Analysis of Maternal and Child Health Services at the Kampili Community Health Center

Abstract

Maternal and child health issues remain a significant concern in Indonesia, marked by high maternal and infant mortality rates. There is a pressing need to improve the quality of maternal and child health services at the primary healthcare facility level to achieve both national and global health objectives. This study aims to analyze the maternal and child health services provided in the working area of the Kampili Community Health Centre (Puskesmas) in Gowa District. It employs a descriptive qualitative approach and a case study design. The informants included individuals responsible for maternal and child health, midwives, and community members receiving services, all selected purposively. Data were collected through field observations, in-depth interviews, and documentation analysis, with validity tested using triangulation techniques. The study's results indicate that maternal and child health services are operating in accordance with national standard procedures. Skilled midwives, adequate facilities, and funding from the Indonesian Health Insurance (Badan Penyelenggara Jaminan Sosial-Kesehatan, BPJS Kesehatan) support these services. However, challenges persist, including a limited number of doctors, insufficient auxiliary health center facilities, long waiting times, and an unequal distribution of training opportunities between civil servants and non-civil servants. These findings support Donabedian's theory, which emphasizes the significance of structure and process in the quality of health services. Additionally, they align with previous studies that point to human resource competence and facility adequacy as critical factors in determining service quality. This study aims to provide a foundation for policy-making to enhance maternal and child health services at the primary health facility level.