Search Repository UNIVERSITAS MH.THAMRIN

PROGRAM PASCA SARJANA
PROGRAM STUDI ILMU KESEHATAN MASYARAKAT
UNIVERSITAS RESPATI INDONESIA
KESEHATAN REPRODUKSI
Tesis, Juli 2012

SITI JUMHATI
Determinan Kepatuhan Mahasiswa Diploma III Kebidanan Tingkat Akhir dalam Praktik Pertolongan Persalinan Bersih dan Aman Di Bidan Praktik Swasta (BPS) dan Rumah Bersalin (RB) Kecamatan Cipayung Kota Administrasi Jakarta Timur Tahun 2012.

ix+112 halaman+21 tabel+2 bagan+10 lampiran
ABSTRAK
Mahasiswa Diploma III Kebidanan Tingkat Akhir adalah calon bidan yang merupakan bagian tenaga kesehatan, yang tugas sehari-harinya terlibat langsung pada pelayanan kebidanan terutama dalam Pertolongan Persalinan Bersih dan Aman. Pekerjaaan ini mengandung resiko tinggi terhadap kemungkinan penularan berbagai penyakit, termasuk HIV/AIDS dan Hepatitis B. Berdasarkan konsep WHO, dan Depkes, 1997, The Four Pillars of Safe Motherhood, dalam upaya penyelamatan ibu dan bayi antara lain menerapkan pelayanan kebidanan dasar melalui pertolongan persalinan bersih dan aman. Penelitian ini bertujuan untuk mengetahui determinan kepatuhan mahasiswa diploma III kebidanan tingkat akhir dalam praktik pertolongan persalinan bersih dan aman di Bidan Praktik Swasta (BPS) dan Rumah bersalin (RB) Kecamatan Cipayung Kota Administrasi Jakarta Timur Tahun 2012. Penelitian ini menggunakan pendekatan kuantitatif dan kualitatif. Rancangan penelitian cross sectional (potong lintang). Jumlah sampel 160 responden, yang dilaksanakan pada bulan Mei-Juni Tahun 2012. Analisis bivariat dengan uji chi square dan analisis multivariat menggunakan multiple logistic regression. Hasil penelitian menunjukkan bahwa 51,3% responden patuh dalam melaksanakan pertolongan persalinan bersih dan aman, 80% responden mendapatkan dukungan teman selama menolong persalinan, 56,3% responden mendapat dukungan dari dosen pembimbing dan 65% dari bidan senior. Ditemukan ada hubungan antara pengetahuan (p value 0,012), Sikap (p value 0,007), tempat praktik (p value 0,615), ketersediaan alat dan bahan (p value 0,019), dukungan teman (p value 0,000), dukungan dosen pembimbing (p value 0,000), dan dukungan bidan senior (p value 0,005) terhadap kepatuhan responden dalam pertolongan persalinan bersih dan aman. Faktor yang dominan berhubungan dengan kepatuhan mahasiswa diploma III kebidanan tingkat akhir dalam pertolongan persalinan bersih dan aman adalah dukungan dosen pembimbing dengan nilai OR 1835,490, artinya yang mendapatkan dukungan dosen pembimbing berpeluang patuh 1835 kali setelah dikontrol dengan sikap. Memperhatikan penelitian tersebut, peneliti menyarankan kepada Ikatan Bidan Indonesia untuk meningkatkan supervisi kepada anggotanya yang menerima praktik mahasiswa kebidanan melalui upaya pembinaan, pendampingan, pemantauan dan advokasi dengan institusi pendidikan kebidanan.
Daftar Pustaka : 42 (1974-2011)
Kata Kunci : Kepatuhan, Persalinan bersih dan aman, Mahasiswa D III Kebidanan

POST GRADUATE PROGRAM FACULTY OF PUBLIC HEALTH
STUDY PROGRAM ON PUBLIC HEALTH SCIENCE
UNIVERSITY OF RESPATI INDONESIA
HEALTH REPRODUCTIVE
Thesis, July 2012

SITI JUMHATI

The Determinant of Compliance Midwifery Academy Students In The Last Semester In Helping of Clean and Safe Delivery at Midwives Private Practice and Maternity House In the District of Cipayung East Jakarta City Administration in The Year of 2012

ix+112 pages+21 Tables+2 chart+10 annexes
ABSTRACT
Midwifery academy students in the last semester are candidates for midwives as part of health workers, whose daily duty is directly involved in midwifery services, especially the performance of helping a delivery clean and safe maternity aid. It is a high risk work to the possibility of transmission of various diseases, including HIV / AIDS and Hepatitis B. Based on the concept of WHO, and Ministry of Health, 1997, "The Four Pillars of Safe Motherhood", in an effort to safe mothers and babies for one thing applies basic midwifery service through the aiding of clean and safe delivery assistance. The aim of this research is to know determinants of the compliance midwifery academy students in the last semester of clean and safe delivery assistance in midwives private practice and maternity house in the district of Cipayung East Jakarta City Administration in The Year of 2012. This research with quantitative and qualitative approaches. Using cross sectional study design (cross-sectional). Total number of samples of 160 respondents, the data collection was carried out from May to June 2012. The result shows 51,3% of respondent compliance in helping of clean and safe delivery, 80% respondet get the support of friends, 56,3% respondent getting support from supervisor dan 65% from senior midwives. Bivariate analysis with chi square tests and multivariate analysis using multiple logistic regression. The results shows that there is significant relationship between knowledge (p value 0,012), attitude (p value 0,007), (p value 0,615), availability of equipment and materials (p value 0,019), the support of friends (p value 0,000), supervisor support (p value 0,000), and the support of senior midwives (p value 0,005) with the compliance respondent in helping of clean and safe delivery. The most dominant factor related with of compliance of midwifery academy students in the last semester in helping of clean and safe delivery is the support supervisor with the OR value 1835,490, which means that the supervisor support is posibility compliance 1835 times after controlled with the attitude. Attention to the study, the researchers suggested that the Indonesian Midwives Association to improve the supervision of its members who accept practice of midwifery students through the efforts of guidance, mentoring, monitoring and advocating to midwifery educational the institution.

References : 42 (1974-2011)
Key Word : Compliance, Clean and Safe Delivery, Midwifery Student