Effect of Resource Management on the Quality of Obstetric and Neonatal Essential Care at the Community Health Center Oesao, Kupang, East Nusa Tenggara

Isterina Felandina Fai¹⁾, David B. W. Pandie²⁾, Ina Debora Ratu Ludji³⁾

¹⁾Municipality Health Office, Kupang, East Nusa Tenggara

²⁾Faculty of Social and Polotical Sciences, Universitas Nusa Cendana, Kupang

³⁾Study Program in Nursing, School of Health Polytechnics, Ministry of Health, Kupang

ABSTRACT

Background: Community health center has been promoted to improve its quality and capacity of services. Community health care and better resource management practices are important planks in the current health policies emphasizing quality of patient care. As a health care unit, near and reachable health centers are expected to provide basic obstetric and neonatal essential care (PONED or EmOC in primary health level). In Kupang, there are several PONED health centers. This study aimed to determine the effect of resource management on the quality of obstetric and neonatal essential care at the community health center Oesao, Kupang, East Nusa Tenggara.

Subjects and Method: This was a cross sectional study conducted at Oesao community health center in Kupang, East Nusa Tenggara on January to September 2015. A total sample of 67 mothers was selected for this study by simple random sampling. The dependent variable was the quality of obstetric and neonatal essential care. The independent variables were human resource management, medicine, equipment, building, standard operating procedure (SOP), and income level. The data were collected by questionnaire and analyzed by a multiple logistic regression.

Results: The quality of obstetric and neonatal essential care improved with sound human resource management (OR= 0.112; 95% CI= 0.93 to 2.13; p= 0.004), good medicine (OR 2.115; 95% CI= 1.09 to 1.32; p= 0.043), and high income level (OR= 2.21; 95% CI= 1.32 to 9.13; р<0.001).

Conclusion: The quality of obstetric and neonatal essential care improves with sound human resource management, good medicine, and high income level.

Keywords: obstetric and neonatal essential care, human resource management, medicine, income level.

Correspondence: Isterina Felandina Fai. Kupang District Health Office, Kupang, East Nusa Tenggara.

Email: fairin0802@gmail.com. Mobile: 082145170277.

DOI: https://doi.org/10.26911/theicph.2019.04.34

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