Facilitators and Barriers to Health Workforce Retention in Rural and Remote Setting of Indonesia: A Literature Review

Kartika, Lia

doi:10.18502/kls.v4i10.3716

Cited by 6 publications

(4 citation statements)

References 18 publications

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“…New staff often lack the skills and training to perform testing or to comply with government reporting requirements, contributing to fewer pregnant women being tested and inaccurate or missing data on testing coverage [38]. Since staff shortages and high staff turnover is common in Indonesia, especially in rural areas [40], there is an urgent need to provide ongoing training for staff and ensure that sustained funding is available to support these activities. The finding that West Nusa Tenggara experienced more frequent shortages and turnover of staff compared to Bali was probably because West Nusa Tenggara has more villages to serve and lower midwife-and nurse-to-population ratios compared with Bali [41].…”

Section: Discussionmentioning

confidence: 99%

Challenges to integrating programs for the elimination of mother-to-child transmission of HIV, syphilis, and hepatitis B into antenatal care: Experiences from Indonesia

Wulandari,

Lubis,

Kurniati

et al. 2024

PLOS Glob Public Health

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The WHO’s Asia-Pacific framework for triple elimination recommends that countries evaluate their programs for the elimination of mother-to-child transmission of HIV, syphilis, and hepatitis B (EMTCT), including identifying gaps to improve program planning and the implementation of elimination strategies in antenatal care (ANC) services. In 2022, the Indonesian Ministry of Health reported that only 39% of pregnant women were tested for HIV, 14% for syphilis, and 28% for hepatitis B, respectively. We conducted a qualitative study involving a focus group discussion (FGD) and in-depth interviews with 25 key stakeholders in Bali and West Nusa Tenggara Provinces to identify specific challenges to testing for HIV, syphilis, and hepatitis B in ANC settings. Thematic analysis was used to identify the themes generated from the data. Health system bottlenecks experienced by stakeholders included supply chain management issues involving stock forecasting and stock monitoring, stock-outs of rapid test reagents which were particularly most frequent and for longer durations for syphilis and hepatitis B, high staff turnover, lack of staff training on how to perform the test, the complexity and time needed to record the data on women’s characteristics, risk behaviours, and testing in both paper format and into the computer-based surveillance systems, discrepancies in program coverage data from different divisions of the district health office involved in the reporting system, high levels of stigma that prevented women from being followed up, challenges in notifying partners, and inadequate reporting and referral of women from private providers to public ones for testing. Interventions addressing the above challenges are worthy of consideration to improve the health system function and integrate EMTCT into the ANC settings.

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Section: Discussionmentioning

confidence: 99%

Challenges to integrating programs for the elimination of mother-to-child transmission of HIV, syphilis, and hepatitis B into antenatal care: Experiences from Indonesia

Wulandari,

Lubis,

Kurniati

et al. 2024

PLOS Glob Public Health

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“…These occur as a result of a substantial shortfall in stewardship, resources, and service provision. Geographic isolation is a major issue among elderly populations who live in rural areas [45][46][47]. Community outreach, such as Posyandu lansia, with its basic health service on one specific day of a month, might be the nearest healthcare that a rural elderly individual could have as part of their long-term care.…”

Section: Quality Of Servicesmentioning

confidence: 99%

Enablers and Barriers of Healthcare Services for Community-Dwelling Elderly in Rural Indonesia: A Qualitative Evidence Synthesis

Aji¹,

Masfiah²,

Anandari³

et al. 2023

Port J Public Health

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Introduction: Healthcare services for elderly populations in Indonesia have been arranged in both institutional and community services. However, only a small number of elderly individuals reside in this residential aged care home setting because of cultural norms in Indonesian communities. Poor health infrastructure is still the main constraint, particularly in rural communities, although they have the adequate social capital to deal with restrictions. It is important to explore the existing implementation of healthcare services for elderly populations in rural Indonesia to shed light on appropriate policy interventions. This review aimed to identify and synthesize relevant evidence in Indonesia regarding the barriers and enablers of healthcare for elderly individuals in rural settings. Methods: This study used a qualitative evidence synthesis method. The search strategy aimed to locate published studies. An initial limited search of PubMed, Web of Science, ScienceDirect, Embase, PsycINFO, and CINAHL was conducted to identify articles on the topic that were published in English from 2010 to 2020. A meta-aggregation approach was used to pool qualitative study findings, employing JBI SUMARI software. Results: Four synthesized statements emerged from the study analysis: (1) integration needs among institutional and community-based healthcare for elderly people in rural areas, (2) the quality of integrated health services for elderly populations must be improved, (3) community support will improve and ensure the sustainability and implementation of community-based healthcare for elderly populations, and (4) community and family awareness must be improved to support care for the elderly. These were substantial insights that can be used to address key challenges in existing healthcare services and improve the system by considering specific features of enablers and barriers. Conclusion: A collaboration between communities, healthcare institutions, families, and government authorities was needed to support the success of the program and maintain the sustainability of services, which will result in adequate healthcare for the elderly population and improved health overall in rural Indonesia.

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“… 1 Health workers can provide effective health services based on their availability and distribution in the population. 2 However, the global shortage of health workers is expected to reach 10 million by 2030. Even within countries, rural areas experience greater shortages of adequate staff than urban areas.…”

Section: Introductionmentioning

confidence: 99%

Retention of Doctors and Dentists to Serve in Remote Areas in Indonesia: A Discrete Choice Experiment

Kurniati,

Efendi,

Ismawiningsih

et al. 2024

JMDH

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Introduction Retaining doctors and dentists in remote areas of Indonesia remains a national priority of the Indonesian government. The purpose of this study was to analyze the interventions for retention of doctors and dentists in remote areas using the discrete choice experiment (DCE) approach. Materials and Methods A DCE was conducted to investigate preferences of doctors and dentists for retention in remote areas. This research was conducted in 78 primary healthcare settings across 15 provinces in Indonesia. The conditional logit model was used to explore stated preferences for each attribute. Results The total number of respondents was 158, including 113 doctors and 45 dentists. In general, doctors placed the highest preference on getting priority for government scholarships to facilitate retention in remote areas (OR=5.65, p<0.001). Specifically, dentists preferred security guarantees from local government (OR = 4.87, p<0.001). Both groups valued having an official residence (OR=3.6, p<0.001) as a factor for retention in remote areas. Conclusion Scholarship, security guarantees, housing facilities, and medical facilities were the most considered factors for retaining doctors and dentists in a remote area. This study confirms the importance of a combination of interventions in maintaining doctors and dentists in remote areas. Policy options in the form of non-financial and financial intervention packages can be combined to improve their retention.

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Facilitators and Barriers to Health Workforce Retention in Rural and Remote Setting of Indonesia: A Literature Review

Abstract: .

Cited by 6 publications

References 18 publications

Challenges to integrating programs for the elimination of mother-to-child transmission of HIV, syphilis, and hepatitis B into antenatal care: Experiences from Indonesia

Challenges to integrating programs for the elimination of mother-to-child transmission of HIV, syphilis, and hepatitis B into antenatal care: Experiences from Indonesia

Enablers and Barriers of Healthcare Services for Community-Dwelling Elderly in Rural Indonesia: A Qualitative Evidence Synthesis

Retention of Doctors and Dentists to Serve in Remote Areas in Indonesia: A Discrete Choice Experiment

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