Analisis Kebutuhan dan Pemanfaatan Buku Serta Pedoman Pelayanan KIA di Puskesmas: Studi Kualitatif
Open Access
- 2 July 2020
- journal article
- research article
- Published by Badan Kebijakan Pembangunan Kesehatan in Buletin Penelitian Sistem Kesehatan
- Vol. 23 (2), 99-107
- https://doi.org/10.22435/hsr.v23i2.3086
Abstract
The high rate of maternal (MMR) and infant mortalities (IMR) is a detrimental health development challenge in Indonesia. The use of the Maternal and Child Health (MCH) handbook and MCH service guidelines are the government’s eff orts in reducing the MMR and IMR. However, the reduction of MMR and IMR is still slow. The fi nding of the previous study asserts the need for MCH handbook and MCH service guidelines modifi cations to be suited to the needs of users, both health workers, and expectant mothers. Therefore, this study mainly aims to analyze the needs and use of MCH handbook and service guidelines by doctors and midwives in the primary health centers. The method was qualitative needs analysis with 137 informants from 12 health centers in three regions of Indonesia. The results revealed that the needs of health workers were clustered in three signifi cant aspects; instrumental (language and book-making materials), managerial (procurement, distribution, and dissemination) and operational (ease of access to MCH handbook and service guidelines as well as the availability of SOP). The fulfi llment of these three aspects is expected to improve the MCH program’s achievement, especially in cities where the research took place and other areas with similar characteristics. Abstrak Tingginya Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) masih menjadi masalah dalam pembangunan kesehatan di Indonesia. Penggunaan buku Kesehatan Ibu dan Anak (KIA) serta pedoman pelayanan KIA merupakan upaya pemerintah dalam penurunan AKI dan AKB. Meskipun demikian, penurunan AKI dan AKB dinilai masih lambat. Hasil penelitian sebelumnya menunjukkan perlunya modifi kasi buku dan pedoman pelayanan KIA disesuaikan dengan kebutuhan pengguna, baik tenaga kesehatan maupun ibu hamil. Oleh sebab itu, penelitian ini bermaksud menganalisis kebutuhan dan pemanfaatan buku dan pedoman pelayanan KIA oleh dokter dan bidan di puskesmas. Metode yang digunakan adalah analisis kebutuhan kualitatif dengan 137 informan dari 12 puskesmas di tiga Kabupaten/kota di Indonesia. Hasil analisis menunjukkan kebutuhan nakes terkelompok pada tiga aspek utama, yaitu instrumental (bahasa dan bahan pembuat buku), manajerial (pengadaan, pemerataan distribusi dan sosialisasi) dan operasional (kemudahan akses pada buku dan pedoman layanan KIA dan ketersediaan SOP). Pemenuhan terhadap tiga aspek tersebut diharapkan mampu memperbaiki capaian program pelayanan KIA khususnya di wilayah tempat penelitian.Keywords
This publication has 11 references indexed in Scilit:
- The value of a learning needs analysis to establish educational priorities in a new clinical workforceNurse Education in Practice, 2018
- Utilisation of maternal and child health handbook in Mongolia: A cross-sectional studyHealth Education Journal, 2018
- ‘I do want to ask, but I can’t speak’: a qualitative study of ethnic minority women’s experiences of communicating with primary health care professionals in remote, rural VietnamInternational Journal for Equity in Health, 2017
- The Mother and Child Health Handbook in Japan as a Health Promotion ToolGlobal Pediatric Health, 2016
- Factors affecting the utilisation of maternal, newborn, and child health services in Indonesia: the role of the Maternal and Child Health HandbookPublic Health, 2015
- The Maternal and Child Health (MCH) Handbook in Mongolia: A Cluster-Randomized, Controlled TrialPLOS ONE, 2015
- Bilingual Health Communication: Distinctive Needs of Providers from Five SpecialtiesHealth Communication, 2013
- Developing health information literacy: a needs analysis from the perspective of preprofessional health studentsJournal of the Medical Library Association, 2012
- Health literacy and public health: A systematic review and integration of definitions and modelsBMC Public Health, 2012
- Language ability: A neglected dimension in the profiling of populations and health service usersHealth Education Journal, 2007