EVALUASI PROGRAM SKRINING STATUS TETANUS TOXOID WANITA USIA SUBUR DI JEMBER TAHUN 2010

Abstract

Background: Cases and deaths due to Tetanus Neonatorum
(TN) in Jember District within the period of 2005 to 2009 with a
Case Fatality Rate (CFR) were greater than 50%. CFR with a
rate of more than or equal to 50% indicates a high share of
deaths. 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 was
conducted in January-February 2011 in five health centers of
Jember District. The population was midwives as persons in
charge of implementing the screening program.
Result: Most respondents (59%) had a moderate level of
capacity. Most respondents had a high level of intrinsic and
extrinsic motivation, namely 71% and 53%, respectively. The
screening implementation for childbearing women’s TT status
by the respondents had not been in accordance with the two
operational 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