| Summary: | Background: Public health practice emphasizes the importance of
disease management at the individual level to avoid a bigger public health
problems. Staying away from health facilities, lack of family support, and
social insecurity remain important community social characteristics around
Prambanan Subdistrict. Despite of being one of health center's major six
program, this program gains lack of attention both from health centers and
local governments.This study sought to document best practices and
obstacles in the implementation of home care by government health
workers.
Objectives: This study wants to learn about the efficiency and
effectiveness of community based home care in Prambanan subdistrict of
Sleman. It specifically examines whether these programs have used the
principle of service integration and networks that are important in public
health programs in poorly resource countries.
Method: This study uses a case study design. We conducted in depth
intervew and 1 focused group discussion to care are care providers, health
center program unit coordinators, district health officers, and users of
home care, private practice midwives, and voluntary health workers in the
village of Sumberharjo. The study reports home care visits in 2010.
Results: This study shows home care practices from different units of
health center: nutrition, maternal and child health, mental health, and
control of infectious diseases. The cases analyzed for this study shows
that home care was very helpful for poor mothers from counseling to
mentoring to make mothers aware and willing to use professionally trained
workers and public health facility. Although team work and cooperation
between programs has been encouraged, implementation of home care is
still organized through vertical program arrangement. Home care will be
more efficient and effective if it is based on management program that
enable resource planning that consider needs assessment, service
delivery integration, and case monitoring of care continuity.
Conclusion: Home care is organized individually by separate vertical
programs existing in health center. Although the scope of beneficieries is
still limited, home care provides a big advantage for the cases so far
handled. To make a better efficiency and effectiveness, the study
recommends that home care should be organized on the basis of
outpatient clinics and group home visiting so that case reduce operational
cost.
|
|---|