Analisis Supervisi Fasilitatif Bidan Koordinator Puskesmas terhadap BPM terkait Pelayanan Kehamilan dan Persalinan di Kota Semarang Tahun 2013

Abstract

Universitas Diponegoro Fakultas Kesehatan Masyarakat Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi dan Kebijakan Kesehatan Minat Manajemen Kesehatan Ibu dan Anak 2013 ABSTRAK Dewi Laila Mahligai Putri Analisis Supervisi Fasilitatif Bidan Koordinator Puskesmas terhadap BPM terkait Pelayanan Kehamilan dan Persalinan di Kota Semarang Tahun 2013 xi + 107 halaman + 11 tabel + 3 gambar + 12 lampiran Supervisi fasilitatif bidan koordinator (bikor) puskesmas terhadap bidan praktek mandiri (BPM) merupakan pembinaan klinis dan manajemen yang dilakukan secara berkesinambungan serta tepat sasaran. Pelaksanaan supervisi fasilitatif yang dilakukan selama ini belum optimal, sehingga perlu upaya pengkajian lebih lanjut. Tujuan penelitian adalah menganalisis pelaksanaan supervisi fasilitatif bidan koordinator puskesmas terhadap BPM terkait pelayanan kehamilan dan persalinan di Kota Semarang Jenis penelitian adalah observasional dengan pendekatan kualitatif. Pemilihan informan dengan cara purposive, data dikumpulkan melalui wawancara mendalam (indepth interview) dan observasi dokumen pada informan utama 3 bikor puskesmas, 7 informan triangulasi terdiri dari 3 BPM, 3 kepala puskesmas,1 kepala seksi ibu. Variabel penelitian meliputi aspek yang dibina (aspek klinis, non klinis, logistik dan manajemen), cara penilaian dan langkah pelaksanaan. Analisis data menggunakan metode analisis isi (content analysis). Hasil penelitian menunjukkan bahwa supervisi meliputi semua aspek yang dibina. Belum semua bikor menggunakan daftar tilik asuhan persalinan. Supervisi aspek klinis tidak dilakukan dengan pengamatan langsung. Langkah pelaksanaan pra supervisi : belum ada pelatihan supervisi fasilitatif bagi bikor puskesmas dan buku acuan supervisi fasilitatif tidak diberikan. Langkah pelaksanaan supervisi belum sesuai acuan, karena sifatnya inspeksi mendadak. Disarankan kepada Dinas Kesehatan untuk mengadakan pelatihan supervisi fasilitatif bagi semua bidan koordinator puskesmas. Bagi puskesmas membuat kesepakatan dengan BPM terkait jadual supervisi fasilitatif. Kata kunci : Bidan Koordinator, Supervisi Fasilitatif, Pelayanan Kehamilan Persalinan Pustaka : 43 (1992-2013) Diponegoro University Faculty of Public Health Master’s Program in Public Health Majoring in Health Policy Administration Sub Majoring in Maternal and Child Health Management 2013 ABSTRACT Dewi Laila Mahligai Putri Analysis of Facilitative Supervision by Health Center Coordinator Midwives to Independent Practice Midwives about Pregnancy and Birth Related Services in Semarang City in 2013 xi + 107 pages + 11 tables + 3 figures + 12 enclosures Facilitative supervision by health center coordinator midwives to independent practice midwives is a clinical and managerial development which is continuously conducted and on target. The current implementation of facilitative supervision has not been optimal. Therefore, it needs to do a further study. The aim of this research was to analyze the implementation of facilitative supervision done by health center coordinator midwives to independent practice midwives about pregnancy and birth related services in Semarang City. This was observational research with a qualitative approach. Informants were selected purposively. In addition, data were collected using the methods of indepth interview and documents observation on three coordinator midwives as the main informants and seven triangulation informants who were consisted of three independent practice midwives, three head of health centers, and one head of mother section. Variables of this research were aspects of development (aspects of clinical, non-clinical, logistic, and management), assessment methods, and implementation procedures. Moreover, data were analyzed using a method of content analysis. The result of this research revealed that supervision comprised all developed aspects. On the other hand, not all coordinator midwives used a check list of delivery care. In addition, Clinical aspects were not supervised using the method of direct observation. Regarding the implementation procedures of pre-supervision, there was no training of facilitative supervision for coordinator midwives and also no a guidance book of facilitative supervision. Additionally, the implementation procedures of supervision had not been in accordance with a guideline because it was unplanned inspection. As a suggestion, Health Office needs to conduct a training of facilitative supervision for all health center coordinator midwives. Health Center needs to make agreement with independent practice midwives about a schedule of facilitative supervision. Key Words : Coordinator Midwife, Facilitative Supervision, Pregnancy and Birth Related Services Bibliography : 43 (1992-2013)