Abstract

Upaya menurunkan kematian ibu menjadi prioritas utama program pembangunan kesehatan nasional. Pelayanan antenatal care (ANC) menjadi bagian dari “Empat Pilar Safe Motherhood” sebagai kebijakan Kementerian Kesehatan untuk mempercepat penurunan angka kematian ibu (AKI). Kualitas layanan ANC dari aspek kinerja bidan di desa diukur antara lain dengan parameter tingkat kepatuhan terhadap standar ANC dalam memberikan kepuasan kepada ibu hamil. Penelitian ini bertujuan untuk mengetahui berbagai faktor yang berhubungan dengan kepatuhan bidan di desa terhadap standar ANC. Desain penelitian cross sectional ini menggunakan data sekunder Dinas Kesehatan Kabupaten Muaro Jambi dengan sampel 165 bidan di desa. Penelitian ini menemukan tingkat kepatuhan bidan di desa terhadap standar ANC masih di bawah standar minimal sekitar 74,28%. Berbagai faktor yang memengaruhi tingkat kepatuhan bidan di desa terhadap standar ANC adalah supervisi, pengetahuan, dan komitmen organisasi. Supervisi merupakan faktor yang paling dominan dan faktor pengetahuan merupakan perancu hubungan faktor supervisi dan komitmen organisasi dengan tingkat kepatuhan terhadap standar ANC. Disarankan untuk melaksanakan upaya supervisi secara kontinu dan komprehensif diawali dari pengukuran tingkat kepatuhan, mengidentifikasi permasalahan, melakukan upaya perbaikan, dan memberikan umpan balik sehingga mutu pelayanan kesehatan khususnya ANC dapat terus ditingkatkan.

Efforts to reduce maternal mortality is national health development program priority. Antenatal care (ANC) became part of the “Four Pillars of Safe Motherhood” as a policy of the Ministry of Health to accelerate the reducing of maternal mortality rate (MMR). The quality of ANC in terms of performance of services are measured by village midwives compliance towards the ANC standards in giving satisfaction to pregnant women. This study aimed at identifyng factors that influenced compliance rate of village midwifes towards ANC standards. This is a cross sectional study using secondary data from District Health Office Muaro Jambi, using 165 village midwifes as sample. This study found that compliance rate of village midwifes is still below the minimum ANC standard, 74,28%. This study proved that factors that influence compliance of village midwifes to ANC standards are supervision, knowledge, and organizational commitment. Supervision is the most dominant factor and knowledge is the confounder factor in the relationship between supervision and organizational commitment to compliance towards ANC standards. It is recommended to carry out continuously and comprehensive supervision by measuring compliance, identify problems, make improvements, and provide feedback so that quality of health care especially ANC could continously improved.

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