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Hasil Pencarian

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Ika Murtiyarini
"Salah satu upaya pemerintah dalam meningkatkan pemberian ASI di
Indonesia adalah dengan memberikan konseling menyusui di pelayanan
kesehatan. Penelitian perlu dilakukan untuk mengevaluasi pelaksanaan
konseling menyusui di Kota Jambi dengan mengeksplorasi komponen in-
put, activity, output, dan outcome. Penelitian ini merupakan penelitian kuali-
tatif menggunakan strategi studi kasus. Penelitian dilakukan di empat
puskesmas Kota Jambi pada bulan Desember 2013 sampai dengan
Februari 2014. Pengumpulan data dilakukan dengan studi dokumen, ob-
servasi pelaksanaan konseling menyusui dan sarana prasarana, wawan-
cara mendalam, serta focus group discussion. Analisis data yang digunakan
adalah analisis tematik. Hasil penelitian menunjukkan bahwa komponen in-
put dan activity kurang optimal seperti kurangnya sumber daya manusia,
keterbatasan sarana prasarana, belum ada petunjuk teknis pelaksanaan
konseling menyusui, belum ada pemantauan pascapelatihan, kurangnya
komitmen personal konselor, belum ada penegasan program, serta lemah-
nya pengawasan. Komponen output masih kurang baik, terlihat pada belum
terdapat data jumlah klien yang diberi konseling menyusui dan jumlah moni-
toring/supervisi. Komponen outcome menunjukkan bahwa kepuasan klien
konseling menyusui kurang. Pelaksanaan konseling menyusui di Kota
Jambi masih kurang optimal. Terlihat dari komponen input masih kurang
memadai, komponen activity belum berjalan optimal, sedangkan komponen
output dan komponen outcome belum mencapai hasil yang diharapkan.
The government?s efforts in improving breastfeeding in Indonesia is to pro-
vide breastfeeding counseling services in health care especially at primary
health care centre. Therefore it is necessary to evaluate the implementation
of breastfeeding counseling in the City of Jambi by exploring its input, ac-
tivity, output, and outcomes components. This study was a qualitative re-
search using case study strategy. The study was conducted in four health
centers City of Jambi during December 2013 to February 2014. Data were
collected through document study, breastfeeding counseling and execution
infrastructure observation, in-depth interviews, and focus group discussion.
Data analysis includes transcription, reduction, coding, categorizing,
themes, and interpretation of research results. The results showed that the
component inputs and activity were not done optimally due to a lack of hu-
man resources, infrastructure limitations, unavailability of technical guide-
lines, non-existence of post training monitoring or supervision, lack of coun-
selor?s personal commitment, lack of program clarity, as well as poor mana-
gement and supervision of the health department. A service output were not
also good as indicated by data unavailability of clients served and none of
monitoring has been conducted. Outcome component showed that there
were still a lack of client satisfaction and resolved breastfeeding problems
after acquiring breastfeeding counseling as an conclusion, implementation
of breastfeeding counseling in the City of Jambi is still less than optimal,
seen from the input components is still inadequate, activity components are
not yet optimal, while the outputs and outcomes components not achieving
the expected."
Jurusan Kebidanan Politeknik Kesehatan Kementerian Kesehatan Jambi, 2014
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Artikel Jurnal  Universitas Indonesia Library
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Mina Yumei Santi
"Pada tahun 2011, di Provinsi Daerah Istimewa Yogyakarta, Kabupaten
Bantul mempunyai jumlah tenaga bidan konselor ASI terbanyak, tetapi
cakupan ASI eksklusif masih menempati urutan terendah ketiga. Tujuan
penelitian ini untuk menganalisis implementasi kebijakan pemberian ASI
eksklusif melalui konseling oleh bidan konselor ASI berdasarkan faktor dis-
posisi dan struktur birokrasi di puskesmas wilayah Kabupaten Bantul.
Penelitian deskriptif kualitatif ini mengambil informan penelitian secara pur-
posive dengan informan utama adalah empat orang bidan konselor ASI.
Informan triangulasi adalah empat bidan koordinator, Kasie Gizi Dinas
Kesehatan Kabupaten Bantul, empat kepala puskesmas, dan 12 orang ibu
yang melakukan pemeriksaan kehamilan, nifas dan imunisasi bayi ke
puskesmas terpilih. Data dikumpulkan dengan teknik wawancara men-
dalam. Pengolahan dan analisis data menggunakan analisis isi. Hasil
penelitian menemukan implementasi kebijakan pemberian ASI melalui kon-
seling ASI di puskesmas belum berjalan optimal, disposisi/ sikap bidan kon-
selor ASI adalah menyetujui tugas memberikan konseling ASI. Dinas
Kesehatan Kabupaten Bantul disarankan menyusun SOP pelaksanaan
konseling ASI dan puskesmas disarankan melaporkan kinerja bidan kon-
selor ASI ke dinas kesehatan.
Bantul is a district that has the highest number of midwives counselor of
breastfeeding in Yogyakarta Province with 40 persons but the exclusive
breastfeeding coverage of this district was the third lowest in 2011. The
study aimed to analyze the policy implementation of exclusive breastfeed-
ing counseling by midwives counselor of breastfeeding based on disposition
and bureaucratic structure factors at Public Health Centers in Bantul district.
Design of this study was descriptive qualitative using a purposive sampling.
The main informants were four midwives counselor of breastfeeding in
health centers and triangulation informants namely four head of health cen-
ters, four coordinator of midwives, a head of nutrition section and 12 moth-
ers i.e.pregnant women, postpartum mothers and mothers of infants that
are immunized at health center. Data were collected from in-depth interview.
Processing and analysis of data by using content analysis. The result of this
study shows that breastfeeding policy implementation through breastfeed-
ing counseling in health centers is not optimal, the midwives counselor of
breastfeeding agreed to do breastfeeding counseling. It is suggested to
Bantul Regency Health to formulate standard operating procedures of mid-
wife counselor of breastfeeding and for the health centers to reports the per-
formance of midwives counselor of breastfeeding to regency health."
Jurusan Kebidanan Politeknik Kesehatan Kementerian Kesehatan Yogyakarta, 2014
PDF
Artikel Jurnal  Universitas Indonesia Library