EVALUASI PROGRAM SKRINING STATUS TETANUS TOXOID WANITA USIA SUBUR DI JEMBER TAHUN 2010
Abstrak: Cases and deaths due
to Tetanus Neonatorum (TN) in Jember District within the period of 2005 to 2009
with a Case Fatality Rate (CFR) were greater than 50%. CFR with a rate of more
than or equal to 50% indicates a high share of deaths. Jember District Health
Office implemented a screening program for childbearing women’s TT status in
early 2010. However, not until the end of 2010 there were already 6 cases and 3
deaths due to TN (CFR = 50%). This suggested that theimplementation of the
screening program had already been running but not optimal; thus, an evaluation
for this program needed conducting.
Objective: To evaluate the screening program for childbearing women’s TT
status by describing the capacity and motivation of personnel, implementation
and results of the screening program in Jember District in 2010.
Method: This was a descriptive-evaluation study. It was conducted in
January-February 2011 in five health centers of Jember District. The population
was midwives as persons in charge of implementing the screening program.
Result: Most respondents (59%) had a moderate level of capacity. Most
respondents had a high level of intrinsic and extrinsic motivation, namely 71%
and 53%, respectively. The screening implementation for childbearing women’s TT
status by the respondents had not been in accordance with the two operational
procedures. The results of the screening program showed that five health
centers were still experiencing the same problem, i.e., not identified TT
status of all women and unmet target coverage of T5 childbearing women and T2
plus pregnant women.
Conclusion: Technically, some obstacles in the implementation of the
screening program are still present; therefore, there is a need for conducting
training procedures for the personnel of the screening program for childbearing
women’s TT status and conducting an evaluation for the program periodically and
continuously.
Penulis: Abu Khoiri, Dewi
Rokhmah, Ahmad Falih
Kode Jurnal: jpkesmasdd120239
