Skripsi
EFEKTIVITAS PROGRAM INOVASI MARTABAK HAR DI DINAS KESEHATAN KOTA PALEMBANG
The Martabak Har Innovation Program is an initiative of the Palembang City Health Office aimed at improving pregnant women’s knowledge of Maternal and Child Health (MCH) as part of a strategy to prevent pregnancy-related risks and infant mortality. This study aims to analyze the effectiveness of the Martabak Har Innovation Program implemented by the Palembang City Health Office using a qualitative approach. The research employed a descriptive qualitative design, with data collected through in-depth interviews, observations, and document analysis. The informants included program managers at the Health Office, primary healthcare (puskesmas) personnel, and pregnant women as program beneficiaries. Data were analyzed using an interactive model consisting of data reduction, data display, and conclusion drawing. The findings indicate that, in terms of inputs and processes, the Martabak Har Program is supported by the availability of human resources, basic infrastructure, a clear organizational structure, and a relatively consistent reporting mechanism. However, the program’s effectiveness is constrained by the absence of formal training for implementers, the lack of a dedicated budget allocation, low participation among pregnant women, and limited field supervision. In terms of outputs, the program has contributed to increased knowledge among pregnant women regarding the contents of the MCH handbook, particularly related to danger signs during pregnancy, infant care, and the postpartum period. Nevertheless, the program has not yet resulted in a significant reduction in the Infant Mortality Rate (IMR); in 2023, infant deaths in Palembang City remained at 104 cases across all primary healthcare centers. In conclusion, the Martabak Har Innovation Program has not yet achieved full effectiveness in producing the expected health outcomes. Strengthening implementer capacity, ensuring sustainable funding, enhancing educational methods, and improving supervisory mechanisms are essential to achieve more equitable and sustainable program impacts.