Perbedaan Pelayanan Standar Minimal 7T pada Ibu Hamil antara Bidan Puskesmas dan Bidan Desa di Kabupaten Tuban Tahun 2011

Abstract

Universitas Diponegoro Program Pascasarjana Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi dan Kebijakan Kesehatan Minat Manajemen Kesehatan Ibu dan Anak ABSTRAK Eva Silviana Rahmawati Perbedaan Pelayanan Standar Minimal 7T pada Ibu Hamil antara Bidan Puskesmas dan Bidan Desa di Kabupaten Tuban Tahun 2011 xiv, 105 hal, 19 tabel, 4 gambar, 8 lampiran Menurut data Profil Dinas Kesehatan Kabupaten Tuban, kematian ibu di Kabupaten Tuban yaitu pada tahun 2009 terdapat 11 orang dengan penyebab utamanya eklamsi (4 orang). Berdasarkan hasil survei pendahuluan diperoleh informasi bahwa pelaksanaan pelayanan standar minimal 7T pada bidan puskesmas dan bidan desa belum semua dilaksanakan, selain itu diperoleh data bahwa masih ada hambatan yang dihadapi dalam pelayanan standar minimal 7T salah satunya sarana prasarana bidan desa. Tujuan penelitian ini untuk mengetahui perbedaan pelayanan standar minimal 7T pada ibu hamil antara bidan puskesmas dan bidan desa di Kabupaten Tuban. Penelitian menggunakan penelitian analitik dengan pendekatan cross sectional. Pengumpulan data melalui metode wawancara dengan bantuan kuesioner terstruktur pada bidan puskesmas dan bidan desa. Jumlah sampel 80 yaitu 40 bidan puskesmas dan 40 bidan desa di Kabupaten Tuban. Analisis univariat dilakukan dengan deskriptif frekwensi, analisis bivariat dengan uji Independent t-test. Hasil penelitian menunjukkan bahwa implementasi, komunikasi, sumberdaya dan disposisi/sikap dalam pelayanan standar minimal 7T pada bidan puskesmas lebih baik dari pada bidan desa, sedangkan struktur birokrasi antara bidan puskesmas dan bidan desa sudah dapat berjalan dengan baik. Ada perbedaan Implementasi pelayanan standar minimal 7T antara bidan puskesmas dan bidan desa (p=0,000). Ada perbedaan komunikasi dalam pelayanan standar minimal 7T antara bidan puskesmas dan bidan desa (p=0,018). Ada perbedaan sumberdaya dalam pelayanan standar minimal 7T antara bidan puskesmas dan bidan desa (p=0,000). Ada perbedaan sikap dalam pelayanan standar minimal 7T antara bidan puskesmas dan bidan desa (p=0,000). Tidak ada perbedaan struktur birokrasi dalam pelayanan standar minimal 7T antara bidan puskesmas dan bidan desa (p=0,625). Dapat disimpulkan bahwa variabel yang terdapat perbedaan dalam pelayanan standar minimal 7T adalah komunikasi, sumberdaya, sikap dan pelaksanaannya. Saran bagi Dinas Kesehatan Kabupaten Tuban adalah dalam sosialisasi menggunakan metode tidak hanya ceramah melainkan juga diskusi serta tanya jawab, menyediakan sumberdaya yang mendukung pelaksanaan pelayanan standar minimal 7T. Kata Kunci : Pelayanan Standar Minimal 7T, Bidan Puskesmas, Bidan Desa Kepustakaan : 36 buku, 1991 – 2010 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 Eva Silviana Rahmawati Difference Services on Antenatal Care Standard Between Primary Healthcare Center Midwives and Village Midwives in Tuban District, 2011 xiv + 105 pages + 19 tables + 4 figures + 8 enclosures According to Tuban district health office profile data, maternal mortality in Tuban district were 11 persons in 2009 with eclamsia as the main cause of death. Based on preliminary survey results, the implementation of minimum service standard of 7T by puskesmas midwives and village midwives had not been done completely. Additionally, there were barriers faced in the service of minimum standard of 7T. One of the barriers was village midwives facilities. The objective of this study was to know the difference in minimum standard service of 7T for pregnant women between puskesmas midwives and village midwives in Tuban district. This was an analytical study with cross sectional approach. Data were collected from puskesmas midwives and village midwives by interview method using structured questionnaire. The number of samples was 80 midwives, 40 puskesmas midwives and 40 village midwives in Tuban district. Univariate analysis was done by descriptive frequency. Bivariate analysis was done using independent t-test. Results of study showed that implementation, communication, resources and disposition/attitude towards minimum standard service of 7T on puskesmas midwives was better that on village midwives. Bureaucracy structure between puskesmas midwives and village midwives had worked well. There was difference in implementing minimum standard service of 7T between puskesmas midwives and village midwives (p= 0.000). There was difference in communication in the minimum standard service of 7T between puskesmas midwives and village midwives (p= 0.018). There was difference in resources for the minimum standard service of 7T between puskesmas midwives and village midwives (p= 0.000). There was difference in attitude towards minimum standard service of 7T between puskesmas midwives and village midwives (p= 0.000). No birocracy structure difference in the minimum standard service of 7T between puskesmas midwives and village midwives (p= 0.625). It could be concluded that variables that had difference for the minimum standard service of 7T were communication, resources, attitude and its implementation. Suggestion for Tuban district health office was to use not only speech giving but also use discussion method of socialization, to provide supporting resources for implementing minimum standard service of 7T. Key words : Minimum standard service of 7T, puskesmas midwives, village midwives Bibliography : 36, 1991 - 2010