lutfiana, Indrie (2018) ASPEK HUKUM PELAKSANAAN KEWENANGAN DAN KOMPETENSI BIDAN DALAM MEMENUHI STANDAR PELAYANAN KESEHATAN. (STUDI KASUS ALUMNI PENDIDIKAN KEBIDANAN DI KABUPATEN BULELENG). Other thesis, Unika Soegijapranata Semarang.

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Abstract

The government, together with the community, are responsible for ensuring that every mother has access to qualified maternal health services. The purpose of this research was to review the implementation of midwife’s authority and competence in fulfilling health service standard, especially in midwifery servicesat BulelengDistrict. The method of this research was socio-legal approach by implementing analytic descriptive research specificationand qualitative and quantitative research designs. The research was conducted by having in-depth interviews with the Head of Health Office of Buleleng District, the board of midwive organization of Buleleng District, the hospital director of Local General Hospital of Buleleng, the director of KerthaUsadha Hospital, the Head of Midwifery Academy of Health Department of Bali Province, Head of Health Higher Education of Buleleng, the Head of BPM of Sangsit, the Head of BPM of Kubutambahan, the Head of BPM of Sawan I and II beside assessing the data gathered from 60 midwife respondents The research results showed that the legal basis of the midwife’s authority and competence implementation in fulfilling the midwifery service standard covered the Act Nr. 36 of 2009 on Health, the Local Government Regulation Nr. 23 of 2014, the Act Nr. 12 of 2012 on Higher Education, the Decision of Minester of Health Nr. 369 of 2007 on Midwife Profession Standard, the Regulation of Minister of Research, Technology and Higher Education Nr. 44 of 2015 on National Standards of Higher Education, and the Regulation ofMinister of Health Nr. 28 of 2017 on Licensing and Management of Midwife Practice. The Local General Hospital of Buleleng Distrcit and KerthaUsadha Hospital gave full authority to midwives who work less than 3 years based on the 38 midwife’s authhorities (100%). BPM gave 23 out of the 38 authorities (60,5%). The midwives who had worked for more than three years and had good competence were 30 (100%) whereas they who had worked under three years and had good competence were 27 (90%) and they having enough competence wereonly 3 (10%). Dealing with the minimum midwifery service standards most of the midwives, they who had worked less than 3 years and had implemented most of the standards (90%) were 9 midwives whereas they who implemented about 50% were only 2 persons.All of the midwives who had worked for more than 3 years (30 persons) had fully implemented the minimum midwifery service standards (100%) The obstacle appearing dealt with authority and competence regulation in meeting the midwifery service standards. This would possibly make the absence of legal certainty so that the midwives would not get legal protection. Besides, there were midwives performing midwifery services that did not match their authority as midwives. Keywords: legal aspect, authority, Competence, minimum midwifery service standards

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