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Gambaran Mutu Pelayanan Kebidanan Dan Tingkat Kepuasan Ibu Nifas Di Puskesmas Sleman Tahun 2025 Nadia Putri Anggraheni; Kharisah Diniyah; Nurul Soimah
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.467

Abstract

Mutu pelayanan kebidanan pada masa nifas merupakan faktor kunci dalam meningkatkan kepuasan ibu dan mengurangi Angka Kematian Ibu (AKI) di Indonesia, yang masih mencapai 305 per 100.000 kelahiran hidup menurut data 2016, meskipun cakupan kunjungan nifas di wilayah seperti Sleman, DIY, telah mencapai 95%. Penelitian ini bertujuan untuk menggambarkan mutu pelayanan kebidanan pada masa nifas berdasarkan dimensi SERVQUAL (tangibles, reliability, responsiveness, assurance, empathy) di Puskesmas Sleman, Yogyakarta. Penelitian ini mengidentifikasi area perbaikan pelayanan untuk mendukung penurunan Angka Kematian Ibu (AKI) nasional yang masih tinggi. Penelitian deskriptif kuantitatif dengan pendekatan kuantitatif. Populasi penelitian ini merupakan seluruh ibu nifas di Puskesmas Sleman, sejumlah 88 responden menggunakan total sampling berdasarkan kriteria inklusi dan ekslusi. Data primer dikumpulkan menggunakan kuesioner SERVQUAL (25 item, skala Likert 1-5) dan instrumen kepuasan (20 item). Analisis data univariat meliputi frekuensi, persentase, mean, dan standar deviasi untuk gambaran mutu dan kepuasan. Dari data SERVQUAL mutu pelayanan keseluruhan baik, dengan dimensi yang tertinggi yaitu assurance (80.6%) dan terendah yaitu responsiveness (11.3% kurang). Diperlukan intervensi pelatihan SERVQUAL bagi bidan untuk tingkatkan responsiveness dan empathy, optimalisasi jadwal kunjungan nifas (KF1-3), serta monitoring bulanan di Puskesmas.
The role of cadres in utilizing integrated health post for toddler growth monitoring Rania Purwanti; Kharisah Diniyah; Sholaikhah Sulistyoningtyas
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i1.3076

Abstract

Background: Integrated Health Post plays a crucial role in monitoring toddler growth as an effort to prevent nutritional problems and stunting in the community. The successful utilization of integrated health post is inseparable from the role of cadres as the spearhead of health services at the community level. Purpose: to describe the role of cadres in utilizing integrated health post for toddler growth monitoring. Method: a descriptive approach. Informants in this study consisted of midwives, integrated health post cadres, and mothers of toddlers selected using a purposive sampling technique. Data collection techniques were conducted through in-depth interviews and analyzed using thematic analysis. Results: The results showed that cadres have carried out their roles as servants, educators, motivators, companions, and community mobilizers. Cadres play an active role in toddler growth monitoring services, such as providing basic information regarding weighing results, reminding integrated health post schedules, and accompanying mothers of toddlers who experience growth problems or who rarely attend Integrated health post regularly. However, the role of cadres as educators has not been optimal due to limited educational materials, low cadre confidence, uneven training, and limited supporting facilities and infrastructure. Conclusion: The conclusion of this study indicates that capacity building for cadres is necessary through ongoing training and guidance from Community Health Center to ensure more effective, optimal, and sustainable monitoring of toddler growth in the community. Suggestion: It is recommended that Community Health Center provide continuous training, guidance, and adequate educational media and facilities to improve the capacity and confidence of cadres, especially in their role as educators, so that the implementation of Integrated health post services can be more optimal and sustainable