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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 82 Documents
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Do Places of Delivery Have Contextual Effect on the Perceived Quality of Intrapartum and Postpartum Services? A Multilevel Evidence from Kebumen, Central Java Helmi Nurlaili; Didik Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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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; Endang Sri Wahyuni; Hermawati Hermawati
Journal of Health Policy and Management Vol. 5 No. 1 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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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
A Comprehensive School-Based Nutrition Intervention to Improve the Implementation of Healthy School Canteen Policy: A Systematic Review Sarah At Tauhidah; Cicilya Candi; Adang Bachtiar
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: School-based nutrition intervent­ion is recommended as one of the public health strategies in supporting the development of healthy diet behaviour for school-age children. It is in line with Global Action Plan 2013-2020 of World Health Organization (WHO) in preventing and controlling double burden of disease as a consequence of non-communicable disease in the future. This study aims to identify the kind of comprehensive school-based nutrition inter­vention and analyze effectiveness of every study in improving policy implementation of healthy school canteen.Subjects and Method: This systematic review study was conducted from two electronic data­bases, namely Scopus and ProQuest with keywords of "school nutritional policy", "compre­hensive intervention", and "healthy canteen" to search relevant publication in English and have open access published from 2015 to 2020.Results: From total 1.367 of publications, 9 arti­cles meet inclusion criteria. Based on evaluation of those studies with comprehensive or multi-component intervention to healthy school canteen policy, the common elements show that regular monitoring and feedback with executive and community support can show improvement of school adherence to policy implementation.Conclusion: This study found that a compre­hensive school-based nutrition intervention was effective in improving the implementation of healthy school canteen policy.Keywords: nutrition intervention, healthy canteen, policy implementationCorrespondence: Sarah At Tauhidah. Health Policy and Adminis­tration Department, Faculty of Public Health, Universitas Indonesia. F Building 1st Floor, Kampus Baru UI Depok 16424, Indonesia. Email: Sarah.at@ui.ac.id.Journal of Health Policy and Management (2021), 06(01): 57-66https://doi.org/10.26911/thejhpm.2021.06.01.06 
Multilevel Analysis on the Association of Job Satisfaction and Organization Commitment with Performance of Family Planning Counsellor in Yogyakarta Ikhtiarisca Olifia Mufidatun; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Performance is an important thing in an organization's efforts to achieve the goals. To evaluate employees objectively, a su­per­­­vi­sor must be able to measure their per­for­man­ce le­vel. There are many job characteristics that emp­loyees consider, but a group of job cha­rac­te­ris­tics tends to be collectively eva­luat­ed in the same way. This study aimed to analy­ze the effect of job satisfaction and organiza­tional com­mit­ment on the employee per­for­man­ce of the Family Plan­ning Counselors in ­YogyakartaSubjects and Method: This study used a cross-sec­tional study. This study was conducted in the office of Family Planning Field Of­fi­cer (PKB), Yogyakarta, Central Java, from January to Feb­ru­a­ry, 2020. There were 200 employees as the samp­le of this study. The sample was collected using simple ran­dom sampling. The dependent vari­able was the performance of PKB emp­loye­es. The inde­pen­dent variables were job satis­fac­tion and organi­za­tio­nal com­mitment. The data we­re collected us­ing questionnaires. The data were analyzed using mul­tilevel analysis with Stata 13.Results: The performance of PKB employess in­­creas­ed with poor good job satisfaction (b=­2.36; 95%CI=1.49 to 3.22; p<0.001) and good or­gani­za­tional commitment (b=1.68; 95%­CI=0.89 to 2.47; p<0.001). PKB office had a con­textual effect on employee performance with ICC=10.75%.Conclusion: Job performance is affected by job satisfaction and orga­ni­za­tional com­mitment. PKB Office has a strong con­textual ef­fect on job performance.Keywords: employee performance, job satis­fac­­tion, organizational commitmentCorrespondence: Ikhtiarisca Olifia Mufidatun. Masters Program in Pub­lic Health, Universitas Sebelas Maret. Jl. Ir. Su­tami 36A, 57126, Surakarta, Central Java. Email: riscaolifia@gmail.com. Mobi­le: +6282­220030006Journal of Health Policy and Management (2020), 05(03): 197-203https://doi.org/10.26911/thejhpm.2020.05.03.05 
Path Analysis on Factors Affecting the Use of Hemodialysis in Patients Chronic Renal Disease at Dr. Soehadi Prijonegoro Hospital Sragen, Central Java Anisa Andriani; Didik Gunawan Tamtomo; Bhisma Murti
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Patient adherence can be influ­enced by several factors that can affect com­pli­ance with hemodialysis treatment. Adherence is highly treated while undergoing hemodialysis in order to achieve success in hemodialysis (HD) treatment. Adherence is one of the beha­viors of a person in achieving successful HD treatment. The success of a treatment can be influenced by several fac­tors, one of which is the use of HD. This study aimed to determine the effect of compliance with hemodialysis.Subjects and Method: The was an obser­vational analytic study with a cross-sectional design. The study was conducted in January 2020. The sample used was 120 chronic kid­ney failure patients undergoing hemodialysis at Dr. Soehadi Prijonegoro Sragen Hospital. The de­pendent variable was compliance with hemo­dialysis. The independent variables are: know­ledge, length of care, family income. Data were collected by means of a question­naire. Data analysis was performed using path analysis with Stata 13.Results: The use of HD in patients with chro­nic renal failure had a positive associa­tion with high HD knowledge (b= 1.22; 95% CI= 2.21 to -3.98; p= 0.027), length of stay (b= 2.09; 95% CI= 4.29 to 3.05; p<0.001), and has no positive relationship with family income (b = 0.40; 95% CI = 0.80 to 1.41; p = 0.426). The use of HD in patients with chro­nic renal failure is influenced indirectly by family income and length of treatment.Conclusion: The use of HD in chronic renal failure patients has a direct relationship with knowledge of HD and length of treatment, and has no direct relationship with family income. The use of HD in patients with chro­nic renal failure is influenced indirectly by family income and length of treatment.Keywords: hemodialysis, chronic renal failureCorrespondence: Anisa Andriani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Su­tami 36A, Surakarta 57126, Central Java. Email: andrianianisa390@gmail,com. Mo­bile: +6282220826660.Journal of Health Policy and Management (2021), 06(01): 13-20https://doi.org/10.26911/thejhpm.2021.06.01.02 
Contextual Effect of Community Health Center and Sosio-Demography Determinants on the Performance of Community Health Personnel in Karanganyar, Central Java Mujiran Mujiran; Setyo Sri Rahardjo; Bhisma Murti
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Community Health Center is a first-level health service facility that organizes public health efforts and individual health efforts. Good health service is supported by work performance of the health personnel. This study aimed to analyze the contextual effect of community health center and socio determi­nants on the work performance of health personnel.Subjects and Method: This was a cross sectional study conducted at Karanganyar com­munity health centers, in Karanganyar, Central Java, from October to November 2019. A sam­ple of 210 health workers was selected random­ly. The dependent variable was work perform­ance. The independent variables were age, edu­cation, tenure, distribution of services, work motivation, job skills, job satisfaction, health center accreditation status, and work environ­ment. Data were collected by question­naire and analyzed by a multilevel multiple logistic regression run on Stata 13.Results: Good work performance increased with age ≥38 years (b= 1.09; 95% CI= 0.19 to 1.99; p= 0.018), adequate service (b= 0.96; 95% CI= -0.28 to 2.19; p= 0.128), high motivation (b= 0.93; 95% CI= 0.09 to 1.77; p= 0.030), good job skills (b= 0.97; 95% CI= 0.06 to 1.88; p= 0.037), good job satisfaction (b= 0.92; 95% CI= 0.05 to 1.78; p= 0.037), and good working environment (b= 0.95; 95% CI= 0.11 to 1.80; p= 0.026). Good work performance decreased with education ≥Diploma III (b= -0.40; 95% CI= -1.67 to 0.87; p= 0.535) and tenure ≥3 years (b= -0.71; 95% CI= -1.79 to 0.37; p= 0.199). Community health center had strong contextual effect on work performance with ICC= 18.00%.Conclusion: Good work performance incre­ases with age ≥38 years, adequate service, high motivation, good job skills, good job satisfac­tion, and good working environment. Good work performance decreases with education ≥Diploma III and tenure ≥3 years. Community health center has strong contextual effect on work performanceKeywords: work performance, health work­ers, contextual effect, multilevel analysisJournal of Health Policy and Management (2020), 05(03): 162-173https://doi.org/10.26911/thejhpm.2020.05.03.01 
The Effectiveness of Learning Methods by Measuring Accuracy and Rationality in Prescription Writing by Medical Students Bagas Widiyanto; Muhamad Riza
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Writing prescriptions accurately and rationally is a competency that must be achieved by medical students during medical education. This capability includes detailed knowledge of the components of the recipe and details of the components of the drug. This study aims to determine the description of the prescription writing practicum learning method carried out in the Pharmacology section of Faculty of Medicine in Unissula.Subjects and Method: This research is a descriptive study by looking at the prettest and posttest values. It was conducted in March 2020. The subjects of this study were 159 students who were registered participants of the psychiatry module in semester 6 in the undergraduate medical education study program at Faculty of Medicine in Unissula. 159 students were randomly divided into 20 SGD (Small Group Discussion), batch 1 SGD 1-10 and SGD 11-20 in batch 2. Each batch carried out practicum for 100 minutes. The activity begins with a pretest / giving case scenarios, then the discussion and discussion session ends with a posttest. The data in this study are numerical data and analyzed descriptively.Results: The results of the study indicated that the improvement across categories and those assessed was both the detailed component of the recipe and the detail component of the drug. The detail component of the prescription had the highest score increase in the patient name category by 27% higher posttest than pretest. In the detail component of the prescription, there was the highest increase in the category of Sedian Medicine (BSO) by 20.7% and that was a higher posttest value when compared to the pretest value.Conclusion: Clinical-based special learning methods with small class discussions are needed in an effort to improve the ability to write prescriptions appropriately and rationally by adjusting the level of education years.Keywords: prescription, rational, medical studentCorrespondence: Bagas Widiyanto. Department of Pharmacolo­gy, Faculty of Medicine, Universitas Islam Sul­tan Agung. Jl. Raya Kaligawe KM. 4, Semarang 1054, Ccentral Java, Indonesia. Email: bagas­widiyanto@unissula.ac.idJournal of Health Policy and Management (2021), 06(01): 74-80https://doi.org/10.26911/thejhpm.2021.06.01.08
Contextual Effect of the Integrated Non-Communicable Disease Health Post on the Performance of Community Health Workers: A Multilevel Analysis Evidence from Karanganyar, Central Java Eka Siti Chasanah; Endang Sutisna Sulaeman; Setyo Sri Rahardjo
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Epidemiological transition is causing a shift from Communicable to Non­Communicable Diseases (NCD). NCD is a serious threat because it impacts decreasing productivity and increasing economic and social burdens for the community. The control of NCD risk factors in Indonesia is carried out by empowering the community through the Inte­grated Non­­-­­Com­municable Diseases Health Post (Posbindu NCD). One of the important factors determining the success of imple­menting Posbindu is the role of cadres. This study aims to analyze the factors that affect the performance of Posbindu cadres.Subjects and Method: This was an analytic obser­vational study with a cross-sectional design. The study was conducted in 25 posbindus in Karanganyar, Central Java, from February to April 2020. A sample of 200 cadres from 25 cadres was selected by stratified random sam­pling. The dependent variable was the perform­ance of the Pos­­bindu cadres. The independent variables were training, ability, length of em­ployment, motivation, the leader­­ship of the Posbindu chair­man, social network support and appreciation. Data were analyzed using multilevel logistic regression with Stata 13.Results: Job performance increa­sed with trai­ning (b= 1.75; 95% CI= 0.28 to 3.22; p= 0.019), good ability (b= 2.50; 95% CI= 0.95 to 4.04; p= 0.002)­, tenure ≥1 year (b= 1.99; 95% CI= 0.05 to 3.92; p= 0.044), strong moti­vation (b= 2.57; 95% CI= 1.25 to 3.89; p <0.001), good leadership of Posbindu chairman (b= 1.73; 95% CI= 0.44 to 3.03; p= 0.009), and strong social network support (b= 1.24; 95% CI= 0.14 to 2.34; p= 0.028). Incentive increased job performance, but it was statistically non-signi­ficant (b= 1.19; 95% CI= -0.35 to 2.73; p= 0.132). Posbindu had a strong contextual effect on job performance with an ICC of 62.73%.Conclusion: Job performance in­­creases with training, good abilities, tenure ≥1 year, strong moti­vation, good leadership of Posbindu chair­man, strong social network support, and appro­priate incentives. Posbindu has a strong con­textual effect on job perform­ance.Keywords: performance, cadre, non-communi­cable diseaseCorrespondence: Eka Siti Chasanah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ekas­c12@gmail.com. Mobile: +62­81329017587.Journal of Health Policy and Management (2020), 05(03): 204-214https://doi.org/10.26911/thejhpm.2020.05.03.06 
Path Analysis on Factors Affecting Job Performance of Midwives at Community Health Centers in Mojokerto, East Java Veterina Rizki Amalia; Hanung Prasetya; Bhisma Murti
Journal of Health Policy and Management Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Midwives play an important role in reducing maternal and neonatal mor­bidity and mortality. The performance of mid­wives is an important indicator to improve the quality of maternal and child health services. The purpose of this study was to analyze the factors that affect the performance of midwives.Subjects and Method: This cross-sectional study was conducted at a community health cen­ter in Mojokerto, East Java, from February to April 2020. A sample of 200 midwives was selec­ted by random sampling. The dependent va­riable was the performance of the midwife. The independent variables were age, income, workload, work motivation, perceived financial compensation, education, employment status, social support, and marital status. The perfor­man­ce of midwives was measured by the 6-DSNP. Other data were collected using a ques­tion­naire. Data were analyzed by path analysis using the Stata 13 application.Results:The performance of midwives increa­s­ed with age ≥ 42 years (b= 3.19; 95% CI= 1.62 to 4.75; p <0.001), family income ≥ 7 million (b= 3.03; 95% CI= 1.50 to 4.56; p <0.001 ), light workload (b= 2.66; 95% CI= 1.19 to 4.13; p <0.001), strong work motivation (b = 3.32; 95% CI= 1.60 to 5.04; p <0.001), sufficient per­ceived financial compensation (b = 3.96; 95% CI= 1.68 to 4.99; p <0.001). The performance of mid­wi­ves was indirectly affected by edu­ca­tion, em­ploy­­ment status, social support and marital sta­tus.Conclusion: Age, family income, workload, work motivation, and perceived financial com­pen­sation affect the performance of midwives.Keywords: performance, midwives, path analy­sisCorrespondence: Veterina Rizki Amalia. Masters Program in Public Health, Universitas Sebelas Maret.Jl. Ir. Su­tami 36A, Surakarta 57126, Central Java. Email: veterinarizki1@gmail.com. Mobile: +6281359016501.Journal of Health Policy and Management (2021), 06(01): 21-34https://doi.org/10.26911/thejhpm.2021.06.01.03 
Analysis of Patient Safety Management in the In-Patient Room at Deli Hospital, Medan, North Sumatera Tona Bontor Melkisedek Sinaga; Zulfendri Zulfendri; Juanita Juanita
Journal of Health Policy and Management Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Abstract

Background: Patient safety management means to reduce unnecessary risks and adverse events to the minimum possible level while providing health care. The application of pati­ent safety management had not been maximal in some hospitals. It can cause health problems for patients and health workers. This study aimed to analyze the patient safety manage­ment in the in-patient room at Deli Hospital, Medan, North Sumatera.Subjects and Method: This was a qualitative study conducted in February to July 2018. The three informants were consisted of the head of quality improvement and patient safety, the patient safety team, and the nursing committee at Deli Hospital, Medan, North Sumatera. The data were collected by in-depth interview and observation. The data were analyzed using data reduction, data presentation, and conclusion.Results: The role of hospital organization in implementing management patient safety in the in-patient care had not been maximized. The efforts of increasing the commit-ment of health workers, working environment condi­tion, facility, implementation of standard ope­rating procedure (SOP), and implementing Situation, Background, Assessment, and Re­commendation (SBAR), and implementing sanction, had not been maximize. Communi­ca­tion was not effective. The ability of health workers to perform patient safety had not been maximal as seen from the understanding of a poor safety system. Adverse event report was still of manual type. Number of fall accidents in 2018 was 2 cases.Conclusion: Patient safety management in the in-patient care has not been maximized. Patient safety management can be improved by implementing SOP, SBAR, and its sanctions. Keywords: management of patient safety, quality of service.Journal of Health Policy and Management (2020), 05(03): 180-188https://doi.org/10.26911/thejhpm.2020.05.03.03 

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