Analysis of Partnership of Private Practice Midwife in The National Health Insurance Program in District Bungo Jambi Province

Nurlie Azwar; Prastuti Soewondo

doi:10.7454/ihpa.v3i1.2129

Analysis of Partnership of Private Practice Midwife in The National Health Insurance Program in District Bungo Jambi Province

Nurlie Azwar, Prastuti Soewondo

Abstract

On January 1, 2014, the government began to implement the National Health Insurance (NHI) program to realize social welfare for the whole community. Midwifery and neonatal care in the NHI program involves Puskesmas/family doctors and Private Practice Midwife (PPM) as its network. PPM participation in the NHI program in Bungo District was still lacking, only 12 (54.5%) PPM have cooperated with family doctors from 22 existing PPM. This study aimed to get an overview of PPM participation in the NHI program in Bungo District, Jambi Province. The study used qualitative research approach with Rapid Assessment Prosedur design, purposive sampling, and conducted in-depth interview to 10 PPM, Head of Health Office, MPKP BPJS Health Manager, and Chairman of Bungo Regency Section of Indonesian Midwife Organization (IMO). The study was conducted from January to July 2017. The study found that the knowledge, perceptions and attitude towards NHI program were good, but the perceived toward the claim and predetermined tariff procedures were not so good. PPM motivated to join the NHI program as many patients had become NHI participants. Support from the Government, NHI, and IMO were low, either in the form of socialization, or policies. Therefore, the study suggest an improvement in claims procedures, tariffs, and an increase of socialization from government, NHI and IMO on NHI program related to obstetric and neonatal care.

Keywords

Private Practice Midwife; National Health Insurance; participation

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References

BPJS Kesehatan. (2015). Implementasi Bidan Sebagai Jejaring dari Fasilitas Kesehatan Tingkat Pertama dalam JKN.

Budiman. (2015). Buku Ajar Isu Tataran Kesehatan Masyarakat, Bandung, PT Refika Aditama.

Gibson, Ivancevich, Donnelly. (1996). Organisasi Perilaku Struktur Proses Jilid I Edisi Kelima, Jakarta, Erlangga.

Helmizar. (2014). Evaluasi Kebijakan Jaminan Persalinan (Jampersal). Jurnal Kesehatan Masyarakat.

Ikatan Bidan Indonesia. (2014). Surat Edaran Nomor 117/SE/PPIBI/II/2014 tentang pelayanan Kebidanan di Era Jaminan Kesehatan Nasional (JKN).

IBI Kab. Bungo. (2017). Laporan Bulan Februari 2017.

Kementerian Kesehatan RI. (2014). Buku Pegangan Sosialisasi Jaminan Kesehatan Nasional (JKN) dalam Sistem Jaminan Sosial Nasional

Lawintono, L. (2015). Kontroversi Kebijakan Pelayanan Kesehatan Terhadap Kewenangan Bidan Mandiri. 27 Maret 2015. http://www.profesibidan.com. Diakses pada Maret 2017.

Linggasari, Y. (2015). Bidan Mandiri yang Berjejaring Dengan BPJS Kesehatan Sedikit. 20 Maret 2015. https://www.cnnindonesia.com/nasional/20150320011628-20-40469/bidan-mandiri-yang-berjejaring-dengan-bpjs-kesehatan-sedikit . Di akses tanggal 11 Maret 2017

Listyowati, R dkk. (2015). Laporan Penelitian, Persepsi Bidan Praktik Mandiri Terhadap Perubahan Skema Pembiayaan Dari Jampersal ke Jaminan Kesehatan Nasional di Bali. Sebuah Joint Research Kerja Sama Antara Grup Penelitian dan Pengembangan BPJS Kesehatan dengan Fakultas Kedokteran Universitas Udayana. Di akses tanggal 4 Maret 2017.

Notoatmodjo, S. (2007). Promosi Kesehatan dan Ilmu Perilaku, Jakarta, PT. Rineka Cipta.

Permenkes RI. (2013). Peraturan Menteri Kesehatan Republik Indonesia Nomor 59 Tahun 2014 tentang Standar Tarif Pelayanan Kesehatan Dalam Penyelenggaraan Program Jaminan Kesehatan

Permenkes RI. (2013). Peraturan Menteri Kesehatan Republik Indonesia Nomor 71 Tahun 2013 Tentang Pelayanan Kesehatan pada Jaminan Kesehatan Nasional.

Permenkes RI. (2014). Peraturan Menteri Kesehatan Republik Indonesia Nomor 28 Tahun 2014 tentang Pedoman Pelaksanaan Program JKN

Thabrany, Hasbullah. (2014). Jaminan Kesehatan Nasional, Jakarta, PT RajaGrafindo Persada.

Thabrany, Hasbullah. (2015). Jaminan Kesehatan Nasional, Edisi Kedua, Jakarta, PT RajaGrafindo Persada.

Undang-Undang RI. (2004). Undang-Undang RI Nomor 40 Tahun 2004 Tentang Sistem Jaminan Sosial Nasional.

Undang-Undang RI. (2011). Undang-Undang RI Nomor 24 Tahun 2011 Tentang Badan Penyelenggara Jaminan Sosial.

Widiyani, Rosmha. (2014). Mekanisme JKN Bingungkan Para Bidan. Tersedia di URL: https://lifestyle.kompas.com/read/2014/01/12/2051572/Mekanisme.JKN.Bingungkan.Para.Bidan. Diakses pada tanggal 4 Maret 2017.

Yandrizal dan Suryani, D. (2014). Analisis Peran Pemerintah Daerah Terhadap Ketersediaan Fasilitas Kesehatan Pada Pelaksanaan Jaminan Kesehatan Nasional di Provinsi Bengkulu. Jurnal Kesehatan Andalas, 2015, 4(1). Tersedia di URL : http://jurnal.fk.unand.ac.id/index.php/jka/article/view/208. Di akses tanggal 27 Maret 2017.

Yayasan Satu Karsa Karya. (2015). Optimalisasi Pelayanan Kebidanan di Era Jaminan Kesehatan Nasional. Tersedia di URL: http://transformasipendidikan.org/view-newsroom&id=1. Diakses pada tanggal 27 Maret 2017.

Zakiah, S. (2015). Faktor Individual dan Faktor Struktural yang Berperan dalam Keikutsertaan Bidan Praktik Mandiri pada Program Jaminan Kesehatan Nasional di Kabupaten Tabanan. (Tesis), Universitas Udayana, Denpasar.

DOI: http://dx.doi.org/10.7454/ihpa.v3i1.2129