Analisis Kinerja Bidan Desa dalam Pelayanan Antenatal di Wilayah Puskesmas Kabupaten Pati

Abstract

Universitas Diponegoro Program Pascasarjana Program Magister Ilmu Kesehatan Masayarakat Konsentrasi Administrasi dan Kebijakan Kesehatan Minat Manajemen Kesehatan Ibu dan Anak 2013 ABSTRAK Titik Wahyuni Analisis Kinerja Bidan Desa dalam Pelayanan Antenatal di Wilayah Puskesmas Kabupaten Pati xiii + 107 halaman + 4 tabel + 2 gambar + 7 lampiran Kasus kematian ibu di Kabupaten Pati meningkat dari 12 pada tahun 2009, menjadi 21 pada tahun 2010 dan menjadi 24 pada tahun 2011. Pada tahun 2009 – 2011 terdapat 8 puskesmas (31 %) yang target kunjungan K1 dan K4 selalu di bawah target. Penelitian ini bertujuan menganalisis kinerja bidan desa dalam pelayanan antenatal di wilayah Puskesmas Kabupaten Pati. Jenis penelitian adalah kualitatif. Informan penelitian adalah bidan desa di wilayah Puskesmas Kabupaten Pati. Data dikumpulkan dengan wawancara mendalam (indepth interview) dan selanjutnya dilakukan pengolahan data menggunakan metode analisis isi (content analysis). Hasil penelitian menunjukan bahwa sebagian bidan desa tidak memeriksa tekanan darah dan penimbangan berat badan. Waktu pelayanan antenatal belum dilakukan sesuai ketentuan tiap trimester. Dana Jampersal dan Jamkesmas belum dimanfaatkan secara optimal dan ketersediaan/ kelengkapan alat pemeriksaan antenatal masih kurang. Supervisi supportif belum dilakukan sesuai dengan ketentuan. Kinerja bidan desa dalam pelayanan antenatal belum dilaksanakan sesuai standar. Hal ini berkaitan dengan keterbatasan sarana serta supervisi yang belum dilakukan secara rutin. Kata Kunci : Kinerja, Pelayanan antenatal, Bidan Desa. Diponegoro University Postgraduate Program Master’s Program in Public Health Majoring in Health Policy Administration Sub Majoring in Maternal and Child Health Management 2013 ABSTRACT Titik Wahyuni Analysis on Work Performance of Village Midwives in Antenatal Care Services in Primary Healthcare Centers in Pati District xiii + 107 pages + 4 tables + 2 figures + 7 enclosures The number of maternal deaths in Pati district increased from 12 deaths in 2009 to 21 deaths in 2010, and 24 deaths in 2011. In 2009-2011, there were 8 (31%) primary healthcare centers (puskesmas) that their K1 and K4 visit coverage were below the target. Objective of this study was to analyze work performance of village midwives in antenatal service in the primary healthcare centers of Pati district. This was a qualitative study. Study informants were village midwives in the district of Pati. Data were collected through in-depth interview. Content analysis method was applied in the data management. Results of the study showed that a number of village midwives did not measure blood pressure and body weight. Time for conducting antenatal was not accomplished according to the standard for each trimester. Jampersal and Jamkesmas funds were not used optimally, and the availability or completeness of antenatal examination instruments was insufficient. Supportive supervision was not done according to the standard. Work performance of village midwives in antenatal service was not done according to the standard. This was related to the limitation of facilities, and supervision had not done routinely. Key words : work performance, antenatal service, village midwives