ANALISIS KEWENANGAN DAN KEMAMPUAN FASILITAS KESEHATAN TINGKAT PERTAMA (FKTP) SERTA PELAKSANAAN PENANGANAN KOMPLIKASI KEBIDANAN DI PUSKESMAS
2019
Medical midwifery complication is one of causes of the high Maternal
Mortality Rate (MMR). In 2017, the percentage of Maternal Mortality Rate in
Surabaya was 91.68%. From the assessment on the performance of public health
center (PHC), 17 out of 63 public health centers have not achieved the target.
This study was an observational and analytical research with a crosssectional
design. The sample of this study included all public health centers in
Surabaya amounted to 63 public health centers. This study aimed at identifying
authority and competency of first level primary health care facilities as well as
implementation of medical midwifery complication treatment. This study was
conducted from May 2018 to January 2019.
The findings of this study showed that there was authority discrepancy of
first level primary health care facilities in handling medical midwifery
complications on the policy of PONED-PHC implementation guide in 2013 and
Decree of Ministry of Health of Republic Indonesia Number
HK.02.02/Menkes/514/2015. The binary logistic regression test showed that the
variables of Training for Emergency Treatment of Obstetrics and Neonatal
(PPGDON training), infrastructures and facilities, and intervention of medical
midwifery complications have positive influence towards the target of medical
midwifery complication treatment. Meanwhile, the variable of the competency of
public health centers has negativ
The findings of this study showed that there was authority discrepancy of
first level primary health care facilities in handling medical midwifery
complications on the policy of PONED-PHC implementation guide in 2013 and
Decree of Ministry of Health of Republic Indonesia Number
HK.02.02/Menkes/514/2015. The binary logistic regression test showed that the
variables of Training for Emergency Treatment of Obstetrics and Neonatal
(PPGDON training), infrastructures and facilities, and intervention of medical
midwifery complications have positive influence towards the target of medical
midwifery complication treatment. Meanwhile, the variable of the competency of
public health centers has negative influence towards the target of medical
midwifery complication treatment.
It can be concluded from this study that there was a different authority on
the policy in the era of pre and post National Health Insurance Programme. The
competency and solution on the medical midwifery complications in public health
centers in Surabaya were categorized into insuffecient. PPGDON training,
infrastructures and facilities, and implementation of medical midwifery
complication treatment have positive influence towards the treatment target of
medical midwifery complications. Some efforts that can be done are giving
PPGDON training to midwives, providing infrastructures and facilities to support
the treatment of midwifery medical complications and improving the
implementation of midwifery medical complication treatment.
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