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ISQua's 40th International Conference 2024
24th - 27th September 2024 | Istanbul, Türkiye
ISQUA2024-ABS-1251
Assessing The Implementation of The World Health Organization (WHO) Building Blocks in The Maternal Health System in Indonesia
Poster Presenter
Authors
Prita Muliarini, Djoni Darmajaja, Ariesza Trijitno Permata, Edi Sumarsono
Affiliations
KARS, Indonesian Hospital Accreditation Commission/Komisi Akreditasi Rumah Sakit (KARS), Jakarta, Indonesia, Wisnuwardhana University, Malang, Indonesia, Mulia Berkarya Indonesia Research Centre, Malang, Indonesia
Part of Topic
Patient Safety & Quality Improvement
Assessing The Implementation of The World Health Organization (WHO) Building Blocks in The Maternal Health System in Indonesia
Intorduction:
•Maternal mortality in Indonesia remains a significant concern, and it is crucial to evaluate the effectiveness of the maternal health system in addressing this issue.
•By focusing on the WHO building blocks, which encompass service delivery, health workforce, health information systems, access to essential medicines, financing, and leadership/governance, this study seeks to understand the strengths and weaknesses of the Indonesian maternal health system.
Aim
•Specifically, the study aims to identify gaps and areas for improvement to enhance maternal health services.
•The study seeks to provide insights into the challenges faced by the Indonesian maternal health system and recommend strategies for enhancing its effectiveness.
•By identifying gaps in the implementation of the WHO building blocks, policymakers, healthcare professionals, and stakeholders can work towards tailored interventions and reforms that address these gaps.
Method
•The research methodology employed in this study involved observing the Maternal and Child Health Book (MCHB) as a "reflection" to the journey of maternal health.
•We utilized questionnaire to gather patients’ responses regarding the quality dimensions of MCHB.
•We used Parasuraman’s Quality dimensions to assess patients’ perceptions of the MCB quality and service regarding the provision of maternal health mentioned in the MCHB.
•The data were gathered from maternal patients in two private hospitals in Malang.
•The MCHB was analysed to determine if it aligns with the key characteristics of well-functioning health service delivery, as outlined by the WHO.
•Additionally, the study examined the linkages between the different building blocks of the health system in the context of maternal care in hospitals.
•The national health policies relevant to maternal care were also monitored to understand their influence on service delivery.
Results
•We included data from 48 participants, with mean age of 29,8 years.
•Most of participants were in their second pregnancy, and graduated from higher education, either diploma or bachelor and higher. Most of them were also employed in private sector.
•The MCH Book performance across these five key quality dimensions was balanced and relatively high-quality assessment overall, with all scores above the midpoint of the scale.
•The results show a generally positive assessment of the MCH Book across five key dimensions, with scores ranging from 3.60 to 3.74 out of 5. This indicates that the MCH Book is performing well in its intended functions, but there is still room for improvement.
•These results suggest that the MCH Book is a valuable tool in maternal and child health care in Indonesia. It's well-received by both patients and healthcare providers, serves as an effective educational resource, and contributes to women's sense of empowerment and security during pregnancy and postpartum periods.
Conclusion
•The MCH Book's role in improving health literacy and patient empowerment supports the "Person-centred" aspect of integration mechanisms.
•The suggestion to improve responsiveness in distribution aligns with the "Implementation, Monitoring and Evaluation" section of the framework.
•The book's contribution to continuity of care supports the "Organisational" and "Functional" integration mechanisms.
•The MCH Book assessment results demonstrate how a single intervention can impact multiple aspects of the health system as defined by the WHO Building Blocks. It particularly shines in areas of service delivery, health information, and governance, while also touching on aspects of workforce performance and indirectly supporting financing and access to care. This comprehensive impact underscores the value of such tools in strengthening overall health systems, especially in maternal and child health contexts.