PROGRAM IMPLEMENTATION OF NEONATAL MATERNAL REFERRAL INFORMATION SYSTEM FOR IMPROVING THE QUALITY OF HEALTH SERVICES IN HOSPITAL

Authors

  • Erna
  • Ria Adriyani
  • Ika Aprilianti

Abstract

The Indramayu government effort to reduce the Maternal Mortality Rate (MMR) and the Infant Mortality Rate (IMR) is to improve the quality of health services, where nationally Indonesia seeks to achieve the commitment of the 2015 Global Millenium Development Goals (MDGs) based on the 2012 IDHS (Indonesian Population Demographic Survey) data—reported that MMR and IMR were 359 / 100,000 live births and 19/1000 live births. This research is a case study of a government program implemented in Indramayu as an acceleration of activities so that MMR and IMR tend to be stagnant. Most of the maternal and infant deaths occurred in the hospital due to delays in referral, late arrival at the Hospital, and treatment at the Hospital. Midwives who refer pregnant women, mothers giving birth, newborns to the Hospital have no communication with the Hospital, so it often happens that when patients arrive at the Hospital, there are no doctors who are ready to serve. The treatment room is full. On the other hand, doctors and midwives in Runah Hospital do not know the patient's condition to be treated at the hospital, so that the anticipation of patient handling cannot be done. Maternal and Neonatal Referral Systems utilize information technology applications to solve the above problems so that midwives know the readiness of the Hospital and the Hospital Pain is ready to accept patients with previously known conditions. With regard to the West Java Governor Regulation Number 64 of 2013 concerning the Health Service Referral System, the Indramayu Regency Government has innovated to launch an Indramayu Version Maternal Neonatal Referral Information System Program. The Indramayu Version Maternal Neonatal Referral Information System Program aims to provide services to pregnant women so that they can easily get help when before delivery so as to reduce the risk of maternal and infant mortality. This program is an information technology-based communication and information system for pregnant women, health workers, and health facilities in the process of pregnancy, delivery planning, prevention of complications, and emergency neonatal referrals aimed at saving mothers and babies, implemented by the Indramayu government for beneficiaries for free. Since early November 2014, it has been implemented by Midwives, Community Health Centers, and Regional General Hospitals (RSUD) in Indramayu. The Indramayu Version Maternal Neonatal Referral Information System Program is for referrals and 2-way consultations between the Hospital and Midwives, monitoring Referring Midwives and the Status of Referred Patients, managing questions, suggestions, aspirations/complaints, providing information about pregnancy. Based on the formulation of the problem, first, the midwife who will refer pregnant women/mothers to give birth/newborns to the hospital has no communication with the hospital, Second there is still low socialization of the Indramayu Version of the Maternal Neonatal Referral Information System Program to the hospital. The community is the target group, so there are still many people who do not know the Indramayu Version of the Maternal Neonatal Referral Information System Program, causing many pregnant and childbirth mothers to be less consulted about maternal and child problems at risk; The three limited infrastructure targets in the implementation of the Indramayu Version Maternal Neonatal Referral Information System Program services at the Regional General Hospital (RSUD) Indramayu Regency. The final results show that the performance of this program has a significant impact on improving health services in hospitals so that the mortality rate for pregnant women and women giving birth in terms of the number of cases of death can be suppressed so that this policy needs to be implemented continuously.

 

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Published

2021-05-18

How to Cite

Erna, Ria Adriyani, & Ika Aprilianti. (2021). PROGRAM IMPLEMENTATION OF NEONATAL MATERNAL REFERRAL INFORMATION SYSTEM FOR IMPROVING THE QUALITY OF HEALTH SERVICES IN HOSPITAL. PalArch’s Journal of Archaeology of Egypt / Egyptology, 18(08), 430-443. Retrieved from https://www.archives.palarch.nl/index.php/jae/article/view/8531