Perbedaan Kinerja dan Faktor yang Terkait antara Bidan yang Sudah dan Belum Dilatih Asuhan Persalinan Normal (APN) dalam Manajemen Aktif Kala III dan IV Persalinan di Kabupaten Wonosobo Tahun 2011

Abstract

Universitas Diponegoro Program Pascasarjana Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi dan Kebijakan Kesehatan Minat Manajemen Kesehatan Ibu dan Anak 2012 ABSTRAK Dewi Yuliana Satriani Perbedaan Kinerja dan Faktor yang Terkait antara Bidan yang Sudah dan Belum Dilatih Asuhan Persalinan Normal (APN) dalam Manajemen Aktif Kala III dan IV Persalinan di Kabupaten Wonosobo Tahun 2011 xiv + 152 hal + 24 tabel + 6 gambar + 7 lampiran Menurut data profil Dinas Kesehatan Kabupaten Wonosobo 5 tahun terakhir ini, AKI secara kumulatif sebanyak 77 orang ibu. Dengan penyebab utama kematian antara lain: karena pendarahan 22 orang (31,17%), Tempat kejadian kematian terbanyak di RS 58 orang (82,06%) yang meninggal dirumah 2 orang ibu (2,86%), Kematian menurut waktu kejadian pada waktu kala III 29 orang (37,18), Kala IV 39 orang (50,4%). Dari survay pendahuluan masih terlihat kinerja yang belum optimal dari bidan APN maupun bidan non APN. Sedangkan pelaksanaan Pelatihan APN di Kabupaten Wonosobo sudah dilaksanakan sejak tahun 2006 s.d 2010 bidan yang sudah di latih APN 277 dan yang belum dilatih APN 56 bidan. Tujuan penelitian ini adalah untuk mengetahui perbedaan kinerja dan faktor terkait antara bidan yang sudah dan belum dilatih APN dalam manajemen aktif kala III dan IV persalinan di Wonosobo. Penelitian ini merupakan penelitian observasional dengan metode kuantitatif, pendekataan secara cross sectional. Pengumpulan data dengan kuesioner terstruktur pada bidan APN 277 dan bidan non APN 56 bidan. Dengan jumlah sampel 62 orang. 31 bidan APN dan 31 bidan non APN. Analisis univariat dilakukukan dengan deskriptif frekwensi dan proporsi, analisis bivariat dengan uji independent t-test. Hasil penelitian dapat disimpulkan bahwa pada variabel umur, pendidikan, masa kerja tidak terdapat perbedaan. Sedangkan pada variabel status kepegawaian, kinerja, pengetahuan, sikap, motivasi, persepsi beban kerja terdapat perbedaan antara bidan APN dan non APN Saran bagi DKK Wonosobo masih perlunya pelatihan APN bagi bidan dan meninjau kembali kurikulum APN pada institusi pendidikan bidan. Kata kunci : Kinerja bidan APN dan non APN dalam manajemen aktif Kala III dan IV persalinan. Kepustakaan : 37 buku, 2000-2010 Diponegoro University Postgraduate Program Master’s Program in Public Health Majoring in Health Policy Administration Sub Majoring in Maternal and Child Health Management 2012 ABSTRACT Dewi Yuliana Satriani The Difference in Work Performance in Active Management of Phase III and IV of Deliveries by Village Midwives Participation in Normal Delivery Care Training at Wonosobo District, 2011 xiv + 152 pages + 24 tables + 6 figures + 7 enclosures According to data on Wonosobo district health office profile for the last 5 years, the cumulative number of maternal mortality (AKI) was 77 mothers. The main cause of this maternal death was 22 people due to hemorrhage (31.17%). Location of the death was mostly in the hospital; it was 58 mothers (82.06%). Two mothers were died at home (2.86%). Based on the time of death, it was found that 29 mothers died in the phase III (37.18%) of the delivery process, and 39 mothers died in phase IV (50.4%) of the delivery process. Pre survey results showed that normal delivery care (APN) trained and untrained midwives work performance were not optimal. Training on normal delivery care in Wonosobo district was done in 2006-2010. Total of the APN trained midwives were 277, and APN untrained midwives were 56. The aim of this research was to identify the difference in work performance and related factors between APN trained and untrained midwives in the active management of phase III and IV of delivery process in Wonosobo. This was an observational research using quantitative method and cross sectional approach. Data was collected by distributing a structured questioner to APN trained midwives and untrained APN midwives. The sample size was 62 people: 31 APN midwives and 31 non APN midwives. Univariate analysis was conducted using descriptive frequency and proportion; bivariate analysis was done by applying independent t-test. It can be concluded that there is no difference in the variables: age, education and working period. There is difference between APN and non APN midwives on variables: employment status, work performance, knowledge, attitude, motivation and perception on workload. . It is suggested to the Wonosobo district health office that APN training for midwives is still needed, and APN curriculum review in the educational institution is needed. Key words : APN and non APN midwives’ work performance in active management phase III and IV of delivery. Bibliography : 37 books, 2000-2010