Kinerja Petugas Imunisasi Puskesmas di Kabupaten Parigi Moutong

Abdul Malik Ibrahim, Prof.dr.Hari Kusnanto J, Dr.PH

2013 | Tesis | S2 Ilmu Kesehatan Masyarakat

Latar Belakang: Setelah target imunisasi nasional yang dicanangkan tahun 2010 tidak tercapai, pemerintah kembali menargetkan hal tersebut untuk dicapai pada tahun 2014. Di Kabupaten Parigi Moutong pencapaian imunisasi puskesmas masih menunjukkan adanya variasi dan memiliki gap yang begitu besar. Terdapat puskesmas dengan cakupan imunisasi tinggi, namun adapula puskesmas dengan cakupan jauh di bawah target. Tujuan Penelitian: Untuk mengetahui gambaran dan perbedaan kinerja, disiplin kerja dan kepuasan kerja petugas imunisasi puskesmas dengan cakupan tinggi dan cakupan rendah. Metode: Penelitian deskriptif kualitatif dengan rancangan studi kasus. Subyek penelitian berasal dari Puskesmas Balinggi dan Puskesmas Moutong, Dinas Kesehatan dan Ibu-ibu bayi yang menerima pelayanan imunisasi, berjumlah 45 orang responden. Cara pengumpulan data dengan studi dokumen, wawancara, diskusi kelompok terarah (DKT) dan observasi. Hasil Penelitian: Di Puskesmas Balinggi kinerja petugas imunisasi berada pada taraf baik, ditemukan adanya kesesuaian hasil kerja secara kuantitas dan kualitas dengan target dan standar yang ditetapkan. Sementara di Puskesmas Moutong kinerja petugas imunisasi berada pada taraf kurang baik, ditemukan adanya ketidaksesuaian pencapaian hasil kerja secara kuantitas dan kualitas dengan target atau standar yang ditetapkan. Di Puskesmas Balinggi kedisiplinan petugas imunisasi berada pada taraf baik, ditemukan petugas memiliki kedisiplinan pada jam kehadiran di kantor, kedisiplinan pada jam kerja dan kedisiplinan pada jam pulan kantor, dan petugas selalu tepat waktu dalam menyelesaikan pekerjaan. Namun petugas masih kurang memiliki ketaatan pada pakaian dinas atau atribut. Sementara di Puskesmas Moutong kedisiplinan petugas imunisasi berada pada taraf kurang baik, ditemukan petugas belum memiliki kedisiplinan pada jam hadir di kantor, kedisiplinan pada jam pulang kantor dan ketepatan waktu dalam menyelesaikan pekerjaan. Namun petugas memiliki kedisiplinan pada jam kerja dan ketaatan pada pakaian dinas atau atribut. Di Puskesmas Balinggi kepuasan kerja petugas imunisasi berada pada taraf kurang puas, ditemukan petugas belum merasa adanya kepuasan terhadap gaji, kepuasan terhadap dana kesejahtraan atau insentif, kepuasan terhadap dana operasional dan kepuasan terhadap rasa aman dalam menjalankan pekerjaan. Namun ditemukan adanya kepuasan petugas atas perhatian pimpinan. Sementara di Puskesmas Moutong kepuasan kerja petugas imunisasi berada pada taraf kurang puas, ditemukan petugas belum merasa adanya kepuasan terhadap gaji, kepuasan terhadap dana kesejahtraan atau insentif yang diterima, kepuasan terhadap dana operasional imunisasi yang disediakan, kepuasan terhadap rasa aman dalam menjalankan pekerjaan dan kepuasan atas perhatian pimpinan. Kesimpulan: Puskesmas Balinggi masih memiliki kinerja, disiplin kerja dan kepuasan kerja lebih baik dari pada Puskesmas Moutong. Ada perbedaan kinerja, disiplin kerja dan kepuasan kerja petugas imunisasi Puskesmas Balinggi dengan Puskesmas Moutong. Untuk meningkatkan kinerja petugas imunisasi puskesmas sagat diperlukan penegakan disiplin kerja dan lebih memprioritaskan kepuasan kerja.

Background: After the national immunization target announced in 2010, was not achieved, the government re- targets it to be achieved by 2014. The achievement of Parigi Moutong District in immunization clinic still varies and shows a large gap. There are some health centers having high immunization coverage, but there are others with coverage far below the target. Objective: The research aimed at obtaining the description and differences in performance, work discipline and job satisfaction of immunization officers with high coverage and low coverage . Method: The research applied a qualitative descriptive study design employing a case study. The research participants were officers from health centers, health offices, and mothers whose infants receive immunization services. The number of participants was 45. The research data were collected by document investigation, interviews , focus group discussions ( FGD ), and observation . Result: The health officers of Balinggi health center maintain good performance in immunization. It was found the suitability of the work in terms of quantity and quality with the targets and standards set. While the health officers in Moutong health center showed less good performance. There was an achievement discrepancy in quantity and quality of work with the set targets or standards. The immunization health officers in Balinggi health center showed good disciplinary level. It was found that the officers were discipline at the office attendance, discipline at work and discipline at the office hour , and they were always on time in completing the work. But the officers were still lacking an official observance of clothing or attributes. While at the immunization health officers in Moutong center showed discipline at unfavorable level. It was found that the officers did not have the discipline at the office attendance, at the timeliness in completing the work, and in finishing the office hour. But the officers had discipline at uniforms or attributes. In Balinggi health center the job satisfaction at the level of immunization health officers was less satisfied. The officers felt less satisfied with salary, welfare funds or incentives, the operational funds, and the sense of security and satisfaction in carrying out the work. However, the officers were satisfied with the leaders’ attention. While at Moutong health center the immunization officers felt less satisfied with salary, welfare funds or incentives, the operational funds, and the sense of security and satisfaction in carrying out the work. They were also less satisfied with the leaders’ attention. Conclusion: Balinggi health center still retains better performance, discipline at work, and job satisfaction than Moutong health center. There are differences in the performance, job satisfaction and work discipline of immunization officers in Balinggi health center and those in Moutong health center. Improving the performance of immunization officers requires disciplinary reinforcement and job to priority.

Kata Kunci : Kinerja, Disiplin kerja, Kepuasan kerja, Puskesmas