| Summary: | Background:Jampersal (Jaminan Persalinan) is a groundbreaking effort to
facilitate access to service delivery, so as to reduce the Infant Mortality Rate
(IMR) and Maternal Mortality Rate (MMR). The impact of the program is
increased patient visits Jampersal ANC (Ante Natal Care) and maternity delivery
in health centers, which certainly will affect the quality of service. One of
management activities to improve the quality of service is to carry out
supervision, where the implementation is sometimes not priority. This study
examines how Jampersal service quality and supervision efforts by both the public
health care and Health District to improve the quality of service in Jampersal.
Methods: This research is descriptive study with qualitative research and case
study design. This study was conducted in Mergangsan health center Yogyakarta
city. Colecting data through in-depth interviews to participants Jampersal,
midwives, midwives coordinators, Head of public health care, head of UPT
PJKD, Head of Family Halth Section and Head of Health Service Department in
Yogyakarta Health District. To complete the data, the syudy observation and
tracking documents.
Results: Patients of Jampersal got all kind of services in accordance with the
Minimum Service Standards (MSS) examination of pregnancy until the birth
process in comprehensive manner. Patients are quite satisfied to obtain the service
pack, but were less satisfied in the long process of consultation and the ANC.
Referral mechanisms for patients of Jampersal relatively easily and quickly, only
hampered by policies that restrict private hospital receives patients of Jampersal.
Midwives workload increases because of skyrocketing patients as well s the
adinistrative woekload and assignment of Jampersal socialization, while receiving
incentives are not comparable with the workload. Health District has not
effectively supervise the Jampersal services in health centers, because there is no
organization and policy support activities adequate for supervising the
implementation.
Conclusion: Although supervision is problem solving and yet not give effect to
an increase in motivation and performance officer, a supervisor already has
responsibility for supervision fee regardless of the presence or absence of
supervision.
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