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Suami SIAGA: male engagement in maternal health in Indonesia

 2017 Oct 1;32(8):1203-1211. doi: 10.1093/heapol/czx073.

Suami SIAGA: male engagement in maternal health in Indonesia.

Author information

1
Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
2
Center for Planning and Management of Human Resources for Health, BPPSDMK, Ministry of Health, Indonesia.
3
Department of Nursing, Institute of Gerontology, Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
4
Department of Mental Health and Community Health Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.
5
Department of Public Health, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
6
Institute of Statistics (STIS), BPS-Statistics of Indonesia, Jakarta, Indonesia.

Abstract

Suami SIAGA, which translates literally as the ‘alert husband’, is a national campaign that was created in early 2000 to promote male participation in maternal and child health program in Indonesia. The purpose of this study was to identify the proportion of men who took part in Suami SIAGA and the factors associated with their participation using the 2012 Indonesia Demographic and Health Survey (IDHS). This study also examined the relationship between Suami SIAGA and the following results related to the national campaign: the presence of husbands at antenatal care (ANC) units and the place of delivery at health facilities. Data on the characteristics of husbands and wives, as well as other related factors, the perceived elements of Suami SIAGA, and the national campaign outcomes were obtained from a total of 1256 eligible male subjects, drawn from the matched couples’ data set. The data was analysed using bivariate and multiple logistic regression to test the associations. This study found that 86% of the respondents were categorised as SIAGA husbands. After controlling all the variables, age and education of wife factors were significantly associated with Suami SIAGA, especially in the group of women aged 41-49 years old (OR = 2.4, 95% CI: 1.1-5.5) and women with a secondary level of education (OR = 1.8, 95% CI: 1.2-2.7) and higher (OR = 2.8, 95% CI: 1.4-5.6). SIAGA husbands were more likely to attend their wives’ ANC (OR = 2.3; 95% CI: 1.4-3.7). This study provides evidence on the benefit of husband involvement in maternal health, especially to improve ANC attendance. Empowering women themselves should also be addressed in leveraging the impact of Suami SIAGA.

KEYWORDS:

Indonesia; Suami SIAGA; male engagement; maternal health

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A deskilling and challenging journey: the lived experience of Indonesian nurse returnees

 

 

A deskilling and challenging journey: the lived experience of Indonesian nurse returnees

Author information

1
Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
2
Center for Planning and Management of Human Resources for Health, The Board for Development and Empowerment of Human Resources for Health (BPPSDMK), Ministry of Health, Jakarta, Indonesia.
3
Department of Nursing, Institute of Gerontology, Institute of Allied Health Sciences, National Cheng Kung University, Tainan, Taiwan.
4
Faculty of Nursing, Airlangga University, Surabaya, Indonesia.
5
Graduate School of Social and Cultural Studies, Kyushu University, Japan.

Abstract

AIM:

To illuminate the lived experiences of Indonesian nurses who previously worked as caregivers in Japanese residential care facilities, by exploring the journey of becoming returnees.

BACKGROUND:

The creation of bilateral agreements between Indonesia and Japan has facilitated the movement of Indonesian nurses to work as caregivers in Japan since 2008. While this decision raised concerns with regard to the degradation of nursing skills, little is known about this issue from the perspective of nurse returnees and how the experience affects their life.

METHOD:

A hermeneutic phenomenological method was employed for this study. A purposive sample of 15 Indonesian nurse returnees participated in this study. Semi-structured interviews were conducted in four of Indonesia’s provinces between August and October 2015. Data were analysed thematically, supported by QSR NVIVO 10 software.

FINDINGS:

Four key themes emerged from the data analysis: (i) returning home; (ii) going back to zero; (iii) walking through a difficult journey; and (iv) overcoming barriers. These findings described the lived experiences of nurse returnees when they got back to the country of origin.

CONCLUSION:

Indonesian nurse returnees experienced deskilling and struggled to re-enter the nursing profession or to find other non-nursing jobs. The significant impact of this migration on individual nurses with regard to maximizing the benefits of return migration deserves further investigation.

IMPLICATION FOR NURSING AND HEALTH POLICY:

The Indonesian government, jointly with other stakeholders, should develop a brain gain strategy to align returnees’ expertise with the needs of the national labour market. The public-private partnership should be strengthened to utilize returnees in healthcare services.

Development of an empowerment model for burnout syndrome and quality of nursing work life in Indonesia

Pengarang: Nursalam Nursalam, Rizeki Dwi Fibriansari, Slamet Riyadi Yuwono, Muhammad Hadi, Ferry Efendi, Angeline Bushy
Tanggal terbit: 2018/5/26
Jurnal: International Journal of Nursing Sciences
Penerbit: Elsevier
Deskripsi
Objectives This study aimed to develop an empowerment model for burnout syndrome and
quality of nursing work life (QNWL). Methods This study adopted a mixed-method cross-
sectional approach. The variables included structural empowerment, psychological
empowerment, burnout syndrome and QNWL. The population consisted of nurses who have
civil servant status in one of the regional hospitals in Indonesia. The participants were
recruited using multi-stage sampling measures with 134 respondents. Data were collected
using questionnaires, which were then analysed using partial least squares. A focus group
discussion was conducted with nurses, chief nurses and the hospital management to identify
strategic issues and compile recommendations. Results Structural empowerment influenced
psychological empowerment (path coefficient= 0.440; t= 6.222) and QNWL (path …