Salah satu upaya menurunkan angka kesakitan dan kematian ibu adalah melalui pemberian pelayanan yang berkualitas. Cakupan pertolongan persalinan yang di tolong oleh tenaga kesehatan di Kabupaten Agam dari tahun 2008 sampai tahun 2010 masih rendah dan cendrung turun. Sejak bulan April tahun 2011 di Kabupaten Agam sudah diterapkan Jampersal, hal ini mendorong peneliti untuk mengetahui bagaimana cakupan pertolongan persalinan oleh bidan di desa pada bulan Juli-Desember 2011 sejak diterapkannya Jampersal.Penelitian ini dilakukan bulan April-Mei tahun 2012. Sampel pada penelitian ini adalah seluruh bidan desa yang berada di dua belas puskesmas yang berjumlah 102 orang. Jenis penelitian cross sectional dengan analisis menggunakan chi square. Untuk melihat perbandingan cakupan tahun 2010 dan tahun 2011. Perbandingan tersebut 2,5 kali, dengan p. value Mc.Nemar = 0.008 (OR 2.322) bermakna secara statistic. Selain itu dianalisa juga perbedaan rata-rata cakupan sebelum Jampersal (Juli-Desember 2010) dan setelah diterapkannya Jampersal (Juli-Desember 2011) yang dihitung dengan paired t-test, hasil analisis menunjukkan p value = 0,003 secara statistik bermakna, jadi terbukti terjadi penurunan cakupan persalinan oleh bidan di desa sejak diterapkannya Jampersal, disarankan kepada Dinas Kesehatan agar melakukan supervisi melalui pendekatan secara individu kepada bidan karena semakin setuju bidan dengan Jampersal semakin kecil penurunan cakupan persalinannya.
An act that can be done to reduce maternal morbidity and mortality is through provision of healthcare services. In Agam Residency, the number of baby delivery that helped by health care worker between 2008 until 2010 was low and tended to fall. Jampersal had been implemented in Agam Regency since April 2011. This had encouraged researcher to know how the coverage of baby delivery with village?s midwife was on July-December 2011 after Jampersal implementation.This research was conducted on april-may 2012. The samples were all village?s midwifes in 12 Public Health Center, there were 102 peoples. This was a cross sectional study with chi square analysis to compare between 2010 and 2012 coverage. The comparison was 2,5 times with p value Mc.Nemar = 0.008 (OR 2.322) and this was statistically significant. It was also being analyzed the coverage mean difference between before and after jampersal implementation (Juli-December 2010 and Juli-December 2011) by paired t-test. The result showed that p value = 0,003 and it was statistically significant, so it was being proved that the coverage of baby delivery with village?s midwife help was declined after jampersal implementation. The suggestion for Health Department is by supervising an individual approach to the midwife because the agreements of midwife to Jampersal will reduce the decline in coverage of baby delivery with help. |
