Faktor-Faktor yang Mempengaruhi Komitmen Bidan Desa dalam Penerapan Standar Asuhan Minimal 7T pada Pelayanan Antenatal Care di Kabupaten Konawe

Abstract

Universitas Diponegoro Fakultas Kesehatan Masyarakat Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Kesehatan Ibu dan Anak 2014 ABSTRAK Yustiari Faktor-Faktor yang Mempengaruhi Komitmen Bidan Desa dalam Penerapan Standar Asuhan Minimal 7T pada Pelayanan Antenatal Care di Kabupaten Konawe xv + 103 halaman + 25 tabel + 3 gambar + 10 lampiran Cakupan pelayanan K1 dan K4 di Kabupaten Konawe pada tahun 2012 masih rendah yaitu 60,2% dan 54,2%. Hasil studi pendahuluan menunjukkan komitmen bidan desa dalam penerapan standar asuhan minimal 7T masih rendah. Tujuan penelitian adalah mengetahui faktor-faktor yang mempengaruhi komitmen bidan desa dalam penerapan standar asuhan minimal 7T pada pelayanan antenatal care di Kabupaten Konawe. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross sectional. Variabel bebas adalah kondisi kerja, harapan, ketersediaan pekerjaan, kompensasi, personal value, kewajiban moral. Variabel terikat adalah komitmen bidan desa. Pengumpulan data dengan metode angket. Jumlah sampel 80 bidan desa dipilih secara purposive sampling di 12 Puskesmas terpilih. Analisis bivariat dengan uji chi square dan analisis multivariat dengan uji regresi logistik. Hasil penelitian menunjukkan bahwa komitmen baik 51,2%, kondisi kerja baik 62,5%, harapan kurang 52,5%, ketersediaan pekerjaan baik 52,5 %, kompensasi baik 67,5%, personal value baik 53,8% serta kewajiban moral baik 61,5%. Ada hubungan antara harapan (p=0,045), ketersediaan pekerjaan (p=0,003), kompensasi (p=0,000), personal value (p=0,002) dan kewajiban moral (p=0,005). Tidak ada hubungan antara kondisi kerja dengan komitmen bidan desa pada penerapan standar asuhan minimal 7T. Kompensasi (p=0,001;OR=7,9) dan harapan (p=0,037;OR=2,9), secara bersama-sama berpengaruh terhadap komitmen bidan desa dalam penerapan standar asuhan minimal 7T pada pelayanan ANC. Perlu adanya dukungan dan penyediaan fasilitas pelayanan antenatal seperti alat pemeriksaan laboratorium sederhana, pemberian kompensasi yang sesuai dengan standar dan harapan bidan untuk dapat meningkatkan komitmen bidan desa dalam penerapan standar asuhan minimal 7T. Kata Kunci : Komitmen Bidan Desa, Penerapan standar 7T, Antenatal Care. Kepustakaan : 55 (1961-2012) Diponegoro University Faculty of Public Health Master’s Program in Public Health Majoring in Maternal and Child Health 2014 ABSTRACT Yustiari Factors influencing the Commitment of Village Midwives in Implementing the 7T Minimum Care Standards in Antenatal Care Services in District of Konawe xv + 103 pages + 25 tables + 3 figures + 10 enclosures Coverage of K1 and K4 services in District of Konawe in 2012 was still low, namely 60.2% and 54.2% respectively. A preliminary study revealed that commitment of village midwives in implementing 7T minimum care standards in Antenatal Care (ANC) services was still low. This research aimed to identify factors influencing the commitment of village midwives in implementing the 7T minimum care standards in ANC services in District of Konawe. This was observational analytic research with cross-sectional approach. Independent variables consisted of work condition, expectation, availability of jobs, compensation, personal value, and moral obligation. On the other hand, commitment of village midwives was as a dependent variable. Data collection used a questionnaire. Number of samples were 80 village midwives selected using a purposive sampling technique from 12 selected health centers in District of Konawe. Furthermore, data were analyzed using methods of bivariate (Chi Square test) and multivariate analyses (Logistic Regression test). The result of this research showed that most respondents had good commitment (51.2%), good work condition (62.5%), lack of expectation (52.5%), good availability of jobs (52.5%), good compensation (67.5%), good personal value (53.8%), and good moral obligation (61.5%). The result of bivariate analysis revealed that variables of expectation (p=0.045), availability of jobs (p=0.003), compensation (p=0.000), personal value (p=0.002), and moral obligation (p=0.005) had significant association with the commitment of village midwives. In contrast, the factor of work condition was not significant. Furthermore, variables of compensation (p=0.000; OR=7.9) and expectation (p=0.037; OR=2.9) jointly influenced the commitment of village midwives. As suggestions, there needs support and facilities of ANC services such as providing simple laboratory equipment, providing compensation based on the standard, and increasing expectation of midwives to improve the their commitments in implementing 7T minimum care standards. Key Words : Commitment of Village Midwives, Implementation of 7T Standards, Antenatal Care Bibliography : 55 (1961 – 2012)