Search Repository Universitas Fort De Kock

Pelayanan kesehatan ibu dan anak mencakup periode kehamilan atau Antenatal Care (ANC), periode persalinan atau Intranatal Care (INC) dan periode nifas atau Post NatalCare (PNC) yang terangkum dalam program perencanaan persalinan dan pencegahan komplikasi (P4K). Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) dicanangkan untuk mempercepat penurunan AKI dan Tujuan penelitian ini untuk mengetahui evaluasi program P4K di Puskesmas Lubuk Gadang Kabupaten Solok Selatan. Desain penelitian menggunakan metode kualitatif dengan teknik wawancara mendalam dan observasi. Penelitian di lakukan pada bulan Mei- Juni 2019 di wilayah kerja Puskesmas Lubuk gadang dengan populasi adalah seluruh pihak yang terlibat dalam program P4K diantaranya Kabid Kesga, kepala seksi KIA, Kepala Puskesmas, bidan koordinator, bidan pustu, walinagari, kader, dan ibu hamil dengan sampel 8 orang. Hasil analisa data menunjukkan bahwa komponen input yaitu Tenaga (sudah sesuai dengan jumlah sasaran ibu hamil), Dana (Tidak ada penganggaran khusus untuk petugas turun ke lapangan), Sarana (Ketersediaan sarana untuk pelaksanaan P4K masih belum lengkap), dan SOP (SOP untuk pelaksanaan P4K belum tersedia), komponen proses yaitu perencanaan (Perencanaan P4K sudah dibuat dengan estimasi jumlah sasaran ibu hamil), pengorganisasian (Pengorganisasian P4K tidak memilik SK khusus ataupun SPT dari Kepala Puskesmas), pelaksanaan (kurangnya kerjasama pembina posyandu, kader posyandu dan tokoh masyarakat), dan monitoring (melalui pencatatan dan pelaporan bulanan), dan Komponen Output (Cakupan pelaksanaan P4K belum mencapai target) Berdasarkan hasil penelitian maka dapat disimpulkan bahwa pelaksanaan program P4K di Puskesmas Lubuk Gadang masih belum berjalan baik mulai dari segi tenaga, dana, sarana, serta kurangnya sosialisasi ke masyarakat oleh karena itu disarankan adanya peningkatan sosialisasi P4K kepada ibu hamil agar ibu hamil dapat memahami pentinya program P4K.

Maternal and child health services include the period of pregnancy or Antenatal Care (ANC), the delivery period or Intranatal Care (INC) and the postnatal period or Post Natal Care (PNC) summarized in the delivery planning and prevention of complications (P4K) program. The Birth Planning and Complications Prevention (P4K) Program is planned to accelerate the reduction of MMR and the purpose of this study is to find out the evaluation of the P4K program at the Lubuk Gadang Public Health Center in South Solok Regency. The research design uses qualitative methods with in-depth interview and observation techniques. The research was conducted in May-June 2019 in the working area of Lubuk Gadang Public Health Center with the population being all parties involved in the P4K program including the Head of Kesga, KIA section head, Puskesmas head, coordinating midwife, pustu midwife, walinagari, cadre, and pregnant women with sample of 8 people. The results of data analysis show that the input components are Power (in accordance with the target number of pregnant women), Funds (There is no specific budgeting for officers going to the field), Facilities (Availability of facilities for implementing P4K are still incomplete), and SOP (SOP for implementation P4K is not yet available), the component of the process is planning (P4K planning has been made with an estimated number of pregnant women), organizing (Organizing P4K does not have a special decree or SPT from the Head of Puskesmas), implementation (lack of Posyandu coaches, Posyandu cadres and community leaders) , and monitoring (through monthly recording and reporting), and Output Components (The scope of P4K implementation has not yet reached the target) Based on the results of the study it can be concluded that the implementation of the P4K program at the Lubuk Gadang pPuskesmas is still not going well starting in terms of manpower, funds, facilities, and the lack of socialization to the community. Therefore it is suggested an increase in P4K socialization to pregnant women so that pregnant women can understand the importance of the program P4K.