PENGGUNAAN SEPEDA MOTOR SEBAGAI AMBULAN KOMUNITAS DALAM RUJUKAN PELAYANAN: STUDI KASUS DI LOMBOK UTARA

https://doi.org/10.22146/jmpk.v15i01.2508

Shofan Ardianto(1*), Mubasysyir Hasanbasri(2), A Tudiono(3)

(1) 
(2) 
(3) 
(*) Corresponding Author

Abstract


Background: Community participation can be based on a spirit
of mutual trust and mutual assistance. Health services in rural
and remote areas may survive if they are based on social
networks and become part of community life. Conversely, poor
access to services happen if he only relies on the efforts of
the parties in reaching out to community health facilities. Cooperation
between the public and management of health facilities
could build a community that is the key to the success of
community based health services. Motorcycle can also serve
as an alternative income. Although the fund concerned, the
practice is voluntary and not burdensome. An important factor
of community health services is openness between primary
health care facilities with community organizations.This study
aims to assess the referral on a motorcycle as a social networking
community in the health services.
Method: This study is a case study that tries to show a
pattern of social networks in community based health services.
The subjects of this study is the Nipah Pustu officers,
officials of polindes Setangi and Malaka, motorcycles and the
people who use taxi services in the referral. The collection of
data were carried out with in-depth interviews and observation.
Result: This study shows that informal motorbike ambulance
which grows in the community can help increase visits to health
facilities. Acceptance of the motorcycle by the public and
health professionals make an impact on the economic conditions
of transportation service providers. Wide availability
throughout the hamlet, 24-hour service, low cost, helps in
taking care of patients’ health card are the unique features for
which many people use motorcycle service. Also important
is that motorcycles are also used by the clinic staff for delivery
of examination materials and referral of patients.
Conclusion: Motorcycle ambulance is an important community-
based resources that facilitate access to health care facility
in villages in remote areas.
Keywords: two-wheeled bicycle ambulance, community participation,
community based health services in remote.



References

1. Morgan LM. Community Participation in Health: Perpetual Allure, Persistent Challenge. Health Policy and Planning. 2001;16(3):221–30.

2. Anonym. Primary Health Care: Now More Than Ever. Geneva: World Health Organization; 2008.

3. Anonym. Regional Conference on Revitalizing Primary Health Care. New Delhi: World Health Organization SEARO; 2008.

4. Zakus D. Resource dependency and community participation in primary health care. Social Science & Medicine. 1998;46(4-5):475–94.

5. Roestam KS. Women’s impetus in community and health development. World Health Forum. 1994;15(1):16.

6. Haliman A, Williams G. Can people move bureaucratic mountains? Developing primary health care in rural Indonesia. Social Science & Medicine. 1983;17(19):1449–55.

7. Azhar TN, Hasanbasri M. Pelaksanaan desa siaga percontohan di Puskesmas Cibatu Kabupaten Purwakarta. KMPK Working Paper. 2007;

8. Polisisri M, Hasanbasri M. Implementasi Desa Siaga di Kota Tidore Kepulauan Maluku Utara. KMPK Working Paper. 2008;

9. Shiffman J. The construction of community participation: village family planning groups and the Indonesian state. Social Science & Medicine. 2002;54(8):1199–214.

10. Ramiro LS, Castillo FA, Tan-Torres T, Torres CE, Tayag JG, Talampas RG, et al. Community participation in local health boards in a decentralized setting: cases from the Philippines. Health Policy and Planning. 2001;16(suppl 2):61.

11. Sawyer LM. Community Participation: Lip Service? Nursing Outlook. 1995;(February).

12. Anonim. Pedoman Umum Pengembangan Desa dan Keluarahan Siaga Aktif. Jakarta: Kerjasama antara Kementerian Kesehatan dan Kementerian Dalam Negeri RI; 2010.

13. Anonim. Pedoman Pelaksanaan Pengembangan Desa Siaga. Jakarta: Departemen Kesehatan Republik Indonesia; 2007.

14. Herman H, Hasanbasri M. Evaluasi Kebijakan Penempatan Tenaga Kesehatan di Puskesmas Sangat Terpencil di Kabupaten Buton. Jurnal Manajemen Pelayanan Kesehatan. 2008;

15. Afril Z, Trisnantoro L, Hasanbasri M. Praktik Perawat Keliling: Studi Kasus Tiga Perawat di Kabupaten Indragiri Hulu Provinsi Riau. Jurnal Manajemen Pelayanan Kesehatan. 2009;12(4):199–208.

16. Santy GDI, Hasanbasri M, Hakimi M. Pencegahan Kegerlambatan Rujukan Maternal di Kabupaten Majene. Jurnal Manajemen Pelayanan Kesehatan. 2008;11(3):122–9.

17. Anonim. Profil Kesehatan Kabupaten Lombok Utara 2009. Lombok: Dinas Kesehatan Kabupaten Lombok Utara; 2010.

18. Patel FN, Ekkiswala MM. Motorcycle ambulance: a cheaper and faster alternative. Indian Journal of Applied Basic Medical Sciences. 2010;12B(15).

19. Peyravi M, Tubaei F, Pourmohammadi K. The Efficiency of Motorlance in Comparison with Ambulance in Shiraz , Southern Iran. Iranian Red Crescent Medical Journal. 2009;11(3):330–3.

20. Soares-oliveira M. Medical emergency motorcycles: are they safe? European Journal of Emergency Medicine. 2008;:40–2.

21. Lungu K, Kafosa VM, Hussein J, Ashwood-Smith H. Are bicycles ambulances and community transport plans effective? Malawi Medical Journal. 2004;13(2):16–8.

22. Hofman JJ, Dzimadzi C, Lungu K, Ratsma EY, Hussein J. Motorcycle ambulances for referral of obstetric emergencies in rural Malawi: Do they reduce delay and what do they cost? International Journal of Gynecology & Obstetrics. 2008;102:191–7.

23. Kiefe CC, Soares-Oliveira M. Medical emergency motorcycles: are they safe? European Journal of Emergency Medicine. 2008;15(1):40.

24. van der Pols H, Mencl F, de Vos R. The impact of an emergency motorcycle response vehicle on prehospital care in an urban area. European Journal of Emergency Medicine. 2011;18(6):328.

25. Ziersch AM, Baum F, MacDougall C, Putland C. Neighbourhood life and social capital: the implications for health. Social Science & Medicine. 2005;60(1):71–86.

26. Minkler M, Wallerstein N. Improving health through community organization and community building. In: Health Behavior and Health Education: Theory, Research and Practice. San Francisco, CA: Josssey-Bass Publishers; 1997.



DOI: https://doi.org/10.22146/jmpk.v15i01.2508

Article Metrics

Abstract views : 1211 | views : 2355

Refbacks

  • There are currently no refbacks.