Scholarlink

Background <p>Primary Health Care Integration (PHCI) is part of Indonesia’s health transformation initiated in 2022. After two years, not all districts/cities have implemented the change, especially related to Health Posts (HP). The study aims to assess the HP’s readiness to implement this transformation.</p> Method <p>A sequential exploratory mixed-method design was used. The first stage was explorative using a qualitative design and developing a quantitative research instrument. The second stage conducted a survey. Qualitative data collection through in-depth interviews and focus group discussions involving 42 informants: health cadres, health care workers, and City Health Office representatives. The qualitative data was processed with the ScreenQ software, and content analysis was carried out. Afterward, quantitative research instruments were built using predetermined theory, and validity and reliability tests were carried out. The quantitative survey involved 139 health cadres and 128 health care workers. The data obtained is transformed first using Rasch modeling (Winsteps 37). Then it was analyzed using SPSS software (SPSS 20), with readiness levels categorized into “not ready”, “moderately ready”, and “ready”. A comparison of readiness was performed between groups of respondents.</p> Results <p>Qualitative analysis identified Facilitators including health cadres enthusiasm, collaboration, and commitment. Barriers included human resource, facilities, data synchronization, and digital reporting. Quantitative results showed that 83.5% of Health Posts were classified as “moderately ready”, meaning they had some essential elements in place but still faced gaps requiring further strengthening before full implementation could succeed. No statistically significant differences were found in readiness perceptions between health cadres and health care workers (3.19 logit, CI: -12.91–19.27, <i>p</i> = 0.697).</p> Conclusion <p>This study provides baseline data for future research and policy development, offering insights into how to strengthen PHCI readiness in similar contexts, particularly by addressing the serious barriers that may hinder successful implementation.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Readiness of health posts for primary health care integration in Indonesia: a mixed-methods study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年4月16日

查看全文
  • Ririn Setiaasih,
  • Deni Kurniadi Sunjaya,
  • Yulia Sofiatin,
  • Irvan Afriandi,
  • Lukman Hilfi,
  • Dewi Marhaeni Diah Herawati

摘要

Background

Primary Health Care Integration (PHCI) is part of Indonesia’s health transformation initiated in 2022. After two years, not all districts/cities have implemented the change, especially related to Health Posts (HP). The study aims to assess the HP’s readiness to implement this transformation.

Method

A sequential exploratory mixed-method design was used. The first stage was explorative using a qualitative design and developing a quantitative research instrument. The second stage conducted a survey. Qualitative data collection through in-depth interviews and focus group discussions involving 42 informants: health cadres, health care workers, and City Health Office representatives. The qualitative data was processed with the ScreenQ software, and content analysis was carried out. Afterward, quantitative research instruments were built using predetermined theory, and validity and reliability tests were carried out. The quantitative survey involved 139 health cadres and 128 health care workers. The data obtained is transformed first using Rasch modeling (Winsteps 37). Then it was analyzed using SPSS software (SPSS 20), with readiness levels categorized into “not ready”, “moderately ready”, and “ready”. A comparison of readiness was performed between groups of respondents.

Results

Qualitative analysis identified Facilitators including health cadres enthusiasm, collaboration, and commitment. Barriers included human resource, facilities, data synchronization, and digital reporting. Quantitative results showed that 83.5% of Health Posts were classified as “moderately ready”, meaning they had some essential elements in place but still faced gaps requiring further strengthening before full implementation could succeed. No statistically significant differences were found in readiness perceptions between health cadres and health care workers (3.19 logit, CI: -12.91–19.27, p = 0.697).

Conclusion

This study provides baseline data for future research and policy development, offering insights into how to strengthen PHCI readiness in similar contexts, particularly by addressing the serious barriers that may hinder successful implementation.