Peran keberadaan bidan di desa dalam rujukan komplikasi maternal tempat kematian ibu sebagai ukuran kinerja rujukan = The contribution of existence of midwives in refferal of maternal complication the place of mother death as measure of refferal performance / Joko Irianto

Main Author: Joko Irianto, author
Format: Doctoral Bachelors
Terbitan: , 2014
Subjects:
Online Access: http://lib.ui.ac.id/file?file=digital/2015-10/20390554-D1944-Joko Irianto.pdf
Daftar Isi:
  • [<b>ABSTRAK</b><br> Program pembangunan kesehatan ibu di desa merupakan upaya untuk mendekatkan akses ibu pada pelayanan kesehatan sehingga diharapkan memperkecil terjadinya kematian ibu. Penelitian ini bertujuan untuk mengetahui peranan keberadaan bidan berdomisili di desa dalam melakukan rujukan komplikasi maternal melalui tempat kematian ibu sebagai ukuran kinerja rujukan. Sampel sebanyak 3493 kematian ibu yang merupakan separuh dari populasi dalam Sensus Penduduk Tahun 2010 tersebar di seluruh Indonesia, selanjutnya dianalisis regresi logistik multivariat untuk mengetahui peranan masing-masing faktor terhadap tempat kematian ibu. Hasil analisis menemukan bahwa setelah dikontrol faktor lain keberadaan bidan berdomisili di desa meningkatkan kemungkinan ibu meninggal di rumah sakit atau dapat mencegah kematian terjadi di rumah. Sedangkan faktor lain yang berperan yaitu anjuran merujuk dan akses. Untuk itu disarankan agar kebijakan penempatan bidan berdomisili di desa perlu didukung oleh semua pihak.; <hr> <b>ABSTRACT</b><br> Maternal health programs in rural development is an attempt to get closer access to maternal health services that are expected to reduce the occurrence of maternal deaths. This study aims to determine the contributions of midwives who the same place villages the mother stay in refferal maternal complication by place of death as measure of refferal performance. Sampels are 3493 of maternal deaths, it’s a half of populations SP-2010. Analisys by multivariate logistic regression to determine of role each factors to maternal mortality place. The results, where midwives stay in the village increases the likelihood mother died in the hospital or prevent deaths occurred at home. Another factors to contributions to maternal mortality place are access (place, distance, regional). It is recommended to suport the placement midwives to stay at village policy;Maternal health programs in rural development is an attempt to get closer access to maternal health services that are expected to reduce the occurrence of maternal deaths. This study aims to determine the contributions of midwives who the same place villages the mother stay in refferal maternal complication by place of death as measure of refferal performance. Sampels are 3493 of maternal deaths, it’s a half of populations SP-2010. Analisys by multivariate logistic regression to determine of role each factors to maternal mortality place. The results, where midwives stay in the village increases the likelihood mother died in the hospital or prevent deaths occurred at home. Another factors to contributions to maternal mortality place are access (place, distance, regional). It is recommended to suport the placement midwives to stay at village policy, Maternal health programs in rural development is an attempt to get closer access to maternal health services that are expected to reduce the occurrence of maternal deaths. This study aims to determine the contributions of midwives who the same place villages the mother stay in refferal maternal complication by place of death as measure of refferal performance. Sampels are 3493 of maternal deaths, it’s a half of populations SP-2010. Analisys by multivariate logistic regression to determine of role each factors to maternal mortality place. The results, where midwives stay in the village increases the likelihood mother died in the hospital or prevent deaths occurred at home. Another factors to contributions to maternal mortality place are access (place, distance, regional). It is recommended to suport the placement midwives to stay at village policy]