Policy Analysis of Midwife Supplying Process as the Effort to Decrease Infant and Maternal Mortality Rate in District of Grobogan

Abstract

Antenatal services performed by midwives still have a problem especially in terms of early detection for high risk pregnant woman. Midwives have not been ready to fulfill competency requirements in performing their main tasks. Maternal-Perinatal Mortality Rate has gone up from year to year . Aim of this research was to find out the process of supplying midwife related to antenatal services and started from readiness of midwifery educational institution, readiness of midwife placement, and supervision towards midwife. This was qualitative research. Respondents were midwives who had ever been audited (Maternal-Perinatal Audit) in year 2006 in Grobogan District Health Office. Number of respondents was five persons. Beside that, for purpose of preparing qualified midwife, two curriculum lecturers and two last grade students had been included on this research. Data were collected from primary and secondary sources by conducting observation and in-depth interview. Test of validity and reliability was performed using triangulation method towards Head of Grobogan District Health Office, Head of Health Centers (2 persons), Coordinator of Midwives (2 persons), and 2 patients. Data were analyzed using method of data organization, coding, and content analysis. The result of this research shows that there is still any gap between competency of educational result and program of midwifery services viewed from the aspects of curriculum, lecturer, lecture activity, and infrastructure. Policy of midwife placement process has performed without selection of administration, written test, psycho-test, test of interview, test of health, and final interview. Technical Guiding and Maternal-Perinatal Audit district level have not been realized in accordance with the planning because of limited budget. Quality of antenatal services has not fulfilled the target Sumber Utama : www.mikm.undip.ac.id