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| Prosiding Seminar Nasional Kesehatan |
ANALISIS PENGARUH
KARAKTERISTIK INDIVIDU,
FASILITAS, SUPERVISI, DAN MOTIVASI TERHADAP
KINERJA PETUGAS PELAKSANA PELAYANAN ROGRAM MTBS (MANAJEMEN TERPADU
BALITA SAKIT)
ABSTRACT
Integrated Management of Childhood
Illness (MTBS) as one as way to reduce infant mortality rate and under-five
children mortality rate has been implemented in district of banyumas. However,
infant mortality rate and under-five children mortality rate in 2007 was still
high, 9.6/1000 live birth. The Objective of this study was to identify the
influence of knowledge, work load perception on supervision and motivation
towards the performance of MTBS program workers in the district of Banyumas.
This was an observational-analytical
study with a cross sectional approach. Structured questionnaire was used as
study instrument. It had been tested for its validity and reliability. The
numbers of samples used in this study was 99 respondents. Chi square and
logistic regression test were implemented in the data analysis.
Result of this study showed that 51.5 % of
respondents was in the age of 30-40 years old, 35.4 % of respondents was in the
D3 midwifery level of educations, 73.3 % respondent’s job ocupation was civil
servant. Among 39 primary health center (puskesmas), 15 of them had MTBS room.
Respondents with poor knowledge were 56.7%. respondents with high motivation
were 53.5%. Performence of MTBS service workers was sufficient (54.5%).Result
of bivariate analysis indicated taht work load perceptions (p:0.0001, Exp
B:9.734), motivation (p:0.005,Exp B: 3.9860 towards the performance of workers.
Health office needs to provide MTBS
training, modify workers perceptions on work load, privide MTBS module and to do continuing research on
work load analysis.
ABSTRAK
MTBS
sebagai salah satu upaya dalam menurunkan Angka Kematian Bayi dan Kematian
Balita telah dilaksanakan di Kabupaten Banyumas. Tetapi AKABA dan kematian
balita pada tahun 2007 masih tinggi yaitu 9,6/1000 kelahiran hidup. Tujuan
Penelitian adalah untuk mengetahui pengaruh pengetahuan, persepsi beban kerja,
fasilitas, persepsi terhadap supervisi, motivasi terhadap kinerja petugas
kesehatan pelaksana program MTBS di Kabupaten Banyumas.
Penelitian
adalah observasional analitik dengan
pendekatan cross sectional. Instrumen
penelitian menggunakan kuesionar terstruktur yang telah diuji validitas dan
reliabilitasnya. Jumlah sampel 99 responden. Analisis yang digunakan adalah uji
chi square dan uji regresi logistik.
Hasil penelitian
menunjukkan bahwa responden berusia 30-40 tahun (51,5 %). Tingkat
pendidikan responden DIII Kebidanan
(35,4%), status kepegawaian responden PNS (73,7%). Puskesmas
yang sudah memiliki ruangan MTBS 15 Puskesmas dari 39 puskesmas. Responden mempunyai
pengetahuan yang kurang (56,6%), persepsi beban kerja banyak (59%). Tempat
pelayanan memiliki fasilitas lengkap (53,5%). Responden memiliki persepsi
supervisi baik (67,7%). Responden memiliki motivasi tinggi (53,5 %). Kinerja
petugas pemberi pelayanan MTBS yang cukup (54,5 %). Hasil analisis bivariat
menunjukkan bahwa variabel persepsi beban kerja (p value = 0,0001),
motivasi (p value =
0,008) berhubungan dengan kinerja petugas. Analisis multivariat menunjukkan
adanya pengaruh variabel persepsi beban kerja (p value = 0,0001, Exp B : 9.734), motivasi (p value = 0,005, Exp B : 3.986) terhadap
kinerja petugas.
Dinas
Kesehatan perlu mengadakan pelatihan MTBS, merubah persepsi petugas tentang
beban kerja, pengadaan ruangan periksa MTBS, pengadaan form pelayanan MTBS,
pemberian modul MTBS, penelitian lebih lanjut tentang analisis beban kerja.
