Kinerja Bidan Praktik Swasta Dalam Deteksi Dini Anemia Pada Ibu Hamil dan Pengelolaannya di Kota Kendari

Abstract

Universitas Diponegoro Program Pascasarjana Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi & Kebijakan Kesehatan Minat Manajemen Kesehatan Ibu dan Anak 2014 ABSTRAK Andi Malahayati Nurdjaya Kinerja Bidan Praktik Swasta DalamDeteksi Dini Anemia PadaIbuHamil dan Pengelolaannya di Kota Kendari xiv, 75 halaman + 2 tabel + 3 gambar + 18 lampiran Tingginya Berat Badan Lahir Rendah (BBLR)(40,96%) dan prematuritas (50,17%) di Kota Kendari dapat disebabkan karena tingginya kejadian anemia pada ibu hamil. Hasil survey pendahuluan yang dilakukan di Bidan Praktik Swasta (BPS) menunjukkan kinerja Bidan Praktik Swasta dalam pelaksanaan deteksi dini anemia belum sesuai standar khususnya dalam kualitas,kuantitas dan ketepatan waktu. Tujuan penelitian adalah menjelaskan Kinerja Bidan Praktik Swasta dalam deteksi dini anemiadan pengelolaannya padakehamilandi Kota Kendari. Penelitian menggunakan metode kualitatif. Pengambilan data dilakukan dengan wawancara kepada 2 Bidan PraktikSwasta cakupan tinggi dan 2 Bidan Praktik Swasta cakupan rendah sertaInforman triangulasi ketua Ikatan Bidan Indonesia (IBI),Kasie KIA dan ibu hamil. Pengumpulan data dengan wawancara mendalam dan dianalisis dengan (content analysis). Hasil penelitian menunjukkan kinerja BPScakupan rendah belum melaksanakan sesuai dengan standar. Fasilitas BPS cakupan rendah masih ada alat yang sudah tidak layak untuk digunakan.Pengadaan alat dan bahan habis pakai dilakukan oleh Dinas Kesehatan tetapi realisasinya lama. BPS cakupan tinggi dan cakupan rendah menunjukkan sikap positif yang ditunjukkan dengan melaksanakan deteksi dini anemia. Semua BPS baik dari cakupan tinggi dan cakupan rendah mempunyai motivasi yang baik dalam hal melakukan langkah-langkah deteksi dini anemia khususnya dalam pemeriksaan hemoglobin. Belum ada supervisi baik dari Ketua IBI dan Kasie KIA terkait dalam pelaksanaan deteksi dini anemia pada ibu hamil dan pengelolaannya. Disimpulkan bahwa pelaksanaan deteksi dini anemia pada ibu hamil dan pengelolaannya belum optimal yang mencakup penemuan anemia, penanganan, pencegahan, pemantauan, rujukan anemia, pencatatan dan pelaporan. Kata kunci : Kinerja Bidan Praktik Swasta, Deteksi Dini Anemia IbuHamil. Kepustakaan : 1989 - 2011 Diponegoro University Postgraduate Program Master’s Program in Public Health Majoring in Health Policy Administration Sub Majoring in Maternal and Child Health Management 2014 ABSTRACT Andi Malahayati Nurdjaya Midwife Performance Practic Private Sectorin Execution Detect Early Anemiaatits Pregnancy MotherandManagement in Kendari City xiv, 75pages + 2 table + 3figures + 18enclosures Height BBLR (40,96%) and prematuritas (50,17%), data on duty health Kendari City shows anemia occurence at pregnancy mother. Result survey introduction shows midwife performance praktik private sector in execution detect early anemia have not yet according to standard specially quality, quantity and timeliness. Research target is explains midwife performance praktik private sector in execution detect early anemia at its pregnancy mother and management in Kendari City. Research uses method qualitative. Main two high coverage Informan midwife praktik private and low coverage informan of chief triangulation IBI, Kasie KIA and pregnancy mother. Data collecting by circumstantial interview and analysed with content analysis. Research result shows performance BPS low coverage no yet according to standard. Facility BPS low coverage there still tool that has been competent, tool levying and materials used up wear conducted by on duty its health but realization old. BPS from high and low coverage show positive attitude posed at by execute detect early anemia at pregnancy mother specially hemoglobin inspection although at its execution has not yet been in accordance with standard. All BPS either from high coverage and low coverage have good enough motivation in the case of conduct steps detects early anemia specially in hemoglobin inspection. There is no supervision either from chief IBI and Kasie KIA relates in execution detect early anemia at its pregnancy mother and management, all BPS require supervise direct that scheduled from superior as the attention form. Concluded that execution detects early anemia at its pregnancy mother and management conclusion that obtained from research is has not yet been optimal its execution detects early its anemia of pregnancy mother and management have not yet been optimal specially in hemoglobin inspection, monitoring and anaemia management. Keyword : Performance, Execution, Detect Early Anemia Bibliography : (1989 – 2011)