Search Repository Universitas Fort De Kock

Kematian anak dibawah 5 tahun disebabkan oleh pneumonia, diare, malaria, komplikasi penyakit, kelahiran prematur, lahir asfiksia, sepsis, cedera, kelainan kongenital, dan gangguan gizi. Untuk menurunkan angka kematian tersebut, WHO dan organisasi dunia lainnya menganjurkan untuk Continuum Of Care perawatan yang menekankan pada efektifitas pemberian pelayanan kesehatan pada titik kehidupan pasien dari keluarga, masyarakat, sampai ke tempat rujukan pelayanan kesehatan dengan sistem yang melibatkan, memandu, dan memantau pasien dari waktu ke waktu secara komprehensif. Tujuan penelitian menganalisis program Continuum Of Care pada pelayanan kesehatan bayi dan balita di puskesmas Kota Bukittinggi tahun 2016. Metode penelitian kualitatif, dengan pendekatan fenomenologi. Penelitian dilakukan di wilayah kerja dinas kesehatan Kota Bukittinggi, bulan SeptemberOktober 2017. Informan terdiri dari Kepala Dinas Kesehatan, Pemegang program KIA di Dinas Kesehatan, Kepala Puskesmas, Pemegang Program Anak di Puskesmas, dan Bidan Praktek Mandiri. Pemilihan informan secara purposive sampling. Pengumpulan data dilakukan melalui wawancara mendalam dan diolah serta dianalisis secara kualitatif. Hasil penelitian diketahui input seperti kebijakan mengacu pada visi misi Walikota, jumlah tenaga belum mencukupi, ketersediaan dana cukup, dan ketersediaan sarana prasarana cukup. Proses Pelaksanaan program perlu ditingkatkan. Dan Output yang diperoleh, program Continuum Of Care di Puskesmas Kota Bukittinggi belum tercapai, karna sasaran terlalu tinggi dan masih kurangnya partisipasi masyarakat untuk berkunjung ke fasilitas kesehatan serta ditingkatkan lagi kerja sama dengan lintas sektor. Disimpulkan bahwa program Continuum Of Care di Puskesmas Kota Bukittinggi belum mencapai Standar Pelayanan Minimum dan diharapkan dapat meningkatkan pelayanan yang lebih baik lagi, terutama kunjungan ibu bayi dan balita, pendidikan kesehatan, peningkatan kegiatan, kesadaran masyarakat, dan evaluasi ketersediaan sarana prasarana sesuai dengan SOP.

Deaths of children under 5 years are caused by pneumonia, diarrhea, malaria, disease complications, premature, asphyxia, sepsis, accident, congenital abnormalities, and nutritional disorders. To reduce the number of such deaths, the WHO and other world organizations advocating for Continuum Of Care treatment that emphasizes the effectiveness of the delivery of health services at the point of the patient's life from the family, the community, to the point of referral health service system involving, guide, and monitor the patient from time in a comprehensive manner. The research objective analys program Continuum Of Care to infants and child under 5 years health service in the primary health center Bukittinggi City 2016. The research by methods qualitative research, with a phenomenological approach. The study was conducted in the working area of the health department of Bukittinggi city, in September-October 2017. The informant consist is head of the Health Office, Mother and Child Health Program holder in Health Office, head of the primary health center, Child program holder in the primary health center, and private practice midwife. Informants election by purposive sampling. Data collection was conducted through interviews and processed and analyzed qualitatively. The results are known inputs such as policy refers to the vision and mission of the mayor, the amount of power is not sufficient, the availability of sufficient funds, the availability of sufficient infrastructure. Proces is implementation of the program should be increased. And output obtained, the program Continuum Of Care in in the primary health center Bukittinggi 2016 has not been achieved, because the target is too high and the lack of participation of the community to visit health facilities as well as enhanced cooperation with the relevant sectors. It was concluded that the program Continuum Of Care the primary health center has not reached Minimum Service Standard Bukittinggi City and is expected to improve the service even better, especially mothers of infants and child under 5 years visits, health education, improvement activities, public awareness, and evaluation of the availability of infrastructure in accordance with the SOP.