Problems at a Hospital Concerning Covid-19 Pandemic

Marselli Widya Lestari1,2), Dewi Puspitosari H.D.2), Yohana2)


1)Public Health and Prevention Medicine, Medical Faculty,

Universitas Nahdlatul Ulama Surabaya

2)Master of Public Health Program, Universitas Diponegoro



Background: Many hospitals are challenged with various problems regarding infra­structure and management in providing services during COVID-19 pandemic. Effective hospital manage­ment strategy plays an important role in confronting COVID-19. This study aimed to deter­mine the problems faced by a hospital in the time of COVID-19.

Subjects and Method: This was a qualitative study conducted at second-line COVID-19 referral hospital, Central Java from May to July 2020. Several health professionals and staff were selected as informants of the study. The data were collected by in-depth interview and document review. The data were analyzed using urgency, seriousness, and growth (USG) method to determine the priority of the problems. Root cause of the pro­blems was analyzed with the aspects of man, method, and material using fishbone dia­gram.

Results: The priority problem in the hospital under study was some of the staff infected with COVID-19. The possible root causes were (1) man: staff behaviors; (2) method: loss to follow-up patients to up­take screening and lack of personal protective equipment (PPE) doffing procedure; and (3) material: lack of disinfectant chambers.

Conclusion: Some of the staff infected with COVID-19 is the main problem affecting the hospital under study. Com­pre­­hensive and responsiveness of hospital strategic manage­ment in line with WHO and CDC guidelines are required to contain the disease trans­mission.


Keywords: hospital problems, COVID-19, strategic management

CorrespondenceMarselli Widya Lestari. Universitas Nahdlatul Ulama Surabaya. Jl. Raya Jemursari No. 57, Surabaya, East Java, 60237. Email: Mobile: +6281703341579.


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