Kinerja Program Tumbuh Kembang Balita di Puskesmas Wilayah Kota Jambi

HARIANTO, Idet, dr. Kristiani, SU

2006 | Tesis | S2 Ilmu Kesehatan Masyarakat (Kebij. dan Manaj. Pe

Latar belakang: Pemantauan tumbuh kembang perlu dilakukan sejak awal sewaktu dalam kandungan, sampai dewasa. Proses tumbuh kembang berlangsung pada masa balita yang merupakan masa kritis bagi kelangsungan hidup anak sekaligus masa emas bagi proses tumbuh kembang anak. Cakupan kegiatan tumbuh kembang balita di Kota Jambi belum mencapai target yang diharapkan. Hal ini tidak terlepas dari peran tenaga bidan puskesmas yang secara langsung menghadapi masyarakat serta mempunyai fungsi dan tugas pokok memberikan pelayanan kesehatan kepada ibu dan anak. Tujuan penelitian: Mengetahui kinerja program tumbuh kembang balita dan faktor-faktor yang berhubungan dengan program tumbuh kembang balita di Kota Jambi. Metode Penelitian: Penelitian ini merupakan penelitian analitik, dengan rancangan cross sectional menggunakan metode kuantitatif dan kualitatif. Subjek penelitian ini adalah bidan puskesmas dan kepala puskesmas dalam wilayah Kota Jambi. Instrumen penelitian berupa kuesioner, panduan wawancara mendalam, panduan diskusi kelompok terarah dan check list. Analisis data secara deskriptif dan analitik. Uji statistik dengan korelasi product moment, t – test dan regresi ganda. Hasil penelitian: Ada hubungan yang signifikan antara motivasi, pengetahuan, keterampilan, supervisi, rekan kerja, dan partisipasi masyarakat dengan cakupan dan manajemen program (p < 0,05). Sedangkan varibel pelatihan tidak ada hubungan yang signifikan dengan cakupan dan manajemen (p > 0,05). Keeratan hubungan yang kuat dengan cakupan adalah keterampilan (r = 0,568) dan keeratan hubungan yang lemah adalah motivasi (r = 0,327). Keeratan hubungan yang kuat dengan manajemen program adalah keterampilan (r = 0,537) dan keeratan hubungan yang lemah adalah motivasi (r = 0,314). Kesimpulan: Variabel yang paling dominan dan berhubungan dengan cakupan dan manajemen program tumbuh kembang balita adalah keterampilan bidan.

Background: The monitoring of human growth is important from the forming of fetus, until childhood. It is long been known that the most critical time for a child, happens in his/her first 5 years, which is also called as golden age. In Jambi the coverage of monitoring program on under five year old children growth has not yet achieved the expected target. This is closely related to the roles of midwives of health centers responsible for the program who have direct contact with the community and give health services for mothers and children. Objective: The objectives of this research were to know the performance of the monitoring program on under five year old children growth and factors related to the program in center Jambi. Research Method: This research was an analytical research with cross sectional design, using quantitative and qualitative methods. The subjects of research were health center in Jambi. The instruments for this research were questionnaires, in-depth interview guide, focus group discussion guide, and check list, while the data were descriptively and analytically analyzed. The research was also tested by various statistics test, such as product moment correlation, t-test and multiple regressions. Result: The research showed significant correlation between motivation, knowledge, skill, supervision, work colleagues/partner, and community participation with program coverage and management program (p < 0,05). And the training variable showed no significant with target an, while on the side there was no significant correlation between the variable training with program coverage and management program (p > 0,05). There was strong relation happened between program coverage is skill (r=0,568), and the less relation between program coverage is motivation (r = 0.327). The research also showed strong relation between program management is skill (r = 0.537) and the less relation between program coverage is motivation (r = 0.314). Conclusion: The most dominant variable which also strongly related to the under five year old children growth monitoring coverage and management was the skill of the health center midwives responsible for the program.

Kata Kunci : Layanan Kesehatan,Puskesmas,Program Tumbuh Kembang Balita