ABSTRAKRealisasi dana Bantuan Operasional Kesehatan BOK di Puskesmas Kota Serangdari tahun 2014-2016 selalu mencapai 100 setiap tahun dan 30 digunakanuntuk kegiatan KIA. Namun, capaian cakupan pelayanan kesehatan ibu dan anakkhususnya kunjungan antenatal K4 menunjukkan penurunan dan belum mencapaitarget 75 . Penelitian kualitatif ini dilakukan di Dinas Kesehatan, 2 dua Puskesmas dengan cakupan K4 tinggi dan 2 dua Puskesmas dengan cakupan K4rendah. Hasil penelitian menunjukkan bahwa Puskesmas kekurangan sumber dayamanusia dan sarana prasarana untuk program KIA, dana operasional untukkegiatan preventif dan promotif hanya mengandalkan dana BOK, pengawasanpencatatan pelaporan bidan masih lemah, serta frekuensi pergantian kader yangrelatif tinggi.Kata Kunci:Bantuan Operasional Kesehatan, Puskesmas, Kunjungan Antenatal K4 mbahas

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ABSTRACTThe Health Operational Aid Fund BOK has been 100 absorped during 2014 2016 in health centers in Serang city. Out of the total fund, 30 has been used forKIA program activities. However, coverage of maternal and child health servicesespecially K4 antenatal visit tend to decrease and has not reached the target 75 . This qualitative research was conducted in District Health Office, 2 two health centers with high K4 coverage and 2 two Puskesmas with low K4coverage. The result showed that Puskesmas has shortage in human resources andinfrastructure facilities for KIA program, while funding to support preventive andpromotive activities was only rely on BOK funds. In addition, midwife reportingwas found insufficient, and high turn over of cadres has lead to poor performance.Key words community health centre, health operational fund, K4 antenatalvisit.