Analisis Kinerja Bidan dalam Deteksi Dini Risiko BBLR pada Pelayanan Antenatal di Wilayah Kabupaten Kulon Progo 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 Almira Gitta Novika Analisis Kinerja Bidan dalam Deteksi Dini Risiko BBLR pada Pelayanan Antenatal di Wilayah Kabupaten Kulon Progo Tahun 2013 xiv + 120 halaman + 32 tabel + 3 gambar + 16 lampiran Deteksi dini risiko BBLR pada pelayanan antenatal sebagai upaya dalam menurunkan kejadian BBLR di wilayah Puskesmas Kabupaten Kulon Progo pelaksanaannya belum maksimal dibuktikan dengan adanya beberapa bidan yang belum melaksanakan upaya-upaya deteksi dini risiko BBLR. Tujuan penelitian ini adalah untuk mengetahui faktor yang mempengaruhi kinerja bidan Puskesmas dalam deteksi dini risiko BBLR pada pelayanan antenatal di Wilayah Kabupaten Kulon Progo Yogyakarta Tahun 2013. Jenis penelitian Explanatory Research dengan pendekatan cross sectional. Teknik sampling menggunakan proportionate purposive sampling. Variabel penelitian yaitu pengetahuan, sikap, motivasi, persepsi kepemimpinan, persepsi supervisi, persepsi imbalan dan persepsi beban kerja. Instrumen penelitian menggunakan kuesioner. Analisis yang digunakan adalah chi-square dan analisis uji statistic multivariate regresi logistik. Hasil penelitian menunjukkan kinerja bidan tidak baik (47,5%), pengetahuan tidak baik (34,7%), sikap tidak baik (49,2%), motivasi tinggi dan tidak tinggi masing-masing (50%), persepsi kepemimpinan tidak baik (49,2%) (50,8%), persepsi supervisi tidak baik (46,6%), persepsi imbalan tidak sesuai (44,9%), persepsi beban kerja berat (48,3%). Hasil penelitian menunjukkan ada hubungan yang signifikan antara pengetahuan (p=0,032), persepsi kepemimpinan (p=0,044) dan persepsi supervisi (p=0,029) dengan kinerja bidan dalam deteksi dini risiko BBLR pada pelayanan antenatal. Hasil penelitian menunjukkan faktor yang paling berpengaruh terhadap kinerja bidan yaitu persepsi supervisi (p=0,030). Disarankan bagi Dinas Kesehatan Kabupaten Kulon Progo dan pihak Puskesmas untuk membuat jadwal supervisi secara rinci sesuai program Kesehatan Ibu dan Anak serta mensosialisasikan kepada bidan Puskesmas mengenai bahan supervisi (dokumen yang harus disiapkan) dan jadwal supervisi tersebut. Kata Kunci : Kinerja Bidan, Deteksi Dini Risiko BBLR, Pelayanan Antenatal Kepustakaan : 45 (1984-2013) 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 Almira Gitta Novika Analysis of Midwives’ Performance in doing Early Detection of Low Birth Weight Risk in Antenatal Care Service in District of Kulon Progo in 2013 xiv + 120 pages + 32 tables + 3 figures + 16 enclosures Early detection of low birth weight (LBW) risk in Antenatal Care (ANC) service as one of the efforts to decrease number of LBW cases at Health Centers in District of Kulon Progo has not been done optimally. Some midwives have not conducted early detection of LBW risk well. This research aimed to investigate factors influencing health center midwives’ performance in doing early detection of LBW risk in ANC service in District of Kulon Progo in 2013. This was explanatory research with cross-sectional approach. Samples were selected using a proportionate purposive sampling method. Research variables were knowledge, attitude, motivation, leadership perception, supervision perception, reward perception, and workload perception. Research instrument used a questionnaire. Furthermore, data were analyzed using chi-square test and multivariate logistic regression analysis. The results of this research revealed that midwives had bad performance (47.5%), low knowledge (34.7%), bad attitude (49.2%), high motivation (50.0%), bad leadership perception (49.2%), bad perception of supervision (46.6%), inappropriate reward perception (44.9%), and heavy workload perception (48.3%). Moreover, variables that had significant relationship with midwives’ performance were knowledge (p=0.032), leadership perception (p=0.044), and perception of supervision (p=0.029). In addition, the most influential factor in midwives’ performance was perception of supervision (p=0.030). As a suggestion, Kulon Progo District Health Office and Health Centers need to make a detailed supervision schedule in accordance with program of Maternal and Child Health and to socialize materials of supervision and the schedule to midwives at health centers. Key Words : Midwives’ Performance, Early Detection of LBW Risk, Antenatal Care Service Bibliography : 45 (1984-2013)