Abstract
Background The Indonesian government launched Jampersal programme or labour insurance in early 2011 as one of the efforts to reduce maternal and infant mortality in Indonesia, which aimed at providing financial guarantees for expectant mother to receive antenatal, delivery and postnatal care from health workers in health facilities. The tendency of developing countries in its partial health care system and the large degree of market mechanism, caused imbalance in the quality and ability to access health services among the poor and the rich. Differences in the rules imposed by the Department of Health Sleman in antenatal care services at puskesmas and independent practice midwives led to differences in both the quality of services and costs. This study examined puskesmas which makes efforts on reforming/innovating the health care system based on patient needs. Puskesmas Moyudan performs integration in antenatal care services for Jampersal participants, to ensure expectant mother receive quality and comprehensive antenatal care.
Highlights
The Indonesian government launched Jampersal programme or labour insurance in early 2011 as one of the efforts to reduce maternal and infant mortality in Indonesia, which aimed at providing financial guarantees for expectant mother to receive antenatal, delivery and postnatal care from health workers in health facilities
Differences in the rules imposed by the Department of Health Sleman in antenatal care services at puskesmas and independent practice midwives led to differences in both the quality of services and costs
This study examined puskesmas which makes efforts on reforming/innovating the health care system based on patient needs
Summary
The Indonesian government launched Jampersal programme or labour insurance in early 2011 as one of the efforts to reduce maternal and infant mortality in Indonesia, which aimed at providing financial guarantees for expectant mother to receive antenatal, delivery and postnatal care from health workers in health facilities. Differences in the rules imposed by the Department of Health Sleman in antenatal care services at puskesmas and independent practice midwives led to differences in both the quality of services and costs. This study examined puskesmas which makes efforts on reforming/innovating the health care system based on patient needs. Puskesmas Moyudan performs integration in antenatal care services for Jampersal participants, to ensure expectant mother receive quality and comprehensive antenatal care
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