Organizational Preparedness for Accreditation of Community Health Center on the Borders

Dolvianus Yohanes Atok, Serlie K. A Littik, Hyronimus A. Fernandez


Masters Program in Public Health, Universitas Nusa Cendana



Background: Accreditation program aims to improve the quality of health care. It as­ses­ses the structure, process, output, and the organization of healthcare. Several studies have show­ed that general accreditation program improves clinical outcomes. This study aimed to investi­gate the organizational preparedness for accreditation of community health center on the borders.

Subjects and Method: This was a  cross-sectional study conducted at 12 community health centers in Malaka, East Nusa Tenggara. A total of 128 health professionals was se­lec­­t­ed for this study. The dependent variable was the preparedness of community health center accreditation. The independent variables were contextual factor, valence changes, infor­ma­tion assessment, and organizational readiness. The data were col­lec­ted by questionnaire and observation sheet. The data were analyzed by multiple logistic re­gression.

Results: Contextual factor (OR= 0.01; 95% CI= 0.02 to 0.14; p≤0.001) was associated with the preparedness of community health center accreditation. The associations bet­ween infor­ma­­tion assessment (OR= 5.71; 95% CI= 0.92 to 35.37; p= 0.061), orga­ni­za­tional readiness (OR= 0.37; 95% CI= 0.06 to 2.24; p= 0.282), and valence changes (OR= 1.39; 95% CI= 0.37 to 5.19; p= 0.619) and preparedness of community health cen­ter accreditation, were not statistically significant.

Conclusion: Preparedness of community health center accreditation is influenced by con­­tex­tual factor.

Keywords: community health center, accreditation, contextual factor

Correspondence: Dolvianus Yohanes Atok. Masters Program in Public Health, Universitas Nusa Cendana, Kupang, East Nusa Tenggara. Email: Mobile: 082144940748.


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