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INDONESIA
Jurnal Administrasi Kesehatan Indonesia
Published by Universitas Airlangga
ISSN : 23033592     EISSN : 25409301     DOI : -
Core Subject : Health,
Health Professions
Jurnal Administrasi Kesehatan Indonesia (JAKI) is a scientific journal that contains editorials, research articles, and literature reviews related to the scope of the management, organization and leadership in health institutions. This journal is supported by practitioners and scientists from various institutions which involve expertises in health management and health organization. JAKI (p-ISSN 2303-3592, e-ISSN 2540-9301) has mission in developing knowledge in health administration through publication. Based on this mission, this journal aims at facilitating numerous experts in the field of Health Administration to share their ideas and scientific studies in order to improve the quality of healthcare services.
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Articles 8 Documents
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Search results for , issue "Vol. 8 No. 2 (2020): December" : 8 Documents clear
THE EFFECT OF BURNOUT SYNDROME ON TURNOVER INTENTION USING ORGANIZATIONAL COMMITMENT AS AN INTERMEDIATE VARIABLE Maya Weka Santi; Nurhasmadiar Nandini; Gamasiano Alfiansyah
Indonesian Journal of Health Administration Vol. 8 No. 2 (2020): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v8i2.2020.109-122

Abstract

Background: The average of employee turnover rate in Surabaya Surgical Hospital was quite high roughly about 16.21% in 2011 until 2015. Employees’ negative behavior or feelings due to long exposure to an emotional stressor are called burnout syndrome which could trigger turnover in an organization.Aims: This study analyzed the effect of burnout syndrome towards turnover intention using organizational commitment as an intermediate variable.Methods: This study was cross-sectional research by involving 126 respondents as samples according to the proportion of each unit at Surabaya Surgical Hospital. Data were analysed statistically using multiple linier regression.Results: Respondents were mostly female (65.1%) and in the age group of 26-35 years (62.7%). Most of them were early adults, permanent employees (95.2%), and undergraduates (89.7%). While the minority have worked for 3 up to 4 years (40.5%). Burnout syndrome had a significant effect on employees’ organizational commitment. Organizational commitment showed a significant effect on turnover intention, while burnout syndrome did not show a significant effect on turnover intention.Conclusion: Burnout syndrome did not directly affect turnover intention but became a possible cause of turnover intention through organizational commitment as the intermediate variable. The results of this study could be the basis for hospital managers to decrease employee’s turnover intention by minimizing burnout syndrome and increasing organizational commitment with a better reward system. Keywords: burnout syndrome, organizational commitment, turnover intention, hospital.
THE ANALYSIS OF VILLAGE MIDWIFE PERFORMANCE IN REDUCING MATERNAL AND INFANT MORTALITY RATE Tumartony Thaib Hiola; Bun Yamin M. Badjuka
Indonesian Journal of Health Administration Vol. 8 No. 2 (2020): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v8i2.2020.141-150

Abstract

Background: The most essential aspect to reduce the number of maternal and newborn mortality is midwife competence. Midwives have a great role to be able to handle variety of health services (antepartum, intrapartum, and postpartum) to avoid or decrease the maternal and infant mortality rate. Performance of health workers, particularly midwives, is the most crucial in affecting the quality and quantity of midwives’ services to  enhance the national health development.Aim: This study analyzed factors affecting village midwife performance for reducing maternal and infant mortality in seek for achieving Bone Bolango cemerlang or bright Bone Balango as the vision of Bone Bolango District in 2021.Methods: This study was an analytical survey with a cross-sectional approach. It was conducted from March to June 2019 in the working area of Bone Bolango District Health Office. There were 227 people from 19 primary healthcare centers as the population, and the sample size was 227 selected by using the total sampling technique. The data were collected by distributing questionnaires to the respondents and using secondary data. The data processing was done through chi-square test and multiple logistic regression with backward wald method.Results: Midwife performance in Bone Bolango District was assessed based on several variables. Most of them were ≥ 25 years old (80.6%); worked for ≥ five years (58,6%); mostly had not participated in any normal childbirth care training (76.7%); had a good competence (96.5%); had good resources/equipment (79.7%); had a good reward (92.5%); had a good attitude (76.2%); had a good motivation (90.7%). There were 12 maternal mortalities from 2017 to 2019 handled by only 11 midwives (4.8%). On the other hand, infant mortality rate (IMR) reached 25 cases in the same years; of 227 midwives, these cases were handled by only 21 midwives (9.3%).Conclusion: A midwife as a part of the health workers has an important role to increase the quality of maternal and child well-being program. Some variables that became indicators of midwife performance and had an effect on reducing the MMR and IMR included work period, reward, and motivation. This study recommends that all midwives have to be provided with a normal childbirth care training in the working area and increased rewards in the process of labor and delivery. Keywords: midwives, performance, maternal mortality rate, infant mortality rate.
THE DETERMINANTS OF ACCESS TO ADOLESCENT- FRIENDLY HEALTH SERVICE: A CASE CONTROL STUDY Izzatul Arifah; Lenni Ayu Kusumawardani; Dwi Hendriyaningsih; Mukti Aji Wibisono; Estu Puji Lestari
Indonesian Journal of Health Administration Vol. 8 No. 2 (2020): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v8i2.2020.164-174

Abstract

Background: Adolescents need to access Adolescent-Friendly Health Service (AFHS) to get it’s benefit in order to improve adolescent health. However, the current adolescent access to that service remains low with the access prevalence under 50%).Aim: This study determined factors that affected adolescents’ access to AFHS.Methods: This school-based case control study was conducted in 9 junior and senior high schools in the area of Sangkrah and Kratonan in Surakarta District. There were 162 cases (who accessed the AFHS by guidance from health professionals and peer educators) and 162 controls (those who did not) who were chosen using total sampling and proportionate random sampling technique, respectively. A multiple logistic regression analysis was used to assess the determinant factors of AFHS access.Results: Access to AFHS was significantly determined by knowledge of the program and perceived demand. A probability of finding adolescents who had knowledge of the program was 6 times higher in the case group than in control group with the OR value of 6.1 (95% CI 3.3-11.1).Conclusion: Overall, the low adolescents’ access was mostly caused because of insufficient knowledge. Broadening information about the program and adolescents’ access to the program through electronic media and peer educators is required. Keywords: access, adolescent, Adolescent-Friendly Health service, AFHS.
THE PREPAREDNESS FOR THE COVID-19 PANDEMIC MANAGEMENT IN INDONESIA Muchammad Iqbal Firmansyah; Fajar Rahmanto; Deni Setiawan
Indonesian Journal of Health Administration Vol. 8 No. 2 (2020): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v8i2.2020.188-201

Abstract

Background: The increase in disaster events requires preparedness from health workers as the frontline to provide medical services in handling victims when a disaster occurs. Many of medical workers infected with COVID-19 where at least 47 nurses in Indonesia have tested positive with the number of nurses having ODP and PDP status totaling 546 people and 44 people cause additional problem in handling COVID-19.Aims: This article aims to determine the readiness of health workers in handling pandemic disasters in suppressing the potential risks due to the COVID-19 outbreak through medical services provided.Methods: The research method used is descriptive qualitative with a literature study approach. Secondary data collection techniques from previous references and public documents related to COVID-19 disaster management in Indonesia. Data analysis using NVivo12 Plus software with a query analysis approach.Results: The results showed the ratio of health workers in Indonesia for medical services in handling the COVID-19 pandemic disaster was not ideal were for doctors 0.4 and nurses 2.1 were still far behind from developed countries where the ratio of health workers was above 2.5 doctors and 5.5 for nurses. Then, infrastructure aspects in general for referral hospitals handling COVID-19 almost in every province that has supported through the distribution of medical material equipment to various regions, provinces and districts, as well as hospitals that need it in all areas of Indonesia in the form of surgical masks (1,997,684 pieces), PPE of 1,659,955 units, coupled with Rapid Test equipment of 1,011,130 units.Conclusion: The readiness of health workers in providing medical services for the handling of a pandemic disaster influenced by the number of human resources, operational standards, and facilities for health facilities.Keywords: health workers, medical services, pandemic disaster management, COVID-19
THE EFFECT OF ORGANIZATION’S STRUCTURE AND TASK CHARACTERISTICS ON TEAM EFFECTIVENESS IN TUBERCULOSIS PREVENTION PROGRAM Sinta Dewi Lestyoningrum; Thinni Nurul Rochmah; Dewi Retno Suminar; Ulfia Hazna Safira
Indonesian Journal of Health Administration Vol. 8 No. 2 (2020): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v8i2.2020.151-163

Abstract

Background: A team is a vital element for an organization. An organization should put efforts to improve team performance even though they might face some obstacles. Organization’s structure and task characteristics resulted in different team effectiveness of primary healthcare centres in preventing tuberculosis (TB) cases in Surabaya.Aims: This study aimed to identify the effect of organization’s structure and task characteristics on team effectiveness of primary healthcare centers in TB prevention program in Surabaya.Methods: The reasearch was a quantitative study using a cross-sectional approach. Questionnaires were disseminated to 43 respondents as the samples selected with a proportional stratified random sampling technique based on the success rate. The respondents consisted of doctors, nurses, and health analysts who were directly involved in the Tuberculosis prevention program. This study used a linear multivariable regression test to confirm the most significant model for the independent variable.Results: The span of control and centralization had a significant effect on task characteristics (sig 0.00; sig 0.017). The dimensions of task characteristics that had a significant effect on team effectiveness were task variety, task identity, and task significance.Conclusion: There was a significant effect of span of control and centralization on task characteristics. The primary healthcare centers should provide access to technology to upgrade the span of control and centralization and their understanding of task characteristics. Keywords: health services, organization’s structure, task characteristics, team effectiveness, tuberculosis.
WHY HEALTH WORKFORCE MATTERS: REFLECTIONS FROM CURRENT PANDEMIC AND PAST PROGRAMS EXPERIENCES Nur Atika
Indonesian Journal of Health Administration Vol. 8 No. 2 (2020): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v8i2.2020.106-108

Abstract

A well-functioning health system depends largely on the quantity and capacity of health human resources who have responsibilities for organizing and implementing health services. A proper arrangement of health workers in terms of numbers, competencies, and diversity is necessary for responding to healthcare needs and achieving health program goals. The need for adequate and skilled health professionals has become even more urgent in the time of current pandemic situation to ensure the resiliency of health systems. In responding to the COVID-19 pandemic, especially in Indonesia, attention is intensively paid to the aspect of facilities such as hospitals, as well as testing and protective equipment. However, we should not forget that the readiness of human resources including clinicians, nurses, laboratory staff, ambulance drivers, and so on are also of paramount importance.
STRENGTHENING DISTRICT HEALTH MANAGEMENT IN LOW-MIDDLE INCOME COUNTRIES: REFLECTIONS AND WAY FORWARD Maye Abu Omar
Indonesian Journal of Health Administration Vol. 8 No. 2 (2020): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v8i2.2020.123-140

Abstract

Introduction: Health systems in low-middle income countries are undergoing considerable changes in a context of ongoing health sector reforms. Districts have, therefore, been increasingly recognised as the level where health policies and health sector reforms are interpreted and implemented. At the same time, decentralisation in its different forms has become a popular reform in many countries, and this increases the importance of ensuring that districts have the organisational capacity to offer a good service.Aim: The article investigates the process, challenges and opportunities of health system development at district level in low-middle income countries.Discussion: While district strengthening is probably necessary in relation to the success of all other health reforms, it is argued that it has not been accorded the importance probably because it is not seen as glamorous. The district health management team must include both strengthening the capacity of individuals, but crucially also, improvement of systems. Many initiatives have been patchy and fail to provide a consistent national approach. The persistence of top-down approaches to health care works directly against districts being able to take charge of their own affairs.Conclusions: A shared vision of district strengthening must be achieved in order to progress with the achievement of Universal Health Coverage and Sustainable Development Goals. Keywords: district health strengthening, capacity building, low-middle income countries, universal health coverage.
THE EFFECT OF HEADS’ LEADERSHIP AND NURSES’ JOB MOTIVATION ON NURSING PERFORMANCE IN THE HOSPITAL INPATIENT ROOM Budi Hartono; Alfi Hidayati; Tri Kurniati; Nur'Aina Basir
Indonesian Journal of Health Administration Vol. 8 No. 2 (2020): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v8i2.2020.175-187

Abstract

Background: The fluctuated patient satisfaction level shows the need to improvenursing performance. Several factors that can improve nursing performance includeleadership, job motivation, management and environment. Leadership and job motivationbecome fundamental aspectsin improving employee performance. Aim: This study analyzedtherole of manager’s leadership and nurses’job motivation on nursing performance in the inpatient room ofthe Indonesian Red Cross Hospital Bogor.Methods: This study sampled a total of 150 nurses in the inpatient roomof the Indonesian Red Cross Hospital Bogorusing the incidental random sampling technique. This study employed a path analysis with three variables, such as manager’s leadership and job motivation as exogenous variables and nursing performance as an endogenous variable.Results: Leadership of the head of the inpatient room couldincrease job motivation and nursing performance.Conclusion: Manager’s leadership and job motivation could affect the level of nurses’ performancepartially and simultaneously. The Indonesian Red Cross Hospital Bogor could provide regular training to every head of the room to enhance their leadership and nurses’ job motivation. Keywords: leadership, job motivation, nurses’ work performance.

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