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RSUD Pemerintahan Kabupaten Sumedang telah terpapar dengan kebijakan PMK dengan nomor 836/MenkesiSICN1/2005 tentang Pedoman Pengembangan Manajemen Kinerja (PMK) Perawat dan Bidan sejak tahun 2006. 1 (satu) orang Perawat sebagai DTOT kabupaten Sumedang serta 7 orang Perawat dan 1 orang Bidan sebagai First Line Manager (FLIVI) di Rumah Sakit mi. Berdasarkan hal tersebut dilakukan peneiitian Evaltzasi Kesiapan Implementasi PlvIK Perawat dan Bidan Di Unit Pelayanan Kesehatan Reproduksi RSUD Pemerintahan Daerah Kabupaten Surnedang Tahun 2010. Penelitian ini menggunakan metode kualitatif dan kuantitatif (kuantifikasi data). Hasil penelitian menunjukan belurn siapnya inaplementasi P/vIK bagi perawat dan bidan di Rumah Sakit ini, karena belum ada SK khusus untuk mengimplementasikan PMK dan belum tersedianya alokasi anggaran khusus mengimplementasikan PMK bagi perawat dan bidan. Dua komponen PMK. yang disuswi berbeda yaitu: Standar Operasional Prosedur (SOP) dalam bentuk Standar Asuhan Keperawatan (SAIC) dan uraian tu.gas perawat clan bidan berdasarkan kedudukan dalam struktur Rumah Sakit. Sementam 3 komponen lain yaitu: indikator kinetja, D.R.K serta monitoring dan evaluasi belum ada. Hasil evaluasi kinelja dari 31 orang perawat dan bidan di unit pclayanan kesehatan reproduksi Rumah Sakit ini, keadilan transparansi dalam penilaian kinerja di institusi tempat keija ditemukan kurang puas sebanyak 23 orang (74,2%). Disarankan pemegang komitmen dan pengambil keputusan untuk memberikan Support Sistem dan kebijakan dalam mengimplementasikan pengembangan manajemen kinelja bagi perawat dan bidan, 5 komponen PMK disusun dan dimplementasikan secara utuh untuk meniugkatkan kinexja perawat dan bidan khususnya dan mcningkatkan mutu pclayanan di Rumah Sakit ini pada umumnya.
Sumedang District Govemment Hospital has been exposed by policy of Clinical Performance Development Management Systems (CPDMS) with the number of 836/Menlces/SK/VI!2005 about Pedoman Pengembangan Mamjemen Kinerja (PMK) Perawa: dan Bidan and there is a nurse as District Trainee of Trainer (DTOT) of Sumedang and 7 nurses and a midwife as First Line Manager (FLM) in this Hospital since 2006. The research of evaluation of implementation readiness nurses and midwives in Clinical Performance Development Management Systems (CPDMS) in Reproductive Health Care Unit at Sumedang District Government Hospital 2010 based on the statement below. This research use qualitative and quantitative methods. The result shows the Clinical Performance Development Management Systems (CPDMS) policies aren’t ready yet for nurses and midwives in the hospital, because there is no special Decree to implement Clinical Perfomance Development Management Systems (CPDMS) and there is no specific budget allocation for the implementation of CPDMS for nurse and midwife. Two components of CPDMS which were prepared diferentlyz Procedure Operating Standard (POS) in the form of Nursing Care Standards (NCS) and job descriptions of nurses and midwives based on the position in the structure of the Hospital. Meanwhile the three other components, namely: performance indicators, Reflection of Case Discussion and monitoring, and evaluation still pending. The results of evaluating the performance of 31 nurses and midwives in reproductive health services unit. The results of evaluating the performance of 31 nurses and midwives in reproductive health services unit, justice of transparency in the assessment of institutional performance in the workplace found less satisfied as many as 23 people or (74.2). Suggested to holders and decision makers are committed to providing support systems and policies to implement the Perfonnance Management Development for Nurses and Midwives and the five components of CPDMS prepared and fully implemented to improve the performance of nurses and midwives in particular and improve the quality of care in general hospitals.
Salah satu upaya menunmkan angka kesakitan dan kematian ibu adalah melalui pemberian pelayanan yang berkualilas. Pelayanan yang berkualitm dapai di wujudkan dengan adanya tenaga kesehatan yang kompeten, termasuk bidan di desa. Desain Penelitian dengan cross sectional untuk mengelahui kompetensi dan kinexja bidan di desa dalam melaksanakan pelayanan asuhan parsalinan nommal di Kabupaten Bengkayang lahun 2008. Populasi adalah bidan di desa yang bertugas di polindes. Sampel pmelitian ini adalah semua bidan di desa yang bexjumlah 53 orang yang sudah meudapatkan pelatihan asuhan persalinan normal (APN). Hasil penelitian menunjukkan sebagian besar (83,2%) bidan di desa kurang kompeten mc-laksanakan suhan persalinan normal (APN). Kompetensi merupakan faktor yang bermalcna terhadap kinexja bidan di desa dalam melaksanakan asuhan persalinan nomml berdmarkan indikator cakupan persalinan dengan Oddss Ratio 31 (95% CI: 3,4 - 28l,9) dan berdasarkan persentase kasus yang di mjuk pada alpha 5% terdapat perbedaan yang signiiikan antara rata-rata persentase kasus komplikasi persalinan yang di rujuk oleh bidan di desa dengan kompetensi. Bidan yang kurang kompelen merujuk rata-rata 13 % kasus komplikwi persalinan, sedangkan bidan yang kompeten merujuk rata-rata 4 % kmus komplikasi persalinam Vayiabel lain yang bennakna dengan lcineaja adalah pengalaman kelja bidan di desa dengan Oddss Ratio 6,7 (95% CI: 1,3 - 3317). Variabel pendidikan, umur, peralatan dan bahan menunjukkan hubungan yang tidak bemiakna. Oleh karena itu kompelensi bidan di dwa perlu ditingkatlcan bukan hanya dengan pelatihan saja tetapi perlu ditindak lanjuti dengan supervisi yang teerprogram dan uji sertifikasi kompefersi oleh suatu badan yang terakreditasi.
One of effort for decrease of morbidity and maternal mortality be giving a quality health care.That is necessary human resources of health which having competency, included midwife in the village This research to be done with cross- sectional design for knowing competency of midwife in the village on going nomially birth attendant care at Bengkayang District 2008. Population research are midwives in tlievillage which on duty at the village centre attendant Samples research are all of the midwives intthe village, there are 53 persons which got training normally birth attendant care. The result showed most of midwifes (83,2%) have not enough competent on going normally birth attendant care. Competency is afsigniticant factor to midwife performent on going normally birth attendant indicated birth attendant target with Odds Ratio '31 (95% CI:3,4 - 28I,9) and presentation of cases refered on alpha 5 %, there is a differentiation signilicantly between mean procentace cased refered with competency. The village's midwives which not enough competent refered mean 13% cases birth attendant complication, the midwives in the village which competent refered 4 % cases birth attendant complication. Significant variable with perrofmmtee is experienee job, odds nano 6,1 (95% cr; 1,3 _ sag). Another variables are educatiorg age and equipment showed not significant. That is why competency of the midwivx in the village necessary to be increased not only with training but also a programmly supervising and competency sertilication test from accreditation organization.
Meningkatnya temuan kasus HIV-AIDS di Kabupaten Kuningan dari tahun ke tahun, menunjukkan bahwa perilaku seksual berisiko di Kabupaten Kuningan mengalami peningkatan. Peningkatan ini menunjukkan bahwa belum dilakukannya upaya pencegahan penularan HIV-AIDS. Tujuan dari penelitian ini, untuk mengetahui besarnya bentuk hubungan antara pengetahuan komprehensif HIV-AIDS terhadap perilaku seksual berisiko ditinjau dari aspek penularan dan pencegahan HIV-AIDS dan sikap terhadap perilaku seksual pranikah berisiko pada remaja di SMA Negeri I Garawangi Kabupaten Kuningan. Penelitian ini menggunakan metode penelitian deskriptif melalui pendekatan yang bersifat cross sectional. Penelitian ini dilakukan pada bulan Maret - Mei 2013 di SMA Negeri I Garawangi Kabupaten Kuningan Jawa Barat. Besar sampel yang diambil sebanyak 200 orang, pengumpulan data dilakukan sekaligus pada satu waktu secara bersamaan (point time approach) dengan menggunakan kuesioner, dengan teknik pengambilan sampel menggunakan simple random sampling. Jenis uji statistik yang digunakan yaitu pengujian statistic chi square dengan batas kepercayaan (α=0,05); dengan estimasi confidential interval/tingkat kepercayaan (CI) 95%. Hasil uji statistik hubungan antara pengetahuan komprehensif HIV-AIDS dengan perilaku seksual pranikah remaja, diperoleh nilai p = 0,755 maka dapat disimpulkan tidak ditemukan hubungan yang signifikan antara pengetahuan komprehensif HIV-AIDS dengan perilaku seksual remaja. Hasil uji statistik hubungan antara sikap dengan perilaku seksual remaja diperoleh nilai p= 0,019 maka dapat disimpulkan bahwa ditemukan hubungan yang signifikan antara sikap dengan perilaku seksual remaja.
The findings of increasing cases of HIV-AIDS in Kuningan district from year to year, suggesting that sexual risk behavior in Kuningan has increased. This increase suggests that prevention efforts of HIV-AIDS have not done. The purpose of this study, to determine the relationship between comprehensive knowledge of HIV-AIDS to adolescent sexual behavior in terms of aspects of transmission and prevention of HIV-AIDS and attitudes toward adolescents premarital sexual behavior in SMA Negeri I Garawangi Kuningan. This study uses descriptive research method through a cross sectional approach, was conducted in March-May 2013 in the SMA Negeri I Garawangi Kuningan regency of West Java. Samples taken by 200 respondents, as well as the data collection is done at the same time (time point approach) by using a questionnaire,. with sampling techniques using simple random sampling. Type of statistical test used is the chi square test with statistical confidence limits (α = 0.05), with an estimated confidential interval / confidence level (CI) 95%. Results of statistical tests the relationship between comprehensive knowledge of HIV-AIDS with adolescent premarital sexual behavior, the value of p = 0.755, it can be concluded there is no significant relationship between a comprehensive knowledge of HIV-AIDS with. Results of statistical tests the relationship between attitudes to adolescent premarital sexual behavior obtained p value = 0.019, it can be concluded that there is a significant relationship between attitudes and adolescent premarital sexual behavior.
Kata kunci: SijariEMAS; Bidan praktek mandiri
Maternal and Neonatal Reference Network Information System (SijariEMAS) is the latest program in Kota Tangerang as an effort to answer the problem of maternal and infant mortality in Kota Tangerang caused by ineffective and efficient reference. The use of SijariEMAS in the target group of private practice midwives as primary birth attendant in Kota Tangerang is still very low, only 15% of private practice midwives using SijariEMAS. This study aims to determine the implementation of SijariEMAS on i private practice midwife in Kota Tangerang 2017. Implemented in May-June 2017 using qualitative design. Data collection was done through focus group discussion on 24 midwives' informants (active and inactive midwives using SijariEMAS) as well as in-depth interviews on policy makers related to SijariEMAS program in Kota Tangerang . This research indicates that the response time of referral through old Sijariemas plus lack of coordination between hospital, referral midwife and call center officer and lack of supervision from Tangerang City Health Office become the cause of less maximal implementation of SijariEMAS at private practice midwife in Kota Tangerang.
Keywords: SijariEMAS; Private Practice Midwives
Angaka kematian ibu di Indonesia saat ini masih tinggi, pada tahun 1997 sebesar 373 per 100.000 kelahiran hidup, padahal pemerintah dalam hal ini Depkes ingin menurunkan angka kematian ibu. Untuk menurunkan angka kematian ibu (AKI) pemerintah telah menempatkan petugas kesehatan (Bidan di desa) dan fasilitas pelayanan kesehatan sampai kedaerah terpencil untuk ikut menjaga kesehatan ibu dan bayi selama masa kehamilan, persalinana, dan masa sesudah persalinan.Tujuan penelitian ini ingin mengetahui gambaran tingkat kepatuhan. bidan di desa terhadap standar pelayanan antenatal care (ANC) di Kabupaten Karawang, serta faktor-faktor apa saja yang berhubungan dengan kepatuhan bidan di desa terhadap standar pelayanan antenatal.Rancangan penelitian adalah cross sectional (potong lintang), populasi penelitian ini bidan di desa yang ada di Kabupaten Karawang, sebanyak 277 orang dengan jumlah sampel sebanyak 162 orang. Data di analisis secara univariat. bivariat, dan multivariat dengan menggunakan regresi logistik ganda. Perangkat lunak yang dipakai ialah program komputer di laboratorium Program Studi llmu Kesehatan Masyarakat Universitas Indonesia (PS-IKM).Hasil penelitian yang didapat adalah dari 162 responden, yang patuh terhadap standar pelayanan antenatal care (ANC) sebanyak 115 responden (71,0%), dan yang tidak patuh sebanyak 47 responden (29,0%). Faktor yang memiliki hubungan dengan kepatuhan bidan di desa terhadap standar pelayanan antenatal care (ANC) adalah.umur, pengalaman kerja, pengetahuan, sedangkan perkawinan, pelatihan, supervisi dan sarana tidak memiliki hubungan bermakna. Sedangkan hasil multivariat faktor yang paling dominan berhubungan dengan kepatuhan bidan di desa pada standar pelayanan antenatal adalah status perkawinan.Mempertimbangkan hasil penelitian ini, maka disarankan kepada semua pihak yang terkait (Dinas Kesehatan, Puskesmas) perlu pembinaan khusus terhadap bidan di desa terutama bidan di desa yang memiliki tingkat pengetahuan yang kurang, sedangkan untuk bidan perlu meningkatkan pengetahuannya melalui pelatihan dan banyak membaca.
The Factors that Related to Village Midwife Compliance on Antenatal Service Standard at Karawang District, 2002The Maternal Mortality Rate (MMR) in Indonesia is still high, it was 373 per 1000 live births, 1997, even the government, and MOH would like to reduce it. To reduce the MMR, the government has been placed Village Midwife and facility of health service up to Remote Areas to participate maintain the maternal health and infant during pregnancy, delivery, and post-natal.The objective this study is to determine the description of Village Midwife compliance rate to ANC standard at Karawang District, and also on what factors that influence to Village Midwife compliance to ANC standard. The study design used cross-sectional, the population of this study is Village-Midwife that available at Karawang District, and the number is 277 people, with the sample as 162 people.The data was analyzed by univariate, bivariate, and multivariate used logistic regression. The software is computer program at the Laboratory of the Faculty of Public Health, University of Indonesia (PS-IKM-UT).The result of this study obtained that out of 162 respondents who's having compliance to ANC standard as 115 respondents (71.0%), and was not compliance 47 respondents (29.0%). Result of bivariate prove have significant relationship to Village Midwife compliance to ANC standard are age, work experience, knowledge, while marital, training, supervision and facility is not having significant relationship. The specially vector to related wich compliance to ANC standard as married status.Considering to the result of this study, it is recommended to all related parties (Local Health Service, Health Center) need special guidance to Village Midwife, especially Village Midwife that having lower compliance, while for Midwife should increase her knowledge through training and a lot of reading.