HUBUNGAN ASPEK MANAJEMEN KOORDINATOR IMUNISASI PUSKESMAS DENGAN CAKUPAN IMUNISASI HB1 UNIJECT PADA BAYI USIA 0-7 HARI DI KABUPATEN SLEMAN

Abstract

Penyakit hepatitis B merupakan masalah kesehatan di dunia yang cukup serius. Menurut SKRT (1997) 50% ibu hamil dengan HBsAg positif akan menimbulkan infeksi vertikal pada bayi. Untuk mencegah kejadian tersebut dilaksanakan imunisasi HB1 sedini mungkin dengan HB Uniject yang diperkenalkan mulai tahun 2000 di Propinsi DIY. Berdasarkan uji coba tersebut hasil imunisasi HB1 pada bayi usia 0-7 hari belum mencapai target yang diharapkan yaitu 75%,demikian juga pasca uji coba dan Kabupaten Sleman menduduki peringkat terakhir dari 5 kabupaten yang ada di Propinsi DI.Yogyakarta. Banyak vfaktor penyebabnya antara lain dari pelaksana imunisasi , masyarakat, provaider sebagai penyedia vaksin maupun manajemen dari koordinator imunisasi puskesmas sebagai penanggung jawab pelaksanaan imunisasi di puskesmas. Tujuan penelitian ini untuk mengetahui hubungan aspek management yang meliputi perencanaan, pelaksanaan, koordinasi, dan evaluasi dengan cakupan imunisasi HB 1 uniject pada bayi usia 0 - 7 hari di Kabupaten Sleman. Jenis penelitian ini adalah explanatory ( penjelasan ) dengan metode survey cara pendekatannya cross sectional dan uji statistik yang digunakan korelasi pearson produk momen ( PPM ). Jumlah sampel 24 sebagai responden koordinator imunisasi Puskesmas di Kabupaten Sleman. Aspek manajemen sebagai variabel bebas meliputi aspek perencanaan termasuk kriteria baik 20,8 %, sedang 66,7% , kurang 12,5 %. Aspek pelaksanaan termasuk kriteria baik 20,8 %, sedang 70,8 %, kurang 8,3 %. Aspek koordinasi termasuk kriteria baik 20,8 %, sedang 50,0 %, kurang 29,2 %. Aspek evaluasi termasuk kriteria baik 12,5 %, sedang 70,8 %, kurang 16,7 %. Hasil imunisasi HB 1 pada bayi usia 0 - 7 hari sebagai variabel terikat. Adapun Puskesmas yang imunisasi HB 1 mencapai target ada 3 dari 24 Puskesmas yang ada di Kabupaten Sleman. Berdasarkan hasil uji coba statistik diketahui bahwa ada hubungan antara aspek perencanaan, pelaksanaaan, koordinasi dan evaluasi dengan cakupan HB 1 uniject pada bayi usia 0 - 7 hari di kabupaten Sleman. Kata Kunci: Aspek manajemen,HB1 Uniject,bayi 0-7 hari ASSOCIATION BETWEEN MANAGERIAL ASPECT OF PRIMARY HEALTH CENTER IMMUNIZATION COORDINATOR AND COVERAGE HB1 UNIJECT ON THE BABY AGED 0-7 DAYS IN THE DISTRICT OF SLEMAN Saran ditujukan kepada koordinator imunisasi puskesmas agar menerapkan aspek manajemen dalam pelaksanaan tugas. Bagi Dinas Kesehatan Sleman agar mengadakan pelatihan HB uniject, penempatan pegawai disesuaikan latar belakang pendidikan dan menjaga ketersediaan vaksin. ( The disease of Hepatitis B represent health problem in a world of serious enough. According to SKRT ( 1997 ) 50 % pregnant mother with positive HBsAg will generate vertical infection at baby. To prevent executet to by the occurence immunization BH 1 early possible with introducet to by HB uniject start at year 2000 in province DIY. Based on the experiment result immunization HB 1 on the baby eged 0 - 7 days not yet reached expected by goals that is 75 %, and so do pasca experiment and the district of Sleman occupy level from 5 district of exist in Province of DI.Yogyakarta. Many of its couse factor between differ from execution immunization, society, provider supply of vaccine and also managerial aspect from primary health center immunization coordinator as underwriter reply execution immunization in primary health center. This research target to know association of mamagerial aspect covering planning, execution, co-ordinate and evaluate with coverage immunization HB 1 uniject on the baby aged 0 - 7 days in the District of Sleman. This kind of research is explanatory (clarification) with method survey ofis way of its approach is cross sectional and used by statistic test of correlation of person produc moment ( PPM ). Sum of sample is 24 as its responder is primary health center immunization coordinator. Managerial aspect as free variabel cover planning aspect ofis inclusive of good criterion 20,8%, medium 66,7%, less 12,5%. Execution aspect ofis inclusive of good criterion 20,8%, medium 70,8%, less 8,3%. Aspect co-ordinate the inclusive of good criterion 20,8%, medium 50,0%, less 29,2%. Aspect evaluate the inclusive of good criterion 12,5%, medium 70,8%, less 16,7%. Result immunization HB1 on the baby aged 0-7 days as variable trussed. As for primary health center which immunization Tired HB1 of goals there is 3 from 24 primary health center which in the district of Sleman. Based on the result of statistical test known by that there is association of between planning aspect, execution, co-ordinate and evaluate with coverage of HB1 Uniject on the baby aged 0-7 days in the district of Sleman. Sugestion addressed primary health center immunization coordinator in order to apply managerial in duty execution. For Public Health Service of Sleman in order to perform training of HB Uniject, location of officer of accomodated of background of education and take care of supply vaccine Keyword : managerial aspect, HB1 Uniject, the baby 0-7 day