Cabaran penyedia perkhidmatan peneman mobiliti warga emas dalam aspek sumber manusia

Warga emas mengalami penurunan keupayaan mobiliti luar rumah akibat masalah kesihatan dan kurang sokongan keluarga akibat perubahan corak ekonomi. Industri peneman dapat mengisi masalah ini dengan menawarkan perkhidmatan peneman mobiliti. Walaubagaimanapun industri ini berhadapan dengan cabaran sumber manusia yang boleh merencatkan perkembangan corak pernigaan ini. Kajian ini bertujuan untuk meneroka cabaran penyedia perkhidmatan peneman mobiliti berbayar warga emas dalam aspek sumber manusia. Rekabentuk kajian ini menggunakan kaedah kualitatif dengan pendekatan fenomenologi. Lokasi kajian di sekitar Lembah Klang ini melibatkan tujuh orang informan yang terdiri daripada pengasas dan operator peneman. Hasil kajian mendapati bahawa terdapat dua cabaran dihadapi oleh penyedia perkhidmatan yang melibatkan isu-isu pekerja dan profession peneman iaitu kekurangan operator peneman, sukar merekrut pekerja, persekitaran kerja gig, isu kemahiran dan disiplin pekerja, risiko keselamatan dan imej profesion yang dipandang rendah. Kesimpulan kajian ini menunjukkan bahawa industri sokongan warga emas seperti peneman mengalami kekangan serius dalam mendapatkan sumber manusia yang mencukupi disamping isuisu lain. Implikasi kajian ini dapat membantu kerajaan dalam mengukuhkan dasar dan polisi sedia ada dalam memastikan bekalan sumber manusia yang mencukupi dan berkemahiran dalam bidang sokongan penjagaan warga emas jangka masa panjang

Care-seeking and health insurance among pregnancy-related deaths: A population-based study in Jember District, East Java Province, Indonesia

Background Despite the increased access to facility-based delivery in Indonesia, the country’s maternal mortality remains unacceptably high. Reducing maternal mortality requires a good understanding of the care-seeking pathways for maternal complications, especially with the government moving toward universal health coverage. This study examined care-seeking practices and health insurance in instances of pregnancy-related deaths in Jember District, East Java, Indonesia. Methods This was a community-based cross-sectional study to identify all pregnancy-related deaths in the district from January 2017 to December 2018. Follow-up verbal and social autopsy interviews were conducted to collect information on care-seeking behavior, health insurance, causes of death, and other factors. Findings Among 103 pregnancy-related deaths, 40% occurred after 24 hours postpartum, 36% during delivery or within the first 24 hours postpartum, and 24% occurred while pregnant. The leading causes of deaths were hemorrhage (38.8%), pregnancy-induced hypertension (20.4%), and sepsis (16.5%). Most deaths occurred in health facilities (81.6%), primarily hospitals (74.8%). Nearly all the deceased sought care from a formal health provider during their fatal illness (93.2%). Seeking any care from an informal provider during the fatal illness was more likely among women who died after 24 hours postpartum (41.0%, OR 7.4, 95% CI 1.9, 28.5, p = 0.049) or during pregnancy (29.2%, OR 4.4, 95% CI 1.0, 19.2, p = 0.003) than among those who died during delivery or within 24 hours postpartum (8.6%). There was no difference in care-seeking patterns between insured and uninsured groups. Conclusions The fact that women sought care and reached health facilities regardless of their insurance status provides opportunities to prevent deaths by ensuring that every woman receives timely and quality care. Accordingly, the increasing demand should be met with balanced readiness of both primary care and hospitals to provide quality care, supported by an effective referral system