{\rtf1{\fonttbl{\f2 Calibri Bold;}{\f3 Calibri Bold Italic;}{\f4 Calibri Italic;}{\f5 Calibri Italic;}{\f6 Calibri Bold;}{\f7 Calibri;}{\f8 Calibri Bold Italic;}{\f9 Calibri Italic;}{\f10 Calibri;}{\f11 Times New Roman;}{\f12 Times New Roman;}{\f13 Cambria Math;}{\f14 Cambria Math;}{\f15 Cambria Math;}{\f16 Arial;}{\f17 Arial;}{\f18 Arial;}{\f19 Arial;}{\f20 Calibri Bold;}{\f21 Microsoft YaHei;}{\f22 Calibri Bold;}{\f23 Calibri Bold;}{\f24 Arial Bold;}{\f25 Calibri;}{\f26 Microsoft YaHei;}{\f27 Batang;}{\f28 Calibri;}{\f29 Times New Roman Bold;}{\f30 Microsoft YaHei;}{\f31 Microsoft YaHei;}{\f32 Times New Roman Italic;}{\f1000000 Times New Roman;}}{\colortbl;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;}\viewkind1\viewscale100\margl0\margr0\margt0\margb0\deftab80\dntblnsbdb\expshrtn\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart Pg1}{\bkmkend Pg1}\par\pard\ql \li1173\sb0\sl-276\slmult0 \par\pard\ql\li1173\sb0\sl-276\slmult0 \par\pard\ql\li1173\sb0\sl-276\slmult0 \par\pard\ql\li1173\sb64\sl-276\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf1\f2\fs24 Pengaruh Faktor Instrinsik dan Ekstrinsik terhadap Pelaksanaan Inisiasi Menyusu Dini oleh Bidan \par\pard\ql \li4706\sb0\sl-216\slmult0 \up0 \expndtw-4\charscalex100 di Puskesmas Rawat Inap \par\pard\ql \li1956\sb0\sl-276\slmult0 \par\pard\ql\li1956\sb93\sl-276\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf2\f3\fs24 The Influence of Intrinsic and Extrinsic Factors to Early Initiation of Breastfeeding \par\pard\ql \li3193\sb0\sl-216\slmult0 \up0 \expndtw-3\charscalex100 Implementation by Midwives in Inpatient Health Center \par\pard\li4064\sb0\sl-115\slmult0\par\pard\li4064\sb0\sl-115\slmult0\par\pard\li4064\sb0\sl-115\slmult0\par\pard\li4064\sb70\sl-115\slmult0\fi1177\tx6719\tx7802 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf3\f4\fs10 1\tab \up0 \expndtw-1\charscalex100 2\tab \up0 \expndtw-1\charscalex100 3\par\pard\li4064\sb0\sl-180\slmult0\fi0\tx5292\tx6770 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4\f5\fs20 Rismaina Putri\tab \up0 \expndtw-5\charscalex100 , I Wayan Agung I\tab \up0 \expndtw-3\charscalex100 , Sri Andarini\par\pard\ql \li3177\sb18\sl-230\slmult0 \up0 \expndtw-3\charscalex100 \ul0\super\cf3\f4\fs16\ul0\super\cf3\f4\fs15 1\ul0\nosupersub\cf4\f5\fs20 Program Magister Kebidanan Fakultas Kedokteran Universitas Brawijaya \par\pard\ql \li3265\ri2704\sb16\sl-320\slmult0\tx4054 \up0 \expndtw-3\charscalex100 \ul0\super\cf3\f4\fs16\ul0\super\cf3\f4\fs15 2\ul0\nosupersub\cf4\f5\fs20 Fakultas Kedokteran Universitas Brawijaya-RSUD Saiful Anwar Malang \line\tab \up0 \expndtw-3\charscalex100 \ul0\super\cf3\f4\fs16\ul0\super\cf3\f4\fs15 3\ul0\nosupersub\cf4\f5\fs20 Fakultas Kedokteran Universitas Brawijaya Malang \par\pard\ql \li5593\sb0\sl-230\slmult0 \par\pard\ql\li5593\sb0\sl-230\slmult0 \par\pard\ql\li5593\sb35\sl-230\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf5\f6\fs20 ABSTRAK \par\pard\qj \li1162\ri789\sb99\sl-220\slmult0\fi1 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf6\f7\fs20 Inisiasi Menyusu Dini (IMD) adalah proses alami dimana bayi mulai menyusu sendiri segera setelah lahir kontak kulit \line \up0 \expndtw-4\charscalex100 dengan kulit ibunya hingga 1 (satu) jam setelah lahir. Meskipun IMD wajib dilakukan bidan dalam proses persalinan namun \line \up0 \expndtw-4\charscalex100 belum semua bidan melaksanakannya dengan baik. Terdapat beberapa faktor intrinsik dan ekstrinsik yang mempengaruhi \line \up0 \expndtw-3\charscalex100 pelaksanaan IMD. Penelitian ini bertujuan mengetahui pengaruh faktor intrinsik yang meliputi karakteristik bidan (umur, \line \up0 \expndtw-4\charscalex100 pendidikan, masa kerja), pengetahuan, sikap dan motivasi dan faktor ekstrinsik bidan yang meliputi pelatihan, beban kerja \line \up0 \expndtw-2\charscalex100 dan imbalan terhadap pelaksanaan Inisiasi Menyusu Dini di Puskesmas Rawat Inap Kabupaten Pasuruan. Penelitian ini \line \up0 \expndtw0\charscalex102 menggunakan desain penelitian observasional analitik secara \ul0\nosupersub\cf4\f5\fs20 case control\ul0\nosupersub\cf6\f7\fs20 dan dengan tehnik purposive sampling. \line \up0 \expndtw0\charscalex100 Penelitian ini dilaksanakan di 3 (tiga) Puskesmas Rawat Inap Kabupaten Pasuruan yaitu Puskesmas Gondangwetan, \line \up0 \expndtw-2\charscalex100 Purwodadi dan Winongan pada bulan November - Desember 2013. Besar sampel dalam penelitian ini adalah 40 orang. \line \up0 \expndtw-3\charscalex100 Setiap subjek diobservasi dengan lembar observasi saat melaksanakan IMD kemudian mengisi kuisioner untuk mengukur \line \up0 \expndtw-1\charscalex100 faktor intrinsik yaitu karakteristik bidan (umur, pendidikan, masa kerja), pengetahuan, sikap dan motivasi dan faktor \line \up0 \expndtw-1\charscalex100 ekstrinsik bidan yaitu pelatihan, beban kerja dan imbalan. Analisis hasil penelitian menggunakan uji analisis jalur. Hasil \line \up0 \expndtw0\charscalex100 penelitian menemukan bahwa faktor intrinsik dan faktor ekstrinsik bidan berpengaruh terhadap pelaksanaan IMD di \line \up0 \expndtw0\charscalex104 Puskesmas Rawat Inap Kabupaten Pasuruan. Variabel yang berpengaruh langsung terhadap pelaksanaan IMD di \line \up0 \expndtw0\charscalex100 Puskesmas Rawat Inap Kabupaten Pasuruan adalah sikap bidan (2,78%), beban kerja yaitu jumlah persalinan/minggu \line \up0 \expndtw-3\charscalex100 (0,26%) dan jumlah jam kerja bidan/minggu (1,54%) serta motivasi (0,44%). Umur (14,51%), pendidikan (2%), masa kerja \line \up0 \expndtw-3\charscalex100 (7,67%), pengetahuan (0,26%), pelatihan (8%), dan imbalan (0,06%) merupakan faktor yang berpengaruh tidak langsung \line \up0 \expndtw0\charscalex104 terhadap pelaksanaan IMD di Puskesmas Rawat Inap Kabupaten Pasuruan. Umur merupakan faktor yang paling \line \up0 \expndtw-4\charscalex100 berpengaruh terhadap pelaksanaan IMD di Puskesmas Kabupaten Pasuruan. \par\pard\ql \li1162\sb92\sl-230\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf5\f6\fs20 Kata Kunci: \ul0\nosupersub\cf6\f7\fs20 Bidan, faktor ekstrinsik, faktor intrinsik, Inisiasi Menyusu Dini (IMD) \par\pard\ql \li5548\sb0\sl-230\slmult0 \par\pard\ql\li5548\sb180\sl-230\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf7\f8\fs20 ABSTRACT \par\pard\qj \li1161\ri791\sb99\sl-220\slmult0\fi0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf4\f5\fs20 Early Initiation of Breastfeeding (EIB) is a natural process in which a baby starts to breastfeed soon after being placed in \line \up0 \expndtw-3\charscalex100 skin-to-skin contact with the mother within one hour after birth. Although EIB must be executed by a midwife in the birth \line \up0 \expndtw0\charscalex106 process, but not all midwives carry it out properly. There are several intrinsic and extrinsic factors affecting EIB \line \up0 \expndtw-2\charscalex100 implementation. This study aims to determine intrinsic factors' effect including midwives characteristics (age, education, \line \up0 \expndtw-3\charscalex100 and tenure), knowledge, attitudes and motivation, and extrinsic factors including training, workload, and reward of Early \line \up0 \expndtw0\charscalex100 Initiation of Breastfeeding implementation in Inpatient Health Center Pasuruan regency. This study uses an analytic \line \up0 \expndtw-2\charscalex100 observational research design with case control and purposive sampling technique. The research was conducted in three \line \up0 \expndtw0\charscalex103 Inpatient Health Centers in Pasuruan regency, i.e. Health Center Gondangwetan, Purwodadi, and Winongan from \line \up0 \expndtw-1\charscalex100 November to December 2013. The sample size in this study was 40 people that were observed using observation sheet \line \up0 \expndtw-2\charscalex100 when implementing EIB then filling out a questionnaire to measure the intrinsic factors such as midwives characteristics \line \up0 \expndtw-3\charscalex100 (age, education, and tenure), knowledge, attitudes, and motivation and extrinsic factors including training, workload, and \line \up0 \expndtw0\charscalex100 reward. Test result analysis of studies used path analysis. The study finds that midwives' intrinsic and extrinsic factors \line \up0 \expndtw0\charscalex106 influence the EIB implementation in Inpatient Health Center Pasuruan. The variables that directly influence EIB \line \up0 \expndtw0\charscalex100 implementation in Inpatient Health Center Pasuruan are midwives' attitude of (2,78%), workload, i.e. the number of \line \up0 \expndtw-3\charscalex100 deliveries/week (0.26%) and the number of midwives working hours/week (1,54%) and motivation (0,44%). Age (14,51%), \line \up0 \expndtw0\charscalex103 education (2%), length of employment (7,67%), knowledge (0,26%), training (8%), and reward (0,06%) are indirect \line \up0 \expndtw-4\charscalex100 influential factors to the EIB implementation. Age is the most significant factor on the EIB implementation. \par\pard\ql \li1161\sb92\sl-230\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf7\f8\fs20 Keywords: \ul0\nosupersub\cf4\f5\fs20 Early Breastfeeding Initiation, extrinsic factor, intrinsic factor, midwife \par\pard\qj \li1144\sb0\sl-200\slmult0 \par\pard\qj\li1144\ri825\sb75\sl-200\slmult0\fi0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf8\f9\fs18 Jurnal Kedokteran Brawijaya, Vol. 28, No. 3, Februari 2015; Korespondensi: Rismaina Putri. Program Magister Kebidanan Fakultas \up0 \expndtw0\charscalex100 Kedokteran Universitas Brawijaya, Jl. Veteran Malang Tel. (0341) 569117 Email: rismaina.putri@gmail.com \par\pard\ql \li5800\sb0\sl-184\slmult0 \par\pard\ql\li5800\sb0\sl-184\slmult0 \par\pard\ql\li5800\sb0\sl-184\slmult0 \par\pard\ql\li5800\sb0\sl-184\slmult0 \par\pard\ql\li5800\sb0\sl-184\slmult0 \par\pard\ql\li5800\sb0\sl-184\slmult0 \par\pard\ql\li5800\sb150\sl-184\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf9\f10\fs16 247 {\shp {\*\shpinst\shpleft1148\shptop14457\shpright10782\shpbottom14497\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz2182\shplid0{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 9634}}{\sp{\sn geoBottom}{\sv 40}}{\sp{\sn pVerticies}{\sv 8;4;(0,0);(9634,0);(9634,40);(0,40)}}{\sp{\sn pSegmentInfo}{\sv 2;10;16384;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart Pg2}{\bkmkend Pg2}\par\pard\sect\sectd\sbknone\cols2\colno1\colw5945\colsr160\colno2\colw5655\colsr160\ql \li1143\sb0\sl-230\slmult0 \par\pard\ql \li1143\sb0\sl-230\slmult0 \par\pard\ql \li1143\sb0\sl-230\slmult0 \par\pard\ql \li1144\sb101\sl-230\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf5\f6\fs20 PENDAHULUAN\par\pard\qj \li1144\ri145\sb95\sl-225\slmult0\fi0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf6\f7\fs20 Setiap tiga menit, satu anak balita meninggal dunia. Data \up0 \expndtw0\charscalex100 yang telah dirilis oleh \ul0\nosupersub\cf4\f5\fs20 United Nations of Children's Fund \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf6\f7\fs20 (UNICEF) tahun \up0 \expndtw0\charscalex104 2010, di Indonesia tercatat Angka\par\pard\qj \li1143\ri145\sb1\sl-225\slmult0\fi0 \up0 \expndtw0\charscalex103 Kematian Bayi (AKB) masih sangat\ul0\nosupersub\cf4\f5\fs20 \ul0\nosupersub\cf6\f7\fs20 tinggi yaitu 2% dari \line \up0 \expndtw0\charscalex105 kematian bayi di seluruh dunia dan jumlah bayi yang \line \up0 \expndtw-4\charscalex100 meninggal adalah 17 tiap 1000 kelahiran hidup (1)\ul0\nosupersub\cf10\f11\fs20 .\ul0\nosupersub\cf6\f7\fs20 Hal ini \line \up0 \expndtw-3\charscalex100 salah satunya dikarenakan pelaksanaan IMD di Indonesia \line \up0 \expndtw-2\charscalex100 belum terlaksana secara optimal dan dan pemberian ASI \line \up0 \expndtw-5\charscalex100 eksklusif tergolong rendah (2). Inisiasi Menyusu Dini (IMD) \line \up0 \expndtw0\charscalex105 adalah proses alami saat bayi mulai menyusu sendiri \line \up0 \expndtw-5\charscalex100 segera setelah lahir. Hal ini terjadi jika segera setelah lahir, \line \up0 \expndtw-5\charscalex100 bayi dibiarkan kontak kulit dengan kulit ibunya, setidaknya \line \up0 \expndtw-4\charscalex100 selama 1 (satu) jam setelah lahir. Bayi melakukan inisiasi \line \up0 \expndtw-5\charscalex100 menyusu dini ini dinamakan merangkak mencari payudara \line \up0 \expndtw-6\charscalex100 atau \ul0\nosupersub\cf4\f5\fs20 the breast crawl \ul0\nosupersub\cf6\f7\fs20 (3)\ul0\nosupersub\cf10\f11\fs20 .\par\pard\qj \li1142\ri146\sb95\sl-225\slmult0\fi0 \up0 \expndtw0\charscalex106 \ul0\nosupersub\cf6\f7\fs20 Pemerintah Kabupaten Pasuruan telah menyusun \up0 \expndtw-1\charscalex100 peraturan mengenai pelaksanaan IMD dan ASI Eksklusif \up0 \expndtw-2\charscalex100 yang tertuang dalam Peraturan Daerah (Perda) Nomor 2 \up0 \expndtw0\charscalex100 Tahun 2009 tentang Kesehatan Ibu, Bayi Baru Lahir dan \up0 \expndtw0\charscalex104 Anak (KIBBLA)\ul0\nosupersub\cf10\f11\fs20 .\ul0\nosupersub\cf6\f7\fs20 Dalam peraturan tersebut pada Bab V \up0 \expndtw-3\charscalex100 Pasal 7 menyebutkan bahwa Setiap Ibu melahirkan wajib \up0 \expndtw-1\charscalex100 memberikan IMD dan ASI Eksklusif sekurang-kurangnya \up0 \expndtw0\charscalex105 selama enam \up0 \expndtw0\charscalex108 (6) bulan tanpa diselingi makanan\par\pard\ql \li1142\sb1\sl-225\slmult0 \up0 \expndtw-3\charscalex100 tambahan \up0 \expndtw0\charscalex101 (4,5). Peraturan tersebut tidak menjamin\par\pard\qj \li1142\ri147\sb1\sl-225\slmult0\fi0 \up0 \expndtw-1\charscalex100 bahwa pelaksanaannya berhasil baik. Cakupan IMD dan \up0 \expndtw0\charscalex105 ASI Eksklusif masih sangat rendah. Menurut Data \up0 \expndtw-1\charscalex100 Kesehatan Indonesia tahun \up0 \expndtw0\charscalex100 2011 tentang ASI eksklusif\par\pard\qj \li1142\ri147\sb1\sl-225\slmult0\fi0 \up0 \expndtw0\charscalex103 menunjukkan bahwa cakupan bayi yang diberikan ASI \up0 \expndtw-2\charscalex100 eksklusif di Propinsi Jawa Timur pada tahun \up0 \expndtw-2\charscalex100 2010 cukup\par\pard\qj \li1141\ri147\sb1\sl-225\slmult0\fi0 \up0 \expndtw-1\charscalex100 rendah yaitu sebesar 49,7%, sedangkan di Kabupaten \up0 \expndtw-3\charscalex100 Pasuruan tahun 2010 menunjukkan cakupan yang sangat \up0 \expndtw-4\charscalex100 rendah yaitu 8,7%. Jumlah ini masih dikatakan rendah jika \up0 \expndtw0\charscalex104 dibandingkan dengan target pencapaian ASI eksklusif \up0 \expndtw-6\charscalex100 pada tahun 2010 yaitu 80% (6).\par\pard\qj \li1141\ri147\sb95\sl-225\slmult0\fi0 \up0 \expndtw0\charscalex101 Pelaksanaan IMD dipengaruhi oleh faktor intrinsik dan \up0 \expndtw0\charscalex101 ekstrinsik dari tenaga kesehatan (7). Faktor intrinsik ini \up0 \expndtw0\charscalex100 meliputi pendidikan, pengalaman, pengetahuan, sikap, \up0 \expndtw0\charscalex101 motivasi, usia, ketrampilan emosi, sedangkan faktor \up0 \expndtw-2\charscalex100 ekstrinsik meliputi kepemimpinan, kompensasi, fasilitas, \up0 \expndtw-3\charscalex100 pelatihan, beban kerja, sistem imbalan, dan hukuman (8) \up0 \expndtw-4\charscalex100 Keberhasilan program IMD sangat dipengaruhi oleh sikap, \up0 \expndtw0\charscalex101 pengetahuan dan motivasi petugas kesehatan (dokter, \up0 \expndtw-3\charscalex100 bidan, perawat) yang pertama kali membantu ibu selama \up0 \expndtw0\charscalex107 proses persalinan \up0 \expndtw0\charscalex109 (9)\ul0\nosupersub\cf10\f11\fs20 .\ul0\nosupersub\cf6\f7\fs20 Penolong persalinan akan\par\pard\qj \li1140\ri148\sb1\sl-225\slmult0\fi0 \up0 \expndtw-2\charscalex100 melaksanakan praktik pelaksanaan IMD dengan baik dan \line \up0 \expndtw-3\charscalex100 benar jika penolong persalinan mempunyai pengetahuan \line \up0 \expndtw0\charscalex101 yang baik tentang IMD (10). Pelatihan juga dibutuhkan \line \up0 \expndtw0\charscalex117 bidan untuk memperbaiki dan meningkatkan \line \up0 \expndtw-2\charscalex100 pengetahuan dan sikap bidan terhadap program IMD(3). \line \up0 \expndtw0\charscalex106 Oleh karena itu sikap, motivasi dan perilaku petugas \line \up0 \expndtw0\charscalex100 kesehatan khususnya bidan yang didasari pengetahuan \line \up0 \expndtw0\charscalex100 tentang IMD besar pengaruhnya terhadap keberhasilan \line \up0 \expndtw-5\charscalex100 praktek IMD (11).\par\pard\qj \li1139\ri149\sb95\sl-225\slmult0\fi0 \up0 \expndtw-2\charscalex100 Hasil studi pendahuluan yang dilakukan pada bulan April \line \up0 \expndtw-4\charscalex100 2013 melalui wawancara terhadap 12 bidan di Puskesmas \line \up0 \expndtw0\charscalex101 Rawat Inap Kabupaten Pasuruan, menunjukkan bahwa \line \up0 \expndtw0\charscalex102 delapan bidan (66,7%) selalu melaksanakan IMD pada \line \up0 \expndtw-2\charscalex100 setiap pertolongan persalinan yang dilakukan dan empat \line \up0 \expndtw-2\charscalex100 bidan \up0 \expndtw0\charscalex100 (33,3%) belum melaksanakan IMD sesuai tata\par\pard\qj \li1139\ri149\sb1\sl-225\slmult0\fi0 \up0 \expndtw0\charscalex100 langkah yang ada\ul0\nosupersub\cf10\f11\fs20 .\ul0\nosupersub\cf6\f7\fs20 Alasan yang dikemukaan adalah bayi \line \up0 \expndtw0\charscalex102 akan dilakukan pengukuran antropometri meskipun \line \up0 \expndtw0\charscalex104 belum mencapai puting susu ibu, pengetahuan bidan\par\pard\column \ql \li1389\sb183\sl-184\slmult0\tx4442 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf9\f10\fs16 Pengaruh Faktor Instrinsik dan Ekstrinsik...\tab \up0 \expndtw-2\charscalex100 248\par\pard\qj \li6109\sb0\sl-225\slmult0 \par\pard\qj \li6109\sb0\sl-225\slmult0 \par\pard\qj \li25\ri940\sb14\sl-225\slmult0\fi0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf6\f7\fs20 mengenai IMD adalah bayi diletakkan di dekat puting susu \up0 \expndtw0\charscalex104 ibu agar bayi lebih cepat mencapai puting, alasan lain \up0 \expndtw0\charscalex100 adalah bidan cukup repot menangani persalinan dan \up0 \expndtw-4\charscalex100 inisiasi menambah pekerjaan.\par\pard\qj \li24\ri941\sb95\sl-225\slmult0\fi0\tx1951 \up0 \expndtw0\charscalex101 Penelitian ini bertujuan untuk mengetahui pengaruh \up0 \expndtw0\charscalex101 faktor intrinsik yang meliputi karakteristik bidan (umur, \up0 \expndtw0\charscalex102 pendidikan dan masa kerja), pengetahuan, sikap dan \up0 \expndtw-1\charscalex100 motivasi serta faktor ekstrinsik bidan meliputi pelatihan, \up0 \expndtw0\charscalex102 beban kerja dan imbalan terhadap pelaksanaan IMD di \up0 \expndtw0\charscalex105 Puskesmas Rawat Inap Kabupaten Pasuruan. Hasil \up0 \expndtw0\charscalex100 penelitian diharapakan bermanfaat sebagai bahan studi \up0 \expndtw0\charscalex100 lanjut dan bahan kajian tentang IMD, sebagai bahan \line \up0 \expndtw0\charscalex108 masukan dalam \tab \up0 \expndtw0\charscalex110 pelaksanaan pembinaan dan\par\pard\qj \li24\ri941\sb1\sl-225\slmult0\fi0 \up0 \expndtw0\charscalex100 pengambilan kebijakan terhadap hal-hal yang berkaitan \line \up0 \expndtw0\charscalex103 dengan pelaksanaan IMD serta meningkatkan kualitas \line \up0 \expndtw0\charscalex103 asuhan kebidanan dalam pelaksanaan IMD dan ASI \line \up0 \expndtw-4\charscalex100 eksklusif.\par\pard\ql \li6109\sb0\sl-230\slmult0 \par\pard\ql \li24\sb41\sl-230\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf5\f6\fs20 METODE\par\pard\qj \li23\ri942\sb95\sl-225\slmult0\fi0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf6\f7\fs20 Penelitian ini merupakan penelitian observasional analitik \line \up0 \expndtw0\charscalex102 dengan \ul0\nosupersub\cf4\f5\fs20 cross sectional\ul0\nosupersub\cf6\f7\fs20 . Teknik pengambilan sampel \line \up0 \expndtw0\charscalex109 dilakukan dengan \ul0\nosupersub\cf4\f5\fs20 purposive sampling\ul0\nosupersub\cf6\f7\fs20 . Penelitian \line \up0 \expndtw0\charscalex102 dilakukan di tiga (3) Puskesmas Rawat Inap Kabupaten \line \up0 \expndtw-4\charscalex100 Pasuruan yaitu Puskesmas Gondangwetan, Purwodadi dan \line \up0 \expndtw0\charscalex105 Winongan sejak bulan November-Desember \up0 \expndtw0\charscalex101 2013.\par\pard\qj \li23\ri942\sb1\sl-225\slmult0\fi0 \up0 \expndtw-2\charscalex100 Sampel dalam penelitian ini adalah bidan yang bekerja di \line \up0 \expndtw-1\charscalex100 Puskesmas Rawat Inap Kabupaten Pasuruan yaitu 40 \line \up0 \expndtw-2\charscalex100 bidan.\par\pard\qj \li22\ri943\sb97\sl-223\slmult0\fi0 \up0 \expndtw-5\charscalex100 Variabel dalam penelitian ini adalah variabel eksogen yaitu \line \up0 \expndtw0\charscalex101 faktor intrinsik yang meliputi karakteristik bidan (umur, \line \up0 \expndtw0\charscalex100 pendidikan, masa kerja), serta faktor ekstrinsik yaitu \line \up0 \expndtw-4\charscalex100 pelatihan dan imbalan. Variabel endogen dalam penelitian \line \up0 \expndtw-3\charscalex100 ini yaitu faktor intrinsik yang meliputi pengetahuan, sikap \line \up0 \expndtw0\charscalex106 dan motivasi, faktor ekstrinsik yaitu beban kerja dan \line \up0 \expndtw-4\charscalex100 pelaksanaan IMD.\par\pard\qj \li22\ri943\sb98\sl-223\slmult0\fi0 \up0 \expndtw-2\charscalex100 Alat yang digunakan pada penelitian ini adalah kuisioner. \line \up0 \expndtw-1\charscalex100 Setiap responden diberikan penjelasan mengenai tujuan \line \up0 \expndtw-1\charscalex100 dan cara penelitian kemudian mengisi \ul0\nosupersub\cf4\f5\fs20 informed consent\ul0\nosupersub\cf6\f7\fs20 . \line \up0 \expndtw-3\charscalex100 Responden kemudian diobservasi sebanyak satu kali pada \line \up0 \expndtw0\charscalex102 saat pelaksanaan IMD menggunakan lembar observasi \line \up0 \expndtw-3\charscalex100 berupa \ul0\nosupersub\cf4\f5\fs20 checklist\ul0\nosupersub\cf6\f7\fs20 yang berisi langkah-langkah pelaksanaan \line \up0 \expndtw0\charscalex103 IMD kemudian dilakukan skoring dari langkah yang \line \up0 \expndtw-4\charscalex100 dilakukan bidan.\par\pard\qj \li21\ri944\sb98\sl-223\slmult0\fi0 \up0 \expndtw-2\charscalex100 Selain itu dilakukan observasi kegiatan bidan selama satu \up0 \expndtw-4\charscalex100 minggu kemudian responden mengisi kuisioner yang berisi \up0 \expndtw0\charscalex100 data-data mengenai faktor intrinsik bidan yang meliputi \up0 \expndtw0\charscalex102 karakteristik bidan \up0 \expndtw0\charscalex103 (umur, pendidikan, masa kerja),\par\pard\qj \li21\ri944\sb2\sl-223\slmult0\fi0 \up0 \expndtw0\charscalex102 pengetahuan, sikap, dan motivasi serta faktor intrinsik \up0 \expndtw0\charscalex100 yang meliputi pelatihan, beban kerja dan imbalan. Data \up0 \expndtw0\charscalex105 hasil penelitian yang telah diolah kemudian dianalisis \up0 \expndtw-4\charscalex100 menggunakan analisis jalur \ul0\nosupersub\cf4\f5\fs20 (path analysis)\ul0\nosupersub\cf6\f7\fs20 .\par\pard\qj \li20\ri945\sb98\sl-223\slmult0\fi0 \up0 \expndtw0\charscalex102 Hasil penelitian sebelumnya menunjukkan penolong \line \up0 \expndtw-5\charscalex100 persalinan akan melaksanakan IMD dengan baik dan benar \line \up0 \expndtw-1\charscalex100 jika penolong persalinan mempunyai pengetahuan yang \line \up0 \expndtw0\charscalex100 baik tentang IMD (10). Karakteristik bidan seperti umur, \line \up0 \expndtw0\charscalex100 pendidikan dan pengalaman yang didapatkan selama \line \up0 \expndtw-2\charscalex100 bekerja mempengaruhi pengetahuan (12). Pelatihan juga \line \up0 \expndtw-2\charscalex100 dibutuhkan bidan untuk memperbaiki dan meningkatkan \line \up0 \expndtw0\charscalex101 pengetahuan & sikap bidan terhadap program IMD (3). \line \up0 \expndtw0\charscalex106 Sikap, motivasi, beban kerja dan perilaku petugas \line \up0 \expndtw-2\charscalex100 kesehatan yang didasari pengetahuan tentang IMD besar \line \up0 \expndtw-5\charscalex100 pengaruhnya terhadap keberhasilan praktik IMD (11).\par\pard\ql \li7007\sb0\sl-184\slmult0 \par\pard\ql \li7007\sb0\sl-184\slmult0 \par\pard\ql \li922\sb133\sl-184\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf9\f10\fs16 Jurnal Kedokteran Brawijaya, Vol. 28, No. 3, Februari 2015 \par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart Pg3}{\bkmkend Pg3}\par\pard\sect\sectd\sbknone\cols2\colno1\colw5996\colsr160\colno2\colw5604\colsr160\ql \li1142\sb0\sl-230\slmult0 \par\pard\ql \li1142\sb0\sl-230\slmult0 \par\pard\ql \li1142\sb0\sl-230\slmult0 \par\pard\ql \li1142\sb109\sl-230\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf5\f6\fs20 HASIL\par\pard\qj \li1141\ri197\sb105\sl-213\slmult0\fi0 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf6\f7\fs20 Terdapat 33 puskesmas yang terbagi menjadi 20 unit \line \up0 \expndtw-5\charscalex100 Puskesmas Rawat Jalan dan 13 unit Puskesmas Rawat Inap \line \up0 \expndtw0\charscalex100 pada wilayah studi. Dari 13 unit Puskesmas Rawat Inap, \line \up0 \expndtw0\charscalex100 delapan diantaranya merupakan Puskesmas Pelayanan \line \up0 \expndtw0\charscalex104 Obstetri Neonatal Emergensi Dasar \up0 \expndtw0\charscalex103 (PONED) yaitu\par\pard\column \ql \li1338\sb183\sl-184\slmult0\tx4391 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf9\f10\fs16 Pengaruh Faktor Instrinsik dan Ekstrinsik...\tab \up0 \expndtw-2\charscalex100 249\par\pard\qj \li6263\sb0\sl-219\slmult0 \par\pard\qj \li6263\sb0\sl-219\slmult0 \par\pard\qj \li20\ri972\sb4\sl-219\slmult0\fi107 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf19\f20\fs18 Tabel 1. Distribusi frekuensi responden berdasarkan faktor \line \up0 \expndtw-2\charscalex100 intrinsik, ekstrinsik bidan dan pelaksanaan IMD di puskesmas\par\pard\ql \li735\sb11\sl-207\slmult0 \up0 \expndtw-3\charscalex100 rawat inap kabupaten Pasuruan (lanjutan)\par\pard\ql \li1141\sb0\sl-184\slmult0 \par\pard\ql \li1141\sb0\sl-184\slmult0 \par\pard\ql \li1141\sb0\sl-184\slmult0 \par\pard\ql \li2966\sb49\sl-184\slmult0\tx3778 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf22\f23\fs16 Frekuensi\tab \up0 \expndtw-2\charscalex100 Prosentase\par\pard\sect\sectd\sbknone\cols3\colno1\colw5962\colsr160\colno2\colw3076\colsr160\colno3\colw2412\colsr160\ql \li1141\sb0\sl-180\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf6\f7\fs20 Puskesmas Grati, Lekok, Gondangwetan, Ngempit, Beji,\par\pard\ql \li1141\sb1\sl-198\slmult0 \up0 \expndtw-4\charscalex100 Purwodadi, Winongan dan Pandaan.\par\pard\qj \li1141\ri164\sb70\sl-213\slmult0\fi0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf4\f5\fs20 Gambaran Faktor Intrinsik, Ekstrinsik dan Pelaksanaan \up0 \expndtw-5\charscalex100 IMD oleh Bidan\par\pard\qj \li1141\ri164\sb67\sl-213\slmult0\fi0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf6\f7\fs20 Hasil pada Tabel 1 menerangkan bahwa dari 40 responden \up0 \expndtw0\charscalex101 terbanyak pada kelompok umur \up0 \expndtw0\charscalex103 31-40 tahun yaitu\par\pard\qj \li1141\ri163\sb1\sl-213\slmult0\fi0 \up0 \expndtw0\charscalex103 (47,5%), pada variabel pendidikan dari 40 responden \up0 \expndtw0\charscalex102 bidan terdapat \up0 \expndtw0\charscalex105 85% yang memiliki pendidikan D3\par\pard\qj \li1141\ri163\sb1\sl-213\slmult0\fi0 \up0 \expndtw0\charscalex105 Kebidanan, dan variabel masa kerja menunjukkan \line \up0 \expndtw-2\charscalex100 sebagian besar (57,5%) memiliki masa kerja \ul0\nosupersub\cf20\f21\fs24 \u8804?\ul0\nosupersub\cf6\f7\fs20 10 tahun. \line \up0 \expndtw0\charscalex104 Seluruh responden mempunyai pengetahuan, \up0 \expndtw-1\charscalex100 55%\par\pard\qj \li1141\ri163\sb1\sl-213\slmult0\fi0 \up0 \expndtw-3\charscalex100 responden memiliki sikap mendukung terhadap IMD, dan \up0 \expndtw-1\charscalex100 sebagian besar memiliki motivasi yang kurang terhadap \up0 \expndtw-4\charscalex100 IMD (62,5%).\par\pard\qj \li1140\ri164\sb67\sl-213\slmult0\fi0 \up0 \expndtw0\charscalex101 Berdasarkan faktor ekstrinsik bidan, dari 40 responden \line \up0 \expndtw0\charscalex108 sebagian besar pernah mengikuti pelatihan yang \line \up0 \expndtw0\charscalex102 berhubungan dengan IMD (65%), pada variabel beban \line \up0 \expndtw0\charscalex101 kerja berdasarkan lama kerja bidan per minggu hampir \line \up0 \expndtw0\charscalex102 seluruhnya bekerja tidak efektif per minggu (80%) dan \line \up0 \expndtw0\charscalex100 sebagian besar menangani \ul0\nosupersub\cf20\f21\fs24 \u8804?\ul0\nosupersub\cf6\f7\fs20 2 ibu bersalin per minggu \line \up0 \expndtw0\charscalex100 (55%). Berdasarkan variabel imbalan sebagian besar \line \up0 \expndtw-2\charscalex100 (70%) memliki imbalan yang kurang. Pelaksanaan IMD di \line \up0 \expndtw-4\charscalex100 Puskesmas rawat inap Kabupaten Pasuruan menunjukkan \line \up0 \expndtw-4\charscalex100 bahwa dari 40 responden sebagian besar (70%) memiliki\par\pard\column \ql \li1389\sb0\sl-144\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf22\f23\fs16 Variabel\par\pard\ql \li6139\sb0\sl-184\slmult0 \par\pard\ql \li37\sb21\sl-184\slmult0 \up0 \expndtw-1\charscalex100 2.\ul0\nosupersub\cf23\f24\fs16 \ul0\nosupersub\cf22\f23\fs16 Faktor Ekstrinsik Bidan\par\pard\ql \li307\sb12\sl-184\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf24\f25\fs16 a.\ul0\nosupersub\cf16\f17\fs16 \ul0\nosupersub\cf24\f25\fs16 Pelatihan\par\pard\ql \li667\sb20\sl-184\slmult0 \up0 \expndtw-2\charscalex100 Pernah\par\pard\ql \li667\sb20\sl-184\slmult0 \up0 \expndtw-2\charscalex100 Belum Pernah\par\pard\ql \li415\sb21\sl-184\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf22\f23\fs16 Total\par\pard\ql \li307\sb21\sl-184\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf24\f25\fs16 b.\ul0\nosupersub\cf16\f17\fs16 \ul0\nosupersub\cf24\f25\fs16 Beban Kerja\par\pard\ql \li487\sb12\sl-184\slmult0 \up0 \expndtw-2\charscalex100 Jumlah Lama Kerja Bidan /minggu\par\pard\ql \li667\sb18\sl-184\slmult0 \up0 \expndtw-2\charscalex100 37,5 jam\par\pard\ql \li667\sb20\sl-184\slmult0 \up0 \expndtw-2\charscalex100 37,5 jam\par\pard\ql \li415\sb22\sl-184\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf22\f23\fs16 Total\par\pard\ql \li487\sb21\sl-184\slmult0 \up0 \expndtw0\charscalex108 \ul0\nosupersub\cf24\f25\fs16 Jumlah Ibu Bersalin yang\par\pard\ql \li487\sb11\sl-184\slmult0 \up0 \expndtw-2\charscalex100 Ditangani \up0 \expndtw-2\charscalex100 /minggu\par\pard\ql \li667\sb20\sl-184\slmult0 \up0 \expndtw0\charscalex100 Rata - rata (\ul0\nosupersub\cf25\f26\fs16 \u8804?\ul0\nosupersub\cf24\f25\fs16 2)\par\pard\ql \li667\sb20\sl-184\slmult0 \up0 \expndtw-2\charscalex100 Diatas Rata-rata (>2)\par\pard\ql \li415\sb22\sl-184\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf22\f23\fs16 Total\par\pard\ql \li307\sb21\sl-184\slmult0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf24\f25\fs16 c.\ul0\nosupersub\cf16\f17\fs16 \ul0\nosupersub\cf24\f25\fs16 Imbalan\par\pard\ql \li667\sb20\sl-184\slmult0 \up0 \expndtw-2\charscalex100 Kurang\par\pard\ql \li667\sb20\sl-184\slmult0 \up0 \expndtw-2\charscalex100 Cukup\par\pard\ql \li415\sb21\sl-184\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf22\f23\fs16 Total\par\pard\ql \li6122\sb0\sl-230\slmult0 \par\pard\ql \li6122\sb0\sl-230\slmult0 \par\pard\ql \li20\sb139\sl-230\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf4\f5\fs20 Analisis Jalur\par\pard\column \ql \li20\sb12\sl-184\slmult0\tx845 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf22\f23\fs16 (f)\tab \up0 \expndtw-2\charscalex100 (%)\par\pard\ql \li9582\sb0\sl-184\slmult0 \par\pard\ql \li9582\sb0\sl-184\slmult0 \par\pard\ql \li254\sb175\sl-184\slmult0\tx1214 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf24\f25\fs16 26\tab \up0 \expndtw-2\charscalex100 65\par\pard\ql \li254\sb12\sl-184\slmult0\tx1214 \up0 \expndtw-2\charscalex100 14\tab \up0 \expndtw-2\charscalex100 35\par\pard\ql \li254\sb38\sl-184\slmult0\tx1134 \up0 \expndtw-2\charscalex100 40\tab \up0 \expndtw-2\charscalex100 100\par\pard\ql \li9664\sb0\sl-184\slmult0 \par\pard\ql \li9664\sb0\sl-184\slmult0 \par\pard\ql \li336\sb43\sl-184\slmult0\tx1216 \up0 \expndtw-2\charscalex100 8\tab \up0 \expndtw-2\charscalex100 20\par\pard\ql \li255\sb12\sl-184\slmult0\tx1094 \up0 \expndtw-2\charscalex100 13\tab \up0 \expndtw-2\charscalex100 32,5\par\pard\ql \li255\sb11\sl-184\slmult0\tx1094 \up0 \expndtw-2\charscalex100 19\tab \up0 \expndtw-2\charscalex100 47,5\par\pard\ql \li254\sb47\sl-184\slmult0\tx1134 \up0 \expndtw-2\charscalex100 40\tab \up0 \expndtw-2\charscalex100 100\par\pard\ql \li9583\sb0\sl-184\slmult0 \par\pard\ql \li255\sb32\sl-184\slmult0\tx1216 \up0 \expndtw-2\charscalex100 22\tab \up0 \expndtw-2\charscalex100 55\par\pard\ql \li255\sb12\sl-184\slmult0\tx1216 \up0 \expndtw-2\charscalex100 18\tab \up0 \expndtw-2\charscalex100 45\par\pard\ql \li1140\sb0\sl-184\slmult0 \par\pard\ql \li254\sb50\sl-184\slmult0\tx1134 \up0 \expndtw-2\charscalex100 40\tab \up0 \expndtw-2\charscalex100 100\par\pard\ql \li1140\sb0\sl-184\slmult0 \par\pard\ql \li254\sb32\sl-184\slmult0\tx1214 \up0 \expndtw-2\charscalex100 28\tab \up0 \expndtw-2\charscalex100 70\par\pard\ql \li254\sb12\sl-184\slmult0\tx1214 \up0 \expndtw-2\charscalex100 12\tab \up0 \expndtw-2\charscalex100 30\par\pard\ql \li254\sb38\sl-184\slmult0\tx1134 \up0 \expndtw-2\charscalex100 40\tab \up0 \expndtw-2\charscalex100 100\par\pard\sect\sectd\sbknone\cols2\colno1\colw5962\colsr160\colno2\colw5638\colsr160\ql \li1140\sb1\sl-220\slmult0 \up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf6\f7\fs20 skor 91 hingga 100.\par\pard\qj \li1158\sb0\sl-219\slmult0 \par\pard\qj \li1158\sb0\sl-219\slmult0 \par\pard\qj \li1158\ri182\sb43\sl-219\slmult0\fi107 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf19\f20\fs18 Tabel 1. Distribusi frekuensi responden berdasarkan faktor \line \up0 \expndtw-2\charscalex100 intrinsik, ekstrinsik bidan dan pelaksanaan IMD di puskesmas\par\pard\ql \li2259\sb11\sl-207\slmult0 \up0 \expndtw-3\charscalex100 rawat inap kabupaten Pasuruan\par\pard\column \ql \li20\sb28\sl-230\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf6\f7\fs20 Berdasarkan kerangka konsep penelitian diagram analisis\par\pard\ql \li20\sb0\sl-219\slmult0 \up0 \expndtw-5\charscalex100 jalur disajikan pada Gambar 1.\par\pard\ql \li6813\sb0\sl-195\slmult0 \par\pard\ql \li6813\sb0\sl-195\slmult0 \par\pard\ql \li6813\sb0\sl-195\slmult0 \par\pard\ql \li711\sb55\sl-195\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf15\f16\fs17 X1\par\pard\sect\sectd\sbknone\cols4\colno1\colw3952\colsr160\colno2\colw3474\colsr160\colno3\colw777\colsr60\colno4\colw3197\colsr160\ql \li2500\sb0\sl-184\slmult0 \par\pard\ql \li2500\sb60\sl-184\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf22\f23\fs16 Variabel\par\pard\ql \li1149\sb118\sl-184\slmult0\tx1414 \up0 \expndtw-2\charscalex100 1.\tab \up0 \expndtw-2\charscalex100 Faktor Intrinsik Bidan\par\pard\ql \li1419\sb12\sl-184\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf24\f25\fs16 a.\ul0\nosupersub\cf16\f17\fs16 \ul0\nosupersub\cf24\f25\fs16 Karakteristik Bidan\par\pard\ql \li1599\sb12\sl-184\slmult0 \up0 \expndtw-2\charscalex100 Umur\par\pard\ql \li1779\sb20\sl-184\slmult0 \up0 \expndtw0\charscalex101 20 - 30 tahun\par\pard\ql \li1779\sb19\sl-184\slmult0 \up0 \expndtw0\charscalex100 31 - 40 tahun\par\pard\ql \li1779\sb20\sl-184\slmult0 \up0 \expndtw0\charscalex100 41 - 50 tahun\par\pard\ql \li1527\sb21\sl-184\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf22\f23\fs16 Total\par\pard\ql \li1599\sb22\sl-184\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf24\f25\fs16 Pendidikan\par\pard\ql \li1779\sb19\sl-184\slmult0 \up0 \expndtw-2\charscalex100 D1 Kebidanan\par\pard\ql \li1779\sb20\sl-184\slmult0 \up0 \expndtw-2\charscalex100 D3 Kebidanan\par\pard\ql \li1779\sb20\sl-184\slmult0 \up0 \expndtw-2\charscalex100 D4/S1 Kebidanan\par\pard\column \ql \li3232\sb0\sl-135\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf12\f13\fs15 p\ul0\nosupersub\cf13\f14\fs10 1\par\pard\ql \li20\sb11\sl-184\slmult0\tx831\tx3090 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf22\f23\fs16 Frekuensi\tab \up0 \expndtw-2\charscalex100 Prosentase\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf12\f13\fs15 p\ul0\nosupersub\cf13\f14\fs10 3\par\pard\ql \li266\sb35\sl-156\slmult0\tx1090 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf22\f23\fs16 (f)\tab \up0 \expndtw-2\charscalex100 (%)\par\pard\ql \li3007\sb38\sl-172\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf12\f13\fs15 p\ul0\nosupersub\cf13\f14\fs10 9\par\pard\ql \li2885\sb170\sl-172\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf17\f18\fs15 X2\par\pard\ql \li500\sb64\sl-184\slmult0\tx1340 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf24\f25\fs16 13\tab \up0 \expndtw-2\charscalex100 32,5\par\pard\ql \li500\sb10\sl-184\slmult0\tx1340 \up0 \expndtw-2\charscalex100 19\tab \up0 \expndtw-2\charscalex100 47,5\par\pard\ql \li581\sb12\sl-184\slmult0\tx1461 \up0 \expndtw-2\charscalex100 8\tab \up0 \expndtw-2\charscalex100 20\par\pard\ql \li500\sb46\sl-184\slmult0\tx1379\tx3200 \up0 \expndtw-2\charscalex100 40\tab \up0 \expndtw-2\charscalex100 100\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf12\f13\fs15 p\ul0\nosupersub\cf13\f14\fs10 13\par\pard\ql \li4592\sb0\sl-184\slmult0 \par\pard\ql \li581\sb33\sl-184\slmult0\tx1541\tx2861 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf24\f25\fs16 2\tab \up0 \expndtw-2\charscalex100 5\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf15\f16\fs17 X3\par\pard\ql \li500\sb11\sl-184\slmult0\tx1460 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf24\f25\fs16 34\tab \up0 \expndtw-2\charscalex100 85\par\pard\ql \li581\sb12\sl-184\slmult0\tx1460 \up0 \expndtw-2\charscalex100 4\tab \up0 \expndtw-2\charscalex100 10\par\pard\column \ql \li466\sb33\sl-172\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf12\f13\fs15 p\ul0\nosupersub\cf13\f14\fs10 2\par\pard\ql \li245\sb113\sl-195\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf15\f16\fs17 Y1\par\pard\ql \li20\sb94\sl-172\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf12\f13\fs15 p\ul0\nosupersub\cf13\f14\fs10 10\par\pard\ql \li523\sb0\sl-132\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf12\f13\fs15 p\ul0\nosupersub\cf13\f14\fs10 11\par\pard\ql \li7881\sb0\sl-172\slmult0 \par\pard\ql \li165\sb41\sl-172\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf17\f18\fs15 Y3\par\pard\ql \li7918\sb0\sl-172\slmult0 \par\pard\ql \li202\sb113\sl-172\slmult0 \up0 \expndtw-2\charscalex100 Y4\par\pard\column \ql \li431\sb1\sl-167\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf12\f13\fs15 p\ul0\nosupersub\cf13\f14\fs10 4\par\pard\ql \li529\sb107\sl-172\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf12\f13\fs15 p\ul0\nosupersub\cf13\f14\fs10 6\par\pard\ql \li20\sb0\sl-114\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf12\f13\fs15 p\ul0\nosupersub\cf13\f14\fs10 5\par\pard\ql \li391\sb74\sl-172\slmult0\tx851\tx1495 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf17\f18\fs15 Y2\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf12\f13\fs15 p\ul0\nosupersub\cf13\f14\fs10 7\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf15\f16\fs17 Y5\par\pard\ql \li217\sb101\sl-172\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf12\f13\fs15 p\ul0\nosupersub\cf13\f14\fs10 12\par\pard\ql \li737\sb120\sl-172\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf12\f13\fs15 p\ul0\nosupersub\cf13\f14\fs10 8\par\pard\ql \li1419\sb0\sl-172\slmult0 \par\pard\ql \li1419\sb0\sl-172\slmult0 \par\pard\ql \li96\sb7\sl-172\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf12\f13\fs15 p\ul0\nosupersub\cf13\f14\fs10 14\par\pard\sect\sectd\sbknone\cols2\colno1\colw5962\colsr160\colno2\colw5638\colsr160\ql \li1527\sb24\sl-184\slmult0\tx4587\tx5461 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf22\f23\fs16 Total\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf24\f25\fs16 40\tab \up0 \expndtw-2\charscalex100 100\par\pard\ql \li1599\sb22\sl-184\slmult0 \up0 \expndtw-2\charscalex100 Masa Kerja\par\pard\ql \li1779\sb20\sl-184\slmult0\tx4587\tx5423 \up0 \expndtw-7\charscalex100 \ul0\nosupersub\cf25\f26\fs16 \u8804?\ul0\nosupersub\cf26\f27\fs16 \ul0\nosupersub\cf24\f25\fs16 10 tahun\tab \up0 \expndtw-2\charscalex100 23\tab \up0 \expndtw-2\charscalex100 57,5\par\pard\ql \li1779\sb20\sl-184\slmult0\tx4587\tx5543 \up0 \expndtw0\charscalex100 11 - 20 tahun\tab \up0 \expndtw-2\charscalex100 12\tab \up0 \expndtw-2\charscalex100 30\par\pard\ql \li1779\sb20\sl-184\slmult0\tx4668\tx5422 \up0 \expndtw-7\charscalex100 \ul0\nosupersub\cf25\f26\fs16 \u8805?\ul0\nosupersub\cf26\f27\fs16 \ul0\nosupersub\cf24\f25\fs16 21 tahun\tab \up0 \expndtw-2\charscalex100 5\tab \up0 \expndtw-2\charscalex100 12,5\par\pard\ql \li1527\sb21\sl-184\slmult0\tx4587\tx5461 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf22\f23\fs16 Total\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf24\f25\fs16 40\tab \up0 \expndtw-2\charscalex100 100\par\pard\ql \li1419\sb21\sl-184\slmult0 \up0 \expndtw-1\charscalex100 b.\ul0\nosupersub\cf16\f17\fs16 \ul0\nosupersub\cf24\f25\fs16 Pengetahuan\par\pard\ql \li1779\sb20\sl-184\slmult0\tx4587\tx5461 \up0 \expndtw-2\charscalex100 Baik\tab \up0 \expndtw-2\charscalex100 40\tab \up0 \expndtw-2\charscalex100 100\par\pard\ql \li1779\sb20\sl-184\slmult0\tx4668\tx5623 \up0 \expndtw-2\charscalex100 Kurang\tab \up0 \expndtw-2\charscalex100 0\tab \up0 \expndtw-2\charscalex100 0\par\pard\ql \li1527\sb21\sl-184\slmult0\tx4587\tx5461 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf22\f23\fs16 Total\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf24\f25\fs16 40\tab \up0 \expndtw-2\charscalex100 100\par\pard\ql \li1419\sb21\sl-184\slmult0\tx4587\tx5542 \up0 \expndtw0\charscalex102 c.\ul0\nosupersub\cf16\f17\fs16 \ul0\nosupersub\cf24\f25\fs16 Sikap\tab \up0 \expndtw-2\charscalex100 22\tab \up0 \expndtw-2\charscalex100 55\par\pard\ql \li1779\sb20\sl-184\slmult0\tx4587\tx5542 \up0 \expndtw-2\charscalex100 Mendukung\tab \up0 \expndtw-2\charscalex100 18\tab \up0 \expndtw-2\charscalex100 45\par\pard\ql \li1779\sb20\sl-184\slmult0 \up0 \expndtw-2\charscalex100 Tidak Mendukung\par\pard\ql \li1527\sb22\sl-184\slmult0\tx4587\tx5461 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf22\f23\fs16 Total\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf24\f25\fs16 40\tab \up0 \expndtw-2\charscalex100 100\par\pard\ql \li1419\sb21\sl-184\slmult0 \up0 \expndtw-1\charscalex100 d.\ul0\nosupersub\cf16\f17\fs16 \ul0\nosupersub\cf24\f25\fs16 Motivasi\par\pard\ql \li1779\sb20\sl-184\slmult0\tx4587\tx5421 \up0 \expndtw-2\charscalex100 Baik\tab \up0 \expndtw-2\charscalex100 15\tab \up0 \expndtw-1\charscalex100 37,5\par\pard\ql \li1779\sb20\sl-184\slmult0\tx4587\tx5421 \up0 \expndtw-2\charscalex100 Kurang\tab \up0 \expndtw-2\charscalex100 25\tab \up0 \expndtw-1\charscalex100 62,5\par\pard\ql \li1527\sb37\sl-184\slmult0\tx4587\tx5461 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf22\f23\fs16 Total\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf24\f25\fs16 40\tab \up0 \expndtw-2\charscalex100 100\par\pard\column \ql \li1129\sb1\sl-181\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf19\f20\fs18 Gambar 1. Diagram analisis jalur\par\pard\ql \li20\sb17\sl-184\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf21\f22\fs16 Keterangan:\par\pard\qj \li20\ri2076\sb4\sl-199\slmult0\fi0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf9\f10\fs16 X1 = Karakteristik Bidan (umur, pendidikan, masa kerja) \up0 \expndtw-4\charscalex100 X2 = Pelatihan\par\pard\ql \li20\sb14\sl-184\slmult0 \up0 \expndtw-4\charscalex100 X3 = Imbalan\par\pard\ql \li20\sb16\sl-184\slmult0 \up0 \expndtw-4\charscalex100 Y1 = Pengetahuan\par\pard\ql \li20\sb16\sl-184\slmult0 \up0 \expndtw-5\charscalex100 Y2 = Sikap\par\pard\ql \li20\sb16\sl-184\slmult0 \up0 \expndtw-5\charscalex100 Y3 = Beban Kerja\par\pard\ql \li20\sb16\sl-184\slmult0 \up0 \expndtw-4\charscalex100 Y4 = Motivasi\par\pard\ql \li20\sb16\sl-184\slmult0 \up0 \expndtw-4\charscalex100 Y5 = Pelaksanaan IMD\par\pard\qj \li6122\sb0\sl-219\slmult0 \par\pard\qj \li6122\sb0\sl-219\slmult0 \par\pard\qj \li20\ri942\sb90\sl-219\slmult0\fi0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf6\f7\fs20 Berdasarkan diagram pada Gambar 1 didapatkan lima (5) \line \up0 \expndtw-5\charscalex100 persamaan jalur. Perhitungan koefisien jalur di semua jalur \line \up0 \expndtw0\charscalex100 baik secara simultan atau individual didapatkan nilai sig \line \up0 \expndtw0\charscalex103