KAPASITAS PUSKESMAS PONED DAN NON PONED DALAM PENGELOLAAN KASUS EMERGENCY OBSTETRIC DI KABUPATEN BANTUL

• Main Authors: , Nur Allailiyah, , Prof. dr. Djaswadi D, MPH, SpOG(K),Ph.D.
• Format: Theses and Dissertations NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2011
• Subjects: ETD
• Online Access: https://repository.ugm.ac.id/90579/; http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=53245
• Institution: Universitas Gadjah Mada

Background: An access for mothers with complications to facilities capable of providing quality intervention becomes an important factor to save their lives. From the report of Bantul District Profile, it was obtained the data that the maternal mortality in two years (2008-2009) did not experience a decrease in the amount of 140 per 100,000 live births. This figure is still very far above the maximum target of Bantul District which is 65 per 100,000 live births. One of the causes of high maternal mortality rate is likely triggered by a number of obstetric emergencies cases which are not handled. The data show a total of 12.97% of women with pregnancy and childbirth complications in which 36.2% of the percentage are not addressed. This means access to emergency obstetric cases to essential obstetric care is still very low. The high maternal mortality rate can also be a clue about how bad the quality of emergency obstetric care in Bantul District. Objective: To provide an overview and information about the technical and managerial capacity at the community health center in the management of obstetric emergency cases in Bantul District. Methods: This was a descriptive qualitative and quantitative study with a crosssectional design. Community Health Center (CHC) became the unit of analysis with the subject of the CHC Head and midwife coordinator. The data collection was carried out through literature study or secondary data to determine the capacity of CHC in terms of checklist use input. Structured interviews were conducted to obtain primary data about the capacity of CHC in terms of process and observations were conducted to obtain information in the technical ability, especially in terms of implementing evidence best practices and CHC management in the management of emergency obstetric cases. Qualitative analysis was done by pattern matching or comparing the technical suitability of the pattern data corresponding to the initial assumptions of the researcher. Analysis of quantitative data in this study used univariate analysis. Results: It was found only 1 (16.67%) from the good technical side for midwife�s competency in Poned (83.33%) and in non Poned (47.62%). In terms of managerial, it was found that good leadership practices in BEONC CHC were 3 (50%) while in non BEONC CHC were 7 (33.33%). From the managerial point of view it was obtained 50% in BEONC CHC with good leadership and 33.33% in non BEONC CHC with good leadership as well. The equipment availability in BEONC CHC were 50% complete and in non BEONC CHC were 100% incomplete. The constraints of conducting BEONC CHC action in general were about less motivation and commitment of the provider towards case management and it was stimulated by less periodic monitoring and controlling and also less rewards to providers as work compensation and responsibility. Conclusion: In terms of technical support and systems, actually BEONC CHC was able to implement BEONC but generally it was not fully supported by good management so that there were still many health centers not able to manage a standardized program. At the non BEONC CHC, sufficient capacity was not generally possessed to manage emergency obstetric cases, both technical and managerial.