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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