Analisis Faktor- Faktor yang Mempengaruhi Kinerja Bidan Desa dalam Pelaksanaan SDIDTK Balita dan Anak Prasekolah di Kabupaten Semarang Tahun 2011

Abstract

Universitas Diponegoro Program Pascasarjana Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi dan Kebijakan Kesehatan Minat Manajemen Kesehatan Ibu dan Anak 2011 ABSTRAK Masruroh Analisis Faktor- Faktor yang Mempengaruhi Kinerja Bidan Desa dalam Pelaksanaan SDIDTK Balita dan Anak Prasekolah di Kabupaten Semarang Tahun 2011 xiv, 129 halaman + 36 tabel + 2 gambar + 11 lampiran Pelaksanaan kegiatan SDIDTK di Kabupaten Semarang masih kurang optimal karena masih ada balita yang mengalami gangguan pertumbuhan sebanyak 99 anak dan perkembangan sebanyak 110 anak. Balita yang mengalami.Berdasarkan hasil survei pendahuluan yang dilaksanakan pada bulan Oktober tahun 2010 pada 10 bidan desa diperoleh hasil belum optimalnya kinerja bidan desa dalam pelaksanaan SDIDTK di Wilayah Kabupaten Semarang. Penelitian ini dilakukan dengan tujuan untuk mengetahui faktor-faktor yang mempengaruhi kinerja bidan desa dalam pelaksanaan SDIDTK di wilayah kabupaten Semarang. Jenis penelitian yang digunakan adalah obsevasional dengan pendekatan cross sectional. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner terstruktur.Jumlah sampel 70 bidan desa yang di ambil dengan metode proporsional random sampling. Analisa data yang digunakan adalah analisis univariat, analisa bivariat secara deskriptif,analisa bivariat dengan uji chi square dan analisis multivariat dengan regresi logistik . Hasil penelitian menunjukkan bahwa sebagian besar umur responden (58,6%) lebih dari 35 tahun. Tingkat pendidikan responden sebagian besar (54,3%) DI Kebidanan.Tingkat pengetahuan responden sebagian kurang (51,4%). Sumberdaya responden sebagian besar kurang (51,4%). Persepsi Beban Kerja responden sebagian besar berat (60%). Persepsi responden terhadap kepemimpinan baik (54,3%). Persepsi responden terhadap supervisi kurang (51,4%). Persepsi terhadap kompensasi responden baik (55,7%).Motivasi responden baik (68,6%) Ada hubungan antara pendidikan (x2=15,327,nilai p=0,0001), pengetahuan (x2=8,415, nilai p=0,004), Sumberdaya (x2=5,860,nilai p=0,015), persepsi beban kerja (x2=6,738, nilai p=0,009), persepsi terhadap kepemimpinan (x2=7,997, nilai p=0,005), persepsi terhadap supervisi (x2=5,860, nilai p=0,015),persepsi kompensasi (x2=4,371, nilai p=0,037) terhadap kinerja bidan desa dalam pelaksanaan SDIDTK di Kabupaten Semarang. Hasil analisis multivariat menunjukkan bahwa pengetahuan merupakan variabel yang mempunyai pengaruh paling signifikan terhadap kinerja dalam pelaksanaan SDIDTK dengan nilai p=0,009 dan nilai Exp.(B)=4,742. Saran Bagi Dinas Kesehatan Kabupaten menyediakan sarana dan prasarana pelaksanaan SDIDTK.Kepala puskesmas melaksanakan supervisi secara berkala. Bidan desa melaksanakan kerjasama dengan kader kesehatan,guru TK, PAUD, TPA dan BKB Kata kunci : SDIDTK, Bidan Desa dan kinerja Kepustakaan : 43, 1996 – 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 Masruroh Analysis on Factors Related to Village Midwives Work Performance in the Implementation of Early Stimulation, Detection and Intervention of Under Five and Pre School Children Growth and Development in Semarang District, 2011 xiv, 129 pages + 36 tables + 2 figures + 11 enclosures The implementation of early stimulation, detection and intervention on under- five and preschool children growth and development (SDIDTK) in Semarang district was not optimum. There was still found 99 under five children with growth disorder and 110 under five children with development disorder. Based on the preliminary survey done in October 2010 on 10 village midwives, midwives work performance in the implementation of SDIDTK in Semarang district was not optimum. The objective of this study was to know factors affecting village midwives in the implementation of SDIDTK in the district of Semarang. This was an observational study with cross sectional approach. Data was collected by conducting interview using structured questionnaire. The number of study sample was 70 village midwives and they were selected using proportional random sampling method. Univariate analysis, descriptive bivariate analysis, bivariate analysis with chi square test and multivariate logistic regression were applied in the data analysis. Results of this study showed that the majority of respondent’s age was more than 35 years old (58.6%). The majority of respondent’s knowledge level was D1 in obstetrics (54.3%). About a half of respondent’s level of knowledge was poor (51.4%). About a half of respondent’s resources was insufficient (51.4%). The majority of respondent’s perception on work load was heavy (60.0%). Perception of respondents on the leadership was good (54.3%). Respondent’s perception on supervision was poor (51.4%). Respondent’s perception on compensation was good (55.7%). Respondent’s motivation was good (68.6%). There were association between village midwives work performance in implementing SDIDTK in Semarang district and education (x2= 15.327, p-value = 0.0001), knowledge (x2= 8.415, p-value = 0.004), resources (x2= 5.860, p-value = 0.015), perception on work load (x2= 6.738, p-value = 0.009), perception on the leadership (x2= 7.997, p-value = 0.005), perception on the supervision (x2= 5.860, p-value = 0.015), perception on compensation (x2= 4.371, p-value = 0.037). Results of multivariate analysis showed that knowledge was the most significant variable that affected village midwives work performance in implementing SDIDTK with p-value= 0.009 and Exp (B) = 4.742. It was suggested to the district health office to provide facilities for implementing SDIDTK. Head of puskesmas was suggested to do routine supervision. Village midwives were suggested to make collaboration with health cadres, teachers of kindergarten, PAUD, TPA and BKB. Key words : SDIDTK, village midwives, work performance Bibliography : 43 , 1996 - 2010