Analisis Kesesuaian Standar Pelayanan Tempat Penitipan Anak (Tpa) Yayasan Buah Hati Sidoarjo Dengan Standar Nasional

This study is aimed to investigate service standard at daycare Yayasan Buah Hati (TPA YBH) and analyze the appropriateness of it to national service standard. This study applied case study to investigate the unit of analysis, that is service standard at TPA YBH by using four dimension of national service standard of daycare, they are: standard of child growth achievement, standard of infrastructure, management, and financing, standard of education personnels, standard of content, process, and evaluation. The data was collected by conducting in-depth interview, observation, and documentation. Then, all data was analyzed by implementing descriptive qualitative analysis. The result of this study shows that service standard at TPA YBH has included all dimension of national service standard of daycare in Indonesia. Yet, practically, TPA YBH implemented service standards of daycare in which have not fulfilling the national standard. For instance, in determining the maximum age of children, TPA YBH determined 9 years as maximum age that can be registered at TPA YBH; while national standard said that maximum age is 6 years old. In financing sector, TPA YBH has not used government subsidy, while in nation standard, a daycare can use government subsidy as the financial sources. Overall, TPA YBH has been fulfilled the national standard for the dimension standard of infrastructure and management, standard of education personals, standard of content, process, and evaluation

The feasibility of a role for community health workers in integrated mental health care for perinatal depression: a qualitative study from Surabaya, Indonesia.

BACKGROUND: Indonesian maternal health policies state that community health workers (CHWs) are responsible for detection and referral of pregnant women and postpartum mothers who might suffer from mental health problems (task-sharing). The documents have been published for a while, however reports on the implementation are hardly found which possibly resulted from feasibility issue within the health system. AIMS: To examine the feasibility of task-sharing in integrated mental health care to identify perinatal depression in Surabaya, Indonesia. METHODS: Semi-structured interviews were conducted with 62 participants representing four stakeholder groups in primary health care: program managers from the health office and the community, health workers and CHWs, mental health specialists, and service users. Questions on the feasibility were supported by vignettes about perinatal depression. WHO's health systems framework was applied to analyse the data using framework analysis. RESULTS: Findings indicated the policy initiative is feasible to the district health system. A strong basis within the health system for task-sharing in maternal mental health rests on health leadership and governance that open an opportunity for training and supervision, financing, and intersectoral collaboration. The infrastructure and resources in the city provide potential for a continuity of care. Nevertheless, feasibility is challenged by gaps between policy and practices, inadequate support system in technologies and information system, assigning the workforce and strategies to be applied, and the lack of practical guidelines to guide the implementation. CONCLUSION: The health system and resources in Surabaya provide opportunities for task-sharing to detect and refer cases of perinatal depression in an integrated mental health care system. Participation of informal workforce might facilitate in closing the gap in the provision of information on perinatal mental health