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Pelaksanaan rujukan dipengaruhi oleh kebijakan sistem rujukan, ketersediaan fasilitas, alat kesehatan medis dan fasilitas pelayanan kesehatan, namun belum terlaksana secara optimal. Penelitian ini bertujuan untuk mengevaluasi pelaksanaan rujukan pelayanan pada Ibu Postpartum peserta BPJS Di Puskesmas Maninjau Kabupaten Agam Tahun 2017. Penelitian ini merupakan penelitian kualitatif yang bersifat deskriptif analitik dengan jumlah Informan sebanyak 8 orang yang terdiri dari 5 orang informan utama yaitu kepala puskesmas, Dokter dan petugas Pemegang Program BPJS Puskesmas, 2 orang bidan desa dan informan triagulasi adalah 3 orang Ibu Postpartum pasien rujukan Puskesmas Maninjau pada bulan Maret- September 2017. Hasil wawancara mendalam terhadap informan didapatkan dari indicator input bahwa pelayanan sudah dilakukan sesuai dengan kebijakan namun jumlah tenaga kesehatan,dana, sarana prasarana masih kurang. Pada indikator proses bahwa perencanaan, pelaksanaan dan monitoring sudah sesuai dengan prosedurnya. Pada indikator output diketahui meningkatnya angka kunjungan dalam melaksanakan rujukan pelayanan pada ibu inpartu peserta BPJS pada tahun 2017. Berdasarkan hasil penelitian ini dapat disimpulkan bahwa Angka kunjungan rujukan pelayanan pada ibu inpartu peserta BPJS meningkat namun masih terkendala pada jumlah tenaga kesehatan yang kurang. Saran bagi Puskesmas Maninjau agar segera mengajukan penambahan tenaga kesehatan ke Dinas Kesehatan Kabupaten Agam supaya pelaksanaan rujukan berjalan dengan optimal.

The implementation of referrals influenced by the policies of referral system , the availability of facilities , medical instrument of health and health service facilities, but has not materialized in an optimum manner .This research aims to evaluate the implementation of the referral services in mother postpartum participants bpjs in Maninjau PHC in Agam Regency in 2017. The research is qualitative research that are descriptive analytic With total informants as much as 8 people consisting of 5 the main informants that is a clinic, doctors and officials holders BPJS health program, 2 the midwives and informants triagulasi is 3 the mother postpartum patients referrals Maninjau PHC on the moon Maret- September 2017. This research is qualitative research is descriptive analytic. Who became informants as many as 8 people consists of 5 main informant person was the head of the clinic, the doctor and the officer Holder BPJS Program of clinics, 2 midwives, village people and informant triagulasi is 3 persons the mother Postpartum patient referral Clinics Maninjau in March-September 2017. The depth interviews with informants obtained from the service input that has been done the but the amount of health workers, funds, infrastructure is weak .In the process that planned, implementation and monitoring is in accordance with the procedure. On the output known increased rates of a visit in implementing referrals services to mother bpjs inpartu participants in 2017 . According to the study was inconclusive the visits referrals services to mother bpjs inpartu participants increased but there are no amount of health workers less. Advice for maninjau PHC to apply for an additional health workers to district health offices agam that the implementation of a reference to walk with optimal.