PERFORMANCE OF HEALTH OFFICE MAMBERAMO CENTRAL DISTRICT IN THE MOTHER AND CHILD HEALTH PROGRAM

Abstract

The coverage of maternal and child health programs in the district health offices of Central Mamberamo is still low based on indicator of minimum service standard that has been determined from the Ministry of Health of the Republic of Indonesia. This study aims to analyze the performance of Central Mamberamo District Health Office on Maternal and Child Health Program (KIA). The research method is qualitative with case study approach. The informants were 12 people who were the leaders and implementers of maternal and child health programs in the health offices and puskesmas. Data collection through observation, document review and in-depth interviews. Data analysis using content analysis. The result of the research shows that there are still some midwives of health center as an officer in health service program of mother and child have not been able and skilled in running the program and some officer do not have registration letter of midwife as health care quality assurance. The availability of funds is still lacking for some puskesmas and its use is not right on target. The allocation of funds is mostly for facilities and infrastructure and personnel expenditure. In addition there is a delay in the realization of the budget. Program supervision has not been run regularly and there is no integrated supervision team established by the health department. The process of planning of maternal and child health programs has not been maximized because the annual work plan has not been prepared by maternal and child health sectors and bottom up planning by puskesmas has not been done yet. It was concluded that the implementation of maternal and child health programs in the district health offices of Central Mamberamo has not run as expected.