HUBUNGAN PERSEPSI DENGAN PERAN DOKTER DALAM PELAYANAN MATERNAL DI PUSKESMAS KOTA YOGYAKARTA
Background: Indonesia Demographic and Health Survey (IDHS) 2012 showed that 83% births on Indonesia assisted by skilled birth attendant. Skilled birth attendant defined as Obstetrician, physician, nurse or midwife. There are about 55,000 physicians and 15,000 specialists in Indonesia, which 2,100 ar...
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| Format: | Thesis |
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[Yogyakarta] : Universitas Gadjah Mada
2014
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| author | , LUCKY MUHAMMAD HATTA , Prof.dr. Laksono Trisnantoro MSc, Ph.D. |
| author_facet | , LUCKY MUHAMMAD HATTA , Prof.dr. Laksono Trisnantoro MSc, Ph.D. |
| author_sort | , LUCKY MUHAMMAD HATTA |
| collection | UGM |
| description | Background: Indonesia Demographic and Health Survey (IDHS) 2012 showed that
83% births on Indonesia assisted by skilled birth attendant. Skilled birth attendant
defined as Obstetrician, physician, nurse or midwife. There are about 55,000
physicians and 15,000 specialists in Indonesia, which 2,100 are Obstetricians (World
Bank, 2009). The data showed that overall physicians birth attending less than 10%
after increase in the period 1987-2002 , and declined in 2002 (BPS, IDHS 2007) .
Recent data showed physician�s utilization only 1% (BPS, IDHS 2012).
Objective: to examine physician�s role in maternal care on Puskesmas, their
perceptions and opinions on maternal care.
Methods: a descriptive analytic design through a mixed method by cross sectional
approach. Quantitative data collection by questionnaire to 53% of physician�s
population on 18 Puskesmas as respondents on Yogyakarta City. The physician�s role
stately by perception of regulation, perception of resources/equipment, and perception
of workload as variables. Qualitative data retrieved from midwife and obstetrician
performed on their opinion of physician's role in maternal care on Puskesmas.
Quantitative Results: 8.3% of respondents good in criteria, 47.2% is quite good, and
44.4% unfavorable. In the variable resource / equipment 52.8 % of respondents stated
that the resources / equipment necessary to provide maternal care is still not complete
in their Puskesmas, 25% rate the resource / equipment is quite complete , and 22.2%
complete . In Workload Perception, 55.6% of respondents believe their workload at
the Puskesmas is thin, while 44.4 % thought their workload was generous. Perception
of regulation 72.2% physicians are very less or lower, 22.2% of respondent�s
perception is quite good, and 5.6% good. Qualitative Results: Physicians never do
assessment for ANC, INC and PNC, and �stand-in� as coordinator of BEONC Team
only.
Conclusion: The physician�s role in maternal has decreased in Yogyakarta�s
Puskesmas initiated by government regulation, role perception of the clinical
competence by pre-service training and in-service training deficit effects,
insufficiency remuneration, lack of role definition by HR policies outcomes on
maternal neonatal care.
Keywords: Physician�s Puskesmas, Maternal Care in Puskesmas, Physician�s Role,
Physician�s Perception, Physician�s Opinion |
| first_indexed | 2024-03-13T23:42:16Z |
| format | Thesis |
| id | oai:generic.eprints.org:134359 |
| institution | Universiti Gadjah Mada |
| last_indexed | 2024-03-13T23:42:16Z |
| publishDate | 2014 |
| publisher | [Yogyakarta] : Universitas Gadjah Mada |
| record_format | dspace |
| spelling | oai:generic.eprints.org:1343592016-03-04T07:58:20Z https://repository.ugm.ac.id/134359/ HUBUNGAN PERSEPSI DENGAN PERAN DOKTER DALAM PELAYANAN MATERNAL DI PUSKESMAS KOTA YOGYAKARTA , LUCKY MUHAMMAD HATTA , Prof.dr. Laksono Trisnantoro MSc, Ph.D. ETD Background: Indonesia Demographic and Health Survey (IDHS) 2012 showed that 83% births on Indonesia assisted by skilled birth attendant. Skilled birth attendant defined as Obstetrician, physician, nurse or midwife. There are about 55,000 physicians and 15,000 specialists in Indonesia, which 2,100 are Obstetricians (World Bank, 2009). The data showed that overall physicians birth attending less than 10% after increase in the period 1987-2002 , and declined in 2002 (BPS, IDHS 2007) . Recent data showed physician�s utilization only 1% (BPS, IDHS 2012). Objective: to examine physician�s role in maternal care on Puskesmas, their perceptions and opinions on maternal care. Methods: a descriptive analytic design through a mixed method by cross sectional approach. Quantitative data collection by questionnaire to 53% of physician�s population on 18 Puskesmas as respondents on Yogyakarta City. The physician�s role stately by perception of regulation, perception of resources/equipment, and perception of workload as variables. Qualitative data retrieved from midwife and obstetrician performed on their opinion of physician's role in maternal care on Puskesmas. Quantitative Results: 8.3% of respondents good in criteria, 47.2% is quite good, and 44.4% unfavorable. In the variable resource / equipment 52.8 % of respondents stated that the resources / equipment necessary to provide maternal care is still not complete in their Puskesmas, 25% rate the resource / equipment is quite complete , and 22.2% complete . In Workload Perception, 55.6% of respondents believe their workload at the Puskesmas is thin, while 44.4 % thought their workload was generous. Perception of regulation 72.2% physicians are very less or lower, 22.2% of respondent�s perception is quite good, and 5.6% good. Qualitative Results: Physicians never do assessment for ANC, INC and PNC, and �stand-in� as coordinator of BEONC Team only. Conclusion: The physician�s role in maternal has decreased in Yogyakarta�s Puskesmas initiated by government regulation, role perception of the clinical competence by pre-service training and in-service training deficit effects, insufficiency remuneration, lack of role definition by HR policies outcomes on maternal neonatal care. Keywords: Physician�s Puskesmas, Maternal Care in Puskesmas, Physician�s Role, Physician�s Perception, Physician�s Opinion [Yogyakarta] : Universitas Gadjah Mada 2014 Thesis NonPeerReviewed , LUCKY MUHAMMAD HATTA and , Prof.dr. Laksono Trisnantoro MSc, Ph.D. (2014) HUBUNGAN PERSEPSI DENGAN PERAN DOKTER DALAM PELAYANAN MATERNAL DI PUSKESMAS KOTA YOGYAKARTA. UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=75990 |
| spellingShingle | ETD , LUCKY MUHAMMAD HATTA , Prof.dr. Laksono Trisnantoro MSc, Ph.D. HUBUNGAN PERSEPSI DENGAN PERAN DOKTER DALAM PELAYANAN MATERNAL DI PUSKESMAS KOTA YOGYAKARTA |
| title | HUBUNGAN PERSEPSI DENGAN PERAN DOKTER DALAM PELAYANAN MATERNAL DI PUSKESMAS KOTA YOGYAKARTA |
| title_full | HUBUNGAN PERSEPSI DENGAN PERAN DOKTER DALAM PELAYANAN MATERNAL DI PUSKESMAS KOTA YOGYAKARTA |
| title_fullStr | HUBUNGAN PERSEPSI DENGAN PERAN DOKTER DALAM PELAYANAN MATERNAL DI PUSKESMAS KOTA YOGYAKARTA |
| title_full_unstemmed | HUBUNGAN PERSEPSI DENGAN PERAN DOKTER DALAM PELAYANAN MATERNAL DI PUSKESMAS KOTA YOGYAKARTA |
| title_short | HUBUNGAN PERSEPSI DENGAN PERAN DOKTER DALAM PELAYANAN MATERNAL DI PUSKESMAS KOTA YOGYAKARTA |
| title_sort | hubungan persepsi dengan peran dokter dalam pelayanan maternal di puskesmas kota yogyakarta |
| topic | ETD |
| work_keys_str_mv | AT luckymuhammadhatta hubunganpersepsidenganperandokterdalampelayananmaternaldipuskesmaskotayogyakarta AT profdrlaksonotrisnantoromscphd hubunganpersepsidenganperandokterdalampelayananmaternaldipuskesmaskotayogyakarta |