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Penelitian Kualitatif: Sistem Informasi Kematian Ibu di Sumatera Selatan

Penelitian Kualitatif:
Sistem Informasi Kematian Ibu di Sumatera Selatan
Ekowati Retnaningsih*, Muhammad Zulkarnaen**, Irmitati***
*Badan Penelitian dan Pengembangan Daerah Sumatera Selatan
**Bagian IKM FK UNSRI ***Dinas Kesehatan Propinsi Sumatera Selatan

Abstrak
Berdasar data SUSENAS 2004, AKI Sumatera Selatan tahun 2004 adalah 467 sedangkan AKI nasional 307 per 100.000 kelahiran hidup. Berdasarkan laporan yang masuk ke Dinas Kesehatan Provinsi Sumatera Selatan tahun 2004 tercatat kematian ibu hanya 60 orang dari total kelahiran sejumlah 167.852 orang. Tampak bahwa permasalahan Sumatera Selatan bukan hanya tingginya AKI tetapi sistem informasi kematian ibu yang tidak jalan. Penelitian ini menggunakan pendekatan paradigma penelitian kualitatif untuk menggali secara mendalam sistem informasi kematian ibu. Pengumpulan data dilakukan pada : 1)masyarakat di tingkat desa/kelurahan yang ada di 2 desa/kelurahan (2 kecamatan) dari masing-masing kabupaten/kota, 2)institusi kesehatan, dan 3)institusi non kesehatan, mulai tingkat provinsi sampai tingkat desa/kelurahan. Pemilihan lokasi dilakukan secara bertingkat berdasarkan kriteria yang telah ditetapkan yaitu: 1)Kabupaten Banyu Asin mewakili wilayah perairan, 2)Kabupaten OKI mewakili wilayah daratan pedesaan, dan 3) Kota Palembang mewakili wilayah perkotaan. Hasilnya dapat disimpulkan: 1)Secara umum, sistem informasi kematian ibu di Sumatera Selatan tidak ada perbedaan antara wilayah perairan, wilayah pedesaan dan wilayah perkotaan, 2)Masyarakat selalu menginformasikan kematian yang ada di keluarganya ke berbagai pihak dan tidak secara konsisten, yaitu kepada: Ketua RT, Ketua Perkumpulan Kematian, Ketib/ Bilal/ P3N, Petugas masjid, dan Aparat desa, 3)Tidak ada pencatatan di tingkat RT dan desa, 4)Tidak ada pelaporan kematian dari tingkat RT ke desa, 5)Telah ada sistem informasi kematian dalam sistem pencatatan dan pelaporan kejadian vital penduduk dari tingkat desa sampai provinsi, namun hanya direkap jumlah kematian.

Qualitative Research: Information System of Maternal Mortality in South Sumatera

ABSTRACT
Based on SUSENAS 2004, Maternal Mortality Rate (MMR) in South Sumatera on 2004 was 467 and MMR in Indonesia 307 for each 100.000 birth life. Based on the report that has been sent to Province Health officer on 2004 was recorded maternal mortality was 60 from 167.852 of birth. We can see that South Sumatera not only have high MMR but also the information of maternal mortality was stuck. This study was using qualitative research paradigm to find about the information system of maternal mortality deeply. Collecting data was doing on:1)the community in 2 village from 2 sub district from each district, 2)the health institution, and 3)the institution of non-health. Selection of the location was doing step by step based on criteria:1) Banyu Asin as water location, 2) OKI as rural location, and 3) Palembang as urban location. This result show that: 1)generally, information system of maternal mortality in South Sumatera is not different between water location, rural location, and urban location, 2)All the people always give information about mortality in their family, but not consistent, to the chief of their RT, the Chief of the Mortality Association, ketib/bilal/P3N, provider of mosque, and provider of village government, 3)There is no record in RT and village level,4)There is no report from RT level to village level, and 5)The information system about mortality on the record and report about people event was doing from village level to province level, but it just report about the quantity of mortality only.

May 23, 2009 - Posted by | Uncategorized

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