ABSTRAK Puskesmas Kampung Baru Kecamatan Medan Maimun sebagai sarana pelayanan kesehatan tingkat pertama merupakan ujung

tombak pelayanan kesehatan masyarakat yang bertanggungjawab diwilayah kerjanya dan dibutuhkan dalam pengendalian resiko bencana dibidang kesehatan. Penelitian ini bertujuan menganalisis pengaruh pengetahuan dan sikap terhadap kesiapsiagaan tenaga kesehatan Puskesmas Kampung Baru menghadapi bencana banjir di Kecamatan Medan Maimun pada tahun 2012. Jenis penelitian adalah survey eksplanatori, dengan populasi adalah seluruh tenaga kesehatan Puskesmas Kampung Baru yang dijadikan sampel berjumlah 22 orang. Pengumpulan data dilakukan dengan kuesioner, pengamatan, wawancara dan wawancara mendalam. Analisis dilakukan dengan uji eksak fisher dan regresi logistik. Dari hasil analisis bivariat dengan uji eksak fisher dan analisis multivariat dengan regresi logistik berganda disimpulkan bahwa variabel pengetahuan memiliki hubungan dan pengaruh yang positif dan signifikan terhadap kesiapsiagaan tenaga kesehatan Puskesmas Kampung Baru menghadapi bencana banjir dengan nilai signifikansi < 0,05. Sedangkan variabel sikap tidak memiliki hubungan dan pengaruh terhadap kesiapsiagaan tenaga kesehatan Puskesmas Kampung Baru menghadapi bencana banjir dengan nilai signifikasi > 0,05. Hasil wawancara, indepth interview dan observasi menunjukkan bahwa ketersediaan fasilitas, ketersediaan SOP penanganan gawat darurat dan rujukan, dukungan kebijakan dan komitmen staf merupakan faktor lain yang kemungkinan turut memengaruhi kesiapsiagaan tenaga kesehatan Puskesmas Kampung Baru menghadapi bencana banjir. Disarankan agar tenaga kesehatan meningkatkan pengetahuan dan tindakan mengenai kesiapsiagaan menghadapi bencana banjir melalui berbagai cara seperti melalui buku atau pedoman, internet, seminar, konferensi dan pelatihan atau simulasi mengenai penanggulangan bencana banjir dan penanganan gawat darurat yang difasilitasi Manajemen Dinas Kesehatan Kota Medan serta melalui kerjasama dengan pihak terkait.

Kata kunci : Pengetahuan, Sikap, Kesiapsiagaan , Tenaga Kesehatan, Bencana

Universitas Sumatera Utara

ABSTRACT

Kampung Baru Puskesmas (Public Health Center), Medan Maimun Subdistrict, as the first grade of health service facility, is the spearhead of public health service which has the responsibility in its working area since it is needed to control the health risk incident. The aim of the research was to analyze the influence of knowledge and attitude on the health workers preparedness and complete alertness at Kampung Baru Puskesmas in anticipating flood at Medan Maimun Subdistrict in 20012. The type of the research was an explanatory survey. The population was 22 health workers who were on duty at Kampung Baru Puskesmas. The data were gathered by distributing questionnaires and conducting observation, interviews, and in depth interviews and analyzed by conducting exact fisher test and logistic regression test. The results of bivatriate analysis with exact fisher test, multivatriate, and multiple logistic regression analyses showed that the variable of knowledge had positive and significant correlation and influence on the health workers preparedness and complete alertness at Kampung Baru Puskesmas in anticipating flood with the significance value of <0.05, whereas the variable of attitude did not have any correlation and influence on the health workers preparedness and complete alertness at Kampung Baru Puskesmas in anticipating flood with the significance value of >0.05. The results of the in depth interviews and observation showed that the availability of facilities, the availability of SOP in handling emergency situation and reference, and the supporting policy and commitment of the staffs constituted other factors which probably influenced the health workers preparedness and complete alertness at Kampung Baru Puskesmas in anticipating flood. It is recommended that the health workers should increase their knowledge and activity about the preparedness and complete alertness in anticipating flood through various ways, such as consulting books, guidelines and internet, attending seminars, conferences, and trainings or simulations dealing with flood, and handling emergency, facilitated by the Management of the Health Service, Medan, through the cooperation with the parties concerned.

Keywords: Knowledge, Attitude, Preparedness and Complete Alertness, Health Workers, Disasters

Universitas Sumatera Utara