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ABSTRAK
Bidan Praktek Mandiri (BPM) merupakan salah satu ujung tombak pelayanan kesehatan ibu dan anak yang berperan sebagai pelaksana Jaminan Persalinan (Jampersal). Kota Dumai telah melaksanakan Jampersal sejak tahun 2011. Jumlah BPM di Kota Dumai tercatat sebanyak 73 BPM dari jumlah tersebut hanya 21 BPM (28,8%) yang berminat sebagai provider Jampersal.
Penelitian ini bertujuan untuk menganalisis pengaruh persepsi dan motivasi terhadap minat Bidan Praktik Mandiri sebagai provider program Jampersal di Kota Dumai. Jenis penelitian survei explanatory. Penelitian ini dilaksanakan bulan Juli sampai dengan Oktober 2013. Populasi adalah seluruh BPM berjumlah 73 orang dan seluruhnya dijadikan sampel. Data diperoleh dengan wawancara menggunakan kuesioner, dianalisis dengan regresi logistik berganda pada pengujian α=0,05.
Hasil penelitian menunjukkan bahwa secara statistik persepsi meliputi (persepsi tentang administrasi dan persepsi tentang tarif pelayanan) dan motivasi meliputi (kebutuhan fisik, kebutuhan penghargaan dan kebutuhan aktualisasi) berpengaruh positif dan signifikan terhadap minat BPM sebagai provider program Jampersal di Kota Dumai. Persepsi tentang tarif pelayanan merupakan variabel yang paling berpengaruh terhadap minat.
Disarankan kepada : (1) Dinas Kesehatan Kota Dumai : (a) perlu meningkatkan sosialisasi melalui lintas program, lintas sektor dan melibatkan masyarakat tentang program Jampersal, menerbitkan turunan kebijakan Jampersal berupa peraturan yang mewajibkan BPM untuk melakukan PKS serta kebijakan tentang peningkatan anggaran Jampersal, (b) perlu penyesuaian tarif dengan persalinan pada umumnya, sehingga tidak ada pihak yang merasa kurang diuntungkan, dan penguatan tim pengelola Jampersal dalam peningkatan kemampuan tim proses verifikasi terkait dengan pembayaran klaim. (2) BPM; berupaya mengikuti perkembangan terkini tentang program bidan melalui seminar, lokakarya, dan pelatihan serta meningkatkan motivasi untuk berpartisipasi aktif membantu program Pemerintah melalui program Jampersal. (3) IBI; meningkatkan sosialisasi secara intensif dan lebih jelas kepada Bidan Praktik Mandiri tentang program Jampersal, memfasilitasi bidan yang berminat sebagai provider, melakukan pembinaan dan memperhatikan masa berlaku ijin praktiknya untuk menghindari terjadinya praktik ilegal.
Kata Kunci : Persepsi, Motivasi, Bidan Praktek Mandiri, Jampersal
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ABSTRACT
BPM (Independent Midwife Practitioner) is one of the spearheads in health service for mothers and children; they play their role as the the providers of Jampersal (childbirth security) at Dumai, where Jampersal has been implemented since 2011. There are 73 BPM at Dumai, but only 21 BPM (28,8%) are interested in doing their job as Jampersal providers.
The objective of the research was to analyze the influence of perception and motivation on the interest of Independent Midwife Practitioners in doing their job as Jampersal providers at Dumai. The research was an explanatory survey; it was conducted from July to October, 2013. The population was all 73 independent midwife practitioners, and all of them were used as the samples. The data were gathered by conducting interviews, using questionnaires, and analyzed by using multiple logistic regression analysis at α = 0.05.
The result of the research statistically showed that perception (perception on administration and service fee) and motivation (physical need, reward need, and actualization need) had positive and significant influence on the interest of BPMs in doing their job as the providers of Jampersal program at Dumai. The variable of the perception on service fee had the most dominant influence on interest.
It is recommended that (1) The Health Office of Dumai (a) increase inter-program and inter-sector socialization, and community (Toma, Toga, and cadres) and specific budge is needed to socialize Jampersal program, (b) collaborate with the Mayor of Dumai to issue the copy of Jampersal policy such as the regulation which requires BPM to do Jampersal policy without violating midwife’s rights. (c) increase communication with IBI and BPM to minimize wrong interpretation in implementing Jampersal, and (d) motivate BPM by giving rewards and certificates and providing trainings, seminars, and workshops, and increase skill by apprenticing in hospitals; (2) BPM (a) follow current development about midwife programs through seminars, workshops, and trainings, and (b) increase motivation and awareness to actively participate in helping government’ program through Jampersal program; IBI Dumai Branch Office (a) increase socialization intensively and transparently to its members about Jampersal program and, (b) facilitate midwives who are interested in doing their job as Jampersal providers.
Keywords: Perception, Motivation, Independent Midwife Practitioner, Jampersal
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