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Implementation of Basic Obstetric and Neonatal Emergency Service Program (PONED) at Health Centers, Tegal

Sri Tanjung Rejeki, Muhammad Akhyar, Supriyadi Hari R

Abstract

Background: Maternal mortality reached 33 cases in Tegal in 2015. Some measures had been taken to reduce maternal mortality rate and infant mortality rate, among others was basic obstetric and neonatal emergency service program (PONED). The PONED program was operated by health centers with inpatients services 24 hours a day and 7 days a week. This study evaluated the Implementation of Basic Obstetric and Neonatal Emergency Service Program (PONED) at Health Centers, Tegal.

Subjects and Method: This was an evaluation study with qualitative approach and CIPP (context, input, process, product) framework. This study was conducted in Tegal, Central Java. A total of 10 key informants, including Head of Family Health and Nutrition Division at the District Health Office Tegal, Head of Health Centers, Midwife responsible for operating PONED, mothers with post heavy pre-eclampsia, were selected for this study. The data were collected by in-depth interview, observation, and document review. 

Results: From the context perspective, the objective of PONED at the health centers conformed with the policy. The number of health personnel was sufficient. But nurses have not been involved in the PONED health centers. There was no special fund for operating PONED health centers. The number of facilities was sufficient. From the input perspective training on emergency service had been well carried of. An effort to increase facilities had been plan from the process perspective  the health centers PONED services had conformed with the SOP. The health personnel performed task according to the job description. Intersectoral collaboration and program were well implemented. The impeding factors included the long process of BPJS claim, and low community awareness. From the product perspective, patients reported high satisfaction of the health centers PONED services.

Conclusion: The basic obstetric and neonatal emergency services program (PONED) has been well implemented in Tegal.

Keywords: PONED program, evaluation, CIPP, maternal mortality 

Correspondence: Sri Tanjung Rejeki. School of Health Sciences Bhakti Mandala Husada, Slawi. Email: sritanjung-rejeki@yahoo.co.id.

Journal of Maternal and Child Health (2016), 1(4): 257-267
https://doi.org/10.26911/thejmch.2016.01.04.07

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