DAMPAK JAMPERSAL PADA RASIO TENAGA KESEHATAN TERHADAP PASIEN DAN KELUARAN KLINIS PASIEN BERSALIN

Abstract

Background: Jampersal is an insurance scheme policy for
free maternal delivery from Ministry of Health Republic of
Indonesia since 2011. Its general purpose is to decrease
maternal and infant mortality through access to obstetric
services in many healthcare facilities. This program is expected
to increase patient visits and affect the health worker-to-patient
ratio and obstetric outcome as a result.
Objective: To measure the effect of Jampersal implementation
on health worker-to-patient ratio and obstetric outcome in
Obstetric Emergeny Room Department (OERD) of Cipto
Mangunkusumo Hospital Jakarta.
Method: This study applied a pre-post test quasi-experimental
design. Subjects were chosen randomly from all deliveries.
Number of all health workers, total member of patients in OERD
in this tertiary care hospital were collected nine months before
and af ter Jampersal implementation. Health worker per
professional group per work shift were measured manually
and divided by the number of patients per shift to obtain health
worker-to-patient ratio. Complication as an obstetric outcome
was measured from the medical record.
Result: On average, health worker-to-total patient ratio
decreases f rom 5,53±2,36 to 3,73±1,04. Health worker-to-
OERD inpatient ratio decreases from 7,97±6,61 to 1,34±0,49
after Jampersal. While complication rate increases from 39,5%
to 52,9% but not statistically significant.
Conclusion: Jampersal affects health worker-to-patient ratio
significantly which decreases the rate.
Keywords: Jampersal, free maternal delivery policy, health
worker-to-patient ratio, obstetric outcome, complication.