Hubungan Antara Rasio Bidan Dengan Kinerja Program Kesehatan Ibu Dan Anak Di Indonesia

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Buletin Penelitian Sistem Kesehatan Pub Date : 2019-11-13 DOI:10.22435/hsr.v22i3.1740

R. Wulandari, A. Laksono

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引用次数: 3

Abstract

The focus of Maternal and Child Health (MCH) performance review was based on the input ratio of midwives important for evaluation. This study was to identify the relationship between the ratio of midwives and the coverage of MCH program. The analysis involved Midwives per 100,000 population ratios as independent variables, and 5 dependent variables, namely ﬁ rst visit (K1), fourth visit (K4), neonates visit (KN), puerperal visit (KF) and childbirth assisted by health workers. The analysis was by scatter plot diagrams. The ratio of midwives to standards was dominantlytohe West of Indonesia. Variability in the ratio of midwives between 41.53 to 225.90 midwives per 100,000 population. Jakarta, West Java, and NTB that have K1 coverage above 100%. However, the midwife ratio was below the standard. Jakarta and Jambi have K4 coverage above 100%. KN coverage above 100% was reached by Jakarta, West Java, Jambi, and Bali. Kaltara and Jakarta had KF coverage above 100%. None of province, except Jakarta, had childbirth coverage by health workers above 100%. Even though the ratio of midwives was still below the standard, some provinces were able to show better performance of MCH programs than those that met the ratio. It was necessary to expand benchmarking in provinces with good MCH program performance, though the ratio of midwives was below the standard. Abstrak Fokus kajian kinerja Kesehatan Ibu dan Anak (KIA) berdasarkan input rasio bidan penting untuk evaluasi. Tujuan penelitian untuk menjawab hubungan rasio bidan dengan cakupan program KIA. Analisis melibatkan rasio bidan per 100 ribu penduduk sebagai variabel independent, dan 5 variabel dependen, yaitu kunjungan 1 (K1), kunjungan 4 (K4), kunjungan neonatus (KN), kunjungan nifas (KF) dan persalinan yang ditolong tenaga kesehatan. Analisis hubungan dilakukan melalui diagram scatter plot. Rasio bidan sesuai standar cenderung ada di wilayah Barat. Variabilitas rasio bidan antara 41,53 sampai 225,90 bidan per 100.000 penduduk. Provinsi DKI Jakarta, Jabar, dan NTB yang memiliki cakupan K1 di atas 100%, meski rasio bidan di bawah standar. DKI Jakarta dan Jambi memiliki cakupan K4 di atas 100%. Cakupan KN di atas 100% dicapai oleh DKI Jakarta, Jabar, Jambi dan Bali. Kaltara dan DKI Jakarta memiliki cakupan KF di atas 100%. Tidak ada satu pun provinsi, kecuali DKI Jakarta, yang memiliki cakupan persalinan oleh tenaga kesehatan di atas 100%. Meski memiliki rasio bidan yang masih di bawah standar, beberapa provinsi mampu menunjukkan kinerja program KIA yang lebih baik dibanding yang sudah memenuhi rasio. Perlu lebih lanjut dengan melakukan benchmark pada provinsi yang memiliki kinerja program KIA baik, meski dengan rasio bidan di bawah standar.

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印度尼西亚母亲和儿童健康项目工作人员之间的关系

妇幼保健（MCH）绩效审查的重点是基于对评估很重要的助产士的投入比例。本研究旨在确定助产士比例与妇幼保健计划覆盖率之间的关系。该分析涉及每100000人口中助产士的比例作为自变量，以及5个因变量，即第一次就诊（K1）、第四次就诊（K4）、新生儿就诊（KN）、产褥期就诊（KF）和卫生工作者协助分娩。通过散点图进行分析。助产士与标准的比例在印度尼西亚西部占主导地位。每100000人口中助产士比例的变异性在41.53至225.90之间。雅加达、西爪哇和NTB的K1覆盖率超过100%。然而，助产士的比例低于标准。雅加达和占碑的K4覆盖率超过100%。雅加达、西爪哇、占碑和巴厘岛的KN覆盖率达到100%以上。Kaltara和Jakarta的KF覆盖率超过100%。除雅加达外，没有一个省的卫生工作者的分娩覆盖率超过100%。尽管助产士的比例仍然低于标准，但一些省份在妇幼保健项目上的表现比符合标准的省份要好。尽管助产士的比例低于标准，但有必要在妇幼保健项目表现良好的省份扩大基准。摘要基于重要领域比率输入的母子健康（KIA）重点研究绩效评估。研究的目的是回应该领域与KIA计划之间的关系。该分析涉及每100000名居民的投标比例作为自变量，以及5个因变量，即就诊次数1（K1）、就诊次数4（K4）、新生儿就诊次数（KN）、呼吸就诊次数（KF）和卫生支持设备。通过散点图进行的关系分析。根据标准，农场的比例往往在西方。每100000居民中有41.53个农场和225.90个农场。DKI省雅加达、贾巴尔和NTB的K1覆盖率超过100%，尽管农业比例低于标准。DKI雅加达和占碑的K4覆盖率超过100%。雅加达、贾巴尔、占碑和巴厘岛DKI的CN表达达到100%以上。Kaltara和雅加达DKI的KF覆盖率超过100%。除了雅加达的DKI，没有一个省的健康状况超过100%。尽管仍有低于标准的农业比例，但一些省份能够显示出比已经完成的KIA计划更好的表现。我们需要进一步对标KIA项目表现良好的省份，即使农业比例低于标准。

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Buletin Penelitian Sistem Kesehatan PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

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