Helping Underprivileged People To Give Birth, Midwives In Ambon Hope The Delivery Guarantee Program Is Quickly Realized

Coordinator of the Arbes Community Health Center Midwife, Sirimau District, Ambon City, Sumila Tehuayo/Photo: Antara

AMBON - The midwife of the Arbes Public Health Center, Kebun Cengkih, Sirimau District, Ambon, requested that the Maternity Guarantee (Jampersal) program regulated in Presidential Instruction (Inpres) number 5 of 2022, be realized quickly.

“Actually, I also have a great desire to serve Jampersal deliveries here. This means we are quite optimistic. Hopefully it can go well," said Arbes Health Center Midwife Coordinator, Sumila Tehuayo, quoted by Antara, Saturday, July 23.

Sumila said, the Jampersal program is certainly very beneficial for the poor, if it is true it can be accommodated and not complicated by the requirements that will be made.

"Well, if there is this rule, hopefully the government has good intentions, this can help, because the reality on the ground is that many people cannot accommodate their deliveries with Jampersal before," he said.

According to him, Jampersal, which had previously been implemented, did not run optimally, because the community was limited by administrative requirements.

“In Ambon City, for example, Jampersal can only be claimed if he has an Ambon City NIK. The problem is, what if he has a Nik outside, while we can't restrict people from entering Ambon City with a different NIK," he said.

In addition to the NIK issue, Sumila admitted that she had served underprivileged patients, and her health BPJS could not be claimed because it had been decided by the government.

“There were pregnant women who were really poor people who came to give birth, so I referred them to them, because I thought they had a BPJS card, but apparently they couldn't be clamped because the government had decided. It's not guaranteed anymore," said Sumila.

He asked the government to pay more attention to this matter. Do not get in the process of implementing this regulation, the rules become an obstacle.

“The government must pay attention to conditions like this. Do not get in the process of implementing this regulation, we are constrained by the rules. The regulations must be made easier," he said.

He hopes that the Jampersal program, which has just been issued by the president, can really guarantee the poor.

"Hopefully this goes well. Don't let this be just talk. In the end, we were good, it turned out that from the back the ending was different, "he hoped.

In addition to people who want to give birth, Sumila hopes that guarantees are also given to midwives.

"We'll see what the rules are. The problem is yesterday's delivery guarantee to the midwife, the funds were only Rp. 700 thousand, while assisting childbirth must be assisted with four hands. If Rp. 700 thousand how. That's a midwife. It was one delivery. From drugs all from there. It means that it's a false package when we want to buy it ourselves, if it's from the government, it might be a bit lighter, but if we do, we feel sorry for the midwife,” concluded Sumila.

It is known, the Government will bear the cost of childbirth for the poor. This rule has been in effect since July 12, 2022. The regulation is contained in Presidential Instruction (Inpres) Number 5 of 2022 concerning Increasing Access to Health Services for Pregnant Women, Maternity, Postpartum, and Babies Born through the Maternity Insurance Program.

The Presidential Instruction contains several orders to a number of parties. First, the minister of health to allocate budget, compile and stipulate technical guidelines for services for pregnant women, maternity, childbirth, and newborns through the Jampersal program, including the procedure for payment of claims.

With the enactment of this Presidential Instruction, the government will seek to improve access to health services for pregnant women, maternity, postpartum, and newborns at local health facilities. However, the implementation must meet the requirements. The requirement is that pregnant women must meet the criteria for being poor, poor people, and not having health insurance to prevent maternal and infant mortality in Indonesia.