Mutu pelayanan mendapat tuntutan dari masyarakat untuk terus meningkat,
seorang petugas kesehatan selain memiliki kemampuan teknis medis, juga dituntut kualitasnya.Di Kabupaten Aceh Barat bidan sudah mempunyai standar pelayan kebidanan, namun pelaksanaannya masih belum sesuai.Tahun 2012 cakupan K-1 86,0%, K-4 79,65%. Persalinan yang dilakukan oleh tenaga kesehatan 60%, TT-1 sebesar 67,36% dan untuk imunisasi TT-2 sebesar 60,42%, Fe-1 sebesar 84,97% dan Fe-3 sebesar 74,81%. Pelaksanaan ANC rata-rata hanya mencapai 70%. Tujuan penelitian ini untuk menganalisis pengaruh motivasi dan kompetensi bidan terhadap kualitas pelayanan kesehatan ibu hamil pada Unit Pelaksana Teknis Dinas (UPTD) Puskesmas di Kabupaten Aceh Barat.Jenis penelitian survei explanatory. Populasi dalam penelitian iniseluruh bidan yang bertugas di Kabupaten Aceh Barat yang berjumah 364 orang, dan sampel berjumlah 82 orang. Data diperoleh dengan menggunakan kuesioner, dianalisis dengan uji regresi logistik ganda pada =0,05. Hasil penelitian menunjukkan bahwakualitas pelayanan kesehatan ibu hamil umumnya masih kurang yaitu 67,1%. Secarastatistik, variabel motivasi intrinsik, Motivasi ekstrinsik, dan keterampilan berpengaruh secara signifikan terhadap kualitas pelayanan kesehatan ibu hamil.Motivasi ekstrinsik dan keterampilan memberikan pengaruh paling besar terhadap kualitas pelayanan kesehatan ibu hamil Disarankan kepada Dinas Kesehatan Kabupaten Aceh Barat untuk membantu menyusun SOP ANC bidan, meningkatkan motivasi dan kompetensi bidan melalui pelatihan,meninjau insentif bidan dan memberikan rewardsupaya pelayanan yang diberikan bidan semakin berkualitas.
Kata Kunci: Motivasi, Kompetensi, Kualitas Pelayanan, ANC
Universitas Sumatera Utara
ABSTRACT
The quality of service is increasing as civil cervant, as a medical personal we
are required not only have technical ability but quality of services is very important. In Aceh Barat District, every midwife has her own midwifery service standard but it is implementation is not yet as expected. In 2012, the coverage of Visit-1 was 86,0% and visit-4 was 79,65%; delivery conducted by health personel was 60%; immunization TT-1 was 67,36% and for the immunization TT-2 was 60,42%, Fe-1 was 84,97% and Fe-3 was 74,81%. The average implementation of ANC only reached 70%. The purpose of this explanatory study was to analyze the influence of motivation and midwifes competency on the quality of health service for pregnant mothers at the Technical Implementation Unit Service of Puskesmas (Community Health Service) in Aceh Barat District. The population of this this study was all of the 364 midwives serving in Aceh Barat District and 82 of them ware selected to be the samples for this study. The data for this study ware obtained through queationnaire distribution. The data obtained ware analyzed through multiple logistic regression tests at = 0,05. The result of this study showed that quality of health service for pregnant moters was 67.1% still less than expected. Statistically, the variables of intrinsic motivation, extrinsic motivation, and skill had significant influence on the quality of health service for pregnant mothers. Extrinsic motivation and skill had the biggest influence on the quality of health service for pregnant mothers. We are suggested to the Health District Aceh Barat to support the midwife to develop SOP ANC, to improve the midwifes motivation and competency through training, review the intensive of midwifes and give the rewards to increase the service quality.
Keywords : Motivation, Competency, Service Quality, ANC