JESAYA Innovation for Reducing MMR and IMR in Barito Utara Regency (Case Study)

Nancy Nancy; vanny Frida; Widiantoto saputro; zhafirah yanzli anisah; achmad  zainuddin; frit tarong; erna susanti

doi:10.53756/jjkn.v3i2.173

Authors

Nancy Nancy
vanny Frida BPJS Kesehatan
Widiantoto saputro BPJS Kesehatan
zhafirah yanzli anisah BPJS Kesehatan
achmad zainuddin BPJS Kesehatan
frit tarong UPT. Puskesmas Kandui, Kab. Barito Utara
erna susanti UPT. Puskesmas Kandui, Kab. Barito Utara

DOI:

https://doi.org/10.53756/jjkn.v3i2.173

Keywords:

pregnancy, maternal mortality, infant mortality, public health, preventive health

Abstract

A major strategic priority of Barito Utara Regency is maternal and neonatal health issues since the maternal mortality rate (MMR) and infant mortality rate (IMR) have fluctuated with an increasing trend from 2016 to 2022. This case discusses innovation at Kandui Public Health Centre in Gunung Timang Subdistrict as the only thriving area that brought down IMR and MMR to zero for five consecutive years (2019-2023). Despite the benefits of JESAYA (Jembatan Bersalin Sayang Anak/Child-Friendly Maternity Bridge) innovation being recognised, its adoption rate by other public health centres remained low. This study aims to identify the intrinsic factors influencing the diffusion of JESAYA. To study these issues adequately, a qualitative case study with a phenomenological approach was selected using various data collection techniques, including interviews with nine research subjects, observation, and documentation. The results suggest that adopting innovation is not straightforward, and its intrinsic factors play a crucial role in its success. Additionally, it appears that the process of adopting JESAYA has a social component, which collegial interactions and discussions may facilitate.

References

Afriani, R. (2017). Hubungan Dukungan Sosial Dan Sikap Ibu Terhadap Keberhasilan Pemberian Asi Eksklusif Di Wilayah Puskesmas Benao Kabupaten Barito Utara Kalimantan Tengah. In Penelitian Cross Sectional.

Ari Pamungkas, I. S., Sukmo, R., & Islamudin, R. (2014). ICE (Intensive Community Empowerment) Sebagai Solusi Upaya Mencegah Kenaikan Angka Kematian Ibu (AKI) Sebagai Program Percontohan Di Wilayah Kelurahan Bangetayu Wetan Kecematan Genuk Kota Semarang. Jurnal Ilmiah Mahasiswa, 4(1).

Dinas Kesehatan Kabupaten Barito Utara. (2023). AKI dan AKB di Kabupaten Barito Utara.

Enzmann, D. R. (2015). The risks of innovation in health care. Journal of the American College of Radiology, 12(4). https://doi.org/10.1016/j.jacr.2014.09.026

Fadli, M. R. (2021). Memahami desain metode penelitian kualitatif. HUMANIKA, 21(1). https://doi.org/10.21831/hum.v21i1.38075

Flessa, S., & Huebner, C. (2021). Innovations in health care—a conceptual framework. International Journal of Environmental Research and Public Health, 18(19). https://doi.org/10.3390/ijerph181910026

Graneheim, U. H., Lindgren, B. M., & Lundman, B. (2017). Methodological challenges in qualitative content analysis: A discussion paper. Nurse Education Today, 56. https://doi.org/10.1016/j.nedt.2017.06.002

Harianja, R., Mardiah, & Batubara, K. S. D. (2022). Utilization of Maternity Waiting Homes in the Islands: A Study Literature. JURNAL ILMU DAN TEKNOLOGI KESEHATAN TERPADU, 2(2). https://doi.org/10.53579/jitkt.v2i2.56

Indriyani, D., & Asmuji, A. (2016). The Integrated Maternity Management Model Through Promoting and Preventive Encouragement in the Attempts of Lowering the Maternal and Infant Mortality Rates. Jurnal NERS, 9(2). https://doi.org/10.20473/jn.v9i22014.159-172

Jatmiko, M. H., & Imronudin, I. (2023). Pengaruh Relative Advantage, Compatibility, Complexity, Observability Dan Trialability Terhadap Intention To Use Pada E-Wallet Dana. JURNAL LENTERA BISNIS, 12(2). https://doi.org/10.34127/jrlab.v12i2.780

Kemenkes RI. (2021). Dana Alokasi Khusus (DAK) Fisik Bidang Kesehatan dalam Mendukung Target Penurunan Angka Kematian Ibu dan Anak. In Analisis RKP dan Pembicaraan Pendahuluan APBN.

Kementerian Kesehatan, R. (2023). Turunkan Angka Kematian Ibu melalui Deteksi Dini dengan Pemenuhan USG Puskesmas. Kementerian Kesehatan RI.

Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., English, M., Elorrio, E. G., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., Liljestrand, J., … Pate, M. (2018). High-quality health systems in the Sustainable Development Goals era: time for a revolution. In The Lancet Global Health (Vol. 6, Issue 11). https://doi.org/10.1016/S2214-109X(18)30386-3

Kumalasari, D., & Nurhasanah, N. (2020). DETEKSI TUMBUH KEMBANG DAN EMOSIONAL BALITA PADA KASUS KEMATIAN IBU SEBAGAI GAMBARAN KUALITAS GENERASI BANGSA. Jurnal Kebidanan Malahayati, 6(1). https://doi.org/10.33024/jkm.v6i1.2342

Miles, M., & Huberman, A. (2014). Miles and Huberman. In Qualitative Data Analysis: An expanded sourcebook.

Mohammadi, M. M., Poursaberi, R., & Salahshoor, M. R. (2018). Evaluating the adoption of evidence-based practice using Rogers’s diffusion of innovation theory: A model testing study. Health Promotion Perspectives, 8(1). https://doi.org/10.15171/hpp.2018.03

Nanda Lutfia Salsabila. (2021). Gambaran Kelancaran Asi Setelah Pemberian Susu Kedelai Dan Sayur Daun Kelor Pada Ibu Menyusui Di Wilayah Kerja Puskesmas Way Urang Kalianda Lampung Selatan. Jurnal Kesehatan Indonesia, 1.

Nurhayati, & Mulyanti, D. (2023). Peran Puskesmas untuk Menurunkan Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) Provinsi Jawa Barat. Jurnal Ilmiah Kedokteran Dan Kesehatan, 2(2).

Nurhidayanti, S., Margawati, A., & Kartasurya, M. I. (2018). Kepercayaan Masyarakat terhadap Penolong Persalinan di Wilayah Halmahera Utara. Jurnal Promosi Kesehatan Indonesia, 13(1). https://doi.org/10.14710/jpki.13.1.46-60

Patton, M. Q. (2022). Qualitative evaluation. In International Encyclopedia of Education: Fourth Edition. https://doi.org/10.1016/B978-0-12-818630-5.11017-6

Pujihartati, S. H., Wijaya, M., & Demartoto, A. (2021). Distrust of Healthcare Services: Pregnant Women’s Lack of Willingness to Use Maternity Waiting Home Service in Wonogiri Regency. Society, 9(1). https://doi.org/10.33019/society.v9i1.184

Ramdani, E. M. (2019). Analisis Keberlanjutan Inovasi Lokal : Studi Kasus Inovasi e-Health Cimalaka Sehat. Jurnal Wacana Kinerja: Kajian Praktis-Akademis Kinerja Dan Administrasi Pelayanan Publik, 22(2). https://doi.org/10.31845/jwk.v22i2.159

Saharuddin, E. (2018). INOVASI IMPLEMENTASI E-HEALTH SEBAGAI MANIFESTASI SMART CITY DI KOTA YOGYAKARTA UNTUK MENINGKATKAN KUALITAS PELAYANAN KESEHATAN IBU DAN ANAK. NATAPRAJA, 5(1). https://doi.org/10.21831/jnp.v5i1.18599

Sipahutar, N., & Malau, W. (2022). Kepercayaan Ibu Hamil Memilih Persalinan ke Dukun Beranak di Desa Sibito Kecamatan Aek Natas. Jurnal Antropologi Sumatera, 18(1).

Smith, S., Henrikson, H., Thapa, R., Tamang, S., & Rajbhandari, R. (2022). Maternity Waiting Home Interventions as a Strategy for Improving Birth Outcomes: A Scoping Review and Meta-Analysis. In Annals of Global Health (Vol. 88, Issue 1). https://doi.org/10.5334/aogh.3496

Suparman, A. (2020). Implementasi Kebijakan Program Pelayanan Kesehatan Dalam Rangka Menurunkan Aki Dan Akb Di Puskesmas Sukaraja Kabupaten Sukabumi. Jurnal Moderat, 6(4).

World Bank. (2021). Angka Kematian Ibu Indonesia Ketiga Tertinggi di Asia Tenggara | Databoks. Databoks.