[ABSTRAK
Program Kesehatan Ibu dan Anak sudah merupakan program perioritas dan angkacakupan persalinan oleh tenaga kesehatan semakin tinggi. Tetapi di WilayahJakarta Selatan kematian ibu bersalin meningkat dari 5 kematian ibu pada tahun2007 menjadi 11 kematian ibu pada tahun 2008, sebanyak 10 dari 11 kematian ibutersebut akibat perdarahan postpartum. Sementara semua bidan yang berprakteksudah lulus uji kompetensi. Sehingga peneliti merasa perlu mengetahui berapabesar proporsi kompetensi bidan dalam menanggulangi perdarahan postpartumdan juga ingin mengetahui hubungan antara motivasi dan supervisi dengankompetensi bidan dalam menanggulangi perdarahan postpartum. Penelitian iniadalah penelitian kuantitatif dengan desain studi potong lintang. Sampel adalah 69bidan yang berpraktik menolong persalinan. Hasil penelitian didapatkan,kompetensi bidan dalam menanggulangi PP adalah rendah (23.2%), ternyatamotivasi dan supervisi sangat berpengaruh terhadap kompetensi bidan denganmasing-masing nilai p 0,02 dan 0,03 dan OR 10,6 dan 4,85. Sehingga diperlukanupaya penguatan dari Sudin Kesehatan Jakarta Selatan terhadap Bikor Puskesmasdalam memahami, mempraktekkan dan melembagakan sistem motivasi dan sistemsupervisi dalam bentuk pelatihan dengan pendekatan jaminan mutu. Intensitassupervisi di setiap program terutama untuk meningkatkan kompetensi bidanmutlak diperlukan, karena supervisi bisa menjadi kontrol, membimbing danmemfasilitasi seluruh kegiatan yang diperlukan. Perlu dilakukan penganggaranuntuk kegiatan supervisi yang didukung oleh pembentukan tim supervisi melaluiSurat Keputusan Kepala Suku Dinas Kesehatan Jakarta Selatan.

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ABSTRACT
Mother and child health program has been prioritized and the statistic of childdelivery that is handled by health workers is increasing. Despite those facts, inSouth Jakarta alone, maternal mortality rate has been increasing. There had been5 maternal death in 2007 and 11 maternal death in 2008 in which 10 out of it weredue to postpartum haemorrhage. All practice midwives have passed thecompetency test. And that is why the writer need to find out how much midwife'scompetency plays its role in handling postpartum haemorrhage and also therelationship between motivation and supervision, and midwife's competency inhandling postpartum haemorrhage. This is a quantitative study with crosssectional design. Samples are 69 midwives who have helped with delivery. Thestudy resulted a low competency in handling postpartum haemorrhage (23.2%),and that motivation and supervision played a very important role in affectingmidwives' competency with each has the p value 0.02 and 0.03 and OR 10.6 and48,5. Thus, effort of reinforcement from Sudin kesehatan South Jakarta uponBikor Puskesmas is needed in order to understand, practice and institutionalize thesupervision and motivation system in the form of training and quality assurance.Progressively and continuously. The intensity of supervision in every program,mainly to increase the midwife's competency, is absolutely needed, becausesupervision is capable of being control and guidance and also of facilitating all therequired activitie. All this supervision activity needs budgeting that should besupported by team of supervision formed legally by Head officer Suku DinasKesehatan South Jakarta.;Mother and child health program has been prioritized and the statistic of childdelivery that is handled by health workers is increasing. Despite those facts, inSouth Jakarta alone, maternal mortality rate has been increasing. There had been5 maternal death in 2007 and 11 maternal death in 2008 in which 10 out of it weredue to postpartum haemorrhage. All practice midwives have passed thecompetency test. And that is why the writer need to find out how much midwife'scompetency plays its role in handling postpartum haemorrhage and also therelationship between motivation and supervision, and midwife's competency inhandling postpartum haemorrhage. This is a quantitative study with crosssectional design. Samples are 69 midwives who have helped with delivery. Thestudy resulted a low competency in handling postpartum haemorrhage (23.2%),and that motivation and supervision played a very important role in affectingmidwives' competency with each has the p value 0.02 and 0.03 and OR 10.6 and48,5. Thus, effort of reinforcement from Sudin kesehatan South Jakarta uponBikor Puskesmas is needed in order to understand, practice and institutionalize thesupervision and motivation system in the form of training and quality assurance.Progressively and continuously. The intensity of supervision in every program,mainly to increase the midwife's competency, is absolutely needed, becausesupervision is capable of being control and guidance and also of facilitating all therequired activitie. All this supervision activity needs budgeting that should besupported by team of supervision formed legally by Head officer Suku DinasKesehatan South Jakarta., Mother and child health program has been prioritized and the statistic of childdelivery that is handled by health workers is increasing. Despite those facts, inSouth Jakarta alone, maternal mortality rate has been increasing. There had been5 maternal death in 2007 and 11 maternal death in 2008 in which 10 out of it weredue to postpartum haemorrhage. All practice midwives have passed thecompetency test. And that is why the writer need to find out how much midwife'scompetency plays its role in handling postpartum haemorrhage and also therelationship between motivation and supervision, and midwife's competency inhandling postpartum haemorrhage. This is a quantitative study with crosssectional design. Samples are 69 midwives who have helped with delivery. Thestudy resulted a low competency in handling postpartum haemorrhage (23.2%),and that motivation and supervision played a very important role in affectingmidwives' competency with each has the p value 0.02 and 0.03 and OR 10.6 and48,5. Thus, effort of reinforcement from Sudin kesehatan South Jakarta uponBikor Puskesmas is needed in order to understand, practice and institutionalize thesupervision and motivation system in the form of training and quality assurance.Progressively and continuously. The intensity of supervision in every program,mainly to increase the midwife's competency, is absolutely needed, becausesupervision is capable of being control and guidance and also of facilitating all therequired activitie. All this supervision activity needs budgeting that should besupported by team of supervision formed legally by Head officer Suku DinasKesehatan South Jakarta.]