Analisis kebutuhan tenaga Puskesmas berdasarkan beban kerja di Kabupaten Rejang Lebong Propinsi Bengkulu
ISWINARTO, dr. Kristiani, SU
2004 | Tesis | S2 Ilmu Kesehatan MasyarakatLatar belakang : Keberhasilan dalam pelaksanaan program kesehatan sangat dipengaruhi oleh pengelolaan serta perencanaan sumber daya manusia yang rasional, dimana salah satu cara penghitungan kebutuhan tenaga dibuat Dep Kes RI berdasarkan DSP. Namun kenyataan penempatan tenaga di Kabupaten Rejang Lebong belum mengacu pada perhitungan tersebut, hal ini dapat dilihat dengan tidak meratanya dan kesesuaian jumlah tenaga dengan beban kerja. Tujuan Penelitian : Untuk mengetahui kebutuhan tenaga puskesmas berdasarkan beban kerja di Kabupaten Rejang Lebong. Metode Penelitian : Penelitian ini merupakan studi kasus tentang kebutuhan tenaga puskesmas berdasarkan beban kerja. Unit analisis dalam penelitian adalah : Dinas Kesehatan Kabupaten Rejang Lebong dengan objek penelitian 4 buah puskesmas, sedangkan subjek penelitian adalah Kepala Dinas Kesehatan, Kepala Puskesmas yang dijadikan sampel 4 puskesmas, 2 puskesmas di perkotaan dan 2 puskesmas yang jauh dari Ibu kota Kabupaten. Cara pengumpulan data menggunakan panduan wawancara, check list, instrumen DSP untuk menghitung kebutuhan tenaga. Hasil penelitian : Berdasarkan perhitungan dengan instrumen DSP DepKes 2004 untuk menghitung kebutuhan tenaga berdasarkan beban kerja menunjukkan bahwa tenaga yang ada di puskesmas masih kurang seperti Puskesmas Curup tenaga ada 37 yang dibutuhkan 55 jadi jadi masih kurang 18, Puskesmas Kampung Delima tenaga yang ada 21 dibutuhkan 43 jadi kekurangan tenaga 22, Puskesmas Air Dingin tenaga yang ada 17 dibutuhkan 33 kekurangan tenaga 16 dan Puskesmas Sindang Jati tenaga yang ada 15 yang dibutuhkan 33 masih kurang 18 tenaga, adapun tenaga yang paling kurang jenisnya adalah tenaga SMF, Bidan, Dokter. Kesenjangan tersebut disebabkan berbagai faktor tenaga yang sangat kurang serta di dinas kesehatan maupun puskesmas tidak mempunyai tenaga yang profesional dalam merencanakan kebutuhan sumber daya manusia dan tidak menggunakan alat ukur / metode perhitungan yang ada hanya perkiraan saja disamping ini memang formasi tenaga belum ada, jadi pendistribusian tenaga belum maksimal.
Background: The successfulness in implementing the health program is greatly influenced by management as well as planning of rational human resources which one of the method to calculate the need of health care provider is made by Department of Health RI based on DSP. However, the fact of placing the health care provider in the district of Rejang Lebong is not yet referred to the calculation and this could be seen from the discrepancy and unsuitability of the number of the health care provider and the job load. Objective: In order to find out the need of health care provider in Primary Health Care based on job load in the district of Rejang Lebong. Method: This was a case study research regarding the need of health care provider in Primary Health Care based on job load. The analysis unit in this research was: district health office of Rejang Lebong with object of the research was 4 Primary Health Care, while the subject of the research was head of Health Office and head of Primary Health Care. The sample was 4 Primary Health Care with 2 Primary Health Care in urban area and 2 Primary Health Care that was far from the capital city of the district. Data was collected by using guidance of interview, check list, and instrument of DSP in order to calculate the need of health care provider. Result: The calculation with DSP instrument of Department of Health 2004 to measure the need of health care provider based on job load showed that there was still lack of health care provider in Primary Health Care such as in the Primary Health Care of Curup, there was 37 health care providers and 55 who were needed so there was a deficiency of 18 people, in the Primary Health Care of Kampung Delima, there was 21 health care providers and 43 who were needed so there was a deficiency of 22 people, and in the Primary Health Care of Air Dingin, there was 17 health care providers and 33 who were needed so there was a deficiency of 16 people, and in the Primary Health Care of Sindang Jati there was 15 health care providers and 33 who were needed so there was a deficiency of 18 people and the least people are the apothecary assistant, midwife and doctor. This disproportion occurred because of various factors of lack of health care provider and there was no professional officers who could plan the need of human resources in Health Office or Primary Health Care and not using instrument/measurement method instead just predicting and there was no exact formation of health care provider, so that the distribution of the health care provider was not yet maximum.
Kata Kunci : Kebijakan Layanan Kesehatan,Kebutuhan Tenaga Puskesmas,Beban Kerja
