Analisis faktor-Faktor dalam Pelaksanaan Manajemen Laktasi oleh Bidan Praktek Swasta di Kabupaten Magetan

Abstract

Universitas Diponegoro Program Pascasarjana Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi dan Kebijakan Kesehatan Minat Manajemen Kesehatan Ibu dan Anak ABSTRAK Tinuk Esti Handayani Analisis faktor-Faktor dalam Pelaksanaan Manajemen Laktasi oleh Bidan Praktek Swasta di Kabupaten Magetan xii + 100 halaman+ 14 tabel + 3 gambar Cakupan ASI eksklusif di Kabupaten Magetan tahun 2009 adalah 50,8%, tahun 2010 turun 40,6%. Hal ini menunjukkan pelaksanaan manajemen laktasi belum berjalan Optimal. Hasil wawancara pada bidan BPS tentang pelaksanaan manajemen laktasi: 4 bidan melaksanakan manajemen laktasi masa antenatal, 2 bidan melaksanakan manajemen laktasi intra natal, 2 bidan melaksanakan manajemen laktasi masa postnatal. Penelitian ini bertujuan untuk menganalisis faktor – faktor apa saja yang berhubungan dengan pelaksanaan manajemen laktasi oleh Bidan Praktek Swasta . Jenis penelitian ini studi kuantitatif dengan metode observasional, dengan pendekatan cross-sectional. Pengumpulan data melalui wawancara dengan kuesioner terstruktur dan lembar observasi. Populasi penelitian adalah bidan praktek swasta, dengan jumlah sampel sebanyak 76 responden yang diambil secara total populasi. Hasil analisis penelitian menunjukkan umur dengan median 38,5 tahun minimum 28 tahun, maksimum 67 tahun. Masa kerja median 17 tahun, minimum 5 tahun dan maksimum 45 tahun, (65,5%) berpengetahuan kurang, menpuyai motivasi baik, sikap baik dan kepuasan kerja baik dengan pelaksanaan manajemen laktasi intranatal (53,9%) baik ,manajemen laktasi masa intranatal (47,4%) kurang, manajemen laktasi masa postnatal (61,8%) kurang. Secara bivariat menunjukan variabel yang berhubungan dengan pelaksanaan manajemen laktasi adalah pengetahuan, motivasi, sikap, kepuasaan kerja. Secara multivariat faktor-faktor yang berpengaruh terhadap variabel pelaksanaan manajemen laktasi adalah variabel pengetahuan dan variabel kepuasan yang paling berpengaruh adalah pengetahuan. Disarankan bagi Dinas Kesehatan Kabupaten melalui mengalokasikan dana untuk pelatihan tentang program manajemen laktasi bagi ibu hamil maupun bidan BPS, termasuk peyediaan sarana KIE kepada masyarakat, serta pemberian punishment bagi bidan yang tidak melaksanakan manajemen laktasi tindak lanjut Kepmenkes RI/ No. 48/2008. Kata kunci : Analisis Faktor-faktor dalam pelaksanaan manajemen laktasi Bidan BPS. Bibliography : 38 buku, Makalah 5, 1 Perundang-undangan. Diponegoro University Postgraduate Program Master’s Program in Public Health Majoring in Health Policy Administration Sub Majoring in Maternal and Child Health Management 2011 ABSTRACT Tinuk Esti Handayani Analysis on Factors in the Implementation of Lactation Management by Private Practice Midwives in Magetan District xii + 100 pages + 14 tables + 3 figures Coverage of exclusive breastfeeding in Magetan district in 2009 was 50.8% and in 2010 it decreased to 40.6%. This showed that implementation of lactation management was not run optimally. Results of interviews with private practice midwives (BPS) regarding the implementation of lactation management indicated that 4 midwives implemented antenatal lactation management, 2 midwives implemented intranatal lactation management and 2 midwives implemented postnatal lactation management. The objective of this study was to analyze factors associated with the implementation of lactation management by private practice midwives. This was a qualitative study with observational method and cross sectional approach. Data collection was done through conducted interview using structured questionnaire and observation list. Study population was private practice midwives. All study population, 76 private practice midwives, were included as study respondents. Results of the study showed that median age of respondents was 38.5 years with minimum of 28 years and maximum of 67 years, median of working period was 17 years with minimum of 5 years and maximum of 45 years, 65.5% of respondents had poor knowledge. Respondents’ motivation was good. Respondents’ attitude was good. Respondents’ working satisfaction was good. The implementation of antenatal lactation management was good (53.9%), intranatal lactation management was poor (47.4%), postnatal lactation management was poor (61.8%). Results of bivariate analysis showed that variables associated with the implementation of lactation management were knowledge, motivation, attitude, working satisfaction. Result of multivariate analysis showed that factors affecting the implementation of lactation management variable were knowledge and satisfaction variables. The most influencing variable was knowledge. It was suggested to district health office to allocate budget for conducting training on lactation management program to pregnant women and BPS, to provide KIE facilities for community, to implement punishment for midwives who did not implement lactation management as follow up of the decree of Indonesian Minister of Health No.48/2008. Key words : Analysis, factors, lactation management, private practice midwives Bibliography : 38 books, 5 articles, 1 statutory