EVALUASI PROGRAM SKRINING STATUS TETANUS TOXOID WANITA USIA SUBUR DI JEMBER TAHUN 2010
Abstract: Cases and deaths due
to Tetanus Neonatorum (TN) in Jember District within the period of 2005 to 2009
with aCase Fatality Rate (CFR) were greater than 50%. CFR with arate of more
than or equal to 50% indicates a high share ofdeaths. 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 the implementation 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 wasconducted in
January-February 2011 in five health centers ofJember District. The population
was midwives as persons incharge of implementing the screening program.
Result: Most respondents (59%) had a moderate level ofcapacity. Most respondents
had a high level of intrinsic and extrinsic motivation, namely 71% and 53%,
respectively. Thescreening implementation for childbearing women’s TT status by
the respondents had not been in accordance with the twooperational 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.
Keywords: evaluation, tetanus
toxoid, childbearing women
Penulis: Abu Khoiri, Dewi
Rokhmah, Ahmad Falih
Kode Jurnal: jpkedokterandd120251