Implementasi Program Puskesmas Pelayanan Obstetri Neonatal Emergensi Dasar (PONED) di Kabupaten Lebak

Authors

  • Priyono Priyono Tribhuwana Tunggadewi University
  • Ika Cahyaningrum

DOI:

https://doi.org/10.36565/jab.v11i1.446

Keywords:

implementation, PONED health centers, program

Abstract

Maternal Mortality Rate (MMR) is one indicator in looking at existing health problems. MMR in Indonesia is still high. In reducing MMR, the government established a PONED Health Centers (Basic Emergency Neonatal Obstetric Service). The PONED Health Centers must be well implemented to contribute to the reduction of MMR. The purpose of the study was to analyze the implementation of the PONED Public Health Centers in Lebak Regency in terms of input, process, output, and outcome. This research method is qualitative, using a case study approach. The sampling technique used is purposive sampling. The population in this study were 36 PONED Public Health Centers. The sampling technique used is purposive sampling. Participants in the study were the head of the puskesmas and the PONED team from the Rangkasbitung Health Center, Kalanganyar Health Center, Warunggunung Health Center, Bojongmanik Health Center, and Cileles Health Center. In-depth interviews were conducted with ten informants, including representatives from the PONED Core team. In addition to interviews, the data collection process was by filling out checklists and medical record data. The research results found that the human resources of the PONED Health Center have not been fully certified, and the readiness of the service by the 24-hour guard team in 1 day was not optimal; the evaluation of infrastructure facilities in several PONED Centers requires improvement. The evaluation results found that maternal services in several PONED Health Centers still need improvement. The referral system at the PONED Health Center has been running, and the Jamilah program has become an icon of the Bojongmanik Health Center. Some of the conditions that cause MMR are mainly caused by other diseases; the rest are bleeding, hypertension, and blood circulation disorders

Author Biography

Priyono Priyono, Tribhuwana Tunggadewi University

Faculty of Health Sciences, lecture

References

Ali, S. A., Dero, A. A., Ali, S. A., & Ali, G. B. (2018). Factors affecting the utilization of antenatal care among pregnant women : A literature review . Utilization of. 2(2), 41–45.

Cristina, et al. (2013). Evaluasi Pelayanan Kegawatdaruratan Maternal Neonatal Pada Puskesmas Mampu Pelayanan Obstetri Dan Neonatal Emergensi Dasar (Poned) di Kabupaten Bantul. Kebijakan Kesehat Indonesia, 2(1), 1–9.

Desita. (2012). Evaluasi Pelayanan Obstetri dan Emegensi Dasar di Puskesmas Karang Malang Semarang. Jurnal Kesehatan Masyarakat, 1(2), 126–132.

Direktorat Bina Pelayanan Keperawatan dan Teknis Medik. (2011). Standar pelayanan keperawatan gawat darurat di rumah sakit. Kementrian Kesehatan RI.

Ipa, M., Prasetyo, D. A., & Kasnodihardjo, K. (2017). Praktik Budaya Perawatan Dalam Kehamilan Persalinan Dan Nifas Pada Etnik Baduy Dalam. Jurnal Kesehatan Reproduksi, 7(1). https://doi.org/10.22435/kespro.v7i1.5097.25-36

Ismiyati. (2010). Faktor-faktor yang mempengaruhi perilaku penerapan asuhan persalinan normal pada bidan di wilayah kerja puskesmas Bambanglipuro Bantul.

Kemenkes RI. (2010). Pedoman AMP.

Kemenkes RI. (2013). Pedoman Penyelenggaraaan Puskesmas Mampu PONED.

Kemenkes RI. (2014). Infodatin Situasi Kesehatan Ibu.

Kemenkes RI. (2017). Profil Kesehatan Indonesia Tahun 2017.

Nazvia, N., Loekqijana, A., & Kurniawati, J. (2014). Faktor yang mempengaruhi kepatuhan pelaksanaan SOP asuhan keperawatan di ICU-ICCU RSUD Gambiran kota Kediri. Jurnal Kedokteran Brawijaya, 28(1), 21–25.

Pinaringsih et al. (2017). Faktor-Faktor yang Berhubungan dengan Niat Kunjungan Ibu Nifas ke Pelayanan Kesehatan di Wilayah Kerja Puskesmas Tlogosari Kulon Kota Semarang. Jurnal Kesehatan Masyarakat, 5, 1–8.

Prihanti, et al. (2019). Analisis Faktor Kunjungan Ibu Nifas di Wilayah Kerja Puskesmas Poned X. Magna Medika, 6(1), 69–87.

Rachmawati, A. I., Puspitasari, R. D., & Cania, E. (2017). Faktor-faktor yang Memengaruhi Kunjungan Antenatal Care ( ANC ) Ibu Hamil. Majority, 7(1), 72–76.

Roffi, M., Valgimigli, M., Bax, J. J., Borger, M. A., Gencer, B., Germany, U. L., Germany, J. M., Uk, R. F. S., Windecker, S., France, T. C., Uk, D. F., Germany, M. H., Germany, C. H., Uk, D. H., Germany, U. S., Gabriel, P., France, S., & Vrints, C. (2016). 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation Task Force for the Management of Acute Coronary Syndromes in Patients Presenting without Persistent ST-Segment Elevation. European Heart Journal, 37, 267–315. https://doi.org/10.1093/eurheartj/ehv320

Ruwayda, et al. (2020). Analisis Program Kemitraan Bidan dan Dukun Bayi di Kota Jambi. Jurnal Ilmiah Universitas Batanghari Jambi, 20(2), 424–437. https://doi.org/10.33087/jiubj.v20i2.952

Tejayanti, et al. (2010). Penyebab kematian maternal di kabupaten malang provinsi jawa Timur tahun 2010.

Tembo, T., Chongwe, G., Vwalika, B., & Sitali, L. (2017). Signal functions for emergency obstetric care as an intervention for reducing maternal mortality: A survey of public and private health facilities in Lusaka District, Zambia. BMC Pregnancy and Childbirth, 17(1), 1–8. https://doi.org/10.1186/s12884-017-1451-0

Triwibowo, C. (2013). Manajemen Pelayanan Keperawata di Rumah Sakit. Trans Info Media.

Zibara, AK, et al. (2009). The State of Emergency Obstetric Care Services in Nairobi Informal Settlements and environs: Resulth from a Maternity Health Facility. BMC Health Services Research, 9, 1–8. https://doi.org/10.1186/1472-6963-9-46

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Published

2022-03-30

Issue

Vol. 11 No. 1 (2022): Maret

Section

Articles

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