Abstract
The Maternal Mortality Rate (MMR) is an indicator of the success of development in the health sector, it is stated in the third goal which one of the indicators for the third goal is to reduce maternal mortality. Based on Indonesia's demographic health survey (IDHS, 2012), the maternal mortality rate in Indonesia is 359 per 100,000 live births (BPS, 2012). Thus the need for hard work to achieve the SDGs goal is 70 per 100,000 live births (Ministry of Health, 2015). Of the 9 Kabupatens / Cities in Bali Province, Tabanan has the highest maternal mortality rate from the other districts. This study aims to determine the implementation of P4K in Tabanan district, to find out what factors influence the implementation of P4K in Tabanan Regency and how the strategies in implementing P4K in Tabanan Regency. The research locations are Pusuan I Health Center, Pupuan II Health Center, Marga II Health Center and Tabanan III Health Center. Data collection techniques in this study were in-depth interviews, document studies, and Focus Group Discussion (FGD). Then the data were analyzed by qualitative descriptive analysis, and SWOT analysis. According to the results obtained, the implementation of P4K in Tabanan district entered the sufficient category of 4 implementation variables according to George Edward III, communication variables and attitudinal and commitment variables of program implementers included in the category enough while the availability variables included in the good category, and bureaucratic structure variables entering into a very good category. The results of internal factor evaluation (IFE) and external factor evaluation (EFE) matrix analysis are in quadrant II which proves that an agency is strong but faces a big threat so that the ST strategy is suitable to be applied by using force to deal with threats.
Highlights
Corresponding Author: Ni Putu Suriyati Abstract: Received: 2019-01-06; Accepted 2019-01-27, The Maternal Mortality Rate (MMR) is an indicator of the success of development in the health sector, it is stated in the third goal which one of the indicators for the third goal is to reduce maternal mortality
In Tabanan District all puskesmas have implemented P4K according to government programs, and from reports given the scope of P4K implementation is good, of the 20 puskesmas in Tabanan Regency there are several health centers that have maternal mortality rates which cause maternal deaths in the puskesmas working area Many of these are caused by obstetrics such as bleeding, preeclampsia, and eclampsia, but there are those caused by non obstetrics such as Ca mamae which should be prevented by implementing P4K according to the standard
Factors that influence the implementation of P4K in Tabanan Regency
Summary
Corresponding Author: Ni Putu Suriyati Abstract: Received: 2019-01-06; Accepted 2019-01-27, The Maternal Mortality Rate (MMR) is an indicator of the success of development in the health sector, it is stated in the third goal which one of the indicators for the third goal is to reduce maternal mortality. In 2017 the maternal mortality rate in Tabanan Regency was 143.4 per 100,000 live births (Bali Provincial Health Office, 2017). In Tabanan District all puskesmas have implemented P4K according to government programs, and from reports given the scope of P4K implementation is good, of the 20 puskesmas in Tabanan Regency there are several health centers that have maternal mortality rates which cause maternal deaths in the puskesmas working area Many of these are caused by obstetrics such as bleeding, preeclampsia, and eclampsia, but there are those caused by non obstetrics such as Ca mamae which should be prevented by implementing P4K according to the standard. Based on the description above, the researcher was interested in examining how the implementation of the birth planning program and prevention of complications (P4K) to reduce maternal mortality in Tabanan Regency. George Edward III explained that there are four variables in implementation including communication, availability of resources, attitudes and commitment from program implementers and bureaucratic structures
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