RIKA APRILIA, 101611123110 (2019) ANALISIS KEWENANGAN DAN KEMAMPUAN FASILITAS KESEHATAN TINGKAT PERTAMA (FKTP) SERTA PELAKSANAAN PENANGANAN KOMPLIKASI KEBIDANAN DI PUSKESMAS. Skripsi thesis, Universitas Airlangga.

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Abstract

Medical midwifery complication is one of causes of the high Maternal Mortality Rate (MMR). In 2017, the percentage of Maternal Mortality Rate in Surabaya was 91.68%. From the assessment on the performance of public health center (PHC), 17 out of 63 public health centers have not achieved the target. This study was an observational and analytical research with a crosssectional design. The sample of this study included all public health centers in Surabaya amounted to 63 public health centers. This study aimed at identifying authority and competency of first level primary health care facilities as well as implementation of medical midwifery complication treatment. This study was conducted from May 2018 to January 2019. The findings of this study showed that there was authority discrepancy of first level primary health care facilities in handling medical midwifery complications on the policy of PONED-PHC implementation guide in 2013 and Decree of Ministry of Health of Republic Indonesia Number HK.02.02/Menkes/514/2015. The binary logistic regression test showed that the variables of Training for Emergency Treatment of Obstetrics and Neonatal (PPGDON training), infrastructures and facilities, and intervention of medical midwifery complications have positive influence towards the target of medical midwifery complication treatment. Meanwhile, the variable of the competency of public health centers has negativ The findings of this study showed that there was authority discrepancy of first level primary health care facilities in handling medical midwifery complications on the policy of PONED-PHC implementation guide in 2013 and Decree of Ministry of Health of Republic Indonesia Number HK.02.02/Menkes/514/2015. The binary logistic regression test showed that the variables of Training for Emergency Treatment of Obstetrics and Neonatal (PPGDON training), infrastructures and facilities, and intervention of medical midwifery complications have positive influence towards the target of medical midwifery complication treatment. Meanwhile, the variable of the competency of public health centers has negative influence towards the target of medical midwifery complication treatment. It can be concluded from this study that there was a different authority on the policy in the era of pre and post National Health Insurance Programme. The competency and solution on the medical midwifery complications in public health centers in Surabaya were categorized into insuffecient. PPGDON training, infrastructures and facilities, and implementation of medical midwifery complication treatment have positive influence towards the treatment target of medical midwifery complications. Some efforts that can be done are giving PPGDON training to midwives, providing infrastructures and facilities to support the treatment of midwifery medical complications and improving the implementation of midwifery medical complication treatment.

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