Limited funds for MCH activities

Oct 13, 2025 by magicalceylontours.com 28 views

Analysis of the Implementation of Midwives' Duties in the Village in Connection with the Implementation of the Maternal and Child Health Program (KIA) in Karo Regency in 2003

Introduction

The Maternal and Child Health Program (KIA) is a crucial initiative aimed at improving the health of mothers and children in rural areas. In Karo Regency, the program has been implemented since 2003, with the goal of reducing maternal and child mortality rates. However, despite the efforts of midwives and health officials, the program's achievements have been relatively low. This study aims to examine the role of midwives in the implementation of the KIA program in Karo Regency in 2003 and identify the obstacles and solutions to improve the program's effectiveness.

Background

The Karo District Health Office reported that 98.40% of midwife needs in the village had been met in 2002. However, the achievements of the KIA program in Karo Regency in 2003 were still relatively low. This raised a fundamental question: How is the performance of midwives in the village in carrying out their duties related to the implementation of the MCH program in Karo Regency that year?

Methodology

This study employed a semi-qualitative research approach with a situation analysis study design. The study involved 6 Puskesmas and 110 village midwives, with both qualitative and quantitative data collection methods. The results showed a number of obstacles in the implementation of the MCH program in the village.

Obstacles in the Implementation of the MCH Program

The study found that the main obstacles in the implementation of the MCH program in the village were:

Limited funds for MCH activities: The lack of sufficient funding for MCH activities was a significant obstacle in the implementation of the program.
Limited health tools and facilities: The availability of limited health tools and facilities, both in terms of quantity and quality, was also a problem.
Lack of guidance and support: Although all village midwives had participated in training related to the MCH program, the lack of guidance and support from related parties was an inhibiting factor.

The Role of the Head of the Puskesmas

The study found that the role of the Head of the Puskesmas was crucial in the implementation of the MCH program. Some of the Heads of the Puskesmas prepared a plan for the implementation of MCH activities, but some others did not do that. The plan that was prepared was not always carried out because of the limited operational funds and the unavailability of official cars to provide technical guidance to midwives in the village.

The Role of Midwife Coordinator

The study found that the Midwife Coordinator rarely prepared a plan for the implementation of MCH activities and technical guidance to midwives in the village because it was constrained by limited operational funds and official cars.

Implementation of Midwife Activities in the Village

The study found that the implementation of midwife activities in the village was still low. This can be seen from:

Frequency of Preparation of Activity Implementation Plan (RPK): Only 4.54% of midwives who compiled RPK more than 8 times per year.
Midwife cooperation with baby cadres and shamans: Only 22.72% of midwives who collaborated with cadres and dukun baby in KIA activities at Polindes/Pustu.
KIA activities at Posyandu: Only 19.9% of midwives who were active in KIA activities at Posyandu.
Coordination with Puskesmas and Village Officials: Only 15.45% of midwives who coordinated with the Puskesmas and village officials.
Development of Cadres and Baby Dukun: Only 15.45% of midwives who conducted cadres and baby shamans for more than 8 times per year.

Solutions to Improve the Effectiveness of the MCH Program

Based on the findings, the following solutions need to be considered to increase the effectiveness of the MCH program in Karo Regency:

Increasing funding and facility support: The Karo Regency Government needs to provide sufficient funding support and provide official cars for the Head of Puskesmas and Midwives Coordinator to be able to provide technical guidance to midwives in the village optimally.
Giving awards and motivation: The Head of the Puskesmas and Karo District Health Office can give awards to midwives who excel in villages and provide special guidance for midwives who lack achievement, as a form of motivation and improving service quality.
Increasing community participation: It is essential to involve the community in the MCH program, such as by forming a group of cadres and shamans who are trained and active in supporting the implementation of the MCH program in the village.

Conclusion

The implementation of the Maternal and Child Health Program (KIA) in Karo Regency in 2003 was still relatively low. The study found that the main obstacles in the implementation of the program were limited funds, limited health tools and facilities, and lack of guidance and support. To improve the effectiveness of the program, it is essential to increase funding and facility support, give awards and motivation, and increase community participation. By improving the quality of resources, infrastructure, and community participation, it is expected that the MCH program in Karo Regency can run more effectively and achieve the goal of improving the health of the mother and child in the region.
Frequently Asked Questions (FAQs) about the Analysis of the Implementation of Midwives' Duties in the Village in Connection with the Implementation of the Maternal and Child Health Program (KIA) in Karo Regency in 2003

Q: What is the Maternal and Child Health Program (KIA)?

A: The Maternal and Child Health Program (KIA) is a crucial initiative aimed at improving the health of mothers and children in rural areas. The program is designed to reduce maternal and child mortality rates by providing access to quality healthcare services.

Q: What were the main obstacles in the implementation of the MCH program in Karo Regency in 2003?

A: The main obstacles in the implementation of the MCH program in Karo Regency in 2003 were limited funds for MCH activities, limited health tools and facilities, and lack of guidance and support from related parties.

Q: What is the role of the Head of the Puskesmas in the implementation of the MCH program?

A: The Head of the Puskesmas plays a crucial role in the implementation of the MCH program. They are responsible for preparing a plan for the implementation of MCH activities and providing technical guidance to midwives in the village.

Q: What is the role of the Midwife Coordinator in the implementation of the MCH program?

A: The Midwife Coordinator plays a supporting role in the implementation of the MCH program. They are responsible for preparing a plan for the implementation of MCH activities and providing technical guidance to midwives in the village, but they are often constrained by limited operational funds and official cars.

Q: What are the challenges faced by midwives in the implementation of the MCH program?

A: Midwives in Karo Regency face several challenges in the implementation of the MCH program, including limited funding, limited health tools and facilities, and lack of guidance and support from related parties. They also face challenges in coordinating with Puskesmas and village officials, developing cadres and baby shamans, and implementing KIA activities at Posyandu.

Q: What solutions are recommended to improve the effectiveness of the MCH program in Karo Regency?

A: The following solutions are recommended to improve the effectiveness of the MCH program in Karo Regency:

Increasing funding and facility support
Giving awards and motivation to midwives who excel in villages
Increasing community participation in the MCH program

Q: How can the community participate in the MCH program?

A: The community can participate in the MCH program by forming a group of cadres and shamans who are trained and active in supporting the implementation of the MCH program in the village. They can also provide support to midwives in the village and help to promote the program in their community.

Q: What are the expected outcomes of improving the effectiveness of the MCH program in Karo Regency?

A: The expected outcomes of improving the effectiveness of the MCH program in Karo Regency include improved health outcomes for mothers and children, increased access to quality healthcare services, and reduced maternal and child mortality rates.

Q: What are the implications of this study for policy and practice?

A: The findings of this study have implications for policy and practice in the implementation of the MCH program in Karo Regency. They highlight the need for increased funding and facility support, as well as the importance of community participation in the program. They also suggest that awards and motivation can be effective in improving the performance of midwives in the village.