ANALISIS PEMANFAATAN PEDOMAN KERJA BIDAN DALAM PENGELOLAAN PROGRAM KIA-KB DI PUSKESMAS KOTA PONTIANAK (Analysis of Using the Midwifeâs Work Guide in Management of Family Planning â Maternal and Child Health Program at Health Centers in Pontianak City)
| Main Author: | ASFIAN, ASFIAN |
|---|---|
| Format: | Thesis NonPeerReviewed application/pdf |
| Terbitan: |
, 2008
|
| Subjects: | |
| Online Access: |
http://eprints.undip.ac.id/16640/1/ASFIAN.pdf http://eprints.undip.ac.id/16640/ |
| ctrlnum |
16640 |
|---|---|
| fullrecord |
<?xml version="1.0"?>
<dc schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"><title>ANALISIS PEMANFAATAN PEDOMAN KERJA BIDAN
DALAM PENGELOLAAN PROGRAM KIA-KB
DI PUSKESMAS KOTA PONTIANAK
(Analysis of Using the Midwife’s Work Guide in Management of Family
Planning – Maternal and Child Health Program at Health Centers in Pontianak
City)</title><creator>ASFIAN, ASFIAN</creator><subject>HV Social pathology. Social and public welfare</subject><description>Di Kalimantan Barat Angka Kematian Ibu pada tahun 2006 sebesar
403,13/100.000 per kelahiran hidup, dan Angka Kematian Bayi 44,12 /1000
kelahiran hidup. Sedangkan Angka Kematian Ibu dan Angka Kematian Bayi di
Kota Pontianak didapatkan bahwa angka kematian ibu dari tahun 2005 sampai
tahun 2006 mengalami peningkatan dan pada tahun 2007 mengalami
penurunan, sedangkan angka kematian neonatal dari tahun 2005 sampai tahun
2007 mengalami peningkatan. Berdasarkan laporan Profil Dinas Kesehatan
Kota Pontianak didapatkan data bahwa cakupan K1 dan K4 secara kuantitatif
hasilnya mencapai diatas 90%, namun secara kualitatif dinyatakan bahwa
hampir semua daerah terjadi perbedaan dimana didapatkan puskesmas yang
memiliki target K1 paling rendah adalah Siantan Hilir, K4 paling rendah adalah
Banjar Serasan , cakupan Neonatus paling rendah adalah Kampung Dalam.
Meskipun Dinas Kesehatan Kota Pontianak telah berupaya memenuhi sarana,
prasarana dan sumber daya lainnya termasuk adanya pedoman kerja bidan ,
namun masih ditemukan 3 puskesmas yang memiliki cakupan K1, K4 dan
neonatus rendah. Dari studi pendahuluan didapatkan bahwa bidan belum
bekerja sesuai dengan pedoman sehingga target yang diharapkan belum
tercapai. Untuk mengetahui permasalahan tersebut dilakukan penelitian
tentang pemanfaatan pedoman kerja bidan dalam pengelolaan program KIAKB
di Puskesmas di Kota Pontianak.
Tujuan penelitian ini adalah untuk menganalisis pemanfaatan pedoman
kerja bidan dalam pengelolaan program KIA-KB di Puskesmas Kota Pontianak
Jenis penelitian observasional yang bersifat kualitatif dengan pendekatan
crossectional. Metode pengumpulan data diperoleh melalui wawancara
mendalam sebanyak 9 (sembilan) orang, antara lain pimpinan puskesmas,
bidan koordinator dan bidang pelaksana di 3 (tiga) puskesmas masing-masing
1 orang.
Hasil penelitian didapatkan bahwa puskesmas dalam memberikan
pelayanan menggunakan pedoman pelayanan dari pusat dan pedoman dari
Dinas Kesehatan Kota Pontianak namun pada pelaksanaannya adanya dua
pedoman membebani bidan, kepatuhan bidan didapatkan bahwa puskesmas
yang sudah melaksanakan kedua pedoman tersebut adalah puskesmas
Kampung Dalam, bidan mengetahui pedoman pengelolaan KIA-KB, tetapi
pada tahap pelaksanaan ada beberapa yang belum dikerjakan seperti asuhan
kebidanan kespro- remaja, prasekolah dan askeb lansia, kegiatan monitoring,
hanya puskesmas Kampung Dalam yang rutin menyelenggarakan, supervisi
telah dilaksanakan oleh ketiga puskesmas, tindakan koreksi dilaksanakan di
tiga puskesmas tersebut setelah melalui evaluasi 3 bulan, agar pedoman
kerja dapat dijadikan acuan dalam bekerja, Puskesmas Kampung Dalam
menerbitkan kebijakan tertulis tentang pemanfaatan pedoman kerja, namun
pada puskesmas laiinya tidak ditemukan kebijakan tertulis. sosialiasi sebelum
kebijakan sudah dilaksanakan, bidan belum memiliki persepsi yang sama
tentang kewajiban implementasi pedoman baik pedoman pusat maupun dari
Dinas.
Disarankan agar pemanfaatan pedoman dapat maksimal dan tidak
membebani bidan, Pimpinan puskesmas dapat membagi tugas bidan baik
untuk pelayanan maupun kegiatan administrasi, sosialiasasi kembali tentang
pedoman kerja bidan, diadakan pelatihan, kegiatan monitoring diaktifkan,
supervisi dilaksanakan, pemerataan tenaga dan perlunya kebijakan tertulis
tentang pemanfaatan pedoman.

In West Borneo, Maternal Mortality Rate (MMR) in 2006 was
403.13/100.000 life births and Infant Mortality Rate (IMR) was 44.12/1000 life
births. MMR and IMR in Pontianak City from year 2005 to 2006 were
increasing but in year 2007, those rates decreased. Neonatal Mortality Rate
from year 2005 to 2007 was increasing. According to the Profile of Pontianak
City Health Office, coverage of Visit-1 and Visit-4 quantitatively was upper
than 90%, otherwise, qualitatively there showed that most of the areas vary in
terms of the coverage. Siantan Hilir Health Center has the lowest coverage of
Visit-1 in Pontianak. Banjar Serasan Health Center has the lowest coverage of
Visit-4. Kampung Dalam Health Center has the lowest coverage of Neonatal.
Even though Pontianak City Health Office had tried to fulfill means and other
resources including midwife’s work guide, three health centers had a low
coverage of Visit-1, Visit-4, and Neonatal. Based on previous study, midwives
had not worked in accordance with the guide that accounted for unreached
target. To identify its problem, there needs to perform a research about the
use of midwife’s work guide in management of Family Planning – Maternal
and Child Health Program at Health Centers in Pontianak City.
Aim of this research was to analyze the use of midwife’s work guide in
management of Family Planning – Maternal and Child Health Program at
Health Centers in Pontianak City. This was observational research using
a qualitative method and cross sectional approach. Data were carried out from
in-depth interview towards 9 persons namely Head of Health Centers,
Coordinator of Midwife, and Midwives at three health centers.
The result of this research shows that in providing services, health
centers use two guides of services namely from Health Department of
Indonesia and from Pontianak City Health Office in which this condition
burdens midwives. The Health Center that has already implemented these
guides is Kampung Dalam Health Center. Midwives have understood the
guide in management of Family Planning – Maternal and Child Health
Program, but in the implementation, there are some activities that have not
been done well namely midwifery care of reproductive health for adolescent,
pre-school, and older group, monitoring activity (there is only Kampung Dalam
Health Center that performs monitoring routinely), supervision (this activity has
been conducted by three health centers), and correction activity (this activity
has been performed by three health centers after quarterly evaluation).
Kampung Dalam Health Center has published a written policy about the use of
work guide. Socialization of the policy has been done. Midwives have not had
a same perception about the duty for implementing the guides.
It is suggested to use the guides maximally and it does not burden
midwives. Head of Health Centers could share the midwife’s tasks in terms of
the services and administrative affairs. Head of Health Centers should resocialize
the guide, conduct training, activate monitoring activity, perform
supervision, distribute health workers, and publish a written policy about the
use of the guide.</description><date>2008</date><type>Thesis:Thesis</type><type>PeerReview:NonPeerReviewed</type><type>File:application/pdf</type><identifier>http://eprints.undip.ac.id/16640/1/ASFIAN.pdf</identifier><identifier>ASFIAN, ASFIAN (2008) ANALISIS PEMANFAATAN PEDOMAN KERJA BIDAN DALAM PENGELOLAAN PROGRAM KIA-KB DI PUSKESMAS KOTA PONTIANAK (Analysis of Using the Midwife’s Work Guide in Management of Family Planning – Maternal and Child Health Program at Health Centers in Pontianak City). Masters thesis, Program Pascasarjana Universitas Diponegoro.</identifier><relation>http://eprints.undip.ac.id/16640/</relation><recordID>16640</recordID></dc>
|
| format |
Thesis:Thesis Thesis PeerReview:NonPeerReviewed PeerReview File:application/pdf File |
| author |
ASFIAN, ASFIAN |
| title |
ANALISIS PEMANFAATAN PEDOMAN KERJA BIDAN
DALAM PENGELOLAAN PROGRAM KIA-KB
DI PUSKESMAS KOTA PONTIANAK
(Analysis of Using the Midwifeâs Work Guide in Management of Family
Planning â Maternal and Child Health Program at Health Centers in Pontianak
City) |
| publishDate |
2008 |
| topic |
HV Social pathology. Social and public welfare |
| url |
http://eprints.undip.ac.id/16640/1/ASFIAN.pdf http://eprints.undip.ac.id/16640/ |
| contents |
Di Kalimantan Barat Angka Kematian Ibu pada tahun 2006 sebesar
403,13/100.000 per kelahiran hidup, dan Angka Kematian Bayi 44,12 /1000
kelahiran hidup. Sedangkan Angka Kematian Ibu dan Angka Kematian Bayi di
Kota Pontianak didapatkan bahwa angka kematian ibu dari tahun 2005 sampai
tahun 2006 mengalami peningkatan dan pada tahun 2007 mengalami
penurunan, sedangkan angka kematian neonatal dari tahun 2005 sampai tahun
2007 mengalami peningkatan. Berdasarkan laporan Profil Dinas Kesehatan
Kota Pontianak didapatkan data bahwa cakupan K1 dan K4 secara kuantitatif
hasilnya mencapai diatas 90%, namun secara kualitatif dinyatakan bahwa
hampir semua daerah terjadi perbedaan dimana didapatkan puskesmas yang
memiliki target K1 paling rendah adalah Siantan Hilir, K4 paling rendah adalah
Banjar Serasan , cakupan Neonatus paling rendah adalah Kampung Dalam.
Meskipun Dinas Kesehatan Kota Pontianak telah berupaya memenuhi sarana,
prasarana dan sumber daya lainnya termasuk adanya pedoman kerja bidan ,
namun masih ditemukan 3 puskesmas yang memiliki cakupan K1, K4 dan
neonatus rendah. Dari studi pendahuluan didapatkan bahwa bidan belum
bekerja sesuai dengan pedoman sehingga target yang diharapkan belum
tercapai. Untuk mengetahui permasalahan tersebut dilakukan penelitian
tentang pemanfaatan pedoman kerja bidan dalam pengelolaan program KIAKB
di Puskesmas di Kota Pontianak.
Tujuan penelitian ini adalah untuk menganalisis pemanfaatan pedoman
kerja bidan dalam pengelolaan program KIA-KB di Puskesmas Kota Pontianak
Jenis penelitian observasional yang bersifat kualitatif dengan pendekatan
crossectional. Metode pengumpulan data diperoleh melalui wawancara
mendalam sebanyak 9 (sembilan) orang, antara lain pimpinan puskesmas,
bidan koordinator dan bidang pelaksana di 3 (tiga) puskesmas masing-masing
1 orang.
Hasil penelitian didapatkan bahwa puskesmas dalam memberikan
pelayanan menggunakan pedoman pelayanan dari pusat dan pedoman dari
Dinas Kesehatan Kota Pontianak namun pada pelaksanaannya adanya dua
pedoman membebani bidan, kepatuhan bidan didapatkan bahwa puskesmas
yang sudah melaksanakan kedua pedoman tersebut adalah puskesmas
Kampung Dalam, bidan mengetahui pedoman pengelolaan KIA-KB, tetapi
pada tahap pelaksanaan ada beberapa yang belum dikerjakan seperti asuhan
kebidanan kespro- remaja, prasekolah dan askeb lansia, kegiatan monitoring,
hanya puskesmas Kampung Dalam yang rutin menyelenggarakan, supervisi
telah dilaksanakan oleh ketiga puskesmas, tindakan koreksi dilaksanakan di
tiga puskesmas tersebut setelah melalui evaluasi 3 bulan, agar pedoman
kerja dapat dijadikan acuan dalam bekerja, Puskesmas Kampung Dalam
menerbitkan kebijakan tertulis tentang pemanfaatan pedoman kerja, namun
pada puskesmas laiinya tidak ditemukan kebijakan tertulis. sosialiasi sebelum
kebijakan sudah dilaksanakan, bidan belum memiliki persepsi yang sama
tentang kewajiban implementasi pedoman baik pedoman pusat maupun dari
Dinas.
Disarankan agar pemanfaatan pedoman dapat maksimal dan tidak
membebani bidan, Pimpinan puskesmas dapat membagi tugas bidan baik
untuk pelayanan maupun kegiatan administrasi, sosialiasasi kembali tentang
pedoman kerja bidan, diadakan pelatihan, kegiatan monitoring diaktifkan,
supervisi dilaksanakan, pemerataan tenaga dan perlunya kebijakan tertulis
tentang pemanfaatan pedoman.
In West Borneo, Maternal Mortality Rate (MMR) in 2006 was
403.13/100.000 life births and Infant Mortality Rate (IMR) was 44.12/1000 life
births. MMR and IMR in Pontianak City from year 2005 to 2006 were
increasing but in year 2007, those rates decreased. Neonatal Mortality Rate
from year 2005 to 2007 was increasing. According to the Profile of Pontianak
City Health Office, coverage of Visit-1 and Visit-4 quantitatively was upper
than 90%, otherwise, qualitatively there showed that most of the areas vary in
terms of the coverage. Siantan Hilir Health Center has the lowest coverage of
Visit-1 in Pontianak. Banjar Serasan Health Center has the lowest coverage of
Visit-4. Kampung Dalam Health Center has the lowest coverage of Neonatal.
Even though Pontianak City Health Office had tried to fulfill means and other
resources including midwifeâs work guide, three health centers had a low
coverage of Visit-1, Visit-4, and Neonatal. Based on previous study, midwives
had not worked in accordance with the guide that accounted for unreached
target. To identify its problem, there needs to perform a research about the
use of midwifeâs work guide in management of Family Planning â Maternal
and Child Health Program at Health Centers in Pontianak City.
Aim of this research was to analyze the use of midwifeâs work guide in
management of Family Planning â Maternal and Child Health Program at
Health Centers in Pontianak City. This was observational research using
a qualitative method and cross sectional approach. Data were carried out from
in-depth interview towards 9 persons namely Head of Health Centers,
Coordinator of Midwife, and Midwives at three health centers.
The result of this research shows that in providing services, health
centers use two guides of services namely from Health Department of
Indonesia and from Pontianak City Health Office in which this condition
burdens midwives. The Health Center that has already implemented these
guides is Kampung Dalam Health Center. Midwives have understood the
guide in management of Family Planning â Maternal and Child Health
Program, but in the implementation, there are some activities that have not
been done well namely midwifery care of reproductive health for adolescent,
pre-school, and older group, monitoring activity (there is only Kampung Dalam
Health Center that performs monitoring routinely), supervision (this activity has
been conducted by three health centers), and correction activity (this activity
has been performed by three health centers after quarterly evaluation).
Kampung Dalam Health Center has published a written policy about the use of
work guide. Socialization of the policy has been done. Midwives have not had
a same perception about the duty for implementing the guides.
It is suggested to use the guides maximally and it does not burden
midwives. Head of Health Centers could share the midwifeâs tasks in terms of
the services and administrative affairs. Head of Health Centers should resocialize
the guide, conduct training, activate monitoring activity, perform
supervision, distribute health workers, and publish a written policy about the
use of the guide. |
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Universitas Diponegoro |
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69 |
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Perpustakaan Universitas Diponegoro |
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485 |
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Diponegoro University Institutional Repository |
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2852 |
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SEMARANG |
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JAWA TENGAH |
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IOS2852 |
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2016-09-15T18:09:20Z |
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2016-09-22T20:55:17Z |
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dc |
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1683116102681362432 |
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17.610468 |