001), compensation (b=0.68; SE=0.19; p<0.001), workload (b=0.64; SE=0.23; p= 0.005), education and training (b=0.68; SE=0.19; p=0.001), supervision (b=0.99; SE=0.17; p<0.001), perceived seriousness (b=0.73; SE=0.16; p<0.001), and perceived benefit (b=0.84; SE=0.18; p<0.001). Cadre’s ability in the management of pregnancy risk factors was affected by attitude (b= 0.54; SE= 0.12; p<0.001), experience (b= 0.18; SE= 0.10; p= 0.079), motivation (b=0.36; SE=0.15; p=0.014), compensation (b=0.64; SE=0.20; p=0.001), supervision (b = 0.36; (b= 0.49; SE = 0.18; p= 0.008), and early detection of pregnancy risk factors (b= 0.29; SE= 0.05; p<0.001).Conclusion: Cadre’s ability in early detection of pregnancy risk factors is affected by attitude, experience, motivation, compensation, workload, education and training, supervision, perceived seriousness, and perceived benefit. Cadre’s ability in the management of pregnancy risk factors is affected by attitude, experience, motivation, compensation, supervision, and early detection of pregnancy risk factorsKeywords: health cadres, early detection, management, pregnancy risk factors, path analysisCorrespondence: Istri Yuliani. Doctoral Program in Community Development/Empowerment, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: istriyuliani1@­gmail.­com. Mobile: 08122796697Journal of Health Policy and Management (2019), 4(1): 47-58https://doi.org/10.26911/thejhpm.2019.04.01.06
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
Social Capital Role on Pregnant Woman Health in Klaten, Central Java Sri Panuntun; Ravik Karsidi; Bhisma Murti; Muhammad Akhyar
Journal of Health Policy and Management Vol. 4 No. 1 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Maternal class, partnership with traditional birth attendant (TBA), and maternity waiting home are health community empowerment programs in North Klaten Subdistrict, Central Java, seem to be partial, even though they involve the same parties and the same goal to improve the health of pregnant women. The purpose of this study was to explore social capital role on pregnant woman health in Klaten, Central Java.Subjects and Method: This was a qualitative study with a case study design in North Klaten Sub-district, Klaten, Central Java. The data were collected by in-depth interview, observation, and document review.Results: This study shows that in order for a pregnancy health program to run effectively it requires the integration of information on the health of pregnant women and the development of pregnancy can reduce the risk of late three, namely late decision making, late bringing to health facilities, and late getting health services that can affect maternal mortality. As an effort to provide the best service to pregnant women in maternal class, partnership with TBA, and maternity waiting home programs requires a network of cooperation (interconnection) between all parties involved through social capital in accordance with the agreement supported by the village government. Conclusion: Maternal class, partnership with TBA, and maternity waiting home programs must run simultaneously to improve the health of pregnant women. social capital model is a model of collaboration between all parties involved in KBD, KIH and RTK through interconnection based on telephone and/or internet networks, so that information is exchanged about health conditions and the development of pregnancy.Keywords:  social capital, pregnant women, health, maternal classCorrespondence: Sri Panuntun. Doctoral Program in Health Promotion/Community Development, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: ichaku06@yahoo.com.Journal of Health Policy and Management (2019): 4(1): 59-66https://doi.org/10.26911/thejhpm.2019.04.01.07
Contextual Effect of Community Health Center on Patient Satisfaction of Health Care Service in Ngawi, East Java Hendra Dwi Kurniawan; Didik Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 4 No. 1 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Perceived patient satisfaction is an important component of health care quality. This study aimed to determine the effect of age, education, income, health financing, quality of health care service, and the contextual effect of community health center on patient satisfaction. Subjects and Method: This was a cross-sectional study conducted in 25 community health centers in Ngawi, East Java, from October to November 2018. A sample of 200 patients was selected by stratified random sampling. The dependent variable was patient satisfaction. The independent variables were age, education, income, health insurance, and quality of health care service. The data were collected by questionnaire and analyzed by a multilevel logistic regression.Results: Age ≥35 years (b = 0.99; 95% CI= 0.17 to 1.81; p<0.019) and good quality of health care service (b= 1.68; 95% CI= 0.78 to 2.59; p<0.001) increased patient satisfaction. Education ≥senior high school (b= -1.59; 95% CI= -2.49 to -0.68; p<0.001), income ≥Rp 1,569,832 (b= -1.32; 95% CI= -2.25 to -038; p<0.006), and membership of national health insurance (b= -1.55; 95% CI= -2.47 to-0.63; p< 0.001) decreased patient satisfaction. Community health center had contextual effect on patient satisfaction with ICC= 13.03%.Conclusion: Age ≥35 years and a good quality of health care service increase patient satisfaction. Education ≥senior high school, high income, and membership in national health insurance decrease patient satisfaction. The community health center has a contextual effect on patient satisfaction.Keywords: patient satisfaction, community health center, multilevel analysisCorrespondence: Hendra Dwi Kurniawan. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: hendradeeka@gmail.comJournal of Health Policy and Management (2019), 4(1): 23-30https://doi.org/10.26911/thejhpm.2019.04.01.03
Multilevel Analysis on the Effect of Marketing Mix Strategy toward Patient Satisfaction in Magelang, Central Java Lu’luatul Fuad; Didik Tamtomo; Endang Sutisna Sulaeman
Journal of Health Policy and Management Vol. 4 No. 1 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Hospital marketing is becoming increasingly competitive all over the world. The marketing mix strategy is considered one of the core concepts of marketing theory. This study aimed to examine the effect of marketing mix strategy toward patient satisfaction in Magelang, Central Java.Subjects and Method: A cross sectional study was conducted at Magelang Hospital, Central Java, in December 2018. A sample of 200 patients was selected by simple random sampling.  The dependent variable was patient satisfaction. The independent variables were product, price, place, promotion, process, people, physical appearance, and ward. The data were collected by question­naire and analyzed by multilevel multiple logistic regression.Results: Patient satisfaction increased with good product (b= 3.42; 95% CI= 0.76 to 2.81; p<0.001), low price (b= 1.92; 95% CI= -0.05 to 1.70; p= 0.054), right place (b= 2.41; 95% CI= 0.19 to 1.92; p= 0.016), attractive promotion (b= 2.92; 95% CI= 0.43 to 2.19; p= 0.004), people (b= 1.91; 95% CI= -0.24 to 1.75; p= 0.057), good physical appearance (b= 2.42; 95% CI= 0.20 to 1.97; p= 0.015), and sound process (b= 2.07; 95% CI= 0.45 to 1.72; p= 0.039). Ward had a considerable contextual effect on patient satisfaction with ICC= 14.65%.Conclusion: Patient satisfaction increases with good product, low price, right place, attractive promotion, people, good physical appearance, and sound process. Ward has a considerable contex­tual effect on patient satisfaction.Keywords: marketing mix, patient satisfaction, hospital, multilevel analysisCorrespondence: Lu’luatul Fuad. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: afuadlulu@gmail.com. Mobile: +6285643702066.Journal of Health Policy and Management (2019), 4(1): 39-46https://doi.org/10.26911/thejhpm.2019.04.01.05
Linear Regression Analysis on Factors Affecting Health Surveillance Personnel Performance in Early Detection of Preeclampsia in Semarang, Central Java Zella Cahyandaru; Didik Tamtomo; RB Soemanto
Journal of Health Policy and Management Vol. 4 No. 1 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: Preeclampsia is a major cause of maternal death both globally and regionally. It can be prevented either through continuous surveillance and early detection activities. City Health Office in Semarang recruited health surveillance officers as an effort to reduce maternal mortality especially due to preeclampsia. The purpose of this study was to analyze factors associated with health surveillance personnel performance in the early detection of preeclampsia.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted in 26 community health centers in Semarang, from October to December 2018. A sample 148 health surveillance personnels was selected by exhaustive sampling. The dependent variable was health surveillance personnels performance. The independent variables were age, work motivation, work stress, job satisfaction, leadership style, and supervision. The data were collected by questionnaire and analyzed by a multiple linear regression.Results: Health surveillance personnel’s performance in early detection of preeclampsia was positively associated with strong work motivation (b= 0.12; 95% CI= 0.07 to 0.16; p<0.001), low work stress (b= 0.08; 95% CI= -0.01 to 0.15; p= 0.058), work satisfaction (b= 0.10; 95% CI= 0.05 to 0.15; p<0.001), leadership style (b= 0.23; 95% CI= 0.10 to 0.37; p= 0.001), and good supervision (b= 0.31; 95% CI= 0.18 to 0.45; p<0.001). Health surveillance personnel’s performance was negatively associated with older age (b= -0.08; 95% CI= -0.16 to 0.01; p= 0.050).Conclusions: Health surveillance personnel performance in early detection of preeclampsia is positively associated with strong work motivation, low work stress, work satisfaction, leadership style, and good supervision. Performance is negatively associated with older age.Keywords: early detection, preeclampsia, performance, health surveillance personnelCorrespondence: Zella Cahyandaru. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: zellacahyandaru@gmail.com. Mobile: +6287832622469.Journal of Health Policy and Management (2019), 4(1): 13-22https://doi.org/10.26911/thejhpm.2019.04.01.02
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

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