scholarly journals The role of communication contact in capitation implementation at public health centres in Denpasar

2017 ◽  
Vol 5 (2) ◽  
pp. 152
Author(s):  
Ni Putu Purlimaningsih ◽  
Ketut Suarjana ◽  
Pande Putu Januraga

Background and purpose: One of the main indicators of quality in the provision of primary health care is the contact between the provider and the recipient (communication contact). Targets set regarding communication contacts are often not achieved which in turn results in consequent cuts in the capitation rates received by the public health centres (PHCs). The purpose of this research is to understand the implementation, inhibiting and enabling factors of supporting communication contact in the era of National Health Insurance (Jaminan Kesehatan Nasional/JKN).Methods: This study used a qualitative explorative design through in-depth interviews and focus group discussion (FGD) with 22 informants consisting of heads of PHCs, PHCs staff, Head of Denpasar Health Office, Head of Social Security Administering Agency (BPJS) Denpasar Branch and JKN members. This research was conducted at 11 PHCs in Denpasar City from April to July 2017. The informants were chosen purposively and the data were analysed thematically to explore aspects of implementation, the inhibiting and enabling factors of communication contact.Results: Communication contacts can be assessed both inside and outside the PHCs buildings. The inhibiting factor of communication contact implementation related to difference in understanding of the concept of PHCs working area, the absence of a standard operational procedure (SOP) for communication contact, heavy workload of PHCs service providers, lack of optimal means of supporting application of pcare convoluted and confusing information from BPJS, and lack of understanding from JKN enrolees on the particulars of the administration and desire for speedy service. Supporting factors are the availability of media, training and orientation for the implementing staff and the feedback from BPJS to PHCs staff. Driving factors are the effective authority of the PHCs head, commitment and motivation from government agencies and cross-sectoral support.Conclusions: Implementation of communication contact is influenced by both inhibiting and enabling factors, from the BPJS stakeholders and the members of the BPJS. Achieving the target of communication contact requires synergy of central government policy and BPJS managers.

2017 ◽  
Vol 5 (2) ◽  
pp. 124
Author(s):  
I Made Sukawinaca ◽  
Komang Ayu Kartika Sari ◽  
I Made Ady Wirawan

Background and purpose: Acupressure services are available at some public health centres (PHCs) in Bali, but the service utilisation remains low. The purpose of this study is to explore the perception of patients and service providers on the use of acupressure services at PHC in Tabanan.Methods: This study used a qualitative design based on observation and in-depth interviews with 13 informants consisting of patients, health service practitioners, head of PHC and program  manager at Tabanan Health Office. The informants were chosen purposively and the data were analysed thematically.Results: There were different perceptions regarding the benefits of acupressure services between patients utilising the services and those who had not. Patients who had undergone acupressure demonstrated positive perception of the service. Acupressure services are considered to be effective in dealing with patient complaints, have no side effects, and patients reported being satisfied with the services provided by the PHC. Patients who did not utilise acupressure services, view acupressure as an ineffective therapy with potential side effects that may endanger their health. These patients experienced trauma from similar massage techniques. Service providers lamented the absence of government support in the form of local regulations that would enable them to access funding, increase human resources and facilitate promotion of the services.Conclusions: Patient perceptions of acupressure services still vary, with some contraints in the implementation that consist of local regulation, operational fund and human resources. Acupressure services still require synergy between central and local government policies to support its implementation.


2017 ◽  
Vol 2 (2) ◽  
pp. 83-92
Author(s):  
Ditha Prasanti ◽  
Ikhsan Fuady

CULTIVATION OF CADRE ROLE IN IMPROVING COMMUNITY HEALTH LITERATION IN CIMANGGU VILLAGE OF BANDUNG BARAT DISTRICT. Community Service Activities has the objective to produce outcomes, namely: 1) Providing concrete knowledge and insight on the counseling of the role of cadres in improving public health literacy in the village Cimanggu, Bandung Barat District; 2) Provide an understanding of the importance of the role of cadres in improving the public health literacy in Cimanggu village, District of Bandung Barat. The method of PKM implementation conducted in this training activity is method of lecture method; Group discussion methods; and video playback methods. The conclusions of this PKM activity are: (1) As a benchmark for Kader members in Cimanggu village to be able to increase public health literacy for better village development; (2) Awakening PKM participants on the importance of the role of Cadres in improving public health literacy; (3) Increasing awareness of PKM participants on the importance of increasing public health literacy in order to support the successful development of Cimanggu village.


2021 ◽  
Vol 11 (1) ◽  
pp. 142-167
Author(s):  
Syafieh Syafieh ◽  
Saifuddin Saifuddin ◽  
Mawardi Siregar

This study discusses the Sammāniyya Sufi Order’s creativity in designing art and employing it as a means of da‘wah which emphasizes cultural values and wisdom in a pluralistic society. The informants of this study are the murshid (the Sufi master), caliph, and the adherents of the Sammāniyya Order. The data has been collected from observation, in-depth interviews, focused group discussion, and documentation. This study uses domain analysis and taxonomy to analyze data. The study reveals that the Sammāniyya leaders’ creativity in their da‘wah carried on to the present days has been manifested in the Acehnese saman dance which is related to the practice of the Sammāniyya Order established by Shaykh Muhammad Saman. Debus (the ancient martial art from Banten) and silek kumango (the martial art found in West Sumatera) are also rooted from his practice. Therefore, the arts developed by the shaykh are clear evidence that local wisdom and Islamic Sharia do not have to be contradictory to each other. The arts have become not only an entertainment but also a medium of conveying Islamic messages to the public.


Coronaviruses ◽  
2020 ◽  
Vol 01 ◽  
Author(s):  
Saeed Khan ◽  
Tusha Sharma ◽  
Basu Dev Banerjee ◽  
Scotty Branch ◽  
Shea Harrelson

: Currently, Coronavirus disease 2019 (COVID-19) has transformed into a severe public health crisis and wreaking havoc worldwide. The ongoing pandemic has exposed the public healthcare system's weaknesses and highlighted the urgent need for investments in scientific programs and policies. A comprehensive program utilizing the science and technologydriven strategies combined with well-resourced healthcare organizations appears to be essential for current and future outbreak management.


2021 ◽  
pp. 2336825X2110291
Author(s):  
Vasil Navumau ◽  
Olga Matveieva

One of the distinctive traits of the Belarusian ‘revolution-in-the-making’, sparked by alleged falsifications during the presidential elections and brutal repressions of protest afterwards, has been a highly visible gender dimension. This article is devoted to the analysis of this gender-related consequences of protest activism in Belarus. Within this research, the authors analyse the role of the female movement in the Belarusian uprising and examine, and to which extent this involvement expands the public sphere and contributes to the changes in gender-related policies. To do this, the authors conducted seven semi-structured in-depth interviews with the gender experts and activists – four before and four after the protests.


2007 ◽  
Vol 97 (Supplement_1) ◽  
pp. S93-S97 ◽  
Author(s):  
Enrique Regidor ◽  
Luis de la Fuente ◽  
Juan L. Gutiérrez-Fisac ◽  
Salvador de Mateo ◽  
Cruz Pascual ◽  
...  

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