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All Journal Jurnal Administrasi Kesehatan Indonesia BKM Public Health and Community Medicine
Meliyanni Johar
Tim Nasional Percepatan Penanggulangan Kemiskinan
Health Professions Nursing Public Health

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INSPECTING PRIMARY HEALTHCARE CENTERS IN REMOTE AREAS: FACILITIES, ACTIVITIES, AND FINANCES Prastuti Soewondo; Meliyanni Johar; Retno Pujisubekti; Halimah Halimah; Dwi Oktiana Irawati
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 1 (2019)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (671.176 KB) | DOI: 10.20473/jaki.v7i1.2019.89-98

Abstract

Background: Progress towards health-for-all must be supported by quality health facilities that are available to everyone. However, health care facilities in remote and underdeveloped areas, borderland, and outlying islands or Daerah Terpencil, Tertinggal, Perbatasan dan Kepulauan (DTPK) are facing some constraints to have access to health coverage.Aim: This study aimed to provide a comprehensive picture of the readiness of primary healthcare centers or puskesmas as the main provider of primary health services located in remote areas.Methods: Observations were taken from 18 primary healthcare centers in locations that had been identified by the government as remote and underdeveloped areas, borderland, and outlying islands in 3 provinces: Bengkulu, Nusa Tenggara Timur (East Nusa Tenggara), and South Sulawesi.Results: The findings reveal that many facilities in primary healthcare centers are still insufficient. In particular, roads to primary healthcare centers are in poor physical conditions, operational hours are too short, and doctors and lab technicians are unavailable. The good news is that primary healthcare centers have managed to run many indoor and outdoor activities, such as health education classes and detection of priority diseases in the community. Regarding primary healthcare centers’ finances, they largely depend on public funding to support their increasing expenses to provide health services, pay worker salaries, and run indoor and outdoor activities.Conclusions: Overall, some constraints faced by the primary healthcare centers in DTPK include difficult access to facilities and temporary health personnel. All of this information provides valuable inputs to policymakers in building a health infrastructure and human resources for health in DTPK. Keywords: Remote area, Human resources for health, Primary healthcare center.
Health literacy, perilaku bersih sehat, dan kesehatan balita: studi di wilayah tertinggal di Bengkulu, Sulawesi Selatan, dan Nusa Tenggara Timur Prastuti Soewondo; Meliyanni Johar; Retno Pujisubekti; Halimah Halimah
Berita Kedokteran Masyarakat (BKM) Vol 34, No 10 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (270.272 KB) | DOI: 10.22146/bkm.39613

Abstract

Health literacy, healthy and clean life styles, and under-five child’s health status: a study in remote areas in the provinces of Bengkulu, South Sulawesi, and East Nusa Tenggara Purpose: Health literacy is needed for people to make well-informed health decisions. This study assesses the role of health literacy on the practice of clean and healthy living at home, as well as on under-five children’s health. We focus on those living in left-behind areas, for whom preventive behaviours and staying healthy may be particularly important, as these areas often lack in health facilities.Methods: The survey was based on a sample of 4610 households, taken from 18 catchment areas of community health centers in three provinces of Bengkulu, South Sulawesi, and East Nusa Tenggara.Results: We find that health literacy is positively associated with many indicators of clean and healthy lifestyle, as well as young children’s healthz. Literacy about preventive measures increases the odds of handwashing before eating and preparing food, not spitting and covering nose/mouth when sneezing/coughing in public places, not smoking inside the house, and consuming vegetable-rich diet. Literacy about health insurance and health facilities associates positively with not spitting and covering nose/mouth when coughing/sneezing and good diet. Literacy about mother’s and child’s health in general have a positive association with young children’s outcomes.Conclusions: These results suggest that improving health literacy in rural and remote areas can lead to a sustainable health improvement that begins with the enactment of health-promoting habits at home and young children’s health.
Co-Authors Dwi Oktiana Irawati Halimah Halimah Halimah Halimah Prastuti Soewondo Prastuti Soewondo Retno Pujisubekti Retno Pujisubekti