Analisis Mutu Pelayanan Nifas Pertama (Kf1) oleh Bidan di Puskesmas di Kabupaten Pemalang Tahun 2018

*Ragil Sri Pamungkas  -  Dinas Kesehatan Kabupaten Pemalang, Indonesia
Chriswardani Suryawati  -  Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Indonesia
Apoina Kartini  -  Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Indonesia
Received: 23 Jan 2019; Published: 31 Aug 2019.
Open Access
Citation Format:
Article Info
Section: Articles
Language: INA
Statistics: 126 3372
Abstract

Maternal Mortality Rate (MMR) in Pemalang Regency in 2017 is still high and happens a lot during childbirth time period (72%). One of the efforts for reducing MMR is the quality service of childbirth for the process of mother and baby recovery, early detection of complications, taking care of and referral of complications. The aim of the study is to determine and analyze the quality of the first childbirth service (KF1) and factors related to the service quality of first childbirth (KF1) by midwives at Health Centres in Pemalang Regency.

Quantitative research method used cross sectional research type, sample selection by simple random sampling at 100 civil servant of midwives working period of at least three years in 14 health centres in each sub-district in Pemalang Regency. Data collections were done by questionnaires and observations, data analysis with chi-square statistical tests and multivariate with multiple logistic regression.

Research results showed that the service quality of the first childbirth (KF1) is lacking (53%), lacking motivation (54%), less reward (65%), less supervision (50%) and workload according to the standard (57%). Variables related to the service quality of the first childbirth (KF1) are motivation (p-value = 0.018) and rewards (p-value = 0.003). While the variables not related to the service quality of the first childbirth (KF1) are supervision (p-value = 0.229) and workload (p-value = 0.774). The factors that influence the service quality of the first childbirth (KF1) are rewards (value p = 0.031 and OR = 3,466).

Suggestions for improving the service quality of the first childbirth (KF1) are midwives have to be more optimal in giving childbirth care and health education, head of health centres can divide the tasks equally among all midwives, midwives in working have to create a positive attitude, the head of the health centres praises the success of childbirth care, the head of the health centres can allocate funds for the transportation of home visits, the implementation of supervision is carried out on a scheduled and routine for all midwives.

Keywords: ANC, maternal health, nifas

Article Metrics:

  1. Ermalena, M. Indikator Kesehatan SDGs di Indonesia. in (2017).
  2. Dinas Kesehatan Provinsi Jawa Tengah. Profil Kesehatan Provinsi Jawa Tengah Tahun 2015. (2015).
  3. Dinas Kesehatan Provinsi Jawa Tengah. Profil Kesehatan Provinsi Jawa Tengah Tahun 2016. 3511351, (2016).
  4. Dinas Kesehatan Kabupaten Pemalang. Profil Kesehatan Kabupaten Pemalang Tahun 2015. (2015).
  5. Dinas Kesehatan Kabupaten Pemalang. Profil Kesehatan Kabupaten Pemalang Tahun 2016. (2016).
  6. Bidang Kesmas Dinas Kesehatan Kabupaten Pemalang. Rekapitulasi Data Kematian Ibu Kabupaten Pemalang. (2017).
  7. Bidang Kesmas Dinas Kesehatan Kabupaten Pemalang. Laporan Seksi Ibu dan Bayi Bidang Kesmas Kabupaten Pemalang. (2017).
  8. WHO. Postpartum Care of the Mother and Newborn : practical guide. (1998).
  9. Achyar, K. & Rofiqoh, I. Pengaruh Kunjungan Nifas Terhadap Komplikasi Masa Nifas di Wilayah Puskesmas Sokaraja 1 Kabupaten Banyumas. Medisains XIV, 59–64 (2016).
  10. Departemen Kesehatan. Pedoman Pemantauan Wilayah Setempat Kesehatan Ibu dan Anak (PWS-KIA). (Dirjen Binkesmas, 2009).
  11. Farodis, Z. Panduan Lengkap Manajemen Kebidanan. (D-Medika, 2012).
  12. Dinas Kesehatan Kabupaten Pemalang. Pencapaian Standar Pelayanan Minimal Bidang Kesehatan Kabupaten PemalangTahun 2017. (2017).
  13. Ghufron, M. Strategi Terkini Peningkatan Mutu Pelayanan Kesehatan Konsep dan Implementasi. (Magister Kebijakan Pembiayaan dan Manajemen Asusransi/Jaminan Kesehatan FK UGM, 2008).
  14. Pohan, I. Jaminan Mutu Layanan Kesehatan. (Penerbit Buku Kedokteran EGC, 2006).
  15. Mangkunegara, A. Evaluasi Kinerja SDM. (PT Refika Aditama, 2017).
  16. Ivancevich, D. & Gibson. Organisasi : Perilaku, Struktur dan Proses. (Erlangga, 2017)
  17. Bari, S. Buku Panduan Praktis Pelayanan Kesehatan Maternal dan Neonatal. (Yayasan Bina Pustaka Sarwono Prawiroharjo, 2002).
  18. Walyani, E. & Purwoastuti, E. Mutu Pelayanan Kesehatan dan Kebidanan. (PUSTAKABARUPRESS, 2015).
  19. Susmaneli, H. & Triana, A. Dimensi Mutu Pelayanan Kebidanan terhadap Kepuasan Pasien Program Jampersal. J. Kesehat. Masy. Nas. 8, 418–422 (2014).
  20. Sayinzoga, F., Bijlmakers, L., Velden, K. & Dillen, J. Severe maternal outcomes and quality of care at district hospitals in Rwanda – a multicentre prospective case-control study. BMC Pregnancy Childbirth 17, 1–9 (2017).
  21. Usman. Analisis Kinerja Tenaga Kesehatan pada Puskesmas Lapadde Kota Parepare. J. MKMI 12, 21–28 (2016).
  22. Subekti, S., Widagdo, L. & Wulan, L. Faktor-faktor yang Mempengaruhi Kinerja Bidan Desa dalam Penerapan Standar Asuhan Kebidanan Ibu Bersalin di Kabupaten Semarang. J. Manaj. Kesehat. Indones. 2, 116–122 (2014).
  23. Dinas Kesehatan Kabupaten Muaro. Bidang Perencanaan. Determinan Kepatuhan Bidan di Desa terhadap Standar Antenatal Care Determinants of Village Midwives Compliance towards Antenatal Care. 69–75 (2008).
  24. Setiawan, W. Beberapa Faktor yang Berhubungan dengan Kinerja Bidan di Desa dalam Pertolongan Persalinan di Kabupaten Tasikmalaya. (Universitas Diponegoro, 2007).