Administrasi dan Kebijakan Kesehatan
ISSN 1412-8853
Vol. 10 / No. 1 / Published : 2012-01
Order : 8, and page :41 - 48
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Original Article :
Analysis of quality improvement process of antenatal service using client oriented provider efficient (cope) method
Author :
- Sri Anggraeni,*1
- Akademi Kebidanan Pemerintah Kabupaten Bojonegoro
Abstract :
ABSTRACT The study was motivated by the low coverage of antenatal care, especially Pregnant Women’ Fourth Visit (K4) in public health centers (PHCs) in Bojonegoro Regency average coverage was 83.74%, lower than the target of 95%. The purpose of the study was to develop efforts of antenatal care quality improvement by the use of the Client Oriented Provider Efficient method (COPE). This study was carried out at Sugihwaras care PHC and Bojonegoro non-care PHC by using operational research design. Resultsof this study indicated that Self Assessment Need was unfulfilled on the components of facilitative supervision and Information up date and training. The action plan and Priority was in the form of Training for midwives on Interpersonal Communication and Counseling. Before intervention, the type of commitment was commited, stage of commitment was “commitment during later”, Level of pre-interventional commitment in Sugihwaras PHC was low, while that of Bojonegoro PHC was high and low; Pre-interventional satisfaction of pregnant women in Sugihwaras was moderate and that of Bojonegoro PHC was very high and very high levels of post-interventional satisfaction. It was recommended to improve midwives’ ability in technical aspects of obstetrics and interpersonal communication and counseling through training. Keywords: Antenatal Care, Quality Improvement, COPE, Commitment, Satisfaction
Keyword :
Antenatal Care, Quality Improvement, COPE, Commitment, , Satisfaction,
References :
Pusat Promosi Kesehatan,(2002) Standar Kualitas Kemampuan KIP dan K bagi Bidan dalam Pelayanan Kesehatan Ibu dan Bayi Baru Lahir di Puskesmas Jakarta : Departement Kesehatan RI
Departement Kesehatan RI,(2002) Pedoman Pelayanan Antenatal di Tingkat Pelayanan Dasa Jakarta : Direktorat Bina Kesehatan Keluarga.
Kementerian Kesehatan RI,(2010) Pedoman Pelayanan Antenatal Terpadu Jakarta : Dirjen Bina Kesehatan Keluarga
Engenderhealth.,(2003) COPE handbook: a process for improving quality in health services New york : NY 10001 U.S.A
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Tjiptono, Fandy,(2010) Prinsip-Prinsip Total Quality Management Yogyakarta : ANDI.
Wijono D,(2008) Manajemen Puskesmas Kebijakan dan Strategi Surabaya : Duta Prima Airlangga
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