WATI, Sinta and Kartini, Apoina and Martini, Martini (2020) FAKTOR YANG BERHUBUNGAN DENGAN PRAKTIK MANAJEMEN TERPADU BAYI MUDA OLEH GASURKES KIA DI KOTA SEMARANG. Masters thesis, School of Postgraduate Studies.

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Abstract

Latar belakang: Penyebab kematian neonatal di Kota Semarang yaitu karena BBLR (38%), asfiksia (23%), kelainan kongenital (8%) dan infeksi sepsis (3%), ikterus (3%) dan lain-lain (25%). Penyebab kematian tersebut dapat dicegah dengan melakukan kunjungan neonatal yang berkualitas melalui pendekatan Manajemen Terpadu Bayi Muda dengan memberikan perawatan esensial, pengenalan tanda bahaya bayi baru lahir, penatalaksanaan BBLR dan infeksi pada bayi baru lahir.
Tujuan: Mengetahui faktor-faktor yang berhubungan dengan praktik Manajemen Terpadu Bayi Muda oleh Gasurkes KIA di Kota Semarang.
Metode: Penelitian menggunakan kuantitatif analitik dengan pendekatan cross sectional. Variabel bebas penelitian ini adalah pengetahuan, masa kerja, sikap, beban kerja, ketersediaan fasilitas/alat, sistem pencatatan pelaporan, supervisi, dan penghargaan, sedangkan variabel terikatnya adalah praktik MTBM. Menggunakan sampel sebanyak 84 orang petugas Gasurkes KIA kelurahan dan sampel uji coba 20 orang bidan praktik mandiri (PMB). Pengumpulan data menggunakan
kusioner, sedangkan analisis data menggunakan uji chi square, uji fisher exact dan uji regresi logistik.
Hasil: Penelitian ini ditemukan praktik MTBM baik (63,1%) lebih banyak dibandingkan dengan praktik kurang (36,9%). Ada hubungan antara pengetahuan, masa kerja, sikap, beban kerja, sistem pencatatan dan supervisi dengan praktik MTBM Gasurkes KIA di Kota Semarang. Tidak ada hubungan antara
ketersediaan alat dan penghargaan dengan praktik MTBM. Masa kerja merupakan faktor paling dominan yang berhubungan dengan praktik MTBM. Pengetahuan, masa kerja, sikap, beban kerja, sistem pencatatan dan supervisi berperan penting dalam meningkatkan praktik MTBM Gasurkes KIA di Kota Semarang.
Kata kunci: Praktik MTBM, Gasurkes KIA, Kunjungan Neonatal

Background:The main causes of neonatal mortality in Semarang city were low birth weight (38%), asphyxia (23%), congenital abnormalities (8%), and septic infection (3%), jaundice (3%), and others (25%). These causes of death can be prevented by having quality neonatal visits through the integrated management of young infants (IMYI) approach by providing essential care, recognition of newborn danger signs, management of low birth weight and infection in newborns.
Objective:This study aims to investigate the factors that determine the integrated management of young infants carried by maternal and perinatal death surveillance and response (MPDSR) workers in Semarang city.
Method: The research used quantitative analytic with a cross sectional approach. The independent variables of this study are knowledge, years of service, attitude, workload, availability of facilities / tools, reporting recording system, supervision, and rewards, while the dependent variable is the Integrated Management practice of Young Infants. Using a sample of 84 district maternal and perinatal death surveillance and response workers and a trial sample of 20 independent practicing midwives (PMB). Data collection used questionnaires, while data analyzed using chi-square, Fisher exact test, and logistic regression.
Results: The result suggests that knowledge, work period, attitude, workload, recording system, supervision had an association toward the practice of IMYI conducted by MPDSR workers in Semarang City. No significant correlation was found on the availability of tools and appraisal toward the practice of IMYI. Work periods was the most dominant factor affecting IMYI practice.
In summary, these results indicate that knowledge, work period, attitude, workload, recording system, supervision has an important role to increase the practice of IMYI performed by maternal and perinatal death surveillance and response (MPDSR) workers in Semarang city.
Keywords: IMYI practice, MPDSR workers, and neonatal visits.

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