Implementasi Program Desa Siaga oleh Bidan Desa di Kabupaten Klaten Tahun 2010

Universitas Diponegoro Program Pascasarjana Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi dan Kebijakan Kesehatan Minat Manajemen Kesehatan Ibu dan Anak 2011 ABSTRAK Mutmainah Implementasi Program Desa Siaga oleh Bidan Desa di Kabupaten Klaten Tahun 2010 xv + 147 halaman + 54 tabel + 6 gambar + 6 lampiran Desa siaga merupakan salah satu upaya mencapai target penurunan AKI dan AKB. Program desa siaga Kabupaten Klaten dicanangkan pada tahun tahun 2004, namun sejak tahun 2007 sampai 2009, penurunan AKI baru mencapai 0,7%, peningkatan kasus gizi buruk dari 0,077 pada tahun 2007 menjadi 0,13% pada tahun 2010. Masih banyak bidan desa yang belum faham tentang implementasi program desa siaga dan belum pernah dilakukan evaluasi pelaksanaan desa siaga. Penelitian ini bertujuan untuk menjelaskan implementasi desa siaga di Kabupaten Klaten ditinjau dari regulasi, sumber daya termasuk tenaga, pendanaan, sarana dan prasarana, serta komunikasi dan komitmen dalam pelaksanaan program desa siaga. Jenis penelitian deskriptif kualitatif dengan observasional. Informan utama adalah 6 bidan desa. Informan triangulasi adalah Kepala Bidang Kesmas, Kepala Seksi Promosi Kesehatan, 6 Kepala Puskesmas, 6 Kepala Desa dan 6 Kader Desa Siaga. Analisis data menggunakan metode content analysis Hasil implementasi desa siaga ditinjau dari regulasi, pelaksanaan regulasi oleh bidan desa belum sesuai standar. Kualifikasi dan jumlah sumber daya manusia yang dibutuhkan sudah sesuai dengan aturan yang ada tetapi belum semuanya aktif dan mampu bekerja sesuai harapan. Pendanaan dana awal bersumber dari DKK, dan pemenuhan dana kegiatan desa siaga bersumber dari ADD dan iuran warga. Sarana prasarana Sarana prasarana PKD dan kegiatan surveilans sebagian besar desa sudah ada dan sesuai standar, namun untuk sarana prasarana sistem kegawatdaruratan dan penanganan bencana sebagian besar belum sesuai standar. Sebagian besar bidan desa menyatakan berkomitmen terhadap pelaksanaan Desa Siaga. Saran yang diajukan adalah meningkatkan advokasi kepada kepala desa dan tokoh masyarakat dan menggali strategi penggerakan masyarakat untuk meningkatkan strata desa siaga. Kata kunci : desa siaga, bidan desa, implementasi Referensi : 29 (1998 – 2008) Diponegoro University Postgraduate Program Master’s Program in Public Health Majoring in Health Policy Administration Sub Majoring in Maternal and Child Health Management 2011 ABSTRACT Mutmainah Implementation of Village Alertness Program by Midwives in Klaten District 2010 xv + 147 pages + 54 tables + 6 figures + 6 enclosures Village alert was one of efforts to reach target to decrease maternal mortality rate (AKI) and infant mortality rate (AKB). Village alert program of Klaten district was established in 2004 but since 2007 up until 2009 the decrease of AKI reached only 0.7%, severe malnutrition increased as of 0.077% in 2007 to 0.13% in 2010. There were still many village midwives who had not understood about the implementation of village alert program and there was no evaluation on the implementation of the village alert program. The objective of this study was to explain the implementation of village alert in the district of Klaten viewed from regulation, resources, funding, facilities, communication and commitment in implementing the village alert program. This was an observational descriptive qualitative study. The main informants were 6 village midwives. Triangulation informants was the head of Kesmas unit, head of health promotion section, 6 head of puskesmas, 6 head of villages and 6 cadres of the village alert. Data was analyzed using content analysis method. Results of the implementation of the village alert viewed from regulation, regulation implementation by village midwives had not been fit with the standard. Qualification and the number of needed human resource had been suitable with the regulation but not all human resources were active and were able to work as expected. The funding to start this program came from DKK and the funding for village alert activities was fulfilled from ADD and community sharing. Facilities for PKD and surveillance activities were in the most of villages and it was suitable with the standard. On the other hand, facilities for emergency system and disaster management were mostly not according to the standard. The majority of village midwives stated their commitment to the village alert implementation. It was suggested to improve advocacy to the heads of villages and community key person, to search strategies for community actuating to improve village alert strata. Key words : village alert, village midwives, implementation Bibliography : 29 (1998 – 2008