Characteristics of Agents Implementers to Performance Health Policy Implementation Mother and Children in East Nusa Tenggara

Abstract

The facts show that the performance of health service policy implementation from the aspect of output and the results of the policy is not in line with expectations. Mothers checked their pregnancy to a health facility was still low, the delivery assistance by the maternity shaman and the husband's support were still low. K1 coverage is 88.88%, while K4 coverage is 63.9%, national target is 85.85%. Delivery assistance by health workers in 2016 reached 88.10%, delivery assistance by shamans 11.90%. This condition will have a direct influence on the Human Development Index in the Province of East Nusa Tenggara, where the position of the Province of East Nusa Tenggara is still in the order of 32 out of 34 provinces in Indonesia at 68.77. The implementation of maternal and child health policies in East Nusa Tenggara has not been successfully influenced by the characteristics of the implementing agents. Individual and organizational characteristics in the implementation process are timely, high competence (Wahab, 2014). Characteristics of implementing organizations include the capacity of Community Health centers including implementing competencies, community social support, and political support. The purpose of the study was to identify the effect of implementing agent characteristics on the performance of the implementation of maternal and child health policies in East Nusa Tenggara. This research uses quantitative methods, conducted in 11 districts, 104 health centers and 235 health workers in East Nusa Tenggara province, collecting data using a questionnaire. The results of the research support the implementation agent characteristics are quite good, there is a good alignment between the performance of the MCH policy and the characteristics of the implementing agent in the good category. There is a strong and positive correlation between the characteristics of the implementing agent and the performance of the policy implementation (p = 0.00), the correlation coefficient is 0.518. The pattern of harmony in the relationship where if the higher the characteristics of the agent implementing the policy, the performance of the policy will also be higher. There is a variable effect of implementing agent characteristics on MCH policy performance (t count = 8.276> t table 1.97). The conclusions of the characteristics of health service implementing agencies in East Nusa Tenggara Province are quite good, the performance of policy implementation categories is good and there is a significant and positive influence between the characteristics of service implementing agencies and the performance of policy implementation. Keywords: Performance, Health Policy Implementation, Mother and Children.