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Beratbadanbayisaatdilahirkanmerupakanfaktorpentinguntukkelangsunganh idupbayi.Olehsebabitu, program peningkatanderajatkesehatandi Indonesia pun fokusuntukmengurangipresentase BBLR. Salahsatuupaya yang dapatdilakukangunamencegahterjadinya BBLR adalahmemprediksisecaradiniberatjanin yang adadalamkandunga. KebijakanKesehatanIbudanAnak (KIA) menggunakankonsepContinum Of Care, dimanakesehatanibudananaksangatberkaitan. Tujuan penelitian untuk menganalisis kejadian BBLRdi Kota Sawahluntotahun 2018. Metodepenelitiankualitatifdenganmetodeevaluasi study.InformanterdiridariKepalaDinasKesehatan Kota Sawahlunto, Ka.bid Program KIA DKK Sawahlunto, KepalaPuskesmas, BidanPemegangKesehatanMasyarakatdanBidanDesa.Pengumpulan data dilakukanmelaluiwawancaramendalamdanobservasi. Analisis data dilakukansetiapsaatpengumpulan data dilapangansecaraberkesinambungan. Hasil penelitian ditemukanmasihkurangnyapelatihan-pelatihan yang diberikanpada SDM terutamatenagakontrakdanmaishsaranaprasarana yang mendukungpelaksanaan program KIA. Adanyamasalahpadapelaksanaan program KIA dalamrangkamencegah BBLR, yaituperlunyapeningkatankualitaspelayanandankegiatan yang dilaksanakan, sertapelayanandiPustukurang optimal karenaterkendalasaranaprasarana. Kejadian BBLR dalam 3 tahunterakhirdi Kota Sawahluntoberfluktuatif, penyebabnyaitu yang paling banyak adalah karena kelahiran premature, gemeli, penyakitwaktuhamildankuranggizi (KEK) serta anemia Disimpulkan bahwa kejadian BBLR di Kota Sawahlunto masih meningkat karena dalam segi Input untuk sumber daya manusianya masih perlu pelatihan pelatihan dan penambahan sarana prasarana. Dari segi proses perlu pengorganisasian yang lebih tepat terutama untuk di desa sehingga bisa meningkatkan kualitas pelayanan.

Baby's weight at birth is an important factor for the survival of the baby. Therefore, health promotion programs in Indonesia are also focused on reducing LBW percentage. One effort that can prevent the occurrence of LBW is to predict early the fetal weight in candunga. The Maternal and Child Health Policy (KIA) uses the concept of continuity of care, where the maternal and child health is closely related. The purpose of the study was to analyze the incidence of LBW in Sawahlunto City in 2018. Qualitative research method with study evaluation method. The informants are the Head of the Sawahlunto City Health Office, the Head of the BID KIA DKK Sawahlunto Program, the Head of the Community Health Center, the Midwife Public Health Holder and Village Midwife. Data collection is done through in-depth interviews and observations. Data analysis is carried out every time the collection data in the field is continuous. The results of the study found that there was still a lack of training provided to HR especially contract workers and infrastructure that supported the implementation of the MCH program. Problems with the implementation of the MCH program in LBW order prevention, namely the need for quality and services carried out, and services that are not optimal because of constraints on infrastructure. LBW Sawahlunto fluctuate events in the last 3 years in the city, the causes of premature birth, amusement, illness during pregnancy and malnutrition and anemia It was concluded that the implementation of the MCH program was not optimal. Need to improve the quality of services and implementation, by carrying out regular service quality surveys.