ANALISIS PELAKSANAAN PROGRAM PERENCANAAN PERSALINAN DAN PENCEGAHAN KOMPLIKASI (P4K) DI KOTA SAWAHLUNTO

ELMA, SAYUTI (2017) ANALISIS PELAKSANAAN PROGRAM PERENCANAAN PERSALINAN DAN PENCEGAHAN KOMPLIKASI (P4K) DI KOTA SAWAHLUNTO. Masters thesis, Universitas Andalas.

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Abstract

ANALISIS PELAKSANAAN PROGRAM PERENCANAAN PERSALINAN DAN PENCEGAHAN KOMPLIKASI (P4K) DI KOTA SAWAHLUNTO Elma Sayuti ABSTRAK Angka Kematian Ibu baik secara nasional dan Provinsi Sumatera Barat belum mencapai target yang ditetapkan yaitu 102/ 100.000 kelahiran hidup. Upaya percepatan penurunan AKI tersebut dilakukan dengan salah satu program yaitu program perencanaan persalinan dan pencegahan komplikasi (P4K). Penelitian ini bertujuan menganalisis pelaksanaan P4K di Kota Sawahlunto. Penelitian ini merupakan penelitian kualitatif. Penelitian ini dilakukan bulan November 2015 sampai dengan April tahun 2016 di Puskesmas Talawi dan Kolok Kota Sawahlunto. Informan dalam penelitian ini berasal dari Dinas Kesehatan dan Sosial, Puskesmas, Kepala desa, bidan Puskesmas Pembantu/Polindes, kader posyandu serta ibu hamil dan suami. Data dianalisis secara triangulasi yaitu sumber dan teknik. Hasil penelitian pelaksanaan P4K di tingkat puskesmas kurang mendapatkan sosialisasi. Sumber daya manusia untuk pelaksanaan program P4K dikoordinir oleh bidan koordinator. Dalam pelaksanaannya peran ini belum semua terlaksana optimal. Sumber pendanaan pelaksanaan P4K yaitu dari dana APBD dan dana BOK serta pemberdayaan masyarakat, namun kondisi dilapangan dihadapkan pada kurang proaktifnya masyarakat. Masih terdapat kekurangan sarana dan prasarana seperti pita ukur dan doopler pada tingkat puskesmas pembantu yang rusak dan tidak bisa digunakan. Pelaksanaan P4K berdasarkan koordinasi Dinas Kesehatan melalui lintas program dan lintas bidang. Operasional P4K terdapat hambatan pelaksanaan dilapangan yaitu kurang aktifnya stakeholder dalam pelaksanaan pertemuan bulanan di tingkat desa, belum terlaksananya dengan baik pengelolaan tabungan bersalin dan dana sosial bersalin serta komitmen amanat persalinan. Monitoring dan evaluasi P4K dilaksanakan pada tingkat puskesmas dan Kota Sawahlunto. Berdasarkan data terlihat bahwa ada 3 indikator yang tidak mencapai target selama pelaksanaan P4K di Kota Sawahlunto. Penelitian ini menyarankan untuk melakukan sosialisasi dengan lintas sektor terkait di wilayahnya untuk mendapatkan dukungan politis dalam pelaksanaan kegiatan di puskesmas, khususnya implementasi P4K. Daftar Pustaka : 42 (2003-2016) Kata Kunci : P4K, kematian ibu, puskesmas An Analysis Delivery Planning and Complication Prevention ProgramImplementation in the City of Sawahlunto West Sumatera By: Elma Sayuti Abstract Maternal Mortality Rate (MMR) nationally or in the level of West Sumatra Province has not reached the target set, which is 102 / 100.000 live birth. The effort to accelerate the reduction of MMR is the result of the Delivery Planning and Complication Prevention Program (P4K). This study used qualitative research and aims to analyze the implementation of P4K in Sawahlunto. The research was conducted from November 2015 to April 2016 at Talawiand Kolok Community Health Center (Puskesmas). Informants in this study were from Health and Social Services, Puskesmas, Village Head, Midwives from Sub-district Health Center (Polindes), Posyandu cadres as well as pregnant women and their husbands. TheData were analyzed by triangulation,namelysource and technique. The resultshows that the P4K implementation at the Puskesmas level does not get sufficient socialization. Human resources for the implementation of the program are coordinated by the coordinating midwife, and the roles have not been all done optimally. The funding sources are from Local Budget Allocation, BOK funds and community empowerment, but the conditions of the field are faced with less proactive community. There is still a lack of facilities and infrastructure such as broken and worn out tape measure and doopler at the Puskesmas. The implementation of P4K is based on coordination of Health Office through cross program and cross-field. There are obstacles to the implementation of the field such as lack of active stakeholders in the implementation of the monthly meetings at the village level and the poor management for social and delivery savings as well as the delivery management commitment. Monitoring and evaluation of P4K is conducted at Puskesmas and Kota Sawahlunto level. Based on indicator data were 3 indicator that do not reach the main target of the implementation of P4K Program in Sawahlunto City.. Therefore, the research suggests encouragingsocialization to the related sectors forthe implementation of activities in Puskesmas, especially the implementation of P4K Keywords: P4K, Maternal Death, Primary Health Care

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