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Background : Competitiveness in the globalization era has raised the needs for qualified and professional human resources, including in the health services. One of the key indicators of a high quality health service is the availability of professional medics, which obviously cannot be separated from the health education system. Centre of Health Manpower Education has performed the accreditation program for health education institutions to improve the quality of health education providers, which in the end will improve the quality of the graduates. Objective : This research aims to investigate the correlation between the accreditation rates of Borang Akreditasi 2000’s sub-components and the quality of the health institution graduates. Design : The data used is from the accreditation results to March 2005 and the report of Information System of Health Manpower Education from Specialist of Health Education and Accreditation Division, Centre of Health Manpower Education, Department of Public Health. The approach of this research is cross sectional design. The data is analysed by using multiple logistic regression and factor analysis. Result : Proportion of the institution with Good Quality Graduates is 44.1%. Institutions with Very Good marks on Education Planning with an Adequate on the Full Time Lecturer’s state, possess 0.16 times risk with a 95% CI (0.03 – 0.87), to produce a Good Graduates compared to the institution with Adequate marks on Education Planning after being controlled by the variables; Application of teaching assistance program, Periodic report, Teaching evaluation, audio visual aids, and infrastructures. Based on the factor analysis, the author acquired 5 factors with a variance of 60.28%, they were curriculum, infrastructure, lecturer, Laboratorium and educational support. Conclusion : The research has shown that the most significant factors for highly qualified health education graduates are the accreditation rates for the full-time lecturer involvement sub-component and the planning of the teaching program sub-component. Between these two, the full-time lecturer involvement is a more dominant factor. From the factor analysis, the administration staff and librarians sub-component has raised a new factor. Also, the laboratory sub-component does not correlate with other factors. In fact, it has emerged as an independent factor. Key words : Accreditation, Centre of Health Manpower Education, Quality of graduates, The Health Institutions.
The purpose of this study was to analyze the relationship between the acceptanceof healthworkers, community heathworker, and media against the participation offamily planning in urban and rural from group of childbearing age women inIndonesia. With these objectives, this study used survey data performancemonitoring accountability2020 (PMA2020) involving 33 provinces in Indonesia2015. It was cross sectional using logistic regression analysis to determine therelationship of the information acceptance of family planning (FP) in urban andrural. FP information came from healthworkers, community healthworker, and themedia. FP information received from healthworkers had a statistically significantassociation with the participation of family planning in both urban and rural. InUrban, women of childbearing age who received planning information fromhealthworkers have the opportunityto use contraception 2.4 times (OR 2.4, 95%CI1.18 to 3.92; p-value 0.013) compared with who are not, whereas in the rural havea oppurtunity 2.3 times (OR 2.3, 95%CI: 1.40 to 3.67; p-value 0.0001) to usecontraception compared with who are not. But both FP information were receivedfrom community healthworker and media had no significant association statisticallyin both urban and rural. Hopefully, by this result, BKKBN could improveknowledge and skill of community healtworkers by more training and supervisionto enhance their role in changing women attitudes towards contraception use.Improve the quality and quantity of community healthworkers in order to avoid theover workload to achieve sucessfull of the family planning program. BKKBN withHealth Promotion section make ads more attractive and persuasive.Keyword:healthworker, community healthworker, media, contraception
ABSTRAK Penyalahgunaan operasi sesar dan dilakukan tanpa keperluan medis berisiko munculnya masalah kesehatan jangka panjang maupun pendek. Tren persalinan sesar di Indonesia tahun 2007-2012 mengalami peningkatan dua kali lipat. Sikap tenaga pemeriksa kehamilan menjadi isu dalam menurunkan angka persalinan sesar. Penelitian ini bertujuan untuk mengetahui hubungan tenaga pemeriksa kehamilan dengan persalinan sesar. Metode penelitian cross sectional ini menggunakan sampel penelitian 5.143 wanita usia subur (15-49 tahun) yang melahirkan anak terakhir di wilayah perkotaan Indonesia yang terpilih dalam sampel SDKI 2012. Hasil penelitian menunjukkan bahwa pemeriksaan kehamilan pada spesialis kandungan 6,6 kali lebih tinggi (95% CI 3,2-13,7), sedangkan pemeriksaan kehamilan pada spesialis kandungan dan bidan 0,5 kali lebih rendah untuk melakukan persalinan sesar dibandingkan dengan pemeriksaan kehamilan 2,1 kali lebih tinggi (95% CI 1,0–4,3) untuk melakukan persalinan sesar dibandingkan dengan ibu yang melakukan pemeriksaan kehamilannya di bidan setelah dikontrol oleh usia ibu, tempat periksa hamil, paritas, dan tempat melahirkan. Adanya interaksi spesialis kandungan dengan sosial ekonomi untuk persalinan sesar. Penetapan peraturan dilakukannya persalinan sesar oleh institusi kesehatan, serta melakukan upaya protektif dan preventif persalinan pada kelompok masyarakat ekonomi tinggi bertujuan untuk mengurangi terjadinya persalinan sesar yang tidak perlu. Kata kunci: persalinan sesar, tenaga pemeriksa kehamilan, perkotaan
ABSTRACT Abuse of caesarean section and performed without medical purposes risky health long and short problems. Trends cesarean deliveries in Indonesia in 2007 and 2012 has increased two-fold. The attitude of antenatal care provider become an issue in reducing the number of cesarean delivery. The purpose of this study is to know the relationship antenatal care provider with cesarean section. The methods of this this study is cross-sectional, using sample of 5.143 women of childbearing age (15-49 years) who gave birth to the last child through cesarean delivery and cesarean deliveries in urban areas selected in the sample Indonesia Demographic and Health Survey 2012. The results showed that antenatal care in obstetrician 6.6 times higher (95 % CI 3.2 to 13.7), while antenatal care in obstetrician and midwife 0.5 times less likely to perform cesarean delivery compared with antenatal 2.1 times higher (95% CI 1.0 to 4.3 ) to perform cesarean delivery compared with women who undergo pregnancy examinations in midwifery after controlled by maternal age, a pregnancy check, parity, and place of birth. Their interaction with the content of socio-economic specialist for a cesarean delivery. Formation of rules does a cesarean delivery by health institutions, as well as make efforts to protective and preventive labor in high economic communities aim to reduce the occurrence of unnecessary cesarean deliveries. Keywords: cesarean section, antenatal care provider, urban
