Implementation of the Healthy Indonesia Card Program at the Sayang Rakyat Regional General Hospital, Makassar City

Quality health services are a hope for every Indonesian people, because this is closely related to one aspect of fulfilling basic life needs for humans, therefore it requires commitment from these health service providers, especially hospitals in supporting the implementation of government programs through the Healthy Indonesia Card. The purpose of this study is to determine and analyze the implementation of services based on the Healthy Indonesia Card program at the Sayang Rakyat Regional General Hospital in Makassar City using qualitative research methods. The results showed that the implementation of the Healthy Indonesia Card program at the Sayang Rakyat Regional General Hospital in Makassar in general was in accordance with the South Sulawesi Provincial Regulation regarding health providers and regarding cooperation in providing free health services, and presidential regulation (Perpres) Number 64 of 2020 concerning National health insurance. This is reflected in the implementation of services provided by the Sayang Rakyat Hospital to patients using the Healthy Indonesia Card (KIS) (PBI) which do not differentiate from general patients or other insurance users, provided that the patient has met the terms and conditions as a KIS patient (PBI). All medical expenses for KIS patients (PBI) who undergo outpatient or inpatient treatment are entirely borne by the government.

Tingkat Kepuasan Pasien Rawat Jalan Terhadap Mutu Pelayanan Kesehatan di Puskesmas Sendana

Background and Objectives: Patient satisfaction is an indicator indicator of providing health services to the community. One of the development efforts in the health sector is the availability of quality health services such as the existence of a health center. Puskesmas must have good quality health services that can be seen from the performance or the perceived benefits, in order to give satisfaction to patients. The purpose of this study was to see the level of outpatient satisfaction with health services, so that it can be used as evaluation material for the health center. Methods: This study used a quantitative descriptive research method with a cross-sectional study design. The research variables included the quality of health services which consisted of aspects of reliability, responsiveness, empathy, facilities, and assurance. The population in this study were patients who visited the Sendana Health Center. The sampling technique was accidental sampling and obtained 31 respondents. Results: The results of the study the patient scores were analyzed and grouped according to their level in order to obtain a satisfaction level of 70.4% reliability aspects, 67.5% responsiveness, 66.9% empathy, 57.7% facilities, and 65.3% assurance. Conclusion: Overall satisfaction level is included in the satisfied category.

Strengthening Capacities of Ward Development Committees to Promote Health in Nigeria: A Case Study of Osun State

Unsatisfactory health indices characterize Osun State Nigeria Primary Health Care facilities and poor operational conditions. Residents patronize private health facilities with attendant payment of huge out-of-pocket medical bills. Implementation of the Basic Health Care Provision Fund (BHCPF), a mechanism to increase access to quality health care for all its citizens initiated by the state government, commenced in 2018. The study sought to determine the extent to which capacity building/training of Ward development committees (WDC) in BHCPF supported PHCs has contributed to the provision of quality health services in the BHCPF supported facilities. The study was qualitative in design and used three focus group discussions held in three BHCPF implementing LGAs with thirty-five (27males, 8 females) consenting trained WDC members. Prior to the BHCPF training, the majority of the WDCs were not actively involved in the management of their PHCs, as political appointees and were unclear about their roles and responsibilities to the health facilities in their wards. After the training, most of the trained WDCs engaged with their PHC staff to debrief, review the quality improvement plans for their health facilities, identified immediate needs to address, approached influential people in the community, and mobilized local resources to address identified gaps. Electricity and water supply were restored in most of the facilities, hospital beds and basic equipment for were procured for PHCs, building, and equipping of the laboratory were completed. Building the capacity of the WDC on their roles and responsibilities strengthened them to contribute to the provision of quality health services in their communities. Keywords: Access, capacity building, quality improvement, Universal Health Coverage, Ward development committees.

The impact of i-PUSH on maternal and child health care utilization, health outcomes, and financial protection: study protocol for a cluster randomized controlled trial based on financial and health diaries data

Background Universal Health Coverage ensures access to quality health services for all, with no financial hardship when accessing the needed services. Nevertheless, access to quality health services is marred by substantial resource shortages creating service delivery gaps in low-and middle-income countries, including Kenya. The Innovative Partnership for Universal Sustainable Healthcare (i-PUSH) program, developed by AMREF Health Africa and PharmAccess Foundation (PAF), aims to empower low-income women of reproductive age and their families through innovative digital tools. This study aims to evaluate the impact of i-PUSH on maternal and child health care utilization, women’s health including their knowledge, behavior, and uptake of respective services, as well as women’s empowerment and financial protection. It also aims to evaluate the impact of the LEAP training tool on empowering and enhancing community health volunteers’ health literacy and to evaluate the impact of the M-TIBA health wallet on savings for health and health insurance uptake. Methods This is a study protocol for a cluster randomized controlled trial (RCT) study that uses a four-pronged approach—including year-long weekly financial and health diaries interviews, baseline and endline surveys, a qualitative study, and behavioral lab-in-the-field experiments—in Kakemega County, Kenya. In total, 240 households from 24 villages in Kakamega will be followed to capture their health, health knowledge, health-seeking behavior, health expenditures, and enrolment in health insurance over time. Half of the households live in villages randomly assigned to the treatment group where i-PUSH will be implemented after the baseline, while the other half of the households live in control village where i-PUSH will not be implemented until after the endline. The study protocol was reviewed and approved by the AMREF Ethical and Scientific Review Board. Research permits were obtained from the National Commission for Science, Technology and Innovation agency of Kenya. Discussion People in low-and middle-income countries often suffer from high out-of-pocket healthcare expenditures, which, in turn, impede access to quality health services. Saving for healthcare as well as enrolment in health insurance can improve access to healthcare by building capacities at all levels—individuals, families, and communities. Notably, i-PUSH fosters savings for health care through the mobile-phone based “health wallet,” it enhances enrolment in subsidized health insurance through the mobile platform—M-TIBA—developed by PAF, and it seeks to improve health knowledge and behavior through community health volunteers (CHVs) who are trained using the LEAP tool—AMREF’s mHealth platform. The findings will inform stakeholders to formulate better strategies to ensure access to Universal Health Coverage in general, and for a highly vulnerable segment of the population in particular, including low-income mothers and their children. Trial registration Registered with Protocol Registration and Results System (protocol ID: AfricanPHRC; trial ID: NCT04068571: AEARCTR-0006089; date: 29 August 2019) and The American Economic Association’s registry for randomized controlled trials (trial ID: AEARCTR-0006089; date: 26 June 2020).

PENGARUH KUALITAS PELAYANAN DAN FASILITAS KESEHATAN TERHADAP TINGKAT KEPUASAN PASIEN DI RUMAH SAKIT UMUM DAERAH (RSUD) DR. R. SOEDJATI SOEMODIARDJO PURWODADI KABUPATEN GROBOGAN

ABSTRACT Improving the quality of service also needs to be done by health service units including hospitals. The hospital has a mission to provide quality health services that are affordable to the community in order to improve the public health status. This type of research used in this research is quantitative research. The sampling technique used was non probability sampling. This study used a sample of 100 (one hundred) respondents. The instrument testing technique in this study was validity and reliability tests, while the data analysis techniques used were descriptive analysis, multiple linear analysis, and classical assumption. The results showed that: 1) service quality had an effect on patient satisfaction, 2) facilities had no effect on patient satisfaction, 3) service quality and facilities had an effect on patient satisfaction.

Organizational Citizenship Behavior on Nurses : The Role of Organizational Climate and Commitment

Hospitals in organizing excellent quality health services require human resources committed to the organization and a positive and conducive organizational climate. This study aims to determine the effect of organizational climate and organizational commitment to organizational citizenship behavior of nurses at USU Hospital. In this study, there are two independent variables: organizational climate and organizational commitment, and one dependent variable: organizational citizenship behavior. This research is quantitative research conducted using samples from the population of nurses at USU Hospital, where a sample of 125 nurses was obtained. The data analysis method used in this study is a statistical analysis with multiple regression analysis methods. Findings. The result of this study indicates a simultaneous influence between organizational climate and organizational commitment to organizational citizenship behavior.

Penerapan Analisis Importance Performance Kepuasan Pasien Pada Klinik Mitra Sandona

One of the development efforts in the health sector is the availability of quality health services. The clinic is a health institution that reaches out to the community directly to provide treatment to the community. In order to create excellent service, the clinic must pay attention to the services provided to patients. Patient satisfaction is very important to be considered by the clinic management. Patient satisfaction is one indicator of the success of providing health services to the community. Mitra Sandona clinic is one of the clinics located in the city of Padang. This clinic provides BPJS services to patients. Health service satisfaction is achieved if what the patient gets exceeds his expectations. To determine patient satisfaction, an analysis tool called importance performance analysis is needed. This matrix analyzes the level of expectations and experiences felt by patients. Through this matrix, the clinical management can determine which level of importance should be improved, enhanced and maintained

NABH ACCREDITATION STANDARDS IN PERCEPTIVE OF PANCHAKARMA CLINICS AND HOSPITALS – A REVIEW.

Ayurveda, emerging as an ancient science of life globally, highlighting India as a native drawing attention from every corner of world. Panchakarma, Yoga Science, Marmachikitsa, Ksharsutra, Rasaushadhi etc. are super specialities of Ayurveda, having no other alternative at all, are becoming attractions, raising medical tourism in India. In this era, evaluation of organization as per their performance & quality has become integral part of health sector of India. NABH has established standards by keeping in mind, enhancement of health system & promotion of continuous quality improvement & patient safety. Objective- To have a review of NABH accreditation standards in perceptive of Panchakarma clinics & hospitals. Design- NABH accreditation standards for Ayurveda hospitals second edition is referred to have review in perceptive of Panchakarma clinics & hospitals. Results- Ayurveda hospital accreditation standards consist of 10 chapters, further divided into 98 standards, incorporation of 590 objective elements. These standards are requirements led by NABH which facilitate safe high quality care. These standards provide framework for quality health facilities, mainly defining Panchakarma facility very precisely, right from documentation to staff awareness. Conclusion- Patients well aware about quality health services, especially in terms of medical tourism expects standard & safety assurance. These NABH accreditation standards setting benchmark for AYUSH hospitals, helps in enhancing significance in health sector in India. KEYWORDS- Accreditation, Medical Tourism, NABH, Panchakarma, Quality Assuarance.

Epidemiology of leprosy indicators in the Municipality of Crato, Ceará

Leprosy is a comorbidity that affects numerous people all over the world, which is characterized by its affinity for the skin and peripheral nerves. The objective of this research was to carry out an analysis of the epidemiological aspects and temporal trends of leprosy indicators in the municipality of Crato. To achieve these objectives, a qualitative and quantitative research was carried out, based on data from the Notifiable Diseases Information System. Between 2007 and 2017, 477 new cases of leprosy were reported in the municipality of Crato, highlighting the year 2012 with the highest number of new cases of the disease, with emphasis on the incidence of cases in men (59.1%), while in women it was 40.8%. Of these, with a predominance of the age group between 50 to 59 years (20.7%), followed by 60 to 69 years (18.6%). According to the results proposed by this research, it can be observed that, in the last few years, there has been a significant reduction in the number of cases. To maintain this index, political commitment and quality health services for effect the service of secondary care in the municipality.