Efforts to minimize delays in maternal referral in Majene District - Indonesia (Pencegahan Keterlambatan Rujukan Maternal di Majene Indonesia)
Background: The geography, distances and infrastructures factors are highly affecting community accessibility to modern transportation. In general, obstetric emergency cases failed to be managed because of the low accuracy in routine pregnancy follow up and delay in referral. One limiting factor in...
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| Format: | Article |
| Language: | English |
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2008
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| Online Access: | https://repository.ugm.ac.id/32286/1/Irasanty_et_al.%2C_2008%2C_PENCEGAHAN_KETERLAMBATAN_RUJUKAN_MATERNAL_DI_KABUPATEN_MAJENE.pdf |
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| author | Irasanty, Gufria Hasanbasri, Mubasysyir Hakimi, Mohamad |
| author_facet | Irasanty, Gufria Hasanbasri, Mubasysyir Hakimi, Mohamad |
| author_sort | Irasanty, Gufria |
| collection | UGM |
| description | Background: The geography, distances and infrastructures factors are highly affecting community accessibility to modern transportation. In general, obstetric emergency cases failed to be managed because of the low accuracy in routine pregnancy follow up and delay in referral. One limiting factor in obstetric referral is the unavailability of an effective mode of modern transportation to reach remote residential area. Autonomy of the clinics and willingness of health staff are the key factors in medical referral system. Unfortunately, the transportation which connects between community and health facilities and among facilities has not become parts of a professional integrated referral system. This research studies the strategies to overcome delay in delivery assistance in remote areas which are far from health facilities. It tries to prove that referral management should become a focus and a part of government agenda.
Method: This research uses case study design. Data were obtained from village midwives, important public figures, heads of community health service, the head of health department, the director of public hospital, the head of hospital emergency unit, the local head of Indonesia Red Cross Organization, local field coordinator of Red Cross Organization and the patients of obstetric emergency units in Kabupaten Majene. This research was conducted from August to December 2007.
Findings: The patients and their family play the main role in managing the emergency of obstetric problems. Family financial capability and distances are some of the problems in managing the obstetric emergency for patients who live far from health facilities. The efforts to overcome those problems are still in the hand of service providers and health service units. They heavily depend on the patient and family financial capability. The patients who can afford to pay the services will be able to overcome their problems. Most of the families who live in rural area which are far from health facilities will face unsecured difficult situation. Every ambulance which is owned by community health services, hospital and Red Cross Organization are managed by the head of their units. The hospital itself has a special ambulance service unit which is separated from its emergency unit.
Conclusions: Even though the management of transportation mode has already become a part of health department and government agenda, it is still hand over informal sectors. Community is helping in providing transportation service spontaneously. The management of transportation mode is still simple and undertaken by each health facility.
Recommendations: The initiatives to manage ambulance in integrated way become a must to develop local health system. These efforts could be supported by all available ambulance in every health service. The presence of units which manage the cooperation between every available obstetric service in one regional integrated system should become the main agenda.
Keywords: maternal referral delay, traditional referral, service regionalization
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| first_indexed | 2024-03-13T19:10:21Z |
| format | Article |
| id | oai:generic.eprints.org:32286 |
| institution | Universiti Gadjah Mada |
| language | English |
| last_indexed | 2024-03-13T19:10:21Z |
| publishDate | 2008 |
| record_format | dspace |
| spelling | oai:generic.eprints.org:322862014-07-14T03:55:07Z https://repository.ugm.ac.id/32286/ Efforts to minimize delays in maternal referral in Majene District - Indonesia (Pencegahan Keterlambatan Rujukan Maternal di Majene Indonesia) Irasanty, Gufria Hasanbasri, Mubasysyir Hakimi, Mohamad Health Care Administration Public Health and Health Services Background: The geography, distances and infrastructures factors are highly affecting community accessibility to modern transportation. In general, obstetric emergency cases failed to be managed because of the low accuracy in routine pregnancy follow up and delay in referral. One limiting factor in obstetric referral is the unavailability of an effective mode of modern transportation to reach remote residential area. Autonomy of the clinics and willingness of health staff are the key factors in medical referral system. Unfortunately, the transportation which connects between community and health facilities and among facilities has not become parts of a professional integrated referral system. This research studies the strategies to overcome delay in delivery assistance in remote areas which are far from health facilities. It tries to prove that referral management should become a focus and a part of government agenda. Method: This research uses case study design. Data were obtained from village midwives, important public figures, heads of community health service, the head of health department, the director of public hospital, the head of hospital emergency unit, the local head of Indonesia Red Cross Organization, local field coordinator of Red Cross Organization and the patients of obstetric emergency units in Kabupaten Majene. This research was conducted from August to December 2007. Findings: The patients and their family play the main role in managing the emergency of obstetric problems. Family financial capability and distances are some of the problems in managing the obstetric emergency for patients who live far from health facilities. The efforts to overcome those problems are still in the hand of service providers and health service units. They heavily depend on the patient and family financial capability. The patients who can afford to pay the services will be able to overcome their problems. Most of the families who live in rural area which are far from health facilities will face unsecured difficult situation. Every ambulance which is owned by community health services, hospital and Red Cross Organization are managed by the head of their units. The hospital itself has a special ambulance service unit which is separated from its emergency unit. Conclusions: Even though the management of transportation mode has already become a part of health department and government agenda, it is still hand over informal sectors. Community is helping in providing transportation service spontaneously. The management of transportation mode is still simple and undertaken by each health facility. Recommendations: The initiatives to manage ambulance in integrated way become a must to develop local health system. These efforts could be supported by all available ambulance in every health service. The presence of units which manage the cooperation between every available obstetric service in one regional integrated system should become the main agenda. Keywords: maternal referral delay, traditional referral, service regionalization 2008 Article PeerReviewed application/pdf en https://repository.ugm.ac.id/32286/1/Irasanty_et_al.%2C_2008%2C_PENCEGAHAN_KETERLAMBATAN_RUJUKAN_MATERNAL_DI_KABUPATEN_MAJENE.pdf Irasanty, Gufria and Hasanbasri, Mubasysyir and Hakimi, Mohamad (2008) Efforts to minimize delays in maternal referral in Majene District - Indonesia (Pencegahan Keterlambatan Rujukan Maternal di Majene Indonesia). Indonesian Journal of Health Service Management (Jurnal Manajemen Pelayanan Kesehatan ), 11 (3). pp. 122-129. http://www.jmpk-online.net/ |
| spellingShingle | Health Care Administration Public Health and Health Services Irasanty, Gufria Hasanbasri, Mubasysyir Hakimi, Mohamad Efforts to minimize delays in maternal referral in Majene District - Indonesia (Pencegahan Keterlambatan Rujukan Maternal di Majene Indonesia) |
| title | Efforts to minimize delays in maternal referral in Majene District - Indonesia
(Pencegahan Keterlambatan Rujukan Maternal di Majene Indonesia) |
| title_full | Efforts to minimize delays in maternal referral in Majene District - Indonesia
(Pencegahan Keterlambatan Rujukan Maternal di Majene Indonesia) |
| title_fullStr | Efforts to minimize delays in maternal referral in Majene District - Indonesia
(Pencegahan Keterlambatan Rujukan Maternal di Majene Indonesia) |
| title_full_unstemmed | Efforts to minimize delays in maternal referral in Majene District - Indonesia
(Pencegahan Keterlambatan Rujukan Maternal di Majene Indonesia) |
| title_short | Efforts to minimize delays in maternal referral in Majene District - Indonesia
(Pencegahan Keterlambatan Rujukan Maternal di Majene Indonesia) |
| title_sort | efforts to minimize delays in maternal referral in majene district indonesia pencegahan keterlambatan rujukan maternal di majene indonesia |
| topic | Health Care Administration Public Health and Health Services |
| url | https://repository.ugm.ac.id/32286/1/Irasanty_et_al.%2C_2008%2C_PENCEGAHAN_KETERLAMBATAN_RUJUKAN_MATERNAL_DI_KABUPATEN_MAJENE.pdf |
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