Organizational Capacity: Navigating Complexity in Integrated Primary Healthcare in Rural Indonesia

Syusanty A Mansur; Badu Badu; Nurdin Nara; Muhammad Akmal Ibrahim

doi:10.32535/jicp.v7i5.3952

Organizational Capacity: Navigating Complexity in Integrated Primary Healthcare in Rural Indonesia

Syusanty A Mansur, Badu Badu, Nurdin Nara, Muhammad Akmal Ibrahim

Abstract

This study explores the organizational capacity of the Jeneponto District Government in implementing the Integrated Local Health System (ILP), focusing on infrastructure, technology, and financial resources. Using a qualitative case study approach, data were gathered through interviews, observations, and document analysis involving key stakeholders such as government officials, health workers, and community members. The findings highlight several challenges, including inadequate health infrastructure, limited availability of medicines, and a shortage of health workers in remote areas. The use of digital systems for monitoring remains suboptimal due to technical limitations and lack of ICT support. Financially, support for Posyandu operations and incentives for cadres are uneven, with budget commitments from local governments needing improvement. The study emphasizes the need for stronger organizational capacity through better infrastructure, improved digital health systems, and sufficient financing. Collaboration across sectors and firm political commitment are essential to ensuring the success of ILP and advancing primary health care services.

Full Text:

PDF

References

Abiiro, G. A., & De Allegri, M. (2015). Universal health coverage from multiple perspectives: A synthesis of conceptual literature and global debates. BMC International Health and Human Rights, 15(1), 1–7. https://doi.org/10.1186/s12914-015-0056-9

Abualoush, S., Bataineh, K., & Alrowwad, A. A. (2018). The role of knowledge management process and intellectual capital as intermediary variables between knowledge management infrastructure and organization performance. Interdisciplinary Journal of Information, Knowledge, and Management, 13, 279–309. https://doi.org/10.28945/4088

Adedeji, P., Irinoye, O., Ikono, R., & Komolafe, A. (2018). Factors influencing the use of electronic health records among nurses in a teaching hospital in Nigeria. Journal of Health Informatics in Developing Countries, 12(2). https://www.jhidc.org/index.php/jhidc/article/view/174

Adhikari, B., Mishra, S. R., & Schwarz, R. (2022). Transforming Nepal's primary health care delivery system in the global health era: Addressing historical and current implementation challenges. Globalization and Health, 18(1), 8. https://doi.org/10.1186/s12992-022-00798-5

Agarwal, R., & Sambamurthy, V. (2020). Principles and models for organizing the IT function. In Strategic information management (pp. 243–260). Routledge.

AlNuaimi, B. K., Singh, S. K., Ren, S., Budhwar, P., & Vorobyev, D. (2022). Mastering digital transformation: The nexus between leadership, agility, and digital strategy. Journal of Business Research, 145, 636–648. https://doi.org/10.1016/j.jbusres.2022.03.038

Al-Shorbaji, N., & Al-Shorbaji, N. (2021). Improving healthcare access through digital health: The use of information and communication technologies. Healthcare Access, 10.

Al-Worafi, Y. M. (2023). Healthcare facilities in developing countries: Infrastructure. In Handbook of medical and health sciences in developing countries: Education, practice, and research (pp. 1–21). Springer. https://doi.org/10.1007/978-3-030-74786-2_209-1

Baker, B., & Tremolet, S. (2000, May). Regulation of quality of infrastructure services in developing countries. In Conference on Infrastructure for Development: Private Solutions and the Poor.

Bigdeli, M., Jacobs, B., Tomson, G., Laing, R., Ghaffar, A., Dujardin, B., & Van Damme, W. (2013). Access to medicines from a health system perspective. Health Policy and Planning, 28(7), 692–704. https://doi.org/10.1093/heapol/czs108

Çak?r, G., Subulan, K., Yildiz, S. T., Hamzaday?, A., & As?lkefeli, C. (2022). A comparative study of modeling and solution approaches for the multi-mode resource-constrained discrete time-cost trade-off problem: Case study of an ERP implementation project. Computers & Industrial Engineering, 169, 108201. https://doi.org/10.1016/j.cie.2022.108201

Cashin, C., Bloom, D., Sparkes, S., Barroy, H., Kutzin, J., O'Dougherty, S., & World Health Organization. (2017). Aligning public financial management and health financing: Sustaining progress toward universal health coverage (No. WHO/HIS/HGF/HFWorkingPaper/17.4). World Health Organization. http://apps.who.int/iris/bitstream/10665/254680/1/9789241512039-eng.pdf

Central Bureau of Statistics [BPS]. (2024). https://www.bps.go.id/en/publication/2024/02/28/c1bacde03256343b2bf769b0/statistical-yearbook-of-indonesia-2024.html

Colnar, S., Radevi?, I., Martinovi?, N., Lojpur, A., & Dimovski, V. (2022). The role of information communication technologies as a moderator of knowledge creation and knowledge sharing in improving the quality of healthcare services. PLOS ONE, 17(8), e0272346. https://doi.org/10.1371/journal.pone.0272346

Directorate of Public Health Governance, Ministry of Health of the Republic of Indonesia. (2024).

Goodhue, D. L., & Thompson, R. L. (1995). Task-technology fit and individual performance. MIS Quarterly, 19(2), 213–236. https://doi.org/10.2307/249689

Indonesian Ministry of Health. (2022). Amendment to the Ministry of Health Strategic Plan 2020–2024.

Indonesian Ministry of Health. (2022c). Technical Guidelines for Primary Health Care Transformation.

Kapologwe, N. A., Meara, J. G., Kengia, J. T., Sonda, Y., Gwajima, D., Alidina, S., & Kalolo, A. (2020). Development and upgrading of public primary healthcare facilities with essential surgical services infrastructure: A strategy towards achieving universal health coverage in Tanzania. BMC Health Services Research, 20, 1–14. https://doi.org/10.1186/s12913-020-5057-2

Kok, M. C., Dieleman, M., Taegtmeyer, M., Broerse, J. E., Kane, S. S., Ormel, H., ... & De Koning, K. A. (2015). Which intervention design factors influence the performance of community health workers in low- and middle-income countries? A systematic review. Health Policy and Planning, 30(9), 1207–1227. https://doi.org/10.1093/heapol/czu126

Lucas, H. (2008). Information and communications technology for future health systems in developing countries. Social Science & Medicine, 66(10), 2122–2132. https://doi.org/10.1016/j.socscimed.2008.01.033

Majeed, M. T., & Khan, F. N. (2019). Do information and communication technologies (ICTs) contribute to health outcomes? An empirical analysis. Quality & Quantity, 53(1), 183–206. https://doi.org/10.1007/s11135-018-0741-6

Nguyen, T. N. (2023). Developing health information systems in developing countries: Lessons learned from a longitudinal action research study in Vietnam. The Electronic Journal of Information Systems in Developing Countries, 89(5), e12268. https://doi.org/10.1002/isd2.12268

Pallas, S. W., Minhas, D., Pérez-Escamilla, R., Taylor, L., Curry, L., & Bradley, E. H. (2013). Community health workers in low- and middle-income countries: What do we know about scaling up and sustainability? American Journal of Public Health, 103(7), e74–e82. https://doi.org/10.2105/AJPH.2012.301102

Ravichandran, T. (2018). Exploring the relationships between IT competence, innovation capacity and organizational agility. The Journal of Strategic Information Systems, 27(1), 22–42. https://doi.org/10.1016/j.jsis.2017.07.002

Sabo, S., Wexler, N., O'Meara, L., Dreifuss, H., Soto, Y., Redondo, F., ... & Ingram, M. (2021). Organizational readiness for community health worker workforce integration among Medicaid contracted health plans and provider networks: An Arizona case study. Frontiers in Public Health, 9, 601908. https://doi.org/10.3389/fpubh.2021.601908

Sacks, E., Morrow, M., Story, W. T., Shelley, K. D., Shanklin, D., Rahimtoola, M., ... & Sarriot, E. (2019). Beyond the building blocks: Integrating community roles into health systems frameworks to achieve health for all. BMJ Global Health, 3(Suppl 3), e001384. https://doi.org/10.1136/bmjgh-2018-001384

SPM Joint Secretariat, Directorate General of Regional Development (DG Bangda), Ministry of Home Affairs. (2024).

Sriram, S. (2018). Availability of infrastructure and manpower for primary health centers in a district in Andhra Pradesh, India. Journal of Family Medicine and Primary Care, 7(6), 1256–1262. https://doi.org/10.4103/jfmpc.jfmpc_194_18

Strasser, R., Kam, S. M., & Regalado, S. M. (2016). Rural health care access and policy in developing countries. Annual Review of Public Health, 37, 395–412. https://doi.org/10.1146/annurev-publhealth-032315-021507

Tamfon, B. B., Bilounga Ndongo, C., Bataliack, S. M., Ngoufack, M. N., & Nguefack-Tsague, G. (2020). Routine health information system in the health facilities in Yaoundé-Cameroon: Assessing the gaps for strengthening. BMC Medical Informatics and Decision Making, 20, 1–11. https://doi.org/10.1186/s12911-020-01351-3

Tariverdi, M., Nunez-Del-Prado, M., Leonova, N., & Rentschler, J. (2023). Measuring accessibility to public services and infrastructure criticality for disasters risk management. Scientific Reports, 13(1), 1569. https://doi.org/10.1038/s41598-023-28460-z

Tesema, A. G., Abimbola, S., Mulugeta, A., Ajisegiri, W. S., Narasimhan, P., Joshi, R., & Peiris, D. (2021). Health system capacity and readiness for delivery of integrated non-communicable disease services in primary health care: A qualitative analysis of the Ethiopian experience. PLOS Global Public Health, 1(10), e0000026. https://doi.org/10.1371/journal.pgph.0000026

Ud Din, I., Xue, M. C., Abdullah, Ali, S., Shah, T., & Ilyas, A. (2017). Role of information & communication technology (ICT) and e-governance in health sector of Pakistan: A case study of Peshawar. Cogent Social Sciences, 3(1), 1308051. https://doi.org/10.1080/23311886.2017.1308051

World Health Organization. (2007). Everybody’s business: Strengthening health systems to improve health outcomes: WHO’s framework for action. https://apps.who.int/iris/handle/10665/43918

World Health Organization. (2010). The world health report: Health systems financing: The path to universal coverage. https://apps.who.int/iris/handle/10665/44371

Ydyrys, S., Ibrayeva, N., Abugaliyeva, F., Zhaskairat, M., & Uvaliyeva, A. (2023). Regulatory and legal support for the development of digital infrastructure in rural areas as a factor in improving the level of sustainable development and quality of life of the rural population. Journal of Environmental Management and Tourism, 14(5), 2271–2280. https://doi.org/10.14505/jemt.v14.5(69).08

Yin, R. K. (2018). Case study research and applications: Design and methods (6th ed.). SAGE Publications.

DOI: https://doi.org/10.32535/jicp.v7i5.3952

Refbacks

There are currently no refbacks.

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Published by:

AIBPM Publisher

Editorial Office:

JL. Kahuripan No. 9 Hotel Sahid Montana, Malang, Indonesia
Phone:+62 341 366222
Email: journal.jicp@gmail.com
Website:http://ejournal.aibpmjournals.com/index.php/JICP

Supported by: Association of International Business & Professional Management

If you are interested to get the journal subscription you can contact us at admin@aibpm.org.

ISSN 2622-0989 (Print)
ISSN 2621-993X (Online)

DOI:Prefix 10.32535 by CrossREF

Journal of International Conference Proceedings (JICP) INDEXED: