Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID
Abstract
Background: The Ministry of Health made a breakthrough
through delivery care scheme as one solution to reducing the
MMR and IMR called Jampersal. This policy is a delivery
assurance scheme intended for all pregnant women and new
mothers in Indonesia who are not covered by any insurance
yet. Delivery care assurance scheme consist prenatal care,
postnatal care including family planning postpartum and
newborn care. This program also applied in the special region
of Yogyakarta as one of the program in improving the health of
mothers and children. During the implementation in Yogyakarta,
the program still has some obstacles.
Objective: This study aimed to evaluate the delivery care
assurance policy in the province of Yogyakarta.
Methods: The research design used case study design. The
research was conducted in the province of Yogyakarta. which
The sampling technique used was stratified sampling. The unit
of analysis in this study is the health districts / municipalities,
general hospitals, health centers and private practice midwives
who administer Jampersal. Data collected by in-depth
interviews.
Results: The result of this research shows that there are
many problems in terms of input, process and output. In terms
of input, the problems are related to human resources, financial,
means and policy. In terms of process, the problems are related
to socialization, regulations of patient, process of claiming,
referral system and funding. In terms of output, the problem is
related to overcrowding, patient refusal, and complains from
the consumer.
Conclusion: This program is a good program for reduction of
infant and maternal mortality rates, but still needs some
improvement. Improvements are needed in terms of
strengthening cross-sector coordination, socialization of the
program should be optimized, stregthening the electronic-based
referral system, strengthening the commitment and motivation
of personnel and improvement of health infrastructures
