Quality Study of Clinical Governance Effects on Maternal and Perinatal Health Services in Primary Health Cares in Banten, Indonesia

  • Omo Abdul Madjid Universitas Indonesia
  • Simon Fongana Faculty of Medicine Universitas Indonesia Jakarta
  • Dwiana Ocviyanti Faculty of Medicine Universitas Indonesia Jakarta
  • Junita Indarti Faculty of Medicine Universitas Indonesia Jakarta
  • Seno Adjie Faculty of Medicine Universitas Indonesia Jakarta
  • IPG Kayika Faculty of Medicine Universitas Indonesia Jakarta
  • Arietta Pusponegoro Faculty of Medicine Universitas Indonesia Jakarta
  • Siti R. F. Harun Faculty of Medicine Universitas Indonesia Jakarta

Abstract

Background: Maternal and perinatal mortality remain a significant problem in Indonesia, with the number far above the target developed by the World Health Organization. Primary health cares (PHCs) are one of the most essential services for improving maternal and perinatal health. Clinical governance in PHCs is an emerging focus of community health study for ensuring the quality of the provided services. However, there has only been a few studies regarding clinical governance in PHCs effects on maternal and perinatal health in Indonesia. Objective: To determine the effect of clinical governance in PHCs on maternal and perinatal health in Banten Province, Indonesia.
Methods: This was an observational analytic study with cross sectional method performed on the PHCs on Banten Province, Indonesia. All PHCs in Banten Province having maternal and perinatal health services were included for the study. Clinical governance and services were measured using a self-made questionnaire filled by the representative of the PHC. Characteristics analyzed in this study were age, education level, completed training, and occupation. Clinical governance aspects analyzed in this study were leadership, culture, competence, governance, and readiness. The services analyzed in this study were antenatal, pathology, and emergency service.
Results: There were 117 PHC representatives who were recruited to the study. The PHC which were categorized as “outstanding” for leadership, culture, competence, governance, and readiness were 23.1%, 41%, 98%, 81.2%, and 83,8%, respectively. The PHC which were categorized as having “good” antenatal, pathology, and emergency services were 92.3%, 51.3%, and 90.6%, respectively. The PHCs with better clinical governance aspects delivered better antenatal, pathology, and emergency services for maternal and perinatal care. Conclusions: Primary health cares with better clinical governance aspects delivered better antenatal, pathology, and emergency services for maternal and perinatal care. Therefore, improving clinical governance is essential to improve maternal and perinatal health services quality in Banten Province, Indonesia

Keywords: clinical governance, health service, maternal health, quality assurance.

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Author Biographies

Simon Fongana, Faculty of Medicine Universitas Indonesia Jakarta
Departemen Obstetry and Gynaecology  
Dwiana Ocviyanti, Faculty of Medicine Universitas Indonesia Jakarta
Departemen Obstetry and Gynaecology  
Junita Indarti, Faculty of Medicine Universitas Indonesia Jakarta
Departemen Obstetry and Gynaecology  
Seno Adjie, Faculty of Medicine Universitas Indonesia Jakarta
Departemen Obstetry and Gynaecology
IPG Kayika, Faculty of Medicine Universitas Indonesia Jakarta
Faculty of Medicine Universitas Indonesia
Arietta Pusponegoro, Faculty of Medicine Universitas Indonesia Jakarta
Departemen Obstetry and Gynaecology
Siti R. F. Harun, Faculty of Medicine Universitas Indonesia Jakarta
Departemen Obstetry and Gynaecology
Published
2023-04-30
Section
Research Article