Factor that influence the implementation of quality assurance programs for hospital-based long term contraceptive services

Abstract

In order to further improve the quality of hospital based long term contraceptive services (IUD, implant, and sterilization) in a more systematic and continous way in Indonesia, a Quality Assurance Program (QA) was introduced in twelve selected hospitals in Jakarta that had family planning programs. This study was conducted in order to determine which factors influence the implementation of the Quality Assurance Program in the twelve selected hospitals in Jakarta. After having conducted this Quality Assurance Program for about 12 months, it was found that nine hospitals (75.0%) were able to implement the Quality Assurance Program 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, knowledge of the QA team members, responsibility of the QA team members, interest of the QA team 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 the amount of periodic guidance by the facilitator. The results of the study showed that out of these twelve factors seven factors were shown to have siqnificant influence on the successful implementation of the Quality Assurance Programs. 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 cooperat ion with the facilitator, and the amount of supervision by the hospital director.