Decision making on family level in having treatment

A case study of mother and children's health revolution program in east Indonesia

https://doi.org/10.29332/ijhs.v3n1.303

Authors

Keywords:

behavior, decision making, east Indonesia, treatment, maternal health

Abstract

The purpose of this study was to find out how decisions were made at the family level in order to seek treatment for family members, especially mothers during childbirth. The population in this study were community members who resided in Ngada, Southwest Sumba, North Central Timor and East Flores- Indonesia. The sample size was determined using a purposive technique, where each district was determined by two locations based on the distance factor (the farthest area and the nearest area) from the capital city of the district. Data were collected using in-depth interview techniques and Focused Group Discussions (FGD) to explore family-level decision-making processes regarding the use of health facilities. The results of this study indicate that decisions at the family level to use health facilities in areas far from the city center tend to still adhere to local traditions and local culture; and it should be based on relatives' advice; while the people who live close to the city center, the decision to use health facilities is generally in the hands of the mother and husband.

Downloads

Download data is not yet available.

References

Amen, J. S. L., Tuarez, M. E. S., & Pisco, J. M. P. (2019). The presence of anemia of university leveling students from dysfunctional families. International Journal of Health Sciences, 3(1), 9-16. https://doi.org/10.29332/ijhs.v3n1.253

Barry, M. J. (2002). Health decision aids to facilitate shared decision making in office practice. Annals of internal medicine, 136(2), 127-135.

Belton, S., Myers, B., & Ngana, F. R. (2014). Maternal deaths in eastern Indonesia: 20 years and still walking: an ethnographic study. BMC pregnancy and childbirth, 14(1), 39. https://doi.org/10.1186/1471-2393-14-39

Bossert, T., Soebekti, R., & Rai, N. K. (1991). ‘Bottom-up’planning in Indonesia: decentralization in the ministry of health. Health Policy and Planning, 6(1), 55-63.

Brownson, R. C., Gurney, J. G., & Land, G. H. (1999). Evidence-based decision making in public health. Journal of Public Health Management and Practice, 5, 86-97.

Castle B., Wendel M., Kelly Pryor B. N., Ingram M. (2017). Assessing community leadership: Understanding community capacity for health improvement. Journal of Public Health Management & Practice, 23(4 Supp), S47–S52. https://doi.org/10.1097/PHH.0000000000000587.

Church, J., Saunders, D., Wanke, M., Pong, R., Spooner, C., & Dorgan, M. (2002). Citizen participation in health decision-making: past experience and future prospects. Journal of public health policy, 23(1), 12-32. https://doi.org/10.2307/3343116

De Brouwere, V., De Brouwere, V., Tonglet, R., & Van Lerberghe, W. (1998). Strategies for reducing maternal mortality in developing countries: what can we learn from the history of the industrialized West?. Tropical medicine & international health, 3(10), 771-782. https://doi.org/10.1046/j.1365-3156.1998.00310.x

Dopo, L. T. (2016). Implementasi Peraturan Gubernur Nusa Tenggara Timur Nomor 42 Tahun 2009 Tentang Revolusi Kesehatan Ibu Dan Anak Di Provinsi Nusa Tenggara Timur Dalam Menjamin Pemenuhan Hak Kesehatan Ibu Dan Bayi Di Kabupaten Ngada (Doctoral dissertation, Magister Hukum Unika Soegijapranata).

Farnsworth S.K, Böse K, Fajobi O, Souza P.P, Peniston A, Davidson L.L, et al. (2014). Community engagement to enhance child survival and early development in low- and middle-income countries: An evidence review. Journal of Health Communication, 19(sup 1), 67–88. doi: https://doi.org/10.1080/10810730.2014.941519.

Febriany, V., Toyamah, N., Sodo, J., & Budiyati, S. (2011). Qualitative Impact Study for PNPM Generasi and PKH on the Provision and the Utilization of Maternal and Child Health Services and Basic Education Services in the Provinces of West Java and East Nusa Tenggara. SMERU Research Institute.

Fisher, R. P., & Myers, B. A. (2011). Free and simple GIS as appropriate for health mapping in a low resource setting: a case study in eastern Indonesia. International journal of health geographics, 10(1), 15.

Frieden, T. R. (2017). Evidence for health decision making—beyond randomized, controlled trials. New England Journal of Medicine, 377(5), 465-475. https://doi.org/10.1056/NEJMra1614394

Halabi, S. F. (2009). Participation and the right to health: lessons from Indonesia. health and human rights, 49-59. https://doi.org/10.2307/40285217

Hamer, D. H., Herlihy, J. M., Musokotwane, K., Banda, B., Mpamba, C., Mwangelwa, B., et al. (2015). Engagement of the community, traditional leaders, and public health system in the design and implementation of a large community-based, cluster-randomized trial of umbilical cord care in Zambia. American Journal of Tropical Medicine Hygiene, 92(3), 666–672. https://doi.org/10.4269/ajtmh.14-0218

Janicke, D. M., & Finney, J. W. (2003). Children's primary health care services: social-cognitive factors related to utilization. Journal of Pediatric Psychology, 28(8), 547-558. https://doi.org/10.1093/jpepsy/jsg045

Kim, Y. M., Kols, A., Bonnin, C., Richardson, P., & Roter, D. (2001). Client communication behaviors with health care providers in Indonesia. Patient Education and Counseling, 45(1), 59-68. https://doi.org/10.1016/S0738-3991(01)00144-6

Larson, K., Russ, S. A., Crall, J. J., & Halfon, N. (2008). Influence of multiple social risks on children's health. Pediatrics, 121(2), 337-344.

Légaré, F., Ratté, S., Gravel, K., & Graham, I. D. (2008). Barriers and facilitators to implementing shared decision-making in clinical practice: update of a systematic review of health professionals’ perceptions. Patient education and counseling, 73(3), 526-535. https://doi.org/10.1016/j.pec.2008.07.018

Lengo, C. Z. T. (2011). Kinerja Program Revolusi KIA (Kesehatan Ibu-Anak) Pemda Kabupaten Manggarai Barat-Provinsi Nusa tenggara Timur (Doctoral dissertation, Universitas Gadjah Mada).

Liberatore, M. J., & Nydick, R. L. (2008). The analytic hierarchy process in medical and health care decision making: A literature review. European Journal of Operational Research, 189(1), 194-207. https://doi.org/10.1016/j.ejor.2007.05.001

Mikhail, B. I. (1994). Hispanic mothers' beliefs and practices regarding selected children's health problems. Western Journal of Nursing Research, 16(6), 623-638.

Muhidin, S., Prasodjo, R., Silalahi, M., & Pardosi, J. F. (2019). Community engagement in maternal and newborn health in Eastern Indonesia. In Global Health Leadership (pp. 67-78). Springer, Cham. https://doi.org/10.1007/978-3-319-95633-6_7

Mustika, I. W., & Harini, G. A. (2017). increasing education of family support for decreasing depression level towards elderly. International Journal of Health Sciences, 1(3), 10-16. https://doi.org/10.21744/ijhs.v1i3.46

NTT Provincial Health Office. (2012). Pedoman Revolusi KIA di Provinsi NTT [guidance of MCH revolution in Nusa Tenggara Timur Province], revised edition. Kupang: NTT-PHO.

Pardosi J. F., Parr N., Muhidin S. (2017). Local government and community leaders’ perspectives on child health and mortality and inequity issues in rural Eastern Indonesia. Journal of Biosocial Science, 49(1), 123–146. https://doi.org/10.1017/S0021932016000134.

Piane, G. M. (2009). Evidence-based practices to reduce maternal mortality: A systematic review. Journal of Public Health, 31(1), 26–31. https://doi.org/10.1093/pubmed/fdn074

Prakarsa, P. (2012). Kesehatan Ibu Anak & Jampersal di Nusa Tenggara Timur.

Reyna, V. F. (2008). A theory of medical decision making and health: fuzzy trace theory. Medical decision making, 28(6), 850-865. https://doi.org/10.1177/0272989X08327066

Riley, A. W., Finney, J. W., Mellits, E. D., Starfield, B., Kidwell, S., Quaskey, S., ... & Shematek, J. P. (1993). Determinants of children's health care use: an investigation of psychosocial factors. Medical care, 767-783.

Tabelak, T. V., & Boimau, S. V. (2018). Analysis of Mother And Infant Death In Public Health Center of Kupang City. In Proceeding 1st. International Conference Health Polytechnic of Kupang (pp. 405-418).

Tunis, S. R., Stryer, D. B., & Clancy, C. M. (2003). Practical clinical trials: increasing the value of clinical research for decision making in clinical and health policy. Jama, 290(12), 1624-1632.

Willa, R. W., & Mading, M. (2014). Maternal and Child Health Determinants in West Manggarai District East Nusa Tenggara Province. Buletin Penelitian Sistem Kesehatan, 17(3). https://doi.org/10.22435/Bpsk.V17i3 Jul.3793

Published

30-04-2019

How to Cite

Tira, D. S. (2019). Decision making on family level in having treatment: A case study of mother and children’s health revolution program in east Indonesia. International Journal of Health Sciences, 3(1), 24–32. https://doi.org/10.29332/ijhs.v3n1.303

Issue

Section

Peer Review Articles