Interprofessional Collaborative Practice and Health WorkersRetention at Remote Primary Health Care: Case Study fromNusantara Sehat Team-based Program

Prastuti Soewondo, Retno Pujisubekti, Ade Widyati Prastyani, Nurul Maretia Rahmayanti

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

The Nusantara Sehat Team (NST), established in 2015 and consist of multi-professional health workers, implemented to provide comprehensive services atremote primary health cares (PHCs) for two years. This study aimed to explore how the NST leverages the Interprofessional Collaboration (IPC) and its impacton the future career prospects of health workers. Using a qualitative approach, the information was gathered from 48 informants drawn from the current 30NST recruits and 18 alumni through semi-structured interviews. Of these 48, 20 were clinical practitioners, while the rest were non-clinical health workers. Thefindings revealed several challenges in promoting collaborative practice, including the community's high demand for curative services, the unclear division oftasks among the NST and local PHC staff, and inadequate health facility support. The curriculum of IPC was yet to be included in the pre-service educationand in-service training before NST, allowing the staff to enter the workplace and collaborate, especially in the backward areas. The institutional supportthrough macro and meso policies has yet to enable collaborative-practice ready workers adequately. Other factors such as personal values, family expectations, gender roles, and career sustainability also affected the retention of personnel in the NST.

Original languageEnglish
Pages (from-to)136-143
Number of pages8
JournalKesmas
Volume17
Issue number2
DOIs
Publication statusPublished - May 2022

Keywords

  • interprofessional collaboration
  • primary health care
  • remote area

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