IMPLEMENTASI PROGRAM PEMBERIAN ASI EKSKLUSIF DI KELURAHAN SIRANINDI WILAYAH KERJA PUSKESMAS KAMONJI KECAMATAN PALU BARAT KOTA PALU

ABSTRAK PATRICIA HARUNA. Implementasi Program Pemberian ASI Eksklusif di Kelurahan Siranindi Wilayah Kerja Puskesmas Kamonji Kecamatan Palu Barat Kota Palu (di bawah bimbingan Hermiyanti dan Herman Kurniawan). Peminatan Administrasi dan Kebijakan Kesehatan Program Studi Kesehatan Masyarakat Fakultas Kedokteran dan Ilmu Kesehatan Universitas Tadulako Palu Skripsi, November 2016 Kelurahan Siranindi adalah salah satu dari 7 kelurahan di wilayah kerja Puskesmas Kamonji yang cakupan ASI Eksklusifnya terendah pada tahun 2015. Cakupan ASI Eksklusifnya hanya 50%. Tujuan penelitian ini adalah untuk mengetahui implementasi program pemberian ASI Eksklusif di Kelurahan Siranindi wilayah kerja Puskesmas Kamonji berdasarkan komunikasi, sumber daya, disposisi dan struktur birokrasi. Penelitian ini mengunakan metode kualitatif. Pengambilan informan secara purposive sampling dengan informan utama adalah dua bidan di Kelurahan Siranindi. Informan triangulasi adalah Kepala Puskesmas, Penanggung jawab KIA, Penanggung jawab Gizi, Kasi Gizi Dinkes Kota Palu dan tujuh ibu yang memiliki bayi umur 0-6 bulan di Kelurahan Siranindi. Hasil penelitian menunjukkan aspek komunikasi sudah dilaksanakan sosialisasi pada bidan dan diteruskan pada ibu. Aspek sumber daya, Kelurahan Siranindi belum memiliki bidan terlatih, alat peraga seperti boneka dan pompa payudara tidak tersedia. Aspek disposisi, agen pelaksana diusulkan penanggung jawab program KIA, komitmen mendukung ASI dengan melakukan kunjungan, serta bentuk sanksi masih sebatas teguran. Aspek struktur birokrasi, SOP penggerakkan ASI Eksklusif di Puskesmas sudah tersedia. Disimpulkan pelaksanaan ASI di Kelurahan Siranindi belum optimal. Disarankan mengutamakan pelatihan konselor di tingkat kelurahan, perlunya sanksi yang tegas, perlunya pemberian insentif, membuat SOP lebih rinci terkait mekanisme pelaksanaanya. Kata Kunci : Implementasi Program, ASI Eksklusif. ABSTRACT PATRICIA HARUNA. Implementation of Exclusive Breastfeeding in Siranindi on Kamonji Community Health Centers working area, Palu Barat district, Palu (Under supervision Hermiyanti and Herman Kurniawan). Department of Administration and Health Policy Public Health Study Program Medical and Health Science Tadulako University Essay, November 2016 Siranindi lower district is 1 of 7 lower district in Kamonji’s working area which had the lowest scope of exclusive breastfeeding in 2015, that is 50%. This research aims at finding out the implementation of exclusive breastfeeding in Siranindi consisted of communication, resources, disposition, and bureaucratic structure. This was a qualitative research with key informant were 2 midwives in Siranindi. The triangulation informants were Head of Kamonji Community Health Centers, person in charge of mother and child health, person in charge of nutrition, nutrition section chief and 7 mother who have baby 0-6 months in Siranindi. The result shows that in communication there was socialization to midwife and be continued to mother. Resources, in Siranindi do not have yet trained midwife, props like doll and breast pumps is not available. Disposition, the implementer was person in charge of mother and child health, the commitment to support exclusive breastfeeding and also the sanctions just be like warning. Bureaucratic structure, the SOP was available Kamonji community health centers. Concluded the implementation exclusive breastfeeding were not optimally applied. The recommendation, it is important to make counselor training in lower district, neestrict sanctions, it is important to give an incentive, make more detail SOP about mechanism of the implementation. Keywords: Program Implementation, Exclusive Breastfeedin