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"Skripsi ini membahas tentang perancangan aplikasi pencatatan dan pelaporan bidan praktek mandiri ke Puskesmas dalam mendukung sistem informasi Puskesmas di wilayah kerja Puskesmas Cipaku. Perancangan aplikasi ini bertujuan untuk membantu bidan dalam mencatat dan menyimpan data setiap kunjungan pasien ke dalam formulir pencatatan dan memudahkan dalam pelaporan data setiap bulan ke pihak Puskesmas wilayah bidan praktek mandiri itu berdiri. Penelitian ini bersifat kualititatif dengan pendekatan sistem agar dapat membantu menyelesaikan permasalahan yang berkaitan dengan pelayanan Kesehatan Ibu dan Anak khususnya dalam pencatatan dan pelaporan. Penelitian ini menggunakan metode pengembangan sistem dimulai dari tahap perencanaan berdasarkan masalah yang ada, selanjutnya analisis rancangan, pembangunan sistem hingga akhirnya penerapan sistem. Pengumpulan data dilakukan dengan wawancara, observasi dan telaah dokumen laporan dari formulir pencatatan dan pelaporan bidan praktek mandiri. Perancangan aplikasi ini menggunakan visual studio 2017

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This thesis discusses the application design of recording and reporting of independent practice midwives to Puskesmas in supporting Puskesmas information system in Cipaku Puskesmas working area. The design of this application aims to assist midwives in recording and storing data of each patient visit into the recording form and facilitate in reporting data every month to the Puskesmas midwife area of independent practice is standing. This research is qualitative with system approach in order to help solve problems related to mother and child health service especially in recording and reporting. This research uses system development method starting from planning phase based on existing problem, then design analysis, system development until finally application of system. Data collection is done by interviewing, observing and reviewing report documents from an independent midwife recording and reporting form. The design of this application using visual studio 2017."

"Puskesmas dituntut untuk memberikan pelayanan kesehatan kepada masyarakat dan perorangan yang paripurna, adil, merata, dan berkualitas. Agar Puskesmas berkinerja optimal dan memuaskan masyarakat, diperlukan Manajemen Puskesmas untuk menjaga mutu melalui pengaturan sumber daya secara efektif, efisien, termasuk menjaga kualitas proses pengelolaannya. Belum semua puskesmas di Indonesia menerapkan manajemen puskesmas sesuai ketentuan Permenkes Nomor 44 tahun 2016. Di Kota Depok, baru 1 puskesmas yang memberikan pelayanan bermutu sesuai standar (terakreditasi paripurna) dan masih terdapat 12 Puskesmas dengan tata kelola cukup dan kurang. Tata Kelola puskesmas dan akreditasi sangat terkait dengan penerapan manajemen puskesmas. Disisi lain, cakupan pelatihan Manajemen Puskesmas sudah 100%. Penilaian akreditasi dan PKP di Puskesmas, tidak otomatis merefleksikan output dari puskesmas. Penelitian ini bertujuan untuk mengetahui bagaimana penerapan manajemen puskesmas pasca pelatihan Manajemen Puskesmas di Puskesmas X dan Y Kota Depok Tahun 2022, ditinjau dari sisi Input, Proses dan Output serta penerapan RTL pasca pelatihan di instansi masing-masing.

Metode kualitatif dengan pendekatan Rapid Assessment Procedure telah digunakan dalam penelitian ini. Peneliti menggunakan wawancara mendalam dan telaah dokumen untuk menjawab empat tujuan penelitian. Wawancara telah dilakukan informan kunci di Puskesmas terakreditasi madya, informan utama dan pendukung. Telaah dokumen dilakukan terhadap data sekunder Puskesmas serta Dinas Kesehatan. Hasil penelitian pada komponen input didapatkan bahwa faktor SDM, sumber pembiayaan, data dan SK tim belum terpenuhi secara optimal pada Puskesmas berkinerja cukup. Pada komponen proses, tahap P1 masih ada yang belum dilaksanakan sesuai pedoman, tahap P2 dilaksanakan belum sesuai agenda dan P3 pengawasan internal belum berjalan optimal serta belum memanfaatkan teknologi serta inovasi. Pada komponen Output, sebagian kecil Dokumen P1 dan P2 belum sesuai pedoman serta Rencana Tindak Lanjut Pelatihan belum seluruhnya diimplementasikan di Puskesmas karena beberapa kendala. Penerapan Manajemen Puskesmas Pasca Pelatihan Manajemen Puskesmas sangat dipengaruhi oleh komponen Input (SDM, sumber pembiayaan, tim efektif) serta Proses (P1, P2, Pengawasan dan Pengendalian). Pada akhirnya penelitian ini memberikan rekomendasi untuk melaksanakan upaya optimalisasi penerapan manajemen puskesmas di Puskesmas, mendorong terciptanya inovasi puskesmas, serta memformulasi ulang form rencana tindak lanjut pelatihan. 

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Health centers are required to provide health services for the community and individuals that are complete, fair, equitable, and of high quality. In order for Puskesmas to perform optimally and satisfy the community, Puskesmas Management needed to maintain quality through effective and efficient resource management, including maintaining the quality of the management process. Not all health centers in Indonesia have implemented health center management according to the provisions of Permenkes Nomor 44 of 2016. In Depok City, only 1 health center provides quality services according to standards (fully accredited) and there are still 12 health centers with sufficient and insufficient governance. PHC governance and accreditation are closely related to the implementation of PHC management. On the other hand, the coverage of Puskesmas Management training is 100%. Assessment of accreditation and PKP at Puskesmas, does not automatically reflect the output of the puskesmas. This study aims to determine how the implementation of puskesmas management after Puskesmas Management training at Puskesmas X and Y, Depok City in 2022, in terms of Input, Process and Output as well as the implementation of RTL after training in their respective agencies.

The qualitative method with the Rapid Assessment Procedure approach has been used in this study. Researchers used in-depth interviews and document reviews to answer the four research objectives. Interviews have been conducted with key informants at intermediate accredited health centers, leading and supporting informants. Document review was conducted on secondary data from the Puskesmas and the Health Office. The results of the research on the input component found that the factors of human resources, financial resources, data and team decree have not been fulfilled optimally in moderately performing health centers. In the process component, there are still P1 stages that have not been implemented according to guidelines, P2 stages have not been implemented according to the agenda and P3 internal supervision has not run optimally and has not utilized technology and innovation. In the Output component, a small part of the P1 and P2 documents have not been in accordance with the guidelines and the Training Follow-Up Plan has not been fully implemented at the Puskesmas due to several obstacles. Implementing Puskesmas Management after Puskesmas Management Training is strongly influenced by the Input component (HR, financial resources, effective team) and Process (P1, P2, Supervision and Control). Implementing Puskesmas Management after Puskesmas Management Training is strongly influenced by the Input component (HR, financial resources, effective team) and Process (P1, P2, Supervision, and Control).In the end, this study provides recommendations for carrying out efforts to optimize the implementation of puskesmas management at Puskesmas, encourage the creation of puskesmas innovations, and reformulate the training follow-up plan form."

"Sebagai salah satu upaya untuk menjamin kesehatan setiap warga negara dan peningkatan pembangunan bangsa, Pemerintah mencanangkan Posyandu sebagai Usaha Kesehatan Berbasis Masyarakat (UKBM). Posyandu diharapkan dapat memberikan layanan dan informasi mengenai kesehatan masyarakat secara tepat dan akurat. Namun, kegiatan pencatatan pelayanan Posyandu di wilayah kerja UPTD Puskesmas Mampang Kota Depok masih berlangsung secara manual menggunakan kertas dan alat tulis. Hal ini menimbulkan berbagai masalah antara lain pencatatan dan pengumpulan data memakan wakyu yang lama, data yang tidak lengkap bahkan hilang. Penelitian ini bertujuan untuk membuat rancang bangun desain antar muka sistem informasi pencatatan Posyandu di UPTD Puskesmas Mampang Kota Depok. Penelitian menggunakan metode kualitatif dengan tahapan perancangan sistem menggunakan metode System Development Life Cycle (SDLC). Hasil penelitian berupa rancang bangun desain antar muka sistem informasi pencatatan Posyandu berbasis mobile application. Evaluasi pengguna menunjukkan bahwa rancang bangun sistem sudah cukup baik dan dapat memenuhi kebutuhan pengguna. Diharapkan adanya penyediaan sarana dan prasarana yang mendukung dan sistem dapat dikembangkan sesuai dengan kebutuhan Posyandu.

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As an effort to ensure the health of every citizen and increase national development, the Government has declared Posyandu as a community based health enterprise (UKBM). Posyandu is expected to be able to provide services and information regarding public health precisely and accurately. However, activities for recording Posyandu services in UPTD Puskesmas Mampang, Depok City, still take place manually using paper and stationery. This causes various problems, including recording and collecting data taking a long time, incomplete and even lost data. This research aims to create a design for the interface of the Posyandu recording information system at the UPTD Puskesmas Mampang, Depok City. The research uses qualitative methods with system design stages using the System Development Life Cycle (SDLC) method. The results of the research are in the form of a mobile application-based Posyandu recording information system interface design. User evaluation shows that the system design is good enough and can meet user needs. It is hoped that there will be provision of supporting facilities and infrastructure and the system can be developed according to the needs of the Posyandu."

"Salah satu penyebab kesakitan dan kematian ibu adalah masih rendahnyapengetahuan ibu hamil. Guna mengatasi hal tersebut maka KementerianKesehatan RI merencanakan Kelas Ibu Hamil (KIH) yang bertujuan untukmeningkatkan pengetahuan ibu hamil. Penelitian ini dilakukan untuk mengetahuipengaruh KIH di Puskesmas Cipaku Kota Bogor terhadap pengetahuan kesehatanmaternal. Penelitian ini menggunakan metode penelitian kuantitatif gunamengetahui pengaruh KIH terhadap pengetahuan serta kualitatif untukmengetahui gambaran pelaksanaan KIH. Hasil penelitian menunjukanpeningkatan pengetahuan sesudah pelaksanaan KIH, dimana peningkatan lebihtinggi terjadi pada kelompok intervensi. Selain itu terjadi penurunan retensipengetahuan pada 7 hari setelah KIH sebesar 4%. Temuan kuantitatif ini didukungdengan temuan kualitatif yang menunjukan masih ditemukannya berbagaihambatan pada pelaksanaan KIH. Uji instrumen menunjukan kuesioner KIHbelum memiliki validitas dan reliabilitas yang baik sehingga perlu dilakukanperbaikan.

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One of the issues causing maternal morbidity and mortality is the lack of

knowledge among pregnant mothers. In order to overcome this problem, the

Ministry of Health of the Republic of Indonesia has planned a program named

Kelas Ibu Hamil (KIH) or a class for pregnant mothers designed to improve their

knowledge. This study aims at finding out the effects of KIH held at Puskesmas

Cipaku Kota Bogor – on knowledge about maternal health. Using quantitative

method, this study discovers how KIH affects knowledge; meanwhile, the

qualitative method describes the implementation of KIH at this particular area.

Results indicate increasing knowledge among pregnant mothers after the

implementation of KIH, as more considerable improvemens were found within

exposed group. However, 7 days after KIH, their knowledge retention decreased

4%. These quantitative results are supported by some qualitative findings, which

indicate several obstacles coming across the program. Instrument test shows that

the validity and reliability of the KIH questionnaire has not yet been confirmed

yet, therefore requires further improvements"

"Setelah dilaksanakan Program Jampersal cakupan linakes Puskesmas Cipaku tahun 2012 sebesar 76,8%, dibawah cakupan Dinkes Kota Bogor 88,8%, rujukkan resiko tinggi sebanyak 90,9%. KB pasca salin pengguna Jampersal hanya 7%. Penelitian bertujuan mengidentifikasi determinan pemanfaatan Jampersal. Jenis penelitian cross sectional, Informasi melalui wawancara kepada 145 responden. Hasilnya pengetahuan, sikap ,dukungan keluarga, dukungan tenaga kesehatan berhubungan dengan pemanfaatan Jampersal, dukungan keluarga determinan dominan terhadap pemanfaatan Jampersal (Pv=0,000 OR=12,048 95% CI (4,568-31,777). Disarankan Dinkes mengajak BPS meningkatkan partisipasinya mendukung Jampersal, peningkatan keterampilan bidan dalam konseling KB. Sosialisasi melalui ANC dan kelas ibu. Dukungan keluarga dibutuhkan dalam mempersiapkan administrasi dan mendampingi saat pemeriksaan.

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Once implemented birth assisted by skilled health personnel in Health Center Program Cipaku Jampersal coverage in 2012 of 76.8%, under the scope of Bogor City Health Office 88.8%, referral high risk as much as 90.9% higher. KB post partum beneficiaries Jampersal only 7%. The research aims to identify the determinants of utilization Jampersal. Type of cross-sectional studies, information obtained through interviews with 145 respondents. Results of the study of knowledge, attitude, family support, health support personnel associated with the use of Jampersal, family support dominant determinant of the utilization Jampersal (Pv = 0.000 OR = 12.048 95% CI (4.568 to 31.777). Suggested Health Office invites privately practicing midwives increase participation Jampersal support, skills midwives in family planning counseling. midwives are expected to socialize through the ANC and the ?kelas ibu?. Needed family support and assist the administration in preparing for the hearing."

"Sistem Pencatatan dan Pelaporan Puskesmas (SP3) merupakan bagian dari SIK, yang telah diakui sebagai sumber data yang berasal dari Puskesmas. SP3 telah diberlakukan tahun 1981 dengan SK Menkes No.63/Menkes/SK/II/1981 dengan Petunjuk pelaksanaan SK dari Dirjen Binkesmas No.143/Binkesmas/Dj/III/1981. Dalam perjalanannya sistem pencatatan dan pelaporan Puskesmas (SP3) mengalami pemantapan, hasilnya tertuang dalam SK. Dirjen Binkesmas No. 590/BM/DJ/Info/V/96 tanggal 10 Mei 1996 dengan dua komitmen terpenting menurut penulis yaitu menghindari format lain diluar SP3 dan pembinaan SP3 berjenjang. Hasil penjajakan awal di lapangan di Kab. Karawang, tenyata ditemukan beberapa kendala pemanfaatan SP3 belum berjalan seperti yang diharapkan, diantaranya tumpang tindihnya laporan SP3 dengan laporan program lain, mekanisme alur pelaporan SP3 dan UPTD Puskesmas ke Dinas Kesehatan belum tertata dengan baik, ketidak tahuan tentang system operation prosedur (SOP), tidak adanya bimbingan SP3 secara berjenjang. Penulis meneliti apakah yang menyebabkan hambatan alur pelaporan dari Puskesmas ke Dinas Kesehatan dan tidak adanya proses analisa data, umpan balik serta pembinaan teknis secara berjenjang. Tujuan penulisan ini diharapkan tersedianya jaringan informasi kesehatan untuk kelancaran dan kelangsungan SP3 dan tersedianya SOP. Rancangan penelitian dengan menggunakan metode kualitatif, dengan pendekatan evaluatif terhadap aspek review program SP3 yang saat ini berjalan di Dinas Kesehatan Kabupaten Karawang. Cara pengukurannya yaitu melalui hasil observasi langsung dengan menggunakan "Cheklist" dan melalui hasil olahan brain storming, wawancara mendalam serta work shop. Hasil yang diperoleh penelitian yaitu tersedianya mekanisme alur pelaporan SP3 dan SOPnya. Tersedianya tenaga pengelola SP3 dan sarana komputer di lingkungan Dinas Kesehatan maupun di UPTD Puskesmas, sangat memungkinkan untuk dikembangkannya jaringan informasi kesehatan pada SP3. Restukturisasi Organisasi dan Tata Kerja Dinas Kabupaten Karawang, memacu untuk menata kembali TUPOKSI para pengelola SP3 di tingkat Kabupaten maupun di tingkat UPTD Puskesmas. Untuk mengoptimalkan jaringan informasi kesehatan pada SP3 maka penulis menyarankan: Dinas Kesehatan Kabupaten Karawang dalam mengoptimalkan pelaksanaan SP3 dengan sistem jaringan informasi berbasis komputer maka diperlukan adanya peningkatan dan penambahan tenaga operator, teknisi komputer serta peningkatan kualitas komputer. Dan untuk para peneliti lain diharapkan adanya penelitian lanjutan tentang kebutuhan data esensial SP3 dan pembuatan software SP3 untuk tingkat Puskesmas yang langsung akses ke tingkat Kabupaten dan ke tingkat Propinsi.

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Health Information Network Design on Recording and Reporting System of Public Health Care at Karawang Regency Government Health ServiceThe recording and reporting system of Public Health Care (SP3) is a part of Health Information System (SIK) which has been accepted as data resource of the public health care. SP3 has been accepted legally in 1981 by health minister deuce No. 63/Menkes/SK/II/1981 completed with operational direction from Public Health Guide General Directorate No.143/Binkesmas/Dj/III/1981. The application on recording and reporting system of Public Health Care has been developed and its result written in Public Health Guide General Directorate Decree No. 590/BM/DJ/Info/V/96 dated on May, 10, 1996. According to writer the last decree consists of two commitments i. e. to avoid other forms and to practice Recording and Reporting System of Public Health (SP3) itself gradually.

The early result before the field in Karawang Regency, really has been found some hindrances in the usage of recording and reporting system of Public Health Care (SP3). It has not been running smoothly as Ls, expected. Among of them are found some complicated records and reports which missed with other matters, the mechanism of SP3 current from Public Health Care to government Health Service has not been well, the ignorance about procedure operation system (SOP) and no guidance on SP3 gradually.

The has researched that the cause of hindrance on reporting current from Public Health Care to Government health service and the absence of data analyzing process are feed back to gradual technical guidance. This writing target expects the Health Information Network is available; the continuation of SP3 and the SOP is available. The design researches by using qualified method with evaluation tsipproach on recording and reporting system of Public Health Care are applied. Recently research designing by using qualified method with approach to SP3 Program Review Aspect is running well in Government Service of Karawang Regency. How to measure are through live observation result with using checklist and by brain storming result, by intensive interviews and by workshop.

The result of the research gets the availability of current mechanism for SP3 and for SOP. The availabilities of skillful men and computers for SP3 in Government Health Service and at Public Care must have great possibility for developing of health information network at SP3. The organization Restructure on Government in Karawang Regency will give spirit to set up again the man for SP3 in Regency level and at Public Health Care level. To maximize the health information network at SP3 the writer suggests to Government Health Service of Karawang Regency in order to maximize SP3 application by computer base information network system of course are needed the increase and the addition of operators, computer technicians, and the increase of computer quality itself. And to other researchers, the writer expects the existence of continuous researches about SP3 software products for Public Health Care which has access straightly to regency and province level."

"ABSTRAKPenelitian ini bertujuan untuk menganalisis rujukan rawat jalan kasus non spesialistik di Puskesmas Beji dan Puskesmas Depok Jaya. Penelitian ini menggunakan metode kualitatif, dengan menggunakan data primer berupa wawancara mendalam, dan data sekunder dengan telaah dokumen. Hasil penelitian menunjukkan bahwa di Puskesmas Beji dan Puskesmas Depok Jaya memiliki rasio rujukan rawat jalan kasus non spesialistik yang optimal yaitu sebesar 0 , hal ini disebabkan karena dokter di kedua puskesmas memiliki kesadaran tinggi untuk memberikan rujukan sesuai indikasi, dan terdapat feedback dari BPJS terkait dengan capaian rasio rujukan rawat jalan kasus non spesialistik. Dokter di Puskesmas Beji dan Puskesmas Depok Jaya memiliki keterampilan dan pengetahuan yang baik serta memiliki lama kerja sebagai dokter yang cukup panjang. Jumlah dokter di Puskesmas Beji dan Puskesmas Depok Jaya masih belum cukup sesuai dengan analisis beban kerja. Pelatihan dibutuhkan oleh dokter non PNS. Peralatan di kedua puskesmas masih kurang lengkap. Obat di kedua puskesmas sudah lengkap namun terkadang terjadi kekosongan obat.

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ABSTRACTThis study aims to analyze non specialist referral cases at Beji Puskesmas and Puskesmas Depok Jaya.This study uses a qualitative approach, by using secondary data from primary care and in depth interviews. The results of this study found that Puskesmas Beji and Puskesmas Depok Jaya have good non specialist referral ratio, which is 0 . This due to doctors in both puskesmas have high awareness to give referrals according to patient rsquo s diagnosis, and there is Feedback from BPJS related to the achievement of non specialist referral ratio. Doctors at Puskesmas Beji and Puskesmas Depok Jaya have good skills and knowledge, and have long working period as a doctors. Amount of doctors at Puskesmas Beji and Puskesmas Depok Jaya is still not ideal.Training is required by non civil servant physicians. Equipment at both puskesmas is still incomplete. The medicine in both puskesmas is complete but sometimes the medicine vacuum occurs. "

"Kementerian Kesehatan melaksanakan program peningkatan kinerja sumber dayakesehatan melalui pendidikan dan pelatihan; khususnya pelatihan tenaga pelayanankesehatan tradisional; melalui pelatihan pelayanan akupresur bagi Puskesmas; namunpelayanan akupresur belum berjalan di Puskesmas. Di Kota Jakarta Selatan Puskesmasyang sudah menyelenggarakan pelayanan akupresur hanya dua 2 . Penelitian ini adalahpenelitian kualitatif; dan bertujuan untuk menganalisis kebijakan dan implementasipelaksanaan pelayanan akupresur di Puskesmas serta hambatannya. Informan dalampenelitian berjumlah 11 orang; yaitu Kementerian Kesehatan; Sudinkes Jakarta Selatan;Kepala Puskesmas; Dokter poli; pelaksana program. Metode pengumpulan data melaluiWM dan telaah dokumen. Hasil penelitian dari komponen input sudah berjalan; adanyadukungan Kepala Puskesmas; SOP pelayanan; dan SK penugasan namun belum optimalrotasi staf menjadi salah satu kendala; komponen output dan outcome belum optimal.Aspek komunikasi kejelasan dan konsistensi belum efektif tentang informasi regulasikebijakan yang ada dari penentu kebijakan kepada pelaksana; aspek pembiayaan belumdidukung peraturan daerah; aspek birokrasi masih kurang koordinasi dan sosialisasikebijakan dari Dinas Kesehatan ke Sudinkes dan Puskesmas.

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The Ministry of Health is implementing programs to improve the performance of healthresources through education and training; especially training of traditional health careworkers; through the training of acupressure services for Primary Health Care; butacupressure service has not been run in Primary Health Care. In South Jakarta; PrimaryHealth Care that have been providing acupressure service are only two 2. Thisresearch is a qualitative research; and aims to analyze the policy and implementation ofacupressure service in Primary Health Care and its obstacles. Informants in the studyamounted to 11 people; namely the Ministry of Health; Sudinkes South Jakarta; Head ofPrimary Health Care; Doctor; program implementer. Methods of data collection throughWM and document review.

The result of research of input component have beenrunning; existence of support of Head of Puskesmas; service SOP; and SK ofassignment but not optimal rotation of staff become one of obstacle; component ofoutput and outcome not yet optimally. The communication aspect clarity andconsistency has not been effective about the existing policy regulation informationfrom the policy makers to the implementers; the financing aspect has not been supportedby local regulations; the bureaucratic aspects are still lacking coordination and thepolicy socialization from the Health Service to tribe of health service and PrimaryHealth Care. "

"Peningkatan kinerja pelayanan KIA tidak disertai dengan penurunan AKI dan AKB di Indonesia. Terjadi peningkatan AKI dan AKB di Kota Bogor pada tahun tahun 2013. Penelitian ini bertujuan untuk mengetahui faktor manajerial kinerja pelayanan KIA Puskesmas Cipaku dan Pasir Mulya, menggunakan metode studi kasus dengan kerangka berpikir EFQM. Lima belas orang bidan diwawancarai sebagai informan kunci. Informan pelengkap berjumlah 30 orang (pimpinan, petugas promkes, kader dan pasien). Observasi dan telaah dokumen juga dilakukan sebagai triangulasi. Pola kepemimpinan yang berbeda memberikannuansa manajerial yang berbeda bagi kedua puskesmas. Faktor kontekstual yang menjadi pembeda adalah budaya masyarakat.Improvement in MCH service performance was not followed by a reduction in MMR and IMR in Indonesia. In 2013, MMR and IMR at Bogor City were increased. The objective of this study was to determine the managerial performance of MCH services at Cipaku and Pasir Mulya Public Health Centre, implementing the case study method in EFQM framework. Fifteen midwives were interviewed as key informants. The complementary informants were 30 people (leaders, Promkes officers, cadres and the patient). Observation and document analysis were also conducted as triangulation. Differences in leadership style also provide a different managerial nuances for each Public Health Centre. Contextual factor that distinguished both of Public Health Centre is the culture of the community."

"Tesis ini membahas tentang kelayakan rujukan oleh bidan Puskesmas Poned Kota di RSUD Pirngadi Medan Tahun 2012. Penelitian ini adalah penelitian kuantitatif dengan desain cross sectional. Sampel pada penelitian ini adalah seluruh kasus rujukan yang dirujuk ke RSUD Pirngadi berjumlah 136 kasus rujukan, dan dilengkapi dengan informasi dari 17 orang bidan di 6 Puskesmas Poned. Data primer diambil dengan wawancara menggunakan kuesioner, daftar ceklist dan data sekunder menggunakan data rekam medis RSUD Pirngadi Medan. Ada 75,7% kasus rujukan persalinan yang layak dirujuk dan 24,3% kasus rujukan persalinan yang tidak layak dirujuk.

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This study analyzed the referral feasibility by Poned Health Centres midwives in Pirngadi Medan Hospital in 2012. This is a quantitative research using cross sectional design. Sample in this study are all referral cases referred to Pirngadi Hospital 136 cases and supplemented by information from 17 midwives in 6 Poned Health Centre. Data used a questionnaire, checklist, and medical record. There were 75,7% of the cases referred to decent referral and 24,3% of cases referral is not feasible referenced."