Analysis of the Relationship between Attitude and Competence and Quality of Poned Services at the Tapa Health Center, Bone Bolango Regency
Abstract
Maternal Mortality Rate (MMR) and Infant Mortality Rate (MMR) are important indicators in assessing people's welfare. In Indonesia, AKI and AKB are still high, including in Gorontalo Province. The Tapa Health Center faces challenges in PONED services, which are not yet fully effective. This study aims to analyze the relationship between the attitude and competence of health workers and the quality of PONED services at the Tapa Health Center. The method used was an analytical survey with a Cross Sectional design, which examined the relationship between risk factors (attitudes and competencies) and consequences (quality of service) simultaneously. This research was carried out at the Tapa Health Center, Bone Bolango Regency, in January-March 2025. The results showed that there was a significant relationship between the attitude of health workers and the quality of PONED services with a P-value of 0.070, as well as between the competence of health workers and the quality of PONED services with a P-value of 0.035. In conclusion, the attitude and competence of health workers affect the quality of PONED services. Therefore, it is recommended that the Tapa Health Center improve competency training for health workers, provide better managerial support, conduct periodic evaluations, and involve health workers in decision-making to improve the quality of PUNE services.
References
Azwar, Azrul. 2010. Introduction to Health Administration (3rd Edition). Tangerang: Binarupa Aksara Publisher.
Fadhilah, R., Hamid, A., & Sari, A. P. (2023). The participation of health workers in decision-making and its impact on service quality. Journal of Public Health, 15(1), 74-81.
Handayani, Sri., et al. 2013. Analysis of the Implementation of Basic Emergency Neonatal Obstetrics Services (PONED) at the PONED Health Center, Kendal Regency. Proceedings of the National Seminar on Health Sciences. University of Muhammadiyah Surakarta
Hatijar, H., Utama, R. P., & Toyo, D. S. (2021) The Relationship of Post Natal Care Client Satisfaction to Midwife Services at Puskesma. Sandi Husada Health Scientific Journal, 10(2), 585-591
Putri, R. P., Wijayanti, N., & Aditya, W. (2021). The relationship between the attitude of health workers and the quality of health services in health clinics. Indonesian Health Journal, 16(4), 156-164.
Rahayu, D., Pratama, F., & Indah, S. (2019). Factors that affect the attitude of health workers towards health service policies at health centers. Journal of Health Services, 14(3), 112-118.
Rahayu, D., Pratama, F., & Indah, S. (2022). Factors that affect the competence of health workers in health centers. Journal of Public Health, 16(2), 115-123.
Luck, Sri Tanjung. 2016. Implementation of Basic Obstetric and Neonatal Emergency Service Program (PONED) at Health Centers, Tegal. Journal of Maternal and Child Health, 1(4), 257-267.
Santosa, A., Setiawan, F., & Wibowo, A. (2021). The effect of the competence of health workers on the quality of services in hospitals. Journal of Health Sciences, 12(1), 98-106.
Saraswati, A. (2020). The influence of managerial policies on the attitude of health workers in health centers. Journal of Health Policy, 11(2), 201-208.
Sari, Anggraeni Puspita. 2015. Analysis of the Quality of Maternity Services at the Inpatient Health Center of Able and Non-Poned Health Centers, Batam City in 2015. Thesis. Yogyakarta. Postgraduate Program in Hospital Management: University of Muhammadiyah Yogyakarta.
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