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Penundaan IMD merupakan faktor risiko yang dapat meningkatkan kematian neonatus sebesar 2,4 %. Peran dan komitmen dari rumah sakit sangat diperlukan untuk mendukung pelaksanaan IMD karena sembilan dari 10 langkah keberhasilan menyusui tersebut dilakukan di rumah sakit. RSIA Budi Kemuliaan merupakan rumah sakit yang menyelenggarakan IMD dari tahun 2008. Penelitian ini bertujuan untuk mengetahui kinerja bidan dalam pelaksanaan IMD, menggunakan disain cross-sectional dengan menggunakan 50 sampel responden. Data yang terkumpul kemudian dianalisis secara univariat, bivariat menggunakan chi-square dan multivariat dengan regresi logistic ganda. Hasil Penelitian rata-rata bidan mempunyai kinerja yang baik, umur lebih dari 35 tahun sebesar 52%, masa kerja lebih dari 10 tahun sebesar 46%, tingkat pendidikan D3 kebidanan sebesar 82% dan D4 kebidanan sebesar 18%, pengetahuan yang baik sebesar 62%, mendukung IMD sebesar 52%, pelatihan yang diikuti kurang dari 2 tahun sebesar 22%. Ada hubungan yang signifikan antara kinerja bidan dengan umur (p value=0.000), lama kerja (p value=0.000), pendidikan (p value=0.028), pengetahuan (p value=0.000), sikap (p value=0.002), dan pelatihan (p value=0.015). Faktor yang paling dominan berhubungan dengan kinerja bidan dalam pelaksanaan IMD adalah lama kerja (OR=36,75), setelah dikontrol dengan pendidikan (OR=22,67) dan pengetahuan (OR=8,09).
Postponement of early initiation respresent risk factor able to improve death of neonates equal to 2,4%. Role and commitment from hospital is needed to support execution of early initiation because nine from ten efficacy steps is conducted in hospital. Budi Kemuliaan Mother and Child Hospital is a hospital that carrying out early initation since 2008. The purpose of this research is to know about midwifery performance in execution of early initiation, using cross-sectional design and 50 responder samples. The data will be analysed by univariate, bivariate analysis using Chi-Square, while the multivariate analysis using double logistics regretion. The avarage research shows that midwifery has a good performance, age more than 35 years equal to 52%, year of working more than 10 years equal to 46%, education level of Diploma three midwifery equal to 82% and diploma four midwifery equal to 18%, good knowledge equal to 62%, supporting Early initation equal to 52%, training followed less than two year equal to 22. There is a significant relationship between midwife performance with the age (p value=0.000), period working (p value=0.000), education (p value=0.028), knowledge(p value=0.000), atitude (p value=0.002), and training (p value=0.015). The dominant factor that has relationship with midwife performance in the implementation at early initation is the period of working (OR=36,7), after taking control with the education (OR=22,7) and knowledge (OR=8,1).
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.
