ANALISIS HIJBllNGAN ANTARA KONDISI PELAYANAN
DENGAN CAKlJPAN HASIL PELAYANAN
ANTENATAL CARE
(ANC) 1'liSKESMAS 01 KAUUI'ATEN DELI SEIUlANG
ABSTRAK
Kondisi kcsehatan di Indonesia
masih
diwarnai dengan lingginya angka kemalian
ibu dan angka kematian bayi. Untuk mempercepat penurunan angka kematian ibu, maka
salah satu stratcgi yang ditcmpuh olch Dcpartcmcn Kcschatan adalah
pcncrapan
penjagaan mutu peJayanan kesehatan ibu dan anak
(K1A),
melaJui diterapkannya standar
pelayanan KIA, pclatihan lenaga dan penilaian pclayanan.
Cakupan pelayanan antenatal care Kabupaten Deli Serdang tahun 2003, di
dapatkan kunjungan pertama ibu hamil 73
%
dari target 90
%,
dan kunjungan ke empat
64
%
dari target 80
%
untuk itu dilakukan penelitian
terhadap kondisi pelayanan di
hubungkan
dengan cakupan hasil pelayanan antenatal care
(ANe)
Puskesmas di
Kabupaten Deli Serdang.
Jcnis pcnelitian yaitu pcnelitian survey, dengan populasi semua Puskesmas di
Kabupaten Deli Serdang. Sampel penelitian ditentukan melalui sampel acak sederhana,
dengan jumlah sampeI terpilih 18 Puskesmas. Pengumpulan data dilakukan melalui data
primer dan sekunder.
Pengumpulan data primer dilakukan melalui observasi dan
wawancara menggunakan check list. Pengolahan data dilakukan secara manual, untuk
analisis data digunakan metode korelasi untuk data dikhotomi skala nominal.
Basil
penelitian menunjukkan sarana pelayanan (38,89%), dana pelayanan
(38,89%) berkategori lengkap. Tenaga pelayanan berkategori lengkap (33,33%) dan
pengetahuan petugas berkategori tinggi (38,89%),
Untuk proses palayanan meliputi
anamnesa
(33,33%),
pemeriksaan
fisik
(27,78%),
penegakan
diagnosa (38,89%),
pcngohatan (38,89°/.,) dan konscling (38,89%) pacta katcgori bcrmutu. Scdangkan untuk
cakupan pelayanan (27,78%) pada kategori baik.
Basil anal isis statistik menunjukkan ada hubungan yang
signifikari
antara kondisi
input dengan cakupan pelayanan yang meliputi : sarana peJayanan pada P: 0,04, dana
pada P: 0,04, tenaga pada P : 0,02 dan pengetahuan pada P : 0,04. Untuk kondisi proses
pclayanan menunjukkan ada hubungan yang signifikan dcngan cakupan palayanan yang
rneliputi
anamnesa pacta P : 0,02, pemeriksaan fisik
pacta P : 0,0009, penegakan
diagnosa pada P : 0,04, pengobatan pada P : 0,04 dan konseling pada P : 0,04.
Diaharapkan pada Kepala Puskesmas membuat perencanaan kebutuhan dana dan
sarana, melakukan pembinaan terhadap staf dalam hal peningkatan mutu pelayanan dan
mernperbaiki
manajemen Puskesmas. Untuk Kepala Dinas Keschatan disarankan agar
berkoordinasi dengan pemerintah daerah dalam hal pemenuhan sarana, dana pelayanan
dan pengurangan target PAD.
Kata kunci : Input, proses, cakupan pelayanan.
THE ANALYSIS OF RELATIONSHIP BETWEEN CONDITIONS OF SERVICE
AND COVERAGE OF ANTENATAL CARE SERVICE
OJ;'
P1JBLlC
HEALTH CENTER IN THE DISTRICT OF DELI SERl)ANG
ABSTRACT
Health condition in Indonesia is still influenced by the fact that the rate of
maternal and baby mortality is still high. One of the strategies applied hy the Department
of Health to quickly minimize maternal mortality is to maintain
the
quality of mother and
child health service through the application of standard mother and child health service,
training the human resources available, and evaluating the service quality.
In 2003, the coverage of the antenatal service in the District of Deli Serdang
revealed that the first visit or pregnant mothers was
73%.
out or
90%.
targeted, and the
fourth visit was 64% out of 80% targeted. Based on this fact, a research was done to learn
the relationship between conditions of service and the coverage of antenatal care service
provided by the Public Health Centers in the District of Deli Serdang.
The population of this survey research is all Public Health Centers in the District
of Deli Serdang. 18 Public Health Centers were selected to be the samples for this
research through simple random sampling technique. The primary data for this research
were collected through observation and interview with check list. Both primary and
secondary data were manually analyzed through correlation method and the data
dichotomy was based on nominal scale.
Research findings shows that service facility (38.89%), and service fund (38.89%)
are in complete category. The service human resources (33.33%) are in complete category
and the knowledge of human resources (38.89%) is in high category. The process of
service including anamnesis (33.33%), physical examination (27.78%), making diagnose
(38.89%), medical treatment (38.89%), and counseling (38.89%) is in qualified category,
whilc the service coverage
(27.78%.)
is in good category.
The result of statistical analysis indicates that there is a significant relationship
between the input condition and the service coverage including service facilities (P: 0.04),
fund (P: 0.04), human resources (P: 0.02), and knowledge (P: 0.04)
There is also a
significant relationship between the conditions of service process and the service coverage
including anamnesis (P:
0.(2),
physical examination (P:
0.00(9),
making diagnose (P:
0.04), medical treatment (P: 0.04), and counseling (P: 0.04).
It
is suggested that the director of Public Health Center make a planning of fund
and facility needed, provide some further training for his staff in terms of improving the
service quality, and improve the Public Health Center under his supervision. The Head of
District Health Service should coordinate with the District Government. in meeting all the
facilities, service fund, and minimizing the target of the original local revenue.
Key words: Input, process, service coverage.
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