STUDI KUALITATIF PENYELENGGARAAN PELAYANAN KESEHATAN IBU DAN BAYI SETELAH PENERAPAN KW-SPM DI KABUPATEN BADUNG, TANAH DATAR, DAN KOTA KUPANG

The Ministry of Health had set targets and obligatoried for minimum health standards that have to be Implemented in each district/municipality. The maternal and neonatal health (MNH) services is one of services in the district health system that has to be delivered by puskesmas to enhance the maternal and neonatal health towards reducing the maternal and neonatal mortality. It was a cross sectional study health policy. The study was conducted in three districts/municipality, namely district of Badung, Bali; District of Tanah Datar, West Sumatera and Kupang Municipality in East Nusa Tenggara. February to November 2006. Every area had to make special strategy and specified activity priority to execute the policy on mother and baby healthy program. The roles of other and private sectors need continuality. Attainment of mother and baby healthy program activity year 2005 in general were still under the goals. Constraints to execute the policy on mother and baby healthy program had limitation on the quality and quantity of human resources, availibility of equipments, knowledgeof community concerning health was still lower, attention of local government was very limited on budget allocation; and also the expectation of community to soothsayer was high, especially in Municipality of Kupang and District of Tanah Datar. The other limitation was of training on mother and baby healthy program. The access of community to public health services is good enough. Network with the other sectors in general worked well. There were some areas faced coverage goals so high, that difficult to achieve pregnant mother visit coverage (4) and high referral. Target of coverage that were achieved better were the coverage diving birth by midwifes or healthy staffed midwifery compentency. There were some coverage needs re-socializing as definition, because of the difference perception between the right definition and the perception of health staffs on the coverage of neonatus visit and baby with BBLR. Key words: mother and baby healthy program, maternal and child health, district office