Implementation of Home Care Services by Community Health Centers (Puskesmas) in Makassar City, Indonesia

Abstract

Implementation of Home Care Services by Community Health Centers (Puskesmas) in Makassar City, Indonesia Kusrini Semarwati Kadar*, Fitrah Ardillah, Arnis Puspitha, Erfina Erfina Faculty of Nursing Universitas Hasanuddin, Makassar 90245, Indonesia *E-mail: kusrinikadar@unhas.ac.id Abstract Home care services by health professionals, such as doctors, nurses, and other health care professionals, target to provide health care services, including health education, physical examination, or other treatments such as physical therapy or medication. This study aimed to evaluate the implementation of home care (nursing care and home care services) in Makassar City in accordance with government guidelines. A qualitative descriptive study was conducted by interviewing nurses (15 participants) from several community health centers (Puskesmas) in Makassar City, Indonesia who have im-plemented a home care program for at least a year. Four main themes had emerged, namely, management of home care services, nurses’ roles in home care services, perceived barriers, and community benefits. Despite some barriers, the home care programs delivered by health care professionals including nurses in Puskesmas in Makassar City have been well implemented in accordance with the guidelines. On the basis of the obstacles faced by the nurses, one recommendation is for the government to provide specific guidelines on the types of patients to be included in these services. The govern-ment also needs to ensure that the community knows the types of patients’ condition who can avail these services. Keywords: community health centers, home care service, nurses’ roles