"[
ABSTRAKDiperkirakan 15-20% kehamilan dan persalinan akan mengalami komplikasi.
Puskesmas mampu Pelayanan Obstetri Neonatal Emergensi Dasar (PONED)
sebagai sarana untuk mendekatkan pelayanan terhadap ibu hamil, bersalin dan
nifas. Kabupaten Bogor mempunyai 40 Puskesmas dan 22 diantaranya termasuk
kategori Puskesmas PONED. Puskesmas mampu PONED Parung mempunyai
cakupan penanganan komplikasi yang tinggi (77,7%) , sedangkan Puskesmas
mampu PONED Cileungsi mempunyai cakupan penanganan komplikasi
kebidanan yang rendah (50,7%). Menurut teori Edwards III , implementasi
kebijakan berfokus pada 4 variabel yaitu : komunikasi, sumber daya, disposisi,
dan struktur birokrasi.Rancangan penelitian yaitu penelitian kualitatif. Lokasi
penelitian di Dinas Kesehatan Kabupaten Bogor, Puskesmas mampu PONED
Parung dan Puskesmas mampu PONED Cileungsi.
Hasil penelitian menunjukkan untuk variabel sumber daya, Faktor sumber daya
manusia (kompetensi yang tidak merata) menjadi faktor dominan dalam
penanganan komplikasi kebidanan di Puskesmas mampu PONED. Untuk variabel
komunikasi Faktor koordinasi menjadi faktor dominan dalam penanganan
komplikasi kebidanan di Puskesmas mampu PONED. Untuk variabel struktur
birokrasi didapatkan, struktur organisasi di Puskesmas mampu PONED Parung
dan Cileungsi belum lengkap karena tidak melibatkan perawat dan belum adanya
pemisahan strukur organisasi PONED di Puskesmas Cileungsi. Untuk variabel
disposisi diperlukan peningkatan komitmen petugas Puskesmas terutama di
Puskesmas mampu PONED Cileungsi terkait dengan penanganan komplikasi
kebidanan di PONED.
ABSTRACTAn estimated 15-20% of pregnancies and childbirth can develop into
complications. Basic Emergency Obstetric and Neonatal Care (BEONC) facilities
as a means to bring services to mothers during pregnancy, labor or delivery, and
post partum period. Bogor Regency has 40 Primary Health Cares (PHCs), 22 of
them categorized as BEONC. Parung PHC is a BEONC facility with a high
coverage in complication handling (77,7%), while Cileungsi PHC is a BEONC
facility with a low coverage in complication handling (50,7%). According to the
theory of Edwards III, policy implementation focuses on four variables, such as :
communication, resources, disposition, and bureaucratic structure.The design of
the research is a qualitative research. The location of the research in Bogor
District?s Health Office , Parung and Cileungsi BEONC PHC .
The results of the study showed that in the variables of Resources, the human
resources (uneven competence) becomes the dominant factor in complications
handling BEONC facilities. In the communication variables, the dominant factor
in BEmOC facilities complications handling is coordination. In the variables of
bureaucratic structure, the organization?s structure in both Parung and Cileungsi
PHC is incomplete because it does not include nurses, and in Cileungsi PHC the
BEONC structure has not separated yet. In the variables of disposition, an
increased commitment of health officers in complication handling is required
especially in Cileungsi PHC., An estimated 15-20% of pregnancies and childbirth can develop into
complications. Basic Emergency Obstetric and Neonatal Care (BEONC) facilities
as a means to bring services to mothers during pregnancy, labor or delivery, and
post partum period. Bogor Regency has 40 Primary Health Cares (PHCs), 22 of
them categorized as BEONC. Parung PHC is a BEONC facility with a high
coverage in complication handling (77,7%), while Cileungsi PHC is a BEONC
facility with a low coverage in complication handling (50,7%). According to the
theory of Edwards III, policy implementation focuses on four variables, such as :
communication, resources, disposition, and bureaucratic structure.The design of
the research is a qualitative research. The location of the research in Bogor
District’s Health Office , Parung and Cileungsi BEONC PHC .
The results of the study showed that in the variables of Resources, the human
resources (uneven competence) becomes the dominant factor in complications
handling BEONC facilities. In the communication variables, the dominant factor
in BEmOC facilities complications handling is coordination. In the variables of
bureaucratic structure, the organization’s structure in both Parung and Cileungsi
PHC is incomplete because it does not include nurses, and in Cileungsi PHC the
BEONC structure has not separated yet. In the variables of disposition, an
increased commitment of health officers in complication handling is required
especially in Cileungsi PHC.]"
