ROKHMAH MAULIDINA (2019) MENYUSUN RANCANGAN INTERPROFESSIONAL COLLABORATIVE PRACTICE SEBAGAI UPAYA PENINGKATAN KUALITAS PELAYANAN POSTNATAL CARE DI PUSKESMAS KABUPATEN JOMBANG. Thesis thesis, Universitas Airlangga.

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Abstract

Maternal Mortality Rate (MMR) in Jombang District increased in 2018 up to 90 per 100,000 live births. However, the MMR did not meet the target of SDGs, which is 70 per 100,000 live births. Most of the maternal mortalities occur because of health attack, severe pre-eclampsia, and blooding. Around 83% of maternal mortalities happen in the post-natal phase. Thus, post-natal care should be carried out by involving several health practitioners who have competence and authority according to the standard mentioned by the Regulation of the Indonesian Ministry of Health and WHO. Those professions that should be in the post-natal care are doctors, midwives, nutritionists, and laboratorians. Based on the initial study done, the post-natal care in primary healthcare centers of Jombang District is only carried out by midwives, and no interprofessional collaborative practices involve. This study was aimed to formulate recommendations about Interprofessional Collaborative Practice at postnatal care to improve the quality of healthcare. The study is quasi-experimental with the prospective approach. The study involves pre-test and post-test with control design. The study was conducted in 8 primary healthcare centers consisting of 4 experimental groups and four control groups. The interventions are given in the forms of training and modules about integrated post-natal care based on Interprofessional Collaborative Practice in primary healthcare centers. The data are analyzed by using a paired t-test, independent t-test, and Pearson correlation test. The results show that there is a significant difference on each independent variable and intermediate variable of experimental groups in pre-intervention and post-intervention. The Pearson correlation test shows there is a significant correlation between independent variables (trust, flexibility, cooperation, communication skills, leadership, and supporting structure) and intermediate variables (understanding about roles, dependency, knowledge sharing, and shared goals). Also, there is a significant correlation between intermediate variables and dependent variables (the quality of healthcare). In conclusion, trust, flexibility, cooperation, and communication skills as well as leadership and supporting structure are significantly correlated with Interprofessional Collaborative Practice. In addition, the Interprofessional Collaborative Practice is correlated with the quality of healthcare. The study recommends the primary healthcare centers to implement Interprofessional Collaborative Practice in the post-natal care.

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