STUDI DESKRIPTIF PELAKSANAAN PELAYANAN KESEHATAN IBU DAN ANAK PADA MASA PANDEMI COVID 19 DI PUSKESMAS ANJIR PASAR TAHUN 2020
Authors: Maimunah Siti , Istiqamah Istiqamah , Dona Sismeri 
Published: August 2022

Latar Belakang: Pelayanan Kesehatan ibu dan anak merupakan pelayanan komprehensif, dilakukan oleh bidan.Tahun 2019 akhir sampai sekarang terjadi penyebaran penyakit baru, yang signifikan Â yaitu COVID-19, virus ini berdampak pada pelayanan kesehatan khususnya kesehatan ibu dan anak terkendala, disebabkan kepatuhan masyarakat tentang protokol kesehatan yang masih kurang, alat Rapid test yang terbatas, ibu takut datang ke Puskesmas,pelayanan KIA di Puskesmas mengalami perubahan karena tingginya kasus covid 19, dari april sampai september 2020 terdapat Â 24 orang dinyatakan positif, sehingga akses pelayanan KIA mengalami perubahan dan Â menjadi perhatian penting , dikarenakan selama masa pandemi Covid -19 tahun 2020 terjadi kasus kematian ibu sebanyak 3 orang, sedangkan ditahun 2019 tidak ada kematian.Tujuan: Menggambarkan pelaksanaan pelayanan kesehatan ibu dan anak pada masa pandemi covid 19 di Puskesmas Anjir Pasar tahun 2020â€™Metode: penelitian deskriptif eksploratif dengan pendekatan kualitatif. Subjek Penelitian dua sampel yaitu :1.Informan Utama : 4 orang bidan dan 1 orang ahli gizi. 2. InformanTriangulasi : kepala Puskesmas, bidan Koordinator dan 1 pasienÂ  yang berhubungan dengan tujuan penelitian.Hasil: hasil menunjukan bahwa pandemi covid-19 sangat berdampak pada Pelaksanaan Pelayanan kesehatan ibu dan anak di Puskesmas Anjir Pasar, mulai dari perubahan jadwal pelayanan danÂ  pelayanan yang diberikan, masih adanya keluarga dan ibu yang tidak mematuhi protokol kesehatan, sarana dan prasaran yang terbatas ,ruangan pelayanan yang tidak sesuai standar, kendala dalam Pelayanan kesehatan ibu dan anak dimasa pandemi Covid-19. SOP yang digunakan dalam pelayanan kesehatan ibu dan anak tidak dibuat secara tertulis sehingga petugas belum menggunakan APD yang sesuai standar dan protokol kesehatan yang baikSimpulan: Adanya perubahan jadwal pelayanan baik jam maupun hari pada pemeriksaan kehamilan dan KB, sedangkan tumbuh kembang dan MTBS hanya terjadi perubahan jam pelayanan saja, juga adanya perubahan pelayanan pada ibu bersalin, nifas,bayi, ibu menyusui dan KB Kespro. Petugas dalam memberikan pelayanan menggunakan APD,belum sesuai standar karena SOP yang digunakan berdasarkan Kemenkes RI tahun 2020 tentang pelayanan dimasa Pandemi tidak dibuat secara tertulis.Kata Kunci: KIA, Pelaksanaan Pelayanan , Pandemi Covid-19Â Background: Maternal and child health services are comprehensive services, carried out by midwives. In late 2019 until now there was a significant new disease spread, namely COVID-19, this virus has an impact on health services, especially maternal and child health is constrained, due to public compliance with Health protocols are still lacking, Rapid test equipment is limited, mothers are afraid to come to the Puskesmas, MCH services at the Puskesmas have changed due to the high number of COVID-19 cases, from April to September 2020 there were 24 people tested positive, so access to MCH services has changed and is a concern. This is important, because during the Covid-19 pandemic in 2020 there were 3 cases of maternal death, while in 2019 there were no deaths.Objective: To describe the implementation of maternal and child health services during the COVID-19 pandemic at the Anjir Pasar Community Health Center in 2020'Methods: exploratory descriptive research with a qualitative approach. The research subjects were two samples, namely: 1. Main informants: 4 midwives and 1 nutritionist. 2. Triangulation informants: the head of the Puskesmas, the Coordinator Midwife, and 1 patient related to the research objectives.Results: The results show that the COVID-19 pandemic has greatly impacted the implementation of maternal and child health services at the Anjir Pasar Community Health Center, starting from changes in the service schedule and services provided, there are still families and mothers who do not comply with health protocols, limited facilities and infrastructure, service rooms that do not meet standards, obstacles in maternal and child health services during the Covid-19 pandemic. The SOPs used in maternal and child health services are not written in writing so that officers have not used PPE that is in accordance with good health standards and protocols.Conclusion: There is a change in the service schedule, both hours and days during pregnancy and family planning examinations, while growth and development and IMCI only changes in service hours, there are also changes in services for maternity, postpartum, infants, breastfeeding mothers and KB Kespro. Officers in providing services using PPE are not up to standard because the SOPs used are based on the Ministry of Health of the Republic of Indonesia in 2020 regarding services during the pandemic, which are not written in writing.Keywords: MCH, Service Implementation, Covid-19 Pandemic