Performance Analysis in the Village Midwife Neonatal Care in Infants with Low Birth Weight in PHC Pati

Abstract

Abstrak

Dari data tahun 2009-2010 menunjukkan bahwa Kasus BBLR serta AKB yang cukup tinggi dan berdasarkan survei pendahuluan didapatkan bahwa kinerja bidan desa dalam pelayanan neonatal pada BBLR belum optimal, pencatatan hasil pelayanan neonatal belum dilaksanakan dengan baik, fasilitas/alat belum dimanfaatkan secara maksimal dan supervisi dilakukan berdasarkan laporan hasil kegiatan. Tujuan penelitian ini adalah menjelaskan bagaimana kinerja bidan desa dalam pelayanan neonatal di Kabupaten Pati. Jenis penelitian ini adalah deskriptif kualitatif dengan pendekatan analitik kualitatif. Informan penelitian adalah bidan desa di wilayah Puskesmas Kabupaten Pati. Data dikumpulkan dengan wawancara mendalam (indepth interview) dan selanjutnya dilakukan pengolahan data menggunakan metode analisis isi (content analysis). Hasil penelitian menunjukkan bahwa kinerja bidan desa dalam pelayanan neonatus belum dilaksanakan sesuai standar pelayanan neonatal pada BBLR baik dari pemberian pelayanan dan penerapan jadual pelayanan neonatal, sumber daya belum dimanfaatkan secara optimal dan ketersediaan fasilitas belum merata, serta kelengkapan alat pemeriksaan bayi dilakukan secara mandiri. Pengawasan dalam bentuk supervisi suportif dan belum sesuai dengan kebutuhan bidan desa yaitu terjadual, rutin, materi dan waktu berkaitan dengan kegiatan pelayanan neonatal pada BBLR, Jalinan kerja sama sudah dilaksanakan secara maksimal dan menyeluruh.

Abstract

Number of Low Birth Weight Babies (LBWB) cases and Maternal Mortality Rate from 2009 to 2010 was high. The result of preliminary study revealed that the performance of village midwives in providing neonatal services for LBWB had not been optimal, recording results of neonatal services had not been done well, available facilities had not been used optimally, and supervision was just conducted based on the reports of activities. This research aimed to explain village midwives’ performance in providing neonatal services in District of Pati.

This was descriptive-qualitative research with analytic-qualitative approach. Informants were village midwives at work area of Health Centers in District of Pati. Data were collected using indepth interview and analyzed using content analysis.

The result of this research showed that village midwives in providing neonatal services had not conducted in accordance with the service standards for LBWB especially in terms of the methods and the schedule of services. In addition, resources had not been used optimally, availability of facilities had not been distributed equally, and baby proofing tools were prepared independently. Form of monitoring was supportive supervision and had not been in accordance with midwives’ necessity namely scheduled, routine, materials and time integrated with the activities of providing neonatal for LBWB. Additionally, cooperation had been done comprehensively.