Learning Disabilities dalam Layanan Kesehatan Ibu dan Anak: Studi Kasus di Dinas Kesehatan dengan Sumber Daya Terbatas di Indonesia


Nana Diana(1), Mubasysyir Hasanbasri(2*), Mohammad Hakimi(3)

(1) Dinas Kesehatan Kabupaten Kepahiang, Bengkulu
(2) Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Gadjah Mada
(3) Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author



Background: The growing number of infant mortality is one of the challenging problems in distric health offi ce. One of the causes of this problem is the recurring mistakes in the system. Learning organization is a strategic step to continuously learn and determine proper solution. However, there are learning disabilities in the organization that interfere with the learning organizationin maternal and infant mortality.

Objective: This study was aimed to explore learning organizationin emergency care unit by midwifes in the perspective of organizational learning in three organization level: distric health office, community health center, and midwifes.

Method: This was a case study with multi cases design in the working area of Distric Health Offi ce of Kepahiang Region from September to October 2015. Study subjects were secretary of distric health offi ce, director of Planning division, director and officers of maternal and infant health division, coordinator of midwifes, and midwifes. Three strategic steps of conducting qualitative studies were preparing and organizing data, reducing data into themes, and presenting data.

Result: There were four learning disabilities that often occurred in organization, which were: I am my position, the enemy is out there, the illusion of taking charge and the myth of team management.

Conclusion: Learning disabilities interfered with implementation of learning organization. Improving the role of maternal and perinatal audit were strategic opportunities to optimize learning organization process.

Keywords: Learning organization, organizational learning,midwives, emergency care unit.


Latar Belakang: Kasus kematian bayi yang terus meningkat setiap tahun merupakan permasalahan yang belum mampu tertangani oleh dinas kesehatan. Ada kesalahan berulang yang terjadi, namun dinas kesehatan belum mampu mengambil pelajaran dari kesalahan tersebut. Learning organization merupakan langkah yang strategis untuk senantiasa belajar dan menentukan langkah penanganan yang tepat. Tetapi ada learning disabilities yang terjadi dalam organisasi sehingga proses learning organization dalam kasus kematian ibu dan bayi tidak mampu berjalan sebagaimana yang diharapkan.

Tujuan: Tujuan dari penelitian ini adalah mengeksplorasi bagaimana learning organization dalam layanan kegawat daruratan oleh Bidan Desa ditinjau dari Perspektif organizational learning pada tiga level organisasi yaitu Dinas Kesehatan, Puskesmas dan Bidan Desa.

Metode: Penelitian ini adalah studi kasus dengan desain multi kasus di wilayah Kerja Dinas Kesehatan Kabupaten Kepahiang mulai bulan September sampai dengan Oktober 2015, subjek penelitian adalah sekretaris dinas kesehatan, kepala seksi perencanaan, kepala seksi KIA, staff KIA, bidan koordinator dan bidan desa. Ada tiga langkah strategis dalam melakukan analisis data kualitatif: menyiapkan dan mengorganisasikan data, untuk analisis mereduksi data menjadi tema, dan menyajikan data.

Hasil: Ada empat learning disabilities yang sering terjadi dalam organisasi meliputi I am my position, the enemy is out there, the illusion of taking charge dan the mytm of team management.

Kesimpulan: Learning disabilities merupakan hambatan dalam menerapkan learning organization. Penguatan peran audit maternal dan perinatal merupakan peluang strategis untuk mengoptimalkan proses learning organization.

Kata Kunci: Learning organization, organizational learning, Bidan desa, Layanan kegawatdaruratan.



Learning organization, organizational learning,midwives, emergency care unit.


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DOI: https://doi.org/10.22146/jkki.v6i2.26922

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