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Masih tingginya Angka Kematian Ibu (AKI) di Indonesia menunjukkan bahwa mutu pelayanan kesehatan khususnya layanan Antenatal (ANC) masih rendah. Secara umum kematian ibu dapat dicegah apabila adanya komplikasi kehamilan dan risiko tinggi terdeteksi secara dini dengan pelayanan ANC yang baik. Selain itu, pemanfaatan layanan ANC juga berdampak pada penurunan kejadian BBLR dan merupakan satu mata rantai yang tidak kalah pentingnya dalam upaya penurunan AKI. Kebijakan Depkes dalam upaya mempercepat penurunan AKI mengacu pada intervensi strategis "Empat Pilar Safe Motherhood' salah satunya adalah meningkatkan akses dan mutu layanan ANC dan strategi MPS (Making Pregnancy Safer) dimana bagi bidan di desa terfokus dengan melaksanakan Pelayanan Kebidanan Essensial dan Pertolongan Panama Gawat-darurat Obstetri dan Neonatal (PPGON) yang salah satu kegiatannya adalah deteksi dini kasus risiko tinggi melalui pelayanan ANC. Oleh karena itu, keberadaan bidan di desa sangat strategis dan mendukung kebijakan program pengembangan "Desa Siaga Tahun 2008". Tingkat kepatuhan (Compliance Rate) bidan terhadap standar layanan ANC di Kabupaten Muam Jambi sebagai gambaran mutu pelayanan kesehatan masih di bawah standar minimal Quality Assurance (80%) yaitu pada tahun 2005 sebesar 64,9% dan tahun 2006 sebesar 66,54%. Kondisi ini diduga turut berkontribusi terhadap cakupan KI dan K4 yang masih di bawah target Standar Pelayanan Minimal (SPM). Secara umum penelitian ini bertujuan untuk mendapatkan gambaran kepatuhan bidan di desa terhadap standar layanan ANC dan faktor-faktor yang berhubungan dengan kepatuhan bidan di desa terhadap standar layanan ANC yaitu faktor individu meliputi variabel umur, pendidikan, pengetahuan, masa kerja, lokasi kerja, lokasi tempat tinggal, status perkawinan, dan status kepegawaian; variabel kepuasan kerja; dan faktor organisasi meliputi variabel komitmen organisasi, kelengkapan saran, supervisi, dan pelatihan. Desain penelitian yang dipilih adalah analitik kuantitatif rancangan cross sectional dengan responden yaitu bidan di desa sebanyak 141 orang pada 18 Puskesmas dalam wilayah Kabupaten Muaro Jambi (total sampel). Pengumpulan data dilakukan dengan cara pengamatan (observasi) dan wawancara menggunakan daftar tilik, serta menggunakan kuesioner yang dijawab atau diisi sendiri oleh responden (self administered questionaire). Hasil penelitian memperlihatkan bahwa sebagian besar bidan di desa kurang patuh terhadap standar layanan ANC (62,4%). Rata-rata tingkat kepatuhan bidan di desa terhadap standar layanan ANC sebesar 74,62% yang bervariasi antara 41,16% - 99,30%. Hasil analisis penelitian membuktikan bahwa variabel pendidikan, pengetahuan, lokasi tempat tinggal, status kepegawaian, kepuasan kerja, komitmen organisasi, kelengkapan saran, dan supervisi merniliki hubungan signifikan dengan kepatuhan bidan di desa terhadap standar layanan ANC. Variabel supervisi merupakan faktor yang paling dominan berhubungan dengan kepatuhan bidan di desa terhadap standar layanan ANC di Kabupaten Muaro Jambi. Atas dasar basil analisis tersebut, dapat disarankan khususnya kepada Dinas Kesehatan Kabupaten Muaro Jambi dan Puskesmas untuk dapat melakukan upaya-upaya pengawasan dan pembanaan terhadap bidan di desa melalui kegiatan supervisi atau penyeliaan (pada program QA) yang efektif khususnya untuk meningkatkan kepatuhan bidan di desa terhadap standar layanan ANC. Supervisi dilakukan secara kontinyu dan komperhensif mulai dari pengumpulan data untuk mengukur tingkat kepatuhan petugas terhadap standar ANC, menemukan penyimpangan atau masalah terhadap standar yang telah ditetapkan, melakukan pembahasan tentang segala kegiatan dan permasalahan yang ditemukan, mencari penyebab masalah, dan merumuskan upaya perbaikan secara sederhana, dan melakukan upaya-upaya perbaikan serta memberikan umpan balik sehingga peningkatan mutu layanan ANC dapat ditingkatkan secara terus menerus.
The high quantity of Maternal Mortality Rate (MMR) in Indonesia shows that health service quality especially Antenatal Care (ANC) still low. Generally, maternal mortality could prohibit if pregnancy complication exist and high risk early detected with good ANC. Besides, ANC service utilization also influence BBLR issues reduction and one of the link that not less important in decreasing MMR. Department of Health policies in hastening MMR reduction is referring to strategic intervention of "Four Pillar Safe Motherhood", which one of it is improving access and quality of ANC services and MPS (Making Pregnancy Safer) strategy. Where midwife in village focused with implementing Essential Midwifery Assistance and First Aid Obstetric Emergency and Neonatal that one of the activity is early detection of high-risk cases through ANC services. Therefore, midwife in village existences are strategic and assist developing program policy of "Desa Siaga Tahun 2008". Midwife compliance rate toward ANC service standard at Muaro Jambi Regency as health service quality representation is still below minimal standard of Quality Assurance (80%) that is in the year of 2005 equal to 64,9% and 2006 equal to 66,54%. This condition estimated also giving contribution toward K1 and K4 exposure that still below target of Minimal Service Standard (SPM). Generally, this research intend to get midwife in village compliance representation toward ANC service standard and factors that related with midwife in village compliance toward ANC service standard that are individual factors covering variable of age, education, knowledge, work period, work location, residence location, marriage status, and employee status; work satisfactory variable; and organization factor that covering organization commitment variable, medium equipments, supervision, and training. Research design that selected is cross sectional quantitative analytical design with respondent that is midwife in village equal to 141 people in 18 Public Health Center at Muaro Jambi Regency area (total sample). Data gathering done by observation and interview using visit list, and using questioner that answered or self-filled by respondent (self-administrated questionnaire). Research result shows that most of midwife in village are less compliance toward ANC service standard (62,4%). Average rate of midwife in village compliance toward ANC service standard equal to 74,62% that varying from 41,16% - 99,30%. Research analysis result shows that variables of education, knowledge, residence location, employee status, work satisfactory, organization commitment, medium equipments, and supervision have significant relation with midwife in village compliance toward ANC service standard. Supervision variable is the most dominant factor that related with midwife in village compliance toward ANC service standard at Muaro Jambi Regency. Based on those analysis results, suggested especially to Muaro Jambi Regency Health Agency and Public Health Center to perform observation efforts and midwife in village comprehension through supervision activity or management (in QA program) that effective especially to improve midwife in village compliance toward ANC service standard. Supervision done continually and comprehensively started from data gathering to measure official compliance level toward ANC standard, finding deviation or problems toward settled standard, doing clarification about every activity and problems found, finding problems cause, abbreviating simple restoration effort, and doing restoration efforts along with giving feedback so that development of ANC service quality could be increased continually.
This study focuses on the implementation of COVID-19 health protocol as the last riskcontrol to protect the public from the dangers of corona virus spreading. Compliance in implementing COVID-19 health protocols is important as it is the responsibility of each individual to protect against the dangers of COVID-19. This study aims to analyze the factors related to community compliance in implementing the COVID-19 health protocol in the working area of the Mekarsari Health Center, Depok City. This is a nonexperimental/observational research with a cross sectional design. As the subjects of this study were 100 people. The available data are presented in the form of frequency distribution and cross tabulation and then analyzed statistically by using chi square. The results of the study show that most (61%) of the community adhere to the COVID-19 health protocol. Results: The results of statistical analysis showed that income (p = 0.005), attitude (p = 0.027), family support (p = 0.005), and friend support (p = 0.005) as factors that were significantly related to compliance with implementing the COVID19 health protocol and r square =5.57%. The most dominant variables related with public compliance in implementing health protocols are income Conclusion: More people dutifully implement health protocols COVID-19but there are still people who don't implement are the young age group, male , low education and low income
Dalam pelaksanaan pelayanan kesehatan di Puskesmas, petugas pengelola obat diharapkan dapat bekerja secara profesional dalam memberikan pelayanan obat kepada masyarakat untuk pemenuhan kebutuhan permintaan obat. Hasil evaluasi Bidang Farmasi Dinas Kesehatan Kota Tasikmalaya Tahun 2006, menunjukkan kinerja petugas pengelola obat di Puskesmas selama ini masih rendah. Ada faktor yang dominan yang mempengaruhi kinerja, faktor tersebut adalah motivasi kerja. Hal ini telah dibuktikan dengan penelitian-penelitian ilmiah yang dilakukan oleh beberapa peneliti kinerja sebelumnya. Pada penelitian ini penulis menganalisis hubungan antara faktor individu dan faktor kontekstual dengan motivasi kerja petugas pengelola obat di Puskesmas yang dilihat clan 5 dimensi yaitu penghargaan, pengembangan di.ri, tanggung jawab, prestasi kerja dan hubungan interpersonal. Penelitian ini merupakan penelitian observasional dengan metode cross sectional. Pengumpulan data dilakukan dengan cara menggunakan kuesioner dan wawancara (indepth interview) untuk menambah informasi pada penelitian. Analisis data dilakukan dengan analisis univariat, bivariat dan multivariat. Hasil analisis membuktikan bahwa status perkawinan dan persepsi terhadap kepemimpinan mempunyai hubungan yang bermakna dengan motivasi kerja.Variabel yang paling dominan mempengaruhi motivasi kerja adalah persepsi terhadap kepemimpinan dan pada 5 dhnensi, dimensi pengembangan diri merupakan dimensi yang paling menonjol dibandingkan ke 4 dimensi lainnya. Hasil analisis kualitatif memberikan persepsi tentang kepemimpinan, sistem imbalan dan supervisi yang menyebabkan motivasi rendah, yaitu perilaku kepemimpinan yang kurang efektif, sistem imbalan tidak sesuai dengan harapan karyawan dan supervisi yang tidak efektif dalam memberikan motivasi kerja pada karyawan. Kesimpulan utama pada penelitian ini adalah faktor yang sangat mempengaruhi motivasi kerja petugas pengelola obat Puskesmas yaitu faktor kepemimpinan. Pada dimensi pengembangan dui, petugas pengelola that perlu lebih diperhatikan lagi, terutama untuk mendapatkan peningkatan sumber daya manusia kesehatan yang berkompeten dan profesional. Oleh karena itu, disarankan perlu diadakan pelatihan, pendidikan/pembinaan kepemimpinan untuk para. pimpinan sehingga diharapkan dapat menjadi manajer yang efektif dan dapat memberikan motivasi kerja secara tepat kepada karyawannya. Untuk Bidang farmasi, diharapkan dapat mengadakan pelatihan khusus tentang pengelolaan obat yang meliputi pelaksanaan dan penyusunan perencanaan obat, penyimpanan obat-obatan (fisik, sarana penyimpanan, tata cars penyimpanan, pencatatan dan pelaporan), pelayanan that dan penyimpanan arsip di Puskesmas bagi petugas pengelola obat Puskesmas untuk pengembangan sumber daya manusianya, mengingat 50,375% petugas pengelola obat di Puskesmas dasar pendidikannya bukan dari farmasi.
The performance of Drug Officer in Public Health Center is still low so fay it is showed from the evaluation result of Pharmacy division of Tasikmalaya Health Departement 2006. The performance is dominant influenced by working motivation. It has been proved by scientific researches which has been done by a Iot of previous researchcers of working performance. So, this research is analized relationship between factors and contectual factor with working motivation of Drug Officer of Public Health Center, which can be seen from five (5) dimension. They are : respect, self developing, responsibility, working prestation and interpersonal relation. This research is observasional research by cross sectional method. The method which used in collecting data are questioner and indepth interview to take more information. The analizing of data is done by univariat, bivariat and multivariat analising. It has been proved by analizing result, that marriage status and perception toward the leadership had the main relationship with working motivation. Working motivation variable is more dominant influenced by the leadership perception and on five (5) dimension, self developing dimension is more apparent dimension than other four (4) dimension. Qualitative analizing result is developed by indefth interview about perception toward the leadership, insentive system and supervision, so it is knew that the low working motivation is influenced by attitude of leadership is not effective, insentive system is not Iike the Drug Officer hoped and supervision is not effect to give working motivation for Drug Officer. The main conclution of this research is the working motivation variable of Dug Officer in Public Health Center is influenced by leadership factor. On the self developing dimension, Drug Officer need to be more paid attention, more offer to improve the competent and profesionalism of health human resource, there for it is suggested to be held the trainning, leadership educational and contruction for the chi so it is hoped to be effective manager and can be give the right working motivation to Drug Officer. And it is need to be held the special training for the Drug Officer of Public Health Center about planning of drug, saving of drug, services of drug and document saving to develope the human resource. It is because 50,375% of the education of Drug Officer of Pulic Health Center is not from Pharmacy.
Kata kunci : Kinerja Bidan di Desa, supervisi dan kelengkapan sarana. Daftar Bacaan : 74 (1993-2012)
Provision of quality basic health services is expected to be able to reduce maternalmortality to 20%. The research objective is to comprehend the big picture aboutthe performance of rural midwives in antenatal care and the factors associatedwith it. This study uses cross-sectional design. The results show goodperformance of rural midwives of 69.9%. Variables that have a relationship withthe performance of midwives are supervision and completeness of facilities.
Words Key : Performance of Midwife in the Village, supervision andcompleteness of facilities.Reading List : 74 (1993-2013).