Pub Date : 2023-06-22DOI: 10.20473/ijha.v11i1.2023.107-119
Haifa Pasca Nadira Suar
Background: In the era of the COVID-19 pandemic, one of the social protections in Indonesia that still requires special attention is the protection of public health. Aims: This study aims to analyze the principles of social protection in the Social Security Agency for Health (BPJS Kesehatan) and the implementation of inclusive health services in Indonesia Military Hospital. Methods: This study used a qualitative approach by conducting in-depth interviews and made direct observations for one month by observing the processes and phenomena that occurred at the dr. Esnawan Antariksa Air Force Hospital as a case study. Results: The root cause of social exclusion in health services in military institutions was an aspect of the inherent hierarchy that caused exclusion in the income dimension triggered by socioeconomic level, status, and background of patients so that patients did not get the same rights in obtaining health services. Conclusion: Implementing social protection through BPJS Kesehatan in military-based hospitals caused patients with specific groups to experience layered exclusion. Patients who wanted to receive healthcare at military hospitals had differences in the stages of receiving them. However, the quality of medical services doctors and other health workers provided were not discriminatory. Keywords: BPJS kesehatan, health services, military hospital, social exclusion, social protection
{"title":"SOCIAL EXCLUSION IN INDONESIA MILITARY HOSPITAL","authors":"Haifa Pasca Nadira Suar","doi":"10.20473/ijha.v11i1.2023.107-119","DOIUrl":"https://doi.org/10.20473/ijha.v11i1.2023.107-119","url":null,"abstract":"Background: In the era of the COVID-19 pandemic, one of the social protections in Indonesia that still requires special attention is the protection of public health.\u0000Aims: This study aims to analyze the principles of social protection in the Social Security Agency for Health (BPJS Kesehatan) and the implementation of inclusive health services in Indonesia Military Hospital.\u0000Methods: This study used a qualitative approach by conducting in-depth interviews and made direct observations for one month by observing the processes and phenomena that occurred at the dr. Esnawan Antariksa Air Force Hospital as a case study.\u0000Results: The root cause of social exclusion in health services in military institutions was an aspect of the inherent hierarchy that caused exclusion in the income dimension triggered by socioeconomic level, status, and background of patients so that patients did not get the same rights in obtaining health services.\u0000Conclusion: Implementing social protection through BPJS Kesehatan in military-based hospitals caused patients with specific groups to experience layered exclusion. Patients who wanted to receive healthcare at military hospitals had differences in the stages of receiving them. However, the quality of medical services doctors and other health workers provided were not discriminatory.\u0000Keywords: BPJS kesehatan, health services, military hospital, social exclusion, social protection","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49502431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-19DOI: 10.20473/jaki.v11i1.2023.81-92
Ratna Dwi Wulandari, Agung Dwi Laksono, Ratu Matahari, Nikmatur Rohmah
Introduction: Home delivery increases the chance of maternal death. Aims: The study examines suitable targets for developing policies to reduce home births. Methods: This cross-sectional study analyzed 15,357 mothers through stratification and multistage random sampling, including 13 independent variables: age, education, employment, marital, parity, insurance, knowledge of pregnancy danger signs, antenatal care (ANC), residence, the autonomy of health and family finance, household head sex, and wealth. We examined the data using binary logistic regression. Results: About 23.8% of mothers deliver at home. Older age, higher education, primiparous, insured, knowing the pregnancy danger signs, living in an urban area, and doing ANC ≥4 times were protective factors to not home delivery. Being employed, married, having a male household head, and being poor were risk factors for home delivery. Mothers without health autonomy are less likely to deliver at home than those with health autonomy. Mothers with family finance autonomy are 1.239 times more likely than those without to give home birth. Conclusion: The target to reduce home deliveries: young, low education, employed, married or divorced/widowed, having many children, uninsured, do not know pregnancy danger signs, doing ANC <4 times, living in a rural area, have no health autonomy, have no family finance autonomy, having a male household head, and poor. Keywords: big data, home delivery, maternal health, maternity care, population health, public health.
{"title":"POLICIES TO REDUCE HOME DELIVERY IN INDONESIA: WHO SHOULD BE THE TARGET?","authors":"Ratna Dwi Wulandari, Agung Dwi Laksono, Ratu Matahari, Nikmatur Rohmah","doi":"10.20473/jaki.v11i1.2023.81-92","DOIUrl":"https://doi.org/10.20473/jaki.v11i1.2023.81-92","url":null,"abstract":"Introduction: Home delivery increases the chance of maternal death. Aims: The study examines suitable targets for developing policies to reduce home births. Methods: This cross-sectional study analyzed 15,357 mothers through stratification and multistage random sampling, including 13 independent variables: age, education, employment, marital, parity, insurance, knowledge of pregnancy danger signs, antenatal care (ANC), residence, the autonomy of health and family finance, household head sex, and wealth. We examined the data using binary logistic regression. Results: About 23.8% of mothers deliver at home. Older age, higher education, primiparous, insured, knowing the pregnancy danger signs, living in an urban area, and doing ANC ≥4 times were protective factors to not home delivery. Being employed, married, having a male household head, and being poor were risk factors for home delivery. Mothers without health autonomy are less likely to deliver at home than those with health autonomy. Mothers with family finance autonomy are 1.239 times more likely than those without to give home birth. Conclusion: The target to reduce home deliveries: young, low education, employed, married or divorced/widowed, having many children, uninsured, do not know pregnancy danger signs, doing ANC <4 times, living in a rural area, have no health autonomy, have no family finance autonomy, having a male household head, and poor. Keywords: big data, home delivery, maternal health, maternity care, population health, public health.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135421070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-19DOI: 10.20473/ijha.v11i1.2023.81-92
R. Wulandari, A. Laksono, Ratu Matahari, Nikmatur Rohmah
Introduction: Home delivery increases the chance of maternal death. Aims: The study examines suitable targets for developing policies to reduce home births. Methods: This cross-sectional study analyzed 15,357 mothers through stratification and multistage random sampling, including 13 independent variables: age, education, employment, marital, parity, insurance, knowledge of pregnancy danger signs, antenatal care (ANC), residence, the autonomy of health and family finance, household head sex, and wealth. We examined the data using binary logistic regression. Results: About 23.8% of mothers deliver at home. Older age, higher education, primiparous, insured, knowing the pregnancy danger signs, living in an urban area, and doing ANC ≥4 times were protective factors to not home delivery. Being employed, married, having a male household head, and being poor were risk factors for home delivery. Mothers without health autonomy are less likely to deliver at home than those with health autonomy. Mothers with family finance autonomy are 1.239 times more likely than those without to give home birth. Conclusion: The target to reduce home deliveries: young, low education, employed, married or divorced/widowed, having many children, uninsured, do not know pregnancy danger signs, doing ANC <4 times, living in a rural area, have no health autonomy, have no family finance autonomy, having a male household head, and poor. Keywords: big data, home delivery, maternal health, maternity care, population health, public health.
{"title":"POLICIES TO REDUCE HOME DELIVERY IN INDONESIA: WHO SHOULD BE THE TARGET?","authors":"R. Wulandari, A. Laksono, Ratu Matahari, Nikmatur Rohmah","doi":"10.20473/ijha.v11i1.2023.81-92","DOIUrl":"https://doi.org/10.20473/ijha.v11i1.2023.81-92","url":null,"abstract":"Introduction: Home delivery increases the chance of maternal death.\u0000Aims: The study examines suitable targets for developing policies to reduce home births.\u0000Methods: This cross-sectional study analyzed 15,357 mothers through stratification and multistage random sampling, including 13 independent variables: age, education, employment, marital, parity, insurance, knowledge of pregnancy danger signs, antenatal care (ANC), residence, the autonomy of health and family finance, household head sex, and wealth. We examined the data using binary logistic regression.\u0000Results: About 23.8% of mothers deliver at home. Older age, higher education, primiparous, insured, knowing the pregnancy danger signs, living in an urban area, and doing ANC ≥4 times were protective factors to not home delivery. Being employed, married, having a male household head, and being poor were risk factors for home delivery. Mothers without health autonomy are less likely to deliver at home than those with health autonomy. Mothers with family finance autonomy are 1.239 times more likely than those without to give home birth.\u0000Conclusion: The target to reduce home deliveries: young, low education, employed, married or divorced/widowed, having many children, uninsured, do not know pregnancy danger signs, doing ANC <4 times, living in a rural area, have no health autonomy, have no family finance autonomy, having a male household head, and poor.\u0000Keywords: big data, home delivery, maternal health, maternity care, population health, public health.","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44168620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-16DOI: 10.20473/ijha.v11i1.2023.67-80
E. Listiowati, A. Sjaaf, A. Achadi, A. Bachtiar, M. Arini
Background: Patient safety (PS) is a global priority for achieving quality healthcare. Although patient engagement (PE) is a crucial risk-reduction strategy, research on this subject in Indonesia is scarce. Aim: This study aims to explore healthcare recipients’ (HCRs’) perspectives and their potential role in PS. Methods: Exploratory qualitative research was conducted with in-depth interviews (IDIs). This study purposively selected fourteen patients and fifteen caretakers in chronic wards. Content analysis was subjected to the IDIs data that has been transcribed verbatim. Results: HCRs showed inadequate knowledge, perception, and willingness to engage in patient safety. Four themes were identified from data analysis: (1) complexity barriers to PE Implementation; (2) enabling factors for PE; (3) HCRs' expectations; and (4) existing and potential HCRs' roles in PS. HCRs' roles were still limited to communication, positive attitude and behavior, aided healthcare process, and error prevention. Conclusion: The limited roles of HCRs resulted from their unreadiness to participate more in PS. For patients to be engaged in safety measures, it was essential to improve the ability of patients and caregivers and eliminate obstacles encountered by healthcare professionals and the broader health system. Keywords: patient engagement, patient safety, quality healthcare
{"title":"ENGAGING PATIENTS FOR PATIENT SAFETY: A QUALITATIVE STUDY ON HEALTHCARE RECIPIENTS’ PERSPECTIVES","authors":"E. Listiowati, A. Sjaaf, A. Achadi, A. Bachtiar, M. Arini","doi":"10.20473/ijha.v11i1.2023.67-80","DOIUrl":"https://doi.org/10.20473/ijha.v11i1.2023.67-80","url":null,"abstract":"Background: Patient safety (PS) is a global priority for achieving quality healthcare. Although patient engagement (PE) is a crucial risk-reduction strategy, research on this subject in Indonesia is scarce.\u0000Aim: This study aims to explore healthcare recipients’ (HCRs’) perspectives and their potential role in PS.\u0000Methods: Exploratory qualitative research was conducted with in-depth interviews (IDIs). This study purposively selected fourteen patients and fifteen caretakers in chronic wards. Content analysis was subjected to the IDIs data that has been transcribed verbatim.\u0000Results: HCRs showed inadequate knowledge, perception, and willingness to engage in patient safety. Four themes were identified from data analysis: (1) complexity barriers to PE Implementation; (2) enabling factors for PE; (3) HCRs' expectations; and (4) existing and potential HCRs' roles in PS. HCRs' roles were still limited to communication, positive attitude and behavior, aided healthcare process, and error prevention.\u0000Conclusion: The limited roles of HCRs resulted from their unreadiness to participate more in PS. For patients to be engaged in safety measures, it was essential to improve the ability of patients and caregivers and eliminate obstacles encountered by healthcare professionals and the broader health system.\u0000Keywords: patient engagement, patient safety, quality healthcare","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44885012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Patient safety (PS) is a global priority for achieving quality healthcare. Although patient engagement (PE) is a crucial risk-reduction strategy, research on this subject in Indonesia is scarce. Aim: This study aims to explore healthcare recipients’ (HCRs’) perspectives and their potential role in PS. Methods: Exploratory qualitative research was conducted with in-depth interviews (IDIs). This study purposively selected fourteen patients and fifteen caretakers in chronic wards. Content analysis was subjected to the IDIs data that has been transcribed verbatim. Results: HCRs showed inadequate knowledge, perception, and willingness to engage in patient safety. Four themes were identified from data analysis: (1) complexity barriers to PE Implementation; (2) enabling factors for PE; (3) HCRs' expectations; and (4) existing and potential HCRs' roles in PS. HCRs' roles were still limited to communication, positive attitude and behavior, aided healthcare process, and error prevention. Conclusion: The limited roles of HCRs resulted from their unreadiness to participate more in PS. For patients to be engaged in safety measures, it was essential to improve the ability of patients and caregivers and eliminate obstacles encountered by healthcare professionals and the broader health system. Keywords: patient engagement, patient safety, quality healthcare
{"title":"ENGAGING PATIENTS FOR PATIENT SAFETY: A QUALITATIVE STUDY ON HEALTHCARE RECIPIENTS’ PERSPECTIVES","authors":"Ekorini Listiowati, Amal Chalik Sjaaf, Anhari Achadi, Adang Bachtiar, Merita Arini","doi":"10.20473/jaki.v11i1.2023.67-80","DOIUrl":"https://doi.org/10.20473/jaki.v11i1.2023.67-80","url":null,"abstract":"Background: Patient safety (PS) is a global priority for achieving quality healthcare. Although patient engagement (PE) is a crucial risk-reduction strategy, research on this subject in Indonesia is scarce. Aim: This study aims to explore healthcare recipients’ (HCRs’) perspectives and their potential role in PS. Methods: Exploratory qualitative research was conducted with in-depth interviews (IDIs). This study purposively selected fourteen patients and fifteen caretakers in chronic wards. Content analysis was subjected to the IDIs data that has been transcribed verbatim. Results: HCRs showed inadequate knowledge, perception, and willingness to engage in patient safety. Four themes were identified from data analysis: (1) complexity barriers to PE Implementation; (2) enabling factors for PE; (3) HCRs' expectations; and (4) existing and potential HCRs' roles in PS. HCRs' roles were still limited to communication, positive attitude and behavior, aided healthcare process, and error prevention. Conclusion: The limited roles of HCRs resulted from their unreadiness to participate more in PS. For patients to be engaged in safety measures, it was essential to improve the ability of patients and caregivers and eliminate obstacles encountered by healthcare professionals and the broader health system. Keywords: patient engagement, patient safety, quality healthcare","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135670844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-15DOI: 10.20473/ijha.v11i1.2023.167-182
M. Yusuf, R. Wulandari
Background: Job dissatisfaction in healthcare facilities can increase medical errors. In order to reduce the medical errors, hospitals must focus on employee job satisfaction. In this case, both stress and burnout can lower job satisfaction. Aims: This research was conducted to analyze the internal factors that affect the level of job satisfaction of employees in health facilities. Methods: The method applied is the PRISMA framework, which consists of five stages, namely eligibility criteria, information sources, study selection, data collection process, and data items. Results: Systematic review was done on 34 quantitative studies about the factors that influence job satisfaction. Based on the review, the internal factors known are demographic and personal factors. In this case, demographic factors mostly do not affect employee job satisfaction, one of which is salary. Meanwhile, the most researched personal factor and the biggest influence is burnout. Conclusion: Based on the systematic review, it is known that the internal factors affecting employees’ job satisfaction include demographic and personal factors. The demographic factor that has a significant effect is salary, while the most researched individual factor is burnout. Working in the health sector requires caution so as not to cause medical errors. Health workers who experience burnout are at risk of causing medical errors. For that we need a strategy to overcome burnout so as to increase job satisfaction. Keywords: burnout, healthcare, internal factor, job satisfaction, PRISMA
{"title":"THE INFLUENCE OF INTERNAL FACTORS ON JOB SATISFACTION IN HEALTHCARE SETTINGS","authors":"M. Yusuf, R. Wulandari","doi":"10.20473/ijha.v11i1.2023.167-182","DOIUrl":"https://doi.org/10.20473/ijha.v11i1.2023.167-182","url":null,"abstract":"Background: Job dissatisfaction in healthcare facilities can increase medical errors. In order to reduce the medical errors, hospitals must focus on employee job satisfaction. In this case, both stress and burnout can lower job satisfaction.\u0000Aims: This research was conducted to analyze the internal factors that affect the level of job satisfaction of employees in health facilities.\u0000Methods: The method applied is the PRISMA framework, which consists of five stages, namely eligibility criteria, information sources, study selection, data collection process, and data items.\u0000Results: Systematic review was done on 34 quantitative studies about the factors that influence job satisfaction. Based on the review, the internal factors known are demographic and personal factors. In this case, demographic factors mostly do not affect employee job satisfaction, one of which is salary. Meanwhile, the most researched personal factor and the biggest influence is burnout.\u0000Conclusion: Based on the systematic review, it is known that the internal factors affecting employees’ job satisfaction include demographic and personal factors. The demographic factor that has a significant effect is salary, while the most researched individual factor is burnout. Working in the health sector requires caution so as not to cause medical errors. Health workers who experience burnout are at risk of causing medical errors. For that we need a strategy to overcome burnout so as to increase job satisfaction.\u0000Keywords: burnout, healthcare, internal factor, job satisfaction, PRISMA","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45137547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-15DOI: 10.20473/ijha.v11i1.2023.26-35
M. Ipa, Yuneu Yuliasih, E. Astuti, A. Laksono, W. Ridwan
Background: Convergence is a comprehensive integrated and coordinated activity to accelerate stunting reduction. Aims: This exploratory qualitative study analyzed the roles of stakeholders in stunting management. Methods: This study was conducted in Garut District from April to July 2021. Key informants including policymakers across programs were selected from the district, sub-district, and village levels. All of them were interviewed, and the interview data were processed with content analysis techniques and presented descriptively. Results: Stakeholders had roles in the implementation of stunting handling programs as seen in the four quadrants indicated by vertical (interest) and horizontal (influence) lines. The Head of the District and the Deputy of the Head District had the most contribution and influence on the program's success. District-level government institutions (i.e., the DHO, Regional Planning and Development Agency, DPMD, PPKBP3A and PUPR) in Quadrant II are critical. Others can be found in Quadrant III for provincial and district institutions (medium category). The sub-district, community leaders, and cadres (Quadrant IV) all significantly contributed to the program’s success. Conclusion: Policymaker participation is acknowledged as a major concern in developing health policies. It is important to clearly outline the roles of stakeholders to promote their involvement actively, especially of local stakeholders that need to be advocacy-oriented in stunting management. Keywords: Policy, Stakeholder, Stunting
{"title":"STAKEHOLDERS' ROLE IN THE IMPLEMENTATION OF STUNTING MANAGEMENT POLICIES IN GARUT REGENCY","authors":"M. Ipa, Yuneu Yuliasih, E. Astuti, A. Laksono, W. Ridwan","doi":"10.20473/ijha.v11i1.2023.26-35","DOIUrl":"https://doi.org/10.20473/ijha.v11i1.2023.26-35","url":null,"abstract":"Background: Convergence is a comprehensive integrated and coordinated activity to accelerate stunting reduction.\u0000Aims: This exploratory qualitative study analyzed the roles of stakeholders in stunting management.\u0000Methods: This study was conducted in Garut District from April to July 2021. Key informants including policymakers across programs were selected from the district, sub-district, and village levels. All of them were interviewed, and the interview data were processed with content analysis techniques and presented descriptively.\u0000Results: Stakeholders had roles in the implementation of stunting handling programs as seen in the four quadrants indicated by vertical (interest) and horizontal (influence) lines. The Head of the District and the Deputy of the Head District had the most contribution and influence on the program's success. District-level government institutions (i.e., the DHO, Regional Planning and Development Agency, DPMD, PPKBP3A and PUPR) in Quadrant II are critical. Others can be found in Quadrant III for provincial and district institutions (medium category). The sub-district, community leaders, and cadres (Quadrant IV) all significantly contributed to the program’s success.\u0000Conclusion: Policymaker participation is acknowledged as a major concern in developing health policies. It is important to clearly outline the roles of stakeholders to promote their involvement actively, especially of local stakeholders that need to be advocacy-oriented in stunting management.\u0000Keywords: Policy, Stakeholder, Stunting","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46516606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-15DOI: 10.20473/jaki.v11i1.2023.26-35
Mara Ipa, Yuneu Yuliasih, Endang Puji Astuti, Agung Dwi Laksono, Wawan Ridwan
Background: Convergence is a comprehensive integrated and coordinated activity to accelerate stunting reduction. Aims: This exploratory qualitative study analyzed the roles of stakeholders in stunting management. Methods: This study was conducted in Garut District from April to July 2021. Key informants including policymakers across programs were selected from the district, sub-district, and village levels. All of them were interviewed, and the interview data were processed with content analysis techniques and presented descriptively. Results: Stakeholders had roles in the implementation of stunting handling programs as seen in the four quadrants indicated by vertical (interest) and horizontal (influence) lines. The Head of the District and the Deputy of the Head District had the most contribution and influence on the program's success. District-level government institutions (i.e., the DHO, Regional Planning and Development Agency, DPMD, PPKBP3A and PUPR) in Quadrant II are critical. Others can be found in Quadrant III for provincial and district institutions (medium category). The sub-district, community leaders, and cadres (Quadrant IV) all significantly contributed to the program’s success. Conclusion: Policymaker participation is acknowledged as a major concern in developing health policies. It is important to clearly outline the roles of stakeholders to promote their involvement actively, especially of local stakeholders that need to be advocacy-oriented in stunting management. Keywords: Policy, Stakeholder, Stunting
{"title":"STAKEHOLDERS' ROLE IN THE IMPLEMENTATION OF STUNTING MANAGEMENT POLICIES IN GARUT REGENCY","authors":"Mara Ipa, Yuneu Yuliasih, Endang Puji Astuti, Agung Dwi Laksono, Wawan Ridwan","doi":"10.20473/jaki.v11i1.2023.26-35","DOIUrl":"https://doi.org/10.20473/jaki.v11i1.2023.26-35","url":null,"abstract":"Background: Convergence is a comprehensive integrated and coordinated activity to accelerate stunting reduction. Aims: This exploratory qualitative study analyzed the roles of stakeholders in stunting management. Methods: This study was conducted in Garut District from April to July 2021. Key informants including policymakers across programs were selected from the district, sub-district, and village levels. All of them were interviewed, and the interview data were processed with content analysis techniques and presented descriptively. Results: Stakeholders had roles in the implementation of stunting handling programs as seen in the four quadrants indicated by vertical (interest) and horizontal (influence) lines. The Head of the District and the Deputy of the Head District had the most contribution and influence on the program's success. District-level government institutions (i.e., the DHO, Regional Planning and Development Agency, DPMD, PPKBP3A and PUPR) in Quadrant II are critical. Others can be found in Quadrant III for provincial and district institutions (medium category). The sub-district, community leaders, and cadres (Quadrant IV) all significantly contributed to the program’s success. Conclusion: Policymaker participation is acknowledged as a major concern in developing health policies. It is important to clearly outline the roles of stakeholders to promote their involvement actively, especially of local stakeholders that need to be advocacy-oriented in stunting management. Keywords: Policy, Stakeholder, Stunting","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"219 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135860257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-15DOI: 10.20473/jaki.v11i1.2023.167-182
Moh Yusuf, Ratna Dwi Wulandari
Background: Job dissatisfaction in healthcare facilities can increase medical errors. In order to reduce the medical errors, hospitals must focus on employee job satisfaction. In this case, both stress and burnout can lower job satisfaction. Aims: This research was conducted to analyze the internal factors that affect the level of job satisfaction of employees in health facilities. Methods: The method applied is the PRISMA framework, which consists of five stages, namely eligibility criteria, information sources, study selection, data collection process, and data items. Results: Systematic review was done on 34 quantitative studies about the factors that influence job satisfaction. Based on the review, the internal factors known are demographic and personal factors. In this case, demographic factors mostly do not affect employee job satisfaction, one of which is salary. Meanwhile, the most researched personal factor and the biggest influence is burnout. Conclusion: Based on the systematic review, it is known that the internal factors affecting employees’ job satisfaction include demographic and personal factors. The demographic factor that has a significant effect is salary, while the most researched individual factor is burnout. Working in the health sector requires caution so as not to cause medical errors. Health workers who experience burnout are at risk of causing medical errors. For that we need a strategy to overcome burnout so as to increase job satisfaction. Keywords: burnout, healthcare, internal factor, job satisfaction, PRISMA
{"title":"THE INFLUENCE OF INTERNAL FACTORS ON JOB SATISFACTION IN HEALTHCARE SETTINGS","authors":"Moh Yusuf, Ratna Dwi Wulandari","doi":"10.20473/jaki.v11i1.2023.167-182","DOIUrl":"https://doi.org/10.20473/jaki.v11i1.2023.167-182","url":null,"abstract":"Background: Job dissatisfaction in healthcare facilities can increase medical errors. In order to reduce the medical errors, hospitals must focus on employee job satisfaction. In this case, both stress and burnout can lower job satisfaction. Aims: This research was conducted to analyze the internal factors that affect the level of job satisfaction of employees in health facilities. Methods: The method applied is the PRISMA framework, which consists of five stages, namely eligibility criteria, information sources, study selection, data collection process, and data items. Results: Systematic review was done on 34 quantitative studies about the factors that influence job satisfaction. Based on the review, the internal factors known are demographic and personal factors. In this case, demographic factors mostly do not affect employee job satisfaction, one of which is salary. Meanwhile, the most researched personal factor and the biggest influence is burnout. Conclusion: Based on the systematic review, it is known that the internal factors affecting employees’ job satisfaction include demographic and personal factors. The demographic factor that has a significant effect is salary, while the most researched individual factor is burnout. Working in the health sector requires caution so as not to cause medical errors. Health workers who experience burnout are at risk of causing medical errors. For that we need a strategy to overcome burnout so as to increase job satisfaction. Keywords: burnout, healthcare, internal factor, job satisfaction, PRISMA","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135860256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-04DOI: 10.20473/ijha.v11i1.2023.36-47
A. Erlando, Kemala Sari Agusti, Andre Pupung Darmawan, Hanif Amarullah
Background: Vaccinations are considered to be most effective solution to end a pandemic. Various issues develop inclusively regarding doubts about vaccines, which can be formed by various factors, such as social and cultural environment. Aims: This study aims to analyze factors that affect willingness to accept (WTA) COVID-19 vaccine in four dominant cultural areas in East Java (Arek, Madura, Mataraman and Pandalungan) and analyze what factors influence satisfaction of vaccination. Methods: This is quantitative research which analyzes 825 participants (40% men; 60% women). By using primary data the probit regression method is applied. We use dummy variables of WTA and level of satisfaction as dependent variables, while the independent variables include economic, health, socio-demographic and internal-external factors of vaccination program. Results: This research showed different results in each cultural area; WTA of vaccines was influenced by income, assets, employment, health, education, gender, and age, while satisfaction with vaccines is associated with side effects, type of vaccine, and time of service (AOR: 0.31 to 0.56, αlpha: 1%-10%). Conclusion: This study concludes that people of Arek and Mataraman tend to be willing and satisfied with vaccination, while Madura and Pandalungan show an opposite result due to lower accessibility, welfare, and culture. Keywords: COVID-19, East Java cultural areas, satisfaction, vaccine, willingness to accept
{"title":"WILLINGNESS TO ACCEPT AND SATISFACTION OF COVID-19 VACCINE IN EAST JAVA CULTURAL AREAS","authors":"A. Erlando, Kemala Sari Agusti, Andre Pupung Darmawan, Hanif Amarullah","doi":"10.20473/ijha.v11i1.2023.36-47","DOIUrl":"https://doi.org/10.20473/ijha.v11i1.2023.36-47","url":null,"abstract":"Background: Vaccinations are considered to be most effective solution to end a pandemic. Various issues develop inclusively regarding doubts about vaccines, which can be formed by various factors, such as social and cultural environment.\u0000Aims: This study aims to analyze factors that affect willingness to accept (WTA) COVID-19 vaccine in four dominant cultural areas in East Java (Arek, Madura, Mataraman and Pandalungan) and analyze what factors influence satisfaction of vaccination.\u0000Methods: This is quantitative research which analyzes 825 participants (40% men; 60% women). By using primary data the probit regression method is applied. We use dummy variables of WTA and level of satisfaction as dependent variables, while the independent variables include economic, health, socio-demographic and internal-external factors of vaccination program.\u0000Results: This research showed different results in each cultural area; WTA of vaccines was influenced by income, assets, employment, health, education, gender, and age, while satisfaction with vaccines is associated with side effects, type of vaccine, and time of service (AOR: 0.31 to 0.56, αlpha: 1%-10%).\u0000Conclusion: This study concludes that people of Arek and Mataraman tend to be willing and satisfied with vaccination, while Madura and Pandalungan show an opposite result due to lower accessibility, welfare, and culture.\u0000Keywords: COVID-19, East Java cultural areas, satisfaction, vaccine, willingness to accept","PeriodicalId":32968,"journal":{"name":"Jurnal Administrasi Kesehatan Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43071288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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