COMPARISON OF LEADERSHIP SUPPORT FOR THE PROGRESS OF GENERAL BP AND KIA IN THE IMPLEMENTATION OF INTEGRATED ANC

Abstract

Improving the quality of health workers working in primary services, especially community health centers, is very important by keeping up with developments and improving health services, becoming professional services. The Community Health Center consists of several service sections, namely general BP, dental services, nutritional counseling, environmental health, laboratory, KIA services, MTBS, etc. so that all these personnel provide services to all customers or patients who need them so they really need support in services from various fields, furthermore the integrated ANC service which is a government program to reduce MMR and AKB really needs support from various fields so that the integrated ANC can be maximized. purpose To find out the leadership's support in improving the quality of health workers, services at general BP and maternal and child health (MCH), especially the implementation of Integrated ANC, as well as the factors that hinder improving the quality of general BP services and integrated ANC services.

Method;  The research is qualitative with interviews with the head of the health center, the health center midwife and the Kia midwife of the Health Service, totaling 26 respondents. The interviews were conducted with in-depth questions, so the respondents were the object of the research and the research was the subject of the research.

Result; The characteristics of respondents or informants regarding age 41-50 years are 76.92%, all education is bachelor's degree 100%, the majority of occupations are general practitioners 84.67%, the longest length of service is 10 years. Meanwhile, for leadership support in improving the quality of health workers, services at general BP and maternal and child health (KIA), especially the implementation of Integrated ANC. The majority of community health center leaders support this, but there are still some leaders who are less supportive of the quality of KIA personnel. Factors that hinder improving the quality of general BP services and integrated ANC services, in general, services at general BP are very supportive but for integrated ANC services there are many obstacles because there is still a lack of support from nutritionists, environmental health experts because their staff is limited, while for general practitioners and dentists, patients do not want to because they have to queue.

Conclusion;  Improving the quality of KIA and BP health workers, some health centers are very supportive, but there are a few health center leaders who are less supportive, while there are no inhibiting factors in general BP services, but in integrated ANC services there are many obstacles because nutrition and health workers are very limited, while for general practitioners and dentists, pregnant women do not want to queue so they do not get services.