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Abstrak :
Berdasarkan Survey Dasar Kependudukan Indonesia (SDKI) Pada tahun 2002- 2003 AKI sebesar 307 per 100.000 kelahiran hidup, Hal ini menunjukan AKI di Indonesia masih tinggi salah satu penyebabnya adalah komplikasi dan resiko tinggi kehamilan yang dapat dicegah melalui pemantauan antenatal dengan pemeriksaan kehamilan serta memberikan pelayanan rujukan bagi kasus resiko tinggi yang dapat menekan angka kematian sampai 80%. Penelitian ini bertujuan untuk mengetahui gambaran tentang kinerja petugas KIA puskesmas pembantu dalam pelayanan Antenatal dan faktor-faktor yang berhubungan dengan kinerja petugas KIA tersebut, serta faktor yang paling dominan berhubungan dengan kinerja petugas KIA puskesmas pembantu. Penelitian ini dilakukan di Kabupaten Agam dengan rancangan penelitian cross Sectional. Sampel penelitian adalah semua petugas KIA puskesmas pemhantu yang ada di wilayah kerja Dinas Kesehatan Kabupaten Agam yang berjumlah 115 orang. Pengolahan dan analisis data dilakukan secara bivariat dan multivariat Analisis bivariat menggunakan uji Chi-Square untuk melihat hubungan variabel independen dengan variabel dependen dan analisis multivariat menggunakan uji regresi logistik untuk melihat faktor yang paling dominan. Hasil penelitian menunjukan 55.7% kinerja petugas KIA puskesmas pembantu di Kabupaten Agana kurang dan 44.3% mempunyai kinerja baik, dan hasil analisis menunjukkan terdapat hubungan bermakna antara status perkawinan, motivasi dengan kinerja serta analisis multivariat menunjukan bahwa status perkawinan merupakan faktor yang paling dominan berhubungan dengan kinerja. Penelitian ini menyarankan agar dinas kesehatan Kabupaten Agam dan puskesmas dalam memberikan pembinaan kepada petugas KIA puskesmas pembantu dengan kinerja kurang khususnya tentang memeriksa glukosa urine atas indikasi, memeriksa urine untuk test protein atas indikasi, mengukur suhu, menganjurkan ibu buang air kecil sebelum memeriksa kehamilan, mencuci tangan sebelum memeriksa kehamilan.

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Indonesian Health Demogaphy Base Survey (SDKI) in 2002-2003 showed that Maternal Mortality Rate (AKI) was 307 per 100.000 life birth. This indicated that AKI in Indonesia is still high compared to The National target, due to complication and high risk pregnancy that are preventable through proper antenatal monitoring and earlier pregnancy cheek up and delivering referal care for high risk case in order to repress mortality rate until 80%. This research is aimed to describe KIA’s officer job performance at assistant community health center in performing antenatal care and to explore factors related to KlA'S officer job performance, and the most dominant motor related to KIA oiiicer job performance at servant community health center. This research was conducted in Agam District region with cross sectional's design. The sample were all KIA’s oticer of servant community health center in Agam District Health office region with l 15 omcers. Data were analyzed in univariat, bivariat, and multivariate way. The bivariate analysis used chi square test to explore the correlation between independent and dependent variable and multivariate analysis used logistic regression test to explore the most dominant factor. The result show that 55,7% KIA oiiicer job performance is improper and 44,3% is good, and the analysis showed that there are significant correlation between marital status and job performance and between motivation and job performance. The multivariate analysis showed that marital status was the most dominant factor related to job performance. This research suggests Agam District health o&ice and community health center to develop a training for KIA otlicers of cervant community health center with improper job performance, particularly about testing urine glucose on indication, checking urine for protein test on indication, measuring tempemtme, washing hand before checks pregnancy.

Abstrak :
[ABSTRAK
Diperkirakan 15-20% kehamilan dan persalinan akan mengalami komplikasi. Puskesmas mampu Pelayanan Obstetri Neonatal Emergensi Dasar (PONED) sebagai sarana untuk mendekatkan pelayanan terhadap ibu hamil, bersalin dan nifas. Kabupaten Bogor mempunyai 40 Puskesmas dan 22 diantaranya termasuk kategori Puskesmas PONED. Puskesmas mampu PONED Parung mempunyai cakupan penanganan komplikasi yang tinggi (77,7%) , sedangkan Puskesmas mampu PONED Cileungsi mempunyai cakupan penanganan komplikasi kebidanan yang rendah (50,7%). Menurut teori Edwards III , implementasi kebijakan berfokus pada 4 variabel yaitu : komunikasi, sumber daya, disposisi, dan struktur birokrasi.Rancangan penelitian yaitu penelitian kualitatif. Lokasi penelitian di Dinas Kesehatan Kabupaten Bogor, Puskesmas mampu PONED Parung dan Puskesmas mampu PONED Cileungsi. Hasil penelitian menunjukkan untuk variabel sumber daya, Faktor sumber daya manusia (kompetensi yang tidak merata) menjadi faktor dominan dalam penanganan komplikasi kebidanan di Puskesmas mampu PONED. Untuk variabel komunikasi Faktor koordinasi menjadi faktor dominan dalam penanganan komplikasi kebidanan di Puskesmas mampu PONED. Untuk variabel struktur birokrasi didapatkan, struktur organisasi di Puskesmas mampu PONED Parung dan Cileungsi belum lengkap karena tidak melibatkan perawat dan belum adanya pemisahan strukur organisasi PONED di Puskesmas Cileungsi. Untuk variabel disposisi diperlukan peningkatan komitmen petugas Puskesmas terutama di Puskesmas mampu PONED Cileungsi terkait dengan penanganan komplikasi kebidanan di PONED.

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ABSTRACT
An estimated 15-20% of pregnancies and childbirth can develop into complications. Basic Emergency Obstetric and Neonatal Care (BEONC) facilities as a means to bring services to mothers during pregnancy, labor or delivery, and post partum period. Bogor Regency has 40 Primary Health Cares (PHCs), 22 of them categorized as BEONC. Parung PHC is a BEONC facility with a high coverage in complication handling (77,7%), while Cileungsi PHC is a BEONC facility with a low coverage in complication handling (50,7%). According to the theory of Edwards III, policy implementation focuses on four variables, such as : communication, resources, disposition, and bureaucratic structure.The design of the research is a qualitative research. The location of the research in Bogor District?s Health Office , Parung and Cileungsi BEONC PHC . The results of the study showed that in the variables of Resources, the human resources (uneven competence) becomes the dominant factor in complications handling BEONC facilities. In the communication variables, the dominant factor in BEmOC facilities complications handling is coordination. In the variables of bureaucratic structure, the organization?s structure in both Parung and Cileungsi PHC is incomplete because it does not include nurses, and in Cileungsi PHC the BEONC structure has not separated yet. In the variables of disposition, an increased commitment of health officers in complication handling is required especially in Cileungsi PHC., An estimated 15-20% of pregnancies and childbirth can develop into complications. Basic Emergency Obstetric and Neonatal Care (BEONC) facilities as a means to bring services to mothers during pregnancy, labor or delivery, and post partum period. Bogor Regency has 40 Primary Health Cares (PHCs), 22 of them categorized as BEONC. Parung PHC is a BEONC facility with a high coverage in complication handling (77,7%), while Cileungsi PHC is a BEONC facility with a low coverage in complication handling (50,7%). According to the theory of Edwards III, policy implementation focuses on four variables, such as : communication, resources, disposition, and bureaucratic structure.The design of the research is a qualitative research. The location of the research in Bogor District’s Health Office , Parung and Cileungsi BEONC PHC . The results of the study showed that in the variables of Resources, the human resources (uneven competence) becomes the dominant factor in complications handling BEONC facilities. In the communication variables, the dominant factor in BEmOC facilities complications handling is coordination. In the variables of bureaucratic structure, the organization’s structure in both Parung and Cileungsi PHC is incomplete because it does not include nurses, and in Cileungsi PHC the BEONC structure has not separated yet. In the variables of disposition, an increased commitment of health officers in complication handling is required especially in Cileungsi PHC.]

Abstrak :
Penelitian ini bertujuan menganalisis penyelenggaraan Pendidikan Jarak Jauh (PJJ) bagi tenaga bidan lulusan Diploma I Kebidanan yang diselenggarakan di Poltekkes Kemenkes Kupang, dengan pendekatanevaluasi menggunakan model logika (Logic Model). Subyek penelitian adalah pengelola, tutor, admin dan mahasiswa program PJJ. Hasil penelitian pada komponen input menunjukkan bahwa kriteria dan persyaratan mahasiswa sudah memenuhi ketentuan, kurikulum yang digunakan sudah sesuai dengan standar, sumber daya manusia baik tenaga pendidik maupun kependidikan masih kurang baik dari jumlah maupun jenisnya, sarana prasarana masih terbatas terutama penyediaan koneksi jaringan yang stabil serta manajemen penyelenggaraan yang masih harus ditingkatkan kualitasnya. Pada komponen proses menunjukkan adanya hambatan dalam proses belajar mandiri maupun tatap muka (langsung dan online) terkait dengan koneksi jaringan dan jarak mahasiswa ke tempat belajar yang jauh. Pada komponen output, hasil capaian belajar cukup baik, 72.3% mahasiswa memiliki Indeks Prestasi Kumulatif (IPK) dalam kisaran 2,76-3,50, dengan IPK tertinggi 3,42 dan IPK terendah 1,46. ......This study aimed to analyze the implementation of Distance Learning for midwives graduate Diploma I in Midwifery held in Poltekes Kemenkes Kupang, with the evaluation approach using logic model. Subjects were managers, tutors, administrators and students. Results of research on the component input showed that the criteria and requirements of the students already meet the requirements, the curriculum used is in conformity with the standards, human resources both educators and education are still lacking both the number and kind, the infrastructure is still limited, especially the provision of a stable network connection and the management of which still has to be improved. In the process component showed a bottleneck in the process of self-learning and face-to-face (live and online) associated with a network connection and distance learning students to learning institution. At the output component, the result is quite good learning outcomes, 72.3% of students have Grade Point Average (GPA) in the range of 2.76 to 3.50, with the highest GPA 3.42 and 1.46 lowest GPA.