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Setianingrum et al.
BMC Public Health 2014, 14(Suppl 1):O4

http://www.biomedcentral.com/1471-2458/14/S1/O4
O RALPR E S E NTATI O N Open Access
Jampersal implementation in primary

care, case studies on integrated delivery
system of antenatal care in puskesmas
and midwives in independent practice in
Kecamatan Moyudan, Kabupaten Sleman
1* 2 2
Veronika Evita Setianingrum , Mubasyisyr Hasanbasri , Mohammad Hakimi
From 7th Postgraduate Forum on Health Systems and Policies
Phitsanulok, Thailand. 24-25 June 2013
Background Verifier team of Sleman Health Department, 1 puskes-mas

The Indonesian government launched Jampersal pro- midwife coordinator, 4 independent practice mid-wives,
gramme or labour insurance in early 2011 as one of the expectant mothers and 8 Jampersal participants.
efforts to reduce maternal and infant mortality in Indo- Observation and document search were conducted to
nesia, which aimed at providing financial guarantees for complement the data. Integration of antenatal care ser-
expectant mother to receive antenatal, delivery and post- vices was assessed from service quality, cost reduction
natal care from health workers in health facilities. The and the satisfaction of the expectant mothers of Jamper-
tendency of developing countries in its partial health care sal participants.
system and the large degree of market mechanism, caused
imbalance in the quality and ability to access health Results
services among the poor and the rich. Differences in the Integration of antenatal care in puskesmas Moyudan
rules imposed by the Department of Health Sle-man in included two types of integration, the integration of ser-
antenatal care services at puskesmas and inde-pendent vices between puskesmas and midwives in independent
practice midwives led to differences in both the quality of practice, and the integration of antenatal care services in
services and costs. This study examined pus-kesmas packages. In this package system, Jampersal participants
which makes efforts on reforming/innovating the health received antenatal care package in the form of obstetric
care system based on patient needs. Puskes-mas Moyudan and physical examination, dental consultations, nutri-
performs integration in antenatal care services for tional counselling, psychological counselling and labora-
Jampersal participants, to ensure expectant mother receive tory tests as well as mother’s class. In terms of accessing
quality and comprehensive antenatal care. this service pack, expectant mothers were not charged.
The expectant mothers of Jampersal participants were
generally satisfied with this integrated antenatal care ser-
Materials and methods vices, but still the speed of service and officers assurance
This was a descriptive study with qualitative methods, are yet in line with the expectations.
using case study design. In-depth interviews were con-
ducted in 15 respondents, consisting of Basic Medical Conclusions
Section Chief of Sleman Health Department, Jampersal Although antenatal care services integration between
puskesmas and midwives in independent practice is
informal, but with the implementation of the strategy, the
* Correspondence: evitamom@gmail.com
1 improvement of the quality of antenatal care ser-vices and
Dinas kesehatan Sleman, Yogyakarta 55511, Indonesia
Full list of author information is available at the end of the article cost efficiency can be achieved.
© 2014 Setianingrum et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative
Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver
(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Setianingrum et al. BMC Public Health 2014, 14(Suppl 1):O4 Page 2 of 2 http://www.biomedcentral.com/1471-2458/14/S1/O4
Authors’ details
1
Dinas kesehatan Sleman, Yogyakarta 55511, Indonesia. 2Faculty of Medicine,
Universitas Gadjah Mada, Yogyakarta 55281, Indonesia.
Published: 29 January 2014
doi:10.1186/1471-2458-14-S1-O4
Cite this article as: Setianingrum et al.: Jampersal implementation in
primary care, case studies on integrated delivery system of antenatal
care in puskesmas and midwives in independent practice in Kecamatan
Moyudan, Kabupaten Sleman. BMC Public Health 2014 14(Suppl 1):O4.
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Setianingrum et al.

BMC Public Health 2014, 14(Suppl 1):O4

O RALPR E S E NTATI O N Open Access

Jampersal implementation in primary

Background Verifier team of Sleman Health Department, 1 puskes-mas

Published: 29 January 2014

Submit your next manuscript to BioMed Central

• Convenient online submission

Submit your manuscript at

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