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Prabawa : Analisis hubungan antara kondisi pelayanan dengan cakupan hasil pelayanan..., 2005. USU e-Repository © 2008





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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