ANALISIS HUBUNGAN FUNGSI MANAJEMEN PELAKSANA KEGIATAN STIMULASI DETEKSI DAN INTERVENSI DINI TUMBUH KEMBANG (SDIDTK) DENGAN CAKUPAN SDIDTK BALITA DAN ANAK PRASEKOLAH DI PUSKESMAS KOTA SEMARANG TAHUN 2007 ( The relationship analysis between the function of implementation administrator management in stimulation of early detection and early growth and development (SDIDTK) and coverage of toddler’s and preschool’s SDIDTK in Semarang-City Public Health Center 2007)

Abstract

Cakupan SDIDTK balita dan anak prasekolah di puskesmas Kota Semarang selama 3 tahun terakhir belum menunjukkan keberhasilan. Ttren pencapaian cakupan SDIDTK balita dan anak prasekolah mengalami penurunan di beberapa puskesmas di Kota Semarang. Kondisi demikian memungkinkan dampak pada status pertumbuhan dan perkembangan balita dan anak prasekolah yang belum terjangkau oleh pelayanan SDIDTK di wilayah tersebut tidak optimal. Tujuan penelitian ini adalah untuk menganalisis hubungan fungsi manajemen pelaksana kegiatan SDIDTK dengan cakupan SDIDTK balita dan anak prasekolah di puskesmas Kota Semarang tahun 2007. Jenis penelitian ini adalah observasional dengan menggunakan pendekatan crossectional. Jumlah sampel sebanyak 37 responden yaitu merupakan total jumlah pelaksana kegiatan SDIDTK di puskesmas Kota Semarang tahun 2007. Data dianalisis secara kuantitatif dengan menggunakan uji statistik Contimuity Correction. Hasil penelitian menunjukkan jumlah responden yang memiliki perencanaan baik (51,4%), pengorganisasian baik (54,1%), penggerakan baik (56,8%) dan pengawasan baik (62,2%). Cakupan SDIDTK balita dan anak prasekolah di puskesmas Kota Semarang belum semuanya mencapai target (>68%). Fungsi manajemen yang berhubungan dengan cakupan SDIDTK balita dan anak prasekolah di puskesmas adalah perencanaan (p=0,0001), pengorganisasian (p=0,0001), penggerakan (p=0,036) dan pengawasan (p=0,0001). Dalam rangka meningkatkan Cakupan SDIDTK balita dan anak prasekolah di puskesmas yang sesuai target (>68%), maka disarankan kepala puskesmas memantau secara berkala (triwulan) cakupan SDIDTK yang dicapai puskesmas, mengajukan anggaran tahunan untuk program secara bergiliria, mengembangkan posyandu model. Pelaksana kegiatan SDIDTK memahami tujuan program kegiatan, menyusun kebutuhan tenaga dan alat, menyusun rencana sasaran, membentuk kelompok kerja di tiap RW, memberikan bimbingan dan pengarahan kepada anggota kelompok kerja, mengisi dan menggunakan register kohort dan laporan kesehatan balita dan anak prasekolah. Toddler and pre-school coverage of SDIDTK in Semarang-city Public Health Center for 3 recent years not shows successful yet based on the trend of coverage of SDIDTK toddler and pre-school that declined in some public health center in Semarang. This condition enabled the effect on toddler and pre-school growth and development status in that area that leads to not optimal. The purpose of this study is to analyze the relationship between the function of implementation administrator management in stimulation of early detection and early growth and development (SDIDTK) and coverage of toddler’s and preschool’s SDIDTK in Semarang Public Health Center 2007 This study used observasional design using crossectional approach. Thirty-seven administrator of SDIDTK in the Semarang City - Public Health Center year 2007 were invited to participate in this study. The data were analyzed quantitatively using Continuity Correction analysis. The data were completed qualitatively through in-depth interview to the selected respondent. The results show that more than a half (51,4 %) respondent have well planned, 54,1 % respondent have well organized, 56,8 % have well actuating and 62,2 % have well controlled. In addition, 43, 3 % Public health center in Semarang-city have low coverage of Toddler and pre-school of SDIDTK. Results of this study also shown that there is very significant relationship between the function of Implementation Administrator management and the planning process (p< 0,01), organizing (p< 0,001) actuating (p=0,036) and controlling (p=0,0001). In order to increase the toddler and pre-school Coverage of SDIDTK in the Public Health Center that should be more than 68 %, it is recommended that the Head of Public Health Center to monitor periodically (each 3 months) the coverage of SDIDTK that covered by his Public Health Center, proposing annual finance to implement all public Health Center’ programs routinely and develop “Posyandu Model”. The administrator of the program should identify the human resources and equipment needed, arrange target plan, develop working group in each RW, providing guidance to each working group, fulfill and utilize cohort register and utilize the form of toddler and pre-school health report.