Pengaruh Kualitas Pelayanan Bidan Desa terhadap Kepuasan Ibu Bersalin Peserta Jaminan Persalinan di Wilayah Kerja Puskesmas Gandapura Kabupaten Bireuen

Abstract

Delivery assurance (Jampersal) is a financial guarantee for pregnant/delivering and post-partum mothers as well as newhorn babies which can be followed by all levels of society. Jampersal is expected to be able to minimize the Maternal and Infant Mortality rates. One of the districts in Aceh Province that has implemented this Jampersal program is Bireuen District the working area of Puskesmas (Community Health Center) Gandapura. In 2012, it was noted that Puskesmas Gandapura had 5 maternal mortalities and 8 infant mortalities. It is suspected that it is related to the less-satisfactory service quality provided by rural midwife. The purpose of this explanatory survey study conducted from April to July 2013 was to analyze the influence of service quality comprising reliability, responsiveness, assurance, empathy and tangibles provided by rural midwives on the satisfaction of the mothers as members of Jampersal giving birth in the working area of PuskP-smas Gandapura, Bireuen District. The population of this study was all of the 73 mothers as members of Jampersal who were giving birth and 65 of them were selected to be the samples for this study through simple random sampling technique. The data for this study were obtained through questionnaire distribution. The data obtained were analyzed through multiple regression test at a = 0. 05. The result of this study showed that statistically the service quality comprising reliability, responsiveness, assurance, empathy and tangibles and the performance of rural midwives had influence on the satisfaction of the mothers as members of Jampersal giving birth in the working area of Puskesmas Gandapura. Reliability was the most influencing dimension on mothers' satisfaction. The management of (1) Bireuen District Health Service is suggested to (a) improve the dimensions of reliability, responsiveness, assurance, empathy and tangibles and the performance of rural midwives for the antenatal care service, delivery assistance and post-pc~tum service by making a team to monitor and evaluate the implementation of Jampersal SOP (Standar Operating Procedures) and the team should give their feedback then, and to (b) provide training on delivery and emergency to every rural midwife to improve their compentency; (2) Puskesmas Gandapura (a) should further improve socializing the Jampersal program in detail to rural midwives and community members, and (b) strive in order to ask the rural midwives live in the village they assigned in