Analisis Implementasi Kebijakan JAMPERSAL di Puskesmas Berastagi Kabupaten Karo Tahun 2013

Abstract

Maternal Mortality Rate (l 4R) constitutes one of the indicators in determining public health standard, and Indonesia has the highest MMR so that the government makes a progrom which begins from the placement of village midwives, Mother Friendly Movernent (GSI), National Safe Pregnancy lv{ovement, Alert Village, to Jampersctl (Delivery Assurance) progranx in order to curb MMR in Indonesia. Although Jampersal progratn has been implemented since the mid 201I at Brastagi Health Center,the coverage of health services for rnothers and children, especially on Pregnancy First Visit (Kl), Pregnancy Fourth Visit (K4), and First Neonatal Visit (KNl), decreased. The objectfue of the research was to analyze the implementation of the policy of Jampersal (Delivery Assurance) program at Brastagi Heolth Center, Karo District, in 2013. The research used qualitative method. The data were gathered by using snowball sampling and triangulation d data throttgh in-depth interviews with k"y informants and ntain infonnants and by conducting observalion and documentation study. They were analyzed by using EZ-Text and presented in the fctrm of matrix, according the studied variables. The result of the research showed that the k"y informants and moin informants fek that communicotion and the coordinatian, either from the organizers or frorn the user.s, monitoring, and evaluation of Jampersal (Delivery Assurance) program were not adequctte. This Jampersal program has brought positive impact to the increase ofAntenatal care coverage but not yet to the increase ofthe coverage af P ostpartum Family Planning acceptors. It ls recommended that the District Health Service should increase communication, monitoring, and evaluation to the management of Health Center so that they can carry out Jampersal program according to the technical guidance for Jampersal in order that this program can be acceptedproperl-v by community and the coverage of health service can increase