IMPLEMENTASI PROGRAM JAMINAN PERSALINAN (JAMPERSAL) DI KABUPATEN PEMALANG, JAWA TENGAH (TAHUN 2011-2013)

Abstract

ABSTRACT
This research was conducted to find out about Implementation of Delivery Assurance
Program (Jampersal) in Kabupaten Pemalang, Central Java. Jampersal is financial assurance
used for prenatal care, delivery assistance, and post-partum care, including family planning
services, postpartum and newborn care. Health is a fundamental service for humans, therefore in
a state, health care is preferred, and the handling should be optimized in order to realize the
optimum benefit of society. The maternal mortality rate is quite high in Kabupaten Pemalang
which: in 2010 the maternal mortality rate amounted to 197 per 100,000 live births which is the
highest maternal mortality in Central Java. Thus, the problem is on How is the effectiveness of
Jampersal policy to cope with the high Maternal Mortality Rate (AKI) at the time of delivery in
Kabupaten Pemalang. What is the constraint factors Jampersal policy in dealing with high level
of maternal mortality rate in Kabupaten Pemalang, Central Java?
In order to explain the study the researchers used qualitative research with descriptive
type. This approach descriptive research is intended to collecting information about the status of
existing symptoms. Qualitative research is to identify the descriptive research characteristics,
phenomenon and event structure in their natural context. The data source was obtained from
secondary sources. The scope of analysis through a qualitative approach addressed to the
relevant agencies implementing the delivery assurance program which undertaken by Kabupaten
Pemalang health authorities, health personnel performance and user community feedback on the
delivery assurance benefits.
The results showed that when viewed from implementation criteria according to Edward
III, t
he results of the implementation of delivery assurance program at Kabupaten Pemalang has been
going well but, still there are some problems such as security benefits of service delivery
including: There are still many people who do not meet the requirements to use the service
guarantees delivery include: 1) the existence of people who do not have identity cards and family
cards thus inhibiting the funding mechanism Jampersal claims made by health workers. 2) Many
people delivery assurance services recipients do not use family planning program in accordance
with the applicable rules in the program, so it trigger a population explosion. 3) The service
delivery assurance is still concentrated in hospitals, resulting in a full hospital, thus the hospital
could not perform the task optimally.
The recommendation for this research is the need to increase the socialization of the need
for family planning health services, increase efforts to better health assurance as well as to
optimize the implementation of health services effectively and efficiently and on target.