Implementation of Quality Assurance Programs for llospital-based Long Term Contraceptive Services

In ord.er to further improve the quality of hospital based long term contracepîive services (ILID, implant, and' sterilization) in a more systematic and continous way in Ind.onesia, a Quality Assurance Program (QA) was introduced in twelve selected hospitals in Jakarta that had. family planning programs. This stud.y was conducted in order to determine which factors influence the implementation of the Quality Assurance Program in the twelve selected hospitals in J akarta. Afier having conducted this Quality Assurance Program for about 12 months, it wasfound that nine hospitals (75.0%) were able to implement the Quality AssuranceProgram while the remaining three hospitals (25.0%) failed to implement the quality assurance program. For this study, twelve factors were identified as possibly having an influence on the implementation of the QA in these twelve hospitals, namely the role of the QA team leader, kttowledge of the QA team members, responsibility of the QA team members, interest of the QA leam members, team'work of the QA team members, attention of the hospital director, cooperation with the facilitator, participation of the QA team members, workload of the QA team members, frequency of supervision by the hospital director, frequency of feedback from the hospital director, and lhe amount of periodic guid.ance by the facilitator. The results of the study showed that out of these twelve factors seven factors were shown to have siqnificanl inJ'luence on the successful implementation of the Quality Assurance Programl These seven factors were the role of the QA team leader, the responsibility of the QA team members, the team-work of the QA team members, the interest of the QA team members, the attention of the hospital director, the good cooperation with the facilitalor, and. the amount of superuision by the hospitaL director. Keyword : Quatity Assurance Program, hospital based long term contraceptive services, factors influenced. ln order to further improve the quality of hospital based ontraceptiv UD, implant' sterilia rnore sys coulltinous ways^in a Quality Prograrn (Onf; 2-7 was introduced in twelve selected hospital in Jakarta that provided family planning services. The QAP Department of Community Medicine, Faculty of Medicine flniversity.of I ndonesia, J akarta, I nd'onesia model that was introduced was developed based on the recomendation of an analytical study previously conducted. The model utilizes rnanagement principles, namely tea decision tnrking,n anO tfre use o[ a cycle.lo Prior to the model's implementation, three intervencarried out, namelV an orientation directors,ll-13 u Qe training proeam members,l4 attd a one day orientation seminar on QAP for the entire hospital staff.ls r . Vol 5, No 2, April June 1996 After approximately implemention at the found that nine of the able to implement remaining three hospitals (25To) failed to implement the QA activities. The main question then is what factors jnfluenced the implementation of the eAp in these hospitals? The aim of this study was to determine which factors influenced the successful implementation of the eAp in the twelve hospitals.