ANALISIS IMPLEMENTASI KEBIJAKAN JAMINAN PERSALINAN DALAM MENINGKATKAN CAKUPAN PERSALINAN TENAGA KESEHATAN DI KABUPATEN SITUBONDO TAHUN 2013

Abstract

Background:The policy of Maternity Benefit for the Uninsured
(Jampersal) is based on the philosophy to reduce maternal
mortality and infant. The Minister of Health Regulation number
2562/Menkes/Per/XII/2011 on A Maternity Benefit for the
Uninsured Persons’s Technical Guidelines ensures that the
government provides services to pregnant women with
antenatal care (ANC), parturition and post-parturition for free,
including the use of contraceptives post parturition.
Objective:To know the confidence’s level of pregnant women
in seeking help for parturition from the health provider, the
provider commitment to Jampersal policy, and Jampersal
socialization in the community.
Methods: Cross-sectional and purposive sampling are used
for descriptive analysis. Data collection is conducted with
interview using a questionnaire to 40 mothers and 40 midwives
in the district Situbondo. Data is also collected through
secondary data from the district health office Situbondo and
hospital.
Results: From the 40 respondents that had been interviewed,
92.5% ask for help to providers, but as much as 7.5% ask for
partus help from traditional birth attendants. In addition, the
Jampersal still charged costs to maternal care to as many as
12 people (30%). This is non-conforming to Jampersal policy
of giving free maternal care. In Jampersal implementation in
Situbondo, 50% of midwives have good commitment. While
27.5% showed medium commitment and the remaining 22.5%
is less committed. The magnitude of this commitment varies.
Respondents with the age of 30-39 years shows excellent
commitment ( 55%), and those who work for 1-9 years are
committed (50%). Socialization of Jampersal policy hasn’t been
optimal. Jampersal is still not known by all pregnant women
yet. The term “free treatment” is confused with the health card
policy.
Conclusion: There is a high trust level in pregnant women
who asks for partus help (92.5%). Commitment of provider in
running the Jampersal policy is still high. Jampersal socialization
hasn’t reached the optimal level because people still do not
understand the conditions of Jampersal.
Suggestion: Since birth delivery by the traditional birth attendants
is still common, the midwife should work with traditional
birth attendants in terms of infant care such as bathing, and
give incentives when collaborating in handling after partus.
There is a need to improve midwife skills in detecting the risk
of pregnancy and childbirth. Socialization Jampersal need to
involve community leaders, and religion leaders.
Keywords: Jampersal, pregnant women’ trust, Provider Commitment.