Pemanfaatan pelayanan antenatal cuma-cuma oleh ibu hamil di bantul
NURBAITI, Prof.dr. Hari Kusnanto, DrPH
2004 | Tesis | S2 Ilmu Kesehatan MasyarakatLatar Belakang. Angka kematian ibu (AKI) di Kabupaten Bantul mencapai 152 per 100.000 KH dan tertinggi di Propinsi Daerah Istimewa Yogyakarta. Dalam rangka menurunkan angka kematian ibu, pada tahun 2003 Pemda Kabupaten Bantul membebaskan retribusi pelayanan Antenatal bagi semua ibu hamil di seluruh puskesmas di Bantul. Hasil evaluasi pelayanan ibu hamil cuma-cuma pada bulan Desember 2003 masih terdapat sebagian ibu hamil yang belum memanfaatkannya sehingga cakupannya di bawah target yaitu 94,96%. Puskesmas Bantul I adalah salah satu puskesmas yang memiliki angka terendah dari jumlah ibu hamil yang diperiksa di puskesmas dibanding dengan puskesmas lainnya di wilayah kabupaten Bantul. Tujuan. Untuk mengetahui faktor-faktor yang mempengaruhi ibu hamil dalam memanfaatkan pelayanan antenatal cuma-cuma di Kabupaten Bantul. Metode. Penelitian menggunakan rancangan cross sectional dengan pendekatan kuantitatif dan kualitatif yang di kombinasikan untuk melengkapi informasi. Lokasi penelitian di wilayah puskesmas Bantul I kabupaten Bantul, dengan unit analisisnya individu ibu hamil. Tehnik pengambilan sampel dengan cara cluster sampling dengan 120 responden ibu hamil. Untuk wawancara mendalam sampel diambil dengan pertimbangan tertentu (purposive sampling) sebanyak 10 orang ibu hamil. Data dianalisis secara deskriptif kuantitatif, kualitatif dan analisis regresi logistik polychotomous. Hasil Penelitian. Faktor yang mempengaruhi ibu hamil dalam memilih dan memanfaatkan pelayanan antenatal cuma-cuma pada puskesmas di kabupaten Bantul adalah persepsi kualitas (P=0,048), umur kehamilan (P=0,039), Umur ibu (P=0,031) dan lama waktu tunggu (P=0,0001). Kesimpulan. Pembebasan tarif pelayanan bagi ibu hamil di puskesmas tidak menyebabkan puskesmas sebagai pilihan utama untuk pemanfaatan pelayanan antenatal. Ibu hamil mempertimbangkan kualitas pelayanan dan waktu tunggu dalam memilih pelayanan antenatal. Pendapatan tidak mempengaruhi pemanfaatan pelayanan antenatal cuma-cuma.
Background: Maternal Mortality Rate (MMR) in the district of Bantul reached 152 per 100.000 live birth, the highest in the province of Yogyakarta special region. To decrease maternal mortality rate, since 2003 the regional government of Bantul district exempts mothers from the retribution of antenatal care in all Primary Health Centre in Bantul. The results of free antenatal care for pregnant mothers in December 2003 showed that there were some pregnant mothers who could not utilize ANC appropriately so that the coverage was 94,96% of the target. The Primary Health Centre of Bantul I is one of the Primary Health Centre that has the lowest number of pregnant mothers who have been examined in the Primary Health Centre compared to other Primary Health Centre in the area of Bantul regency. Objective: To find out factors that influence pregnant mothers in utilizing free antenatal care services in Bantul regency. Methods: This research used cross sectional design with quantitative and qualitative approaches that were combined to obtains more comprehensive information. The location of the study was the catchments area of Primary Health Centre of Bantul I in Bantul regency, with pregnant mother as the unit of analysis. The sample was taken with cluster sampling and consisted of 120 pregnant mothers as the respondents. For the in-depth interview, sample was taken with purposive sampling with 10 pregnant mothers. Data were analyzed with descriptive quantitative, qualitative and polychotomous logistic regression. Result: Factors that influence pregnant mothers in selecting and utilizing of free antenatal care in Primary Health Centre of Bantul I in the district of Bantul was perceived quality (P=0,048), months of pregnancy (P=0,039), mother’s ages (P=0,031) and length of waiting time (P=0,0001). Conclusion: The exemption of antenatal retribution for pregnant mothers in the Primary Health Centre did not cause the Primary Health Centre as the only choice utilize of antenatal services. Mothers considered the quality of services and waiting time for choosing the ANC services. Income did not affect preferences on the utilization of free ANC.
Kata Kunci : Layanan Kesehatan,Layanan Antenatal,Ibu Hamil, Utilization, antenatal care
