Faktor-Faktor yang Mempengaruhi Implementasi Program Perencanaan Persalinan dan Pencegahan Komplikasi oleh Bidan Desa di Kabupaten Lombok Timur Tahun 2011

Abstract

Universitas Diponegoro Program Pascasarjana Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi Kebijakan Kesehatan Minat Manajemen Kesehatan Ibu dan Anak 2011 ABSTRAK St. Halimatusyaadiah Faktor-Faktor yang Mempengaruhi Implementasi Program Perencanaan Persalinan dan Pencegahan Komplikasi oleh Bidan Desa di Kabupaten Lombok Timur Tahun 2011 xiii, 94 halaman + 20 tabel + 3 gambar + 7 lampiran Indikator pencapaian keberhasilan program perencanaan persalinan dan pencegahan komplikasi di Kabupaten Lombok Timur masih dibawah target nasional. Survey pendahuluan terhadap 10 orang bidan desa menunjukkan bahwa hanya 40 % bidan desa yang melaksanakan kegiatan P4K secara lengkap. Tujuan penelitian ini untuk mengetahui faktor-faktor yang mempengaruhi implementasi program perencanaan persalinan dan pencegahan komplikasi oleh bidan desa di kabupaten Lombok Timur. Penelitian dilakukan secara observasional analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah bidan desa sebanyak 106 orang dengan pengambilan sampel secara proportional random sampling. Pengumpulan data dilakukan melalui wawancara dan observasi dengan bantuan kuesioner terstruktur pada 85 orang bidan desa. Analisis bivariat dilakukan dengan chi-square test dan analisis multivariat dengan regresi logistik. Hasil penelitian menunjukkan bahwa bahwa implementasi P4K, komunikasi dan disposisi sebagian besar tergolong baik sedangkan sumber daya dan struktur birokrasi sebagian besar tergolong kurang. Variabel yang berhubungan dengan implementasi program perencanaan persalinan dan pencegahan komplikasi yaitu : komunikasi (p = 0,000) dan disposisi (p = 0,000). Hasil analisis multivariat menunjukkan bahwa variabel komunikasi (p = 0,019) dan disposisi (p = 0,001) secara bersama-sama berpengaruh terhadap implementasi P4K dan disposisi berpengaruh paling besar. Saran bagi Dinas Kesehatan Kabupaten Lombok Timur adalah : memberikan arahan kepada kepala puskesmas dan bidan koordinator dengan metode dan media yang interaktif, penyediaan sarana dan prasarana yang menunjang kegiatan P4K dan melaksanakan supervisi secara teratur dan berkala. Untuk puskesmas agar bidan koordinator memberikan pengarahan secara berkala pada bidan desa dengan metode menarik yang diikuti monitoring, pendataan kembali bidan yang telah memperoleh pelatihan/ seminar yang menunjang pelaksanaan P4K dan penegasan pada seluruh bidan desa untuk melaksanakan kegiatan-kegaiatan P4K sesuai dengan standar/ juknis P4K. Kata kunci : Program P4K, Bidan Desa Kepustakaan : 45 buku, 1997-2010 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 St. Halimatusyaadiah Factors Related to the Implementation of Delivery Planning and Complication Prevention Program by the Village Midwives in Lombok Timur District, 2011 xiii, 94 pages + 20 tables + 3 figures + 7 enclosures The indicator of successful attainment of delivery planning and complication prevention program in East Lombok district was still below the national target. Preliminary survey to 10 village midwives showed that there were only 40% of village midwives who implemented completely P4K activities. The objective of this study was to know factors affecting the implementation of delivery planning and complication prevention program by village midwives in the district of East Lombok. This was an observational analytical study with cross sectional approach. The study population was 106 village midwives who were selected using proportional random sampling method. Data was collected through interview and observation using structured questionnaire to 85 village midwives. Bivariate analysis was done by applying chi-square test and multivariate analysis was conducted by applying logistic regression. Result of the study showed that P4K implementation, communication and disposition were mostly good. Human resource and bureaucracy structure were mostly insufficient. Variables related to the implementation of delivery planning and complication prevention were communication (p = 0.000) and disposition (p = 0.000). Result of multivariate analysis showed that communication (p = 0.019) and disposition (p = 0.001) variables were jointly affecting the P4K implementation. Disposition was the most affecting variable. Suggestions for East Lombok health office were to give assistance to puskesmas heads and midwives coordinators using interactive method and media, to provide supporting facilities for P4K activities and to do routine supervision. Suggestions for puskesmas were to give routine assistance to village midwives by midwives coordinator using interesting method and then it was followed by monitoring; to re-record village midwives who had received trainings or seminars that supported the implementation of P4K and to restate to all village midwives to implement P4K activities according to the standard of P4K Key words : P4K program, village midwives Bibliography : 45 (1997 – 2010)