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;}\listid390690500}{\list\listtemplateid-390712460\listhybrid{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid69271569\'02\'00);}{\levelnumbers\'01;}\rtlch\fcs1 \af0 
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{\leveltext\leveltemplateid69271577\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li3597\lin3597 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0
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{\leveltext\leveltemplateid69271579\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-180\li6477\lin6477 }{\listname ;}\listid451940291}{\list\listtemplateid645178522\listhybrid{\listlevel\levelnfc0\levelnfcn0\leveljc0
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{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271577\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li3957\lin3957 }
{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271579\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-180\li4677\lin4677 }
{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271567\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li5397\lin5397 }
{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271577\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li6117\lin6117 }
{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271579\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-180\li6837\lin6837 }
{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271567\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li7557\lin7557 }
{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271577\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li8277\lin8277 }
{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271579\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-180\li8997\lin8997 }
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\af0 \ltrch\fcs0 \fbias0\hres0\chhres0 \fi-360\li720\lin720 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698703\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 
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{\leveltext\leveltemplateid69271577\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li3432\lin3432 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0
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{\leveltext\leveltemplateid69271579\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-180\li6312\lin6312 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0
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;}\listid900096945}{\list\listtemplateid-263298232\listhybrid{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid69271567\'02\'00.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 
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\hres0\chhres0 \fi-180\li2160\lin2160 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271567\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\hres0\chhres0 \fi-360\li2880\lin2880 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271577\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\hres0\chhres0 \fi-360\li3600\lin3600 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271579\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\hres0\chhres0 \fi-180\li4320\lin4320 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271567\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\hres0\chhres0 \fi-360\li5040\lin5040 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271577\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\hres0\chhres0 \fi-360\li5760\lin5760 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271579\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
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\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li1440\lin1440 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271579
\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-180\li2160\lin2160 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271567
\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li2880\lin2880 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271577
\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li3600\lin3600 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271579
\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-180\li4320\lin4320 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271567
\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li5040\lin5040 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271577
\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li5760\lin5760 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271579
\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-180\li6480\lin6480 }{\listname ;}\listid933902368}{\list\listtemplateid219423644\listhybrid{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1
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\levelindent0{\leveltext\leveltemplateid69271569\'02\'01);}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li1440\lin1440 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0
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;}\listid1697732009}{\list\listtemplateid-241403394\listhybrid{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid1394391710\'02\'00.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 
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{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid-275466866\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \b0\hres0\chhres0 \fi-360\li1440\lin1440 }{\listlevel
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\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271579\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-180\li4320\lin4320 }{\listlevel
\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271567\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li5040\lin5040 }{\listlevel
\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271577\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li5760\lin5760 }{\listlevel
\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271579\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-180\li6480\lin6480 }{\listname 
;}\listid1806971197}{\list\listtemplateid1134078318\listhybrid{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid69271575\'02\'00);}{\levelnumbers\'01;}\rtlch\fcs1 \af0 
\ltrch\fcs0 \fbias0\hres0\chhres0 \fi-360\li1080\lin1080 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271577\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 
\af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li1800\lin1800 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271579\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 
\ltrch\fcs0 \hres0\chhres0 \fi-180\li2520\lin2520 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271567\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 
\ltrch\fcs0 \hres0\chhres0 \fi-360\li3240\lin3240 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271577\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 
\ltrch\fcs0 \hres0\chhres0 \fi-360\li3960\lin3960 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271579\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 
\ltrch\fcs0 \hres0\chhres0 \fi-180\li4680\lin4680 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271567\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 
\ltrch\fcs0 \hres0\chhres0 \fi-360\li5400\lin5400 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271577\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 
\ltrch\fcs0 \hres0\chhres0 \fi-360\li6120\lin6120 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271579\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 
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\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fbias0\hres0\chhres0 \fi-360\li717\lin717 }{\listlevel\levelnfc3\levelnfcn3\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\f0\fs24\fbias0\hres0\chhres0 \fi-360\li1437\lin1437 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\hres0\chhres0 \fi-180\li2157\lin2157 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'03);}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li2877\lin2877 }
{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li3597\lin3597 }{\listlevel\levelnfc2
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\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li5757\lin5757 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative
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\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271567\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li5397\lin5397 }{\listlevel\levelnfc4\levelnfcn4\leveljc0
\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271577\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-360\li6117\lin6117 }{\listlevel\levelnfc2\levelnfcn2\leveljc2
\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271579\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 \fi-180\li6837\lin6837 }{\listname ;}\listid1906717195}
{\list\listtemplateid562311808\listhybrid{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid69271575\'02\'00);}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 
\fi-360\li1440\lin1440 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271577\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 
\fi-360\li2160\lin2160 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271579\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 
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\fi-360\li3600\lin3600 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271577\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 
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\fi-360\li5760\lin5760 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid69271577\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 
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\par }\pard \ltrpar\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9309475 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\i\f0\fs24\insrsid12076904\charrsid13649361 Abstract}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\f0\fs24\insrsid2126302 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2126302 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\insrsid2163150\charrsid15806537 T}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\i\f0\fs24\insrsid526411\charrsid15806537 his }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\lang1033\langfe1033\langnp1033\insrsid11535368 article}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\insrsid526411\charrsid15806537  aims to know the causes of }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\insrsid1326986\charrsid15806537 Maternal Mortality Rate }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\insrsid526411\charrsid15806537 (MMR) is still a relatively high in Banyuma}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\i\f0\fs24\insrsid5382674 s }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\insrsid526411\charrsid15806537 Region and construct the steps that should be performed in optimizing health services decreasing acceleration effort mother and }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \i\f0\fs24\insrsid7355288\charrsid15806537 Maternal Mortality Rate }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\insrsid526411\charrsid15806537 (MMR). }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\insrsid7355288\charrsid15806537 T}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \i\f0\fs24\insrsid526411\charrsid15806537 his research is }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\insrsid5382674 an }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\insrsid526411\charrsid15806537 empirical legal research, legal and sociological}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\insrsid12132810\charrsid15806537  approach militate invitation. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\lang1033\langfe1033\langnp1033\insrsid9909967 Author}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\i\f0\fs24\insrsid526411\charrsid15806537  using the descriptive analysis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\insrsid5382674  technique}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\insrsid526411\charrsid15806537 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\i\f0\fs24\insrsid5382674  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\insrsid16270569\charrsid15806537 T}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\insrsid526411\charrsid15806537 he results of this}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\insrsid10308903 
 study it was concluded that }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\lang1033\langfe1033\langnp1033\insrsid10308903 maternal mortality are still relatively high because of the 
legal culture which is the attitude and the assessment of health workers and the community specifically concerning the prevention and treatment of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\lang1033\langfe1033\langnp1033\insrsid3570180 
complications of emergency cases of maternal health services.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs24\lang1033\langfe1033\langnp1033\insrsid6384065\charrsid10308903 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid345448 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\i\f0\fs24\insrsid12076904\charrsid15806537 Keywords :}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\i\f0\fs24\insrsid5382674  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\i\f0\fs24\lang1033\langfe1033\langnp1033\insrsid345448 Health of Law, Health Policy Implementation, Maternal Health Services}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\i\f0\fs24\lang1033\langfe1033\langnp1033\insrsid12076904\charrsid345448 
\par }\pard \ltrpar\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2126302 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid8133510 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid12076904\charrsid13649361 Abstrak}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid12076904 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2126302 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\lang1033\langfe1033\langnp1033\insrsid11535368 Artikel penulisan}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\f0\fs24\insrsid14617121\charrsid14617121  ini bertujuan untuk mengetahui faktor penyebab Angka Kematian Ibu (AKI) yang relatif masih tinggi di Kabupaten Banyumas dan mengkonstruksi langkah \endash  langkah ya
ng harus dilakukan dalam mengoptimalkan pelayanan kesehatan ibu serta upaya percepatan penurunan Angka Kematian Ibu (AKI).}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid5382674  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid16450949\charrsid16450949 
Penelitian ini merupakan jenis penelitian hukum empiris, dengan pendekatan sosiologi hukum dan pendekatan perundang \endash  undangan.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\lang1033\langfe1033\langnp1033\insrsid9909967  }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\f0\fs24\insrsid14040455 P}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid6442738\charrsid6442738 en}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\lang1033\langfe1033\langnp1033\insrsid9909967 ulis}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\f0\fs24\insrsid6442738\charrsid6442738  menggunakan teknik analisis yang bersifat analisis yang deskriptif}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid5324064 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid488018 Hasil p}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \f0\fs24\insrsid345448 enelitian ini }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\lang2057\langfe1033\langnp2057\insrsid8732566\charrsid3431456 menyimpulkan}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid345448  bahwa}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\f0\fs24\lang1033\langfe1033\langnp1033\insrsid345448  angka kematian 
ibu yang masih relatif tinggi karena budaya hukum yang merupakan sikap dan penilaian tenaga kesehatan dan masyarakat secara khusus mengenai pencegahan dan penanganan kasus komplikasi kegawatdaruratan pelayanan kesehatan ibu.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\f0\fs24\lang1033\langfe1033\langnp1033\insrsid488018\charrsid345448 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid345448 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid6384065\charrsid10572400 Kata Kunci :}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\f0\fs24\insrsid5382674  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid65832 Hukum Kesehatan, Implementasi Kebijakan Kesehatan}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\lang1033\langfe1033\langnp1033\insrsid345448 , Pelayanan Kesehatan Ibu}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\lang1033\langfe1033\langnp1033\insrsid12076904\charrsid345448 
\par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2126302 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid6384065 
\par }\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid3570180 \page 
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \b\lang1057\langfe1033\langnp1057\insrsid5505726\charrsid12459372 \hich\af0\dbch\af0\loch\f0 A.\tab}}\pard\plain \ltrpar\s16\ql \fi-357\li357\ri0\sa120\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin357\itap0\pararsid2164724\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\f0\fs24\insrsid5505726\charrsid12459372 Pendahuluan }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid3811077\charrsid12459372 
\par }\pard\plain \ltrpar\qj \fi720\li357\ri0\sa120\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin357\itap0\pararsid2164724 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3811077\charrsid3811077 Pembangunan sumber daya manusia (SDM) pada dasarnya merupakan pembangunan manusia sebagai subyek (}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid3811077\charrsid3811077 human capital}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3811077\charrsid3811077 ), obyek (}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid3811077\charrsid3811077 
human resources}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3811077\charrsid3811077 ), dan penikmat pembangunan, yang mencakup s
eluruh siklus hidup manusia sejak dalam kandungan sampai dengan akhir hidupnya. Manusia, untuk selanjutnya disebut sebagai penduduk, dan sesuai dengan kepentingannya dibedakan atas jenis kelamin (laki \endash 
 laki dan perempuan), kelompok umur (anak, remaja, pemuda, usia produktif, usia reproduktif, dan usia lanjut), serta kelompok miskin dan rentan}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8549043  (BPPN, 2005:2)}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid3811077\charrsid3811077 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid4341280 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3811077\charrsid4341280 Dimensi pembangunan SDM dapat dilihat dari tiga aspek utama, yaitu kualitas, kuantitas, dan m
obilitas penduduk. Kualitas penduduk tercermin dari tingkat kesejahteraan penduduk yaitu tingkat kesehatan dan gizi, pendidikan, produktivitas, dan akhlak mulia, menuju kepada pencapaian kesejahteraan sosial yang baik. Kuantitas penduduk dikaitkan dengan 
jumlah dan laju pertumbuhannya. Sedangkan mobilitas penduduk merupakan refleksi dari perpindahan dan persebaran penduduk, yang merespon pembangunan ekonomi wilayah}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8549043 (BPPN, 2005:3)}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3811077\charrsid4341280 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid4341280 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid10487535 Mulai tahun 2016, Tujuan Pembangunan Berkelanjutan/}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid8783239\charrsid10487535 Sustainable Development Goals}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid10487535  (SDGs) 201}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239 6}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid10487535  \endash 
 2030 secara resmi menggantikan Tujuan Pembangunan Millennium/}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid8783239\charrsid10487535 Millenium Development Goals}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid10487535 
 (MDGs) 2000\endash 2015. SDGs berisi seperangkat tujuan transformatif yang disepakati dan berlaku bagi seluruh bangsa tanpa terkecuali. SDGs berisi 17 tujuan/}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid8783239\charrsid10487535 goals}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid10487535 . Salah satunya }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid8783239\charrsid10487535 goal}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid10487535 
 nomor 3: Kesehatan yang baik dengan m}{\rtlch\fcs1 \ab\af0\afs40 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid10487535 enjamin kehidupan yang sehat dan mendorong kesejahteraan bagi semua orang di segala usia. Target dalam sistem kesehatan nasional p}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid10487535 ada 2030, mengurangi angka kematian ibu hingga di bawah }{\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid10487535 70 per 100.000 kelahiran hidup}{
\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8549043  (Kemenkes, 2015:6)}{\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid10487535 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid8783239 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid2195349 
Desentralisasi sektor kesehatan di Indonesia berdampak baik sekaligus berdampak buruk pada pembangunan kesehatan, khususnya pada program penurunan AKI. Desentralisasi memungkinan pemerintah daerah membuat progra
m pembangunan kesehatan spesifik yang sesuai dengan kebutuhan setempat.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid4456585  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid2195349 
Namun, desentralisasi juga memberi peluang pada pemerintah daerah melaksanakan program pembangunan kesehatan yang tidak sesuai kebijakan pembangunan kesehatan nasional sehingga berdampak pencapaian }{\rtlch\fcs1 \ai\af0\afs24 \ltrch\fcs0 
\i\f0\fs24\insrsid8783239\charrsid2195349 outcome }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid2195349 
kesehatan nasional yang tidak merata. Di beberapa daerah, menjadi lebih buruk dibandingkan dengan sistem pemerintahan sentralistik}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8549043  (Simatupang, 2009:32)}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid8783239\charrsid2195349 . Upaya penurunan angka kematian ibu, bayi dan balita di beberapa kabupaten ters
ebut menunjukkan inovasi kebijakan daerah di bidang kesehatan. Pada tiap kebijakan yang dikeluarkan, ada yang berhasil dan kurang berhasil. Kebijakan harus menghadapi tantangan serius meningkatkan }{\rtlch\fcs1 \ai\af0\afs24 \ltrch\fcs0 
\i\f0\fs24\insrsid8783239\charrsid2195349 outcome }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid2195349 kesehatan penduduk di wilayah tersebut.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid8783239 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid10035001 H}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid4860027 ukum mengatur tindakan manusia, maka hukum akan bermakna hanya bagi orang-orang yang dapat melakukan tindakan (}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid8783239\charrsid4860027 handlungsfahigkeit}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid4860027 
) yang diperintahkan oleh aturan hukum, baik sebagai delik ataupun sebagai sanksi, baik melakukan sesuatu atau pun tidak melakukan sesuatu}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8549043  (Jimly A, 2006:14)}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid8783239\charrsid4860027 
. Hal senada disampaikan pula oleh pelopor Hukum Progresif, Profesor Satjipto Rahardjo. Menurutnya, hukum tidak dilihat dari kacamata hukum itu sendiri, melainkan dilihat dan dinilai dari tujuan sosial yang ingin dicapai. Faktor dan kon
tribusi manusia dianggap lebih menentukan daripada peraturan yang ada}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8549043  (Satjipto, 2009:24)}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid4860027 .}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \b\f0\fs24\insrsid8783239 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid13189384 Kesehatan ibu sangat terkait dengan pencapaian seluruh target SDGs (}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid8783239\charrsid13189384 Sustainable Development Goals
}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid13189384 ), artinya Angka Kematian Ibu (AKI) menjadi indikator penting dalam 
tujuan pembangunan berkelanjutan. Apabila masalah kematian ibu tidak ditangani dengan baik, maka akan terjadi }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid8783239\charrsid13189384 lost generation}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid8783239\charrsid13189384 . Kabupaten Banyumas pada tahun 2015 menduduki peringkat ke-6 dalam kasus kematian ibu menurut Kabupaten/Kota di Jawa Tengah, dengan jumlah kasus kematian ibu sebanyak 29 kasus}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid8549043  (Dinkes Jateng, 2015:3)}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid13189384 . }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3167998 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8783239\charrsid13189384 Melihat kondisi empiris tersebut, maka perlu dilakukan identifikasi terhadap faktor \endash 
 faktor yang menyebabkan tingginya angka kematian ibu di Kabupaten Banyumas. Mengingat sudah ada ke
bijakan kesehatan yang tertuang dalam Peraturan Menteri Kesehatan Republik Indonesia Nomor 97 Tahun 2014 tentang Pelayanan Kesehatan Masa Sebelum Hamil, Masa Hamil, Persalinan, dan Masa Sesudah Melahirkan, Penyelenggaraan Pelayanan Kontrasepsi, serta Pela
yanan Kesehatan Seksual, Pasal 37 ayat (1) \'93Dalam rangka Percepatan Penurunan Angka Kematian Ibu, dilakukan Perencanaan Percepatan Penurunan Angka Kematian Ibu yang dilakukan secara terpadu\'94.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid8783239 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3432548\charrsid15038794 Saat ini kebijakan tentang Rencana Aksi Nasional (RAN) dilaksanak
an dalam konteks desentralisasi dalam bentuk Rencana Aksi Daerah (RAD) yang menjamin integrasi mantap dalam perencanaan pembangunan kesehatan serta proses alokasi anggaran, dengan fokus pada pelayanan kesehatan ibu dan bayi baru lahir sesuai standar, }{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid3432548\charrsid15038794 cost effective}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3432548\charrsid15038794 , dan berdasarkan bukti pada semua tingkat pelayanan dan rujukan kesehatan, baik di s
}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3432548 ektor pemerintah maupun swasta. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3432548\charrsid15038794 Rencana Aksi Nasional menjadi satu \endash 
 satunya pedoman penatalaksanaan penyusunan program yang secara yuridis berlaku sebagai instrumen perlindungan hukum bagi seluruh }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid3432548\charrsid15038794 stakeholder}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid3432548\charrsid15038794  dan masyarakat}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8549043  (Ditjen Bina KIA Kemenkes, 2012:1)}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3432548\charrsid15038794 .}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid3432548 
\par }\pard \ltrpar\qj \fi720\li357\ri0\sa120\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin357\itap0\pararsid11535368 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6646109\charrsid8941328 Berdasarkan uraian di atas, }{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1033\langnp1033\insrsid11535368 dalam artikel ini hendak mengkaji bagaimana }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6646109\charrsid8941328 
regulasi pelayanan kesehatan ibu di Indonesia, faktor penyebab Angka Kematian Ibu (AKI) di Kabupaten Banyumas yang relatif tinggi, serta mengkonstruksi langkah \endash  langkah yang harus dilakukan pemerintah Kabupaten 
Banyumas dalam percepatan penurunan AKI. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid4456585 
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \b\lang1057\langfe1033\langnp1057\insrsid8587677\charrsid12459372 \hich\af0\dbch\af0\loch\f0 B.\tab}}\pard\plain \ltrpar\s16\ql \fi-357\li357\ri0\sa120\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin357\itap0\pararsid2164724\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\f0\fs24\insrsid8587677\charrsid12459372 Metode Penelitian }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid14834166 
\par }\pard\plain \ltrpar\qj \fi720\li357\ri0\sa120\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin357\itap0\pararsid2164724 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid14834166\charrsid14834166 Penelitian hukum ini, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid9909967 penulis}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\f0\fs24\insrsid14834166\charrsid14834166  menggunakan jenis penelitian hukum empiris.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid3431456  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid11284805\charrsid11284805 Data primer merupa}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12607000 kan data yang berasal dari narasumber}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid11284805\charrsid11284805 . Data sekunder merupakan data yang tingkatannya kedua, bukan y
ang utama ataupun sumber data yang akan diperoleh melalui kajian pustaka karya ilmiah, hasil penelitian atau teori \endash 
 teori para ahli yang berhubungan dengan masalah yang akan dibahas. Data tersier adalah bahan hukum yang memberikan penjelasan mengenai data primer dan data sekunder, seperti misalnya: kamus, ensiklopedia, dan lain \endash  lain.}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid14696995 
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \b\lang1057\langfe1033\langnp1057\insrsid8587677\charrsid4204294 \hich\af0\dbch\af0\loch\f0 C.\tab}}\pard\plain \ltrpar\s16\qj \fi-357\li357\ri0\sa120\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin357\itap0\pararsid11036933\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\f0\fs24\insrsid8587677\charrsid4204294 Hasil Penelitian dan Pembahasan}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid11036933 
\par }\pard \ltrpar\s16\qj \li357\ri0\sa120\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin357\itap0\pararsid4355444\contextualspace {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid4355444 Faktor \endash 
 faktor Penyebab Angka Kematian Ibu
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \b\lang1057\langfe1033\langnp1057\insrsid15678159\charrsid6061054 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \ltrpar\s16\qj \fi-360\li709\ri0\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls13\adjustright\rin0\lin709\itap0\pararsid15678159\contextualspace {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid15678159\charrsid6061054 Substansi Hukum}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\f0\fs24\insrsid15678159 
\par }\pard \ltrpar\s16\qj \fi709\li720\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15678159\contextualspace {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\lang1053\langfe1033\langnp1053\insrsid15678159\charrsid15678159 Substansi adalah aturan, norma}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid15678159 ,}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\lang1053\langfe1033\langnp1053\insrsid15678159\charrsid15678159 
 dan pola perilaku nyata manusia yang berada dalam sistem hukum itu. Substansi juga berarti produk yang dihasilkan oleh orang yang berada di dalam sistem hukum itu mencakup peraturan baru yang mereka susun. Komponen substantif sebagai }{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \i\f0\fs24\lang1053\langfe1033\langnp1053\insrsid15678159\charrsid15678159 output}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1053\langfe1033\langnp1053\insrsid15678159\charrsid15678159  dari sistem hu
kum yang berupa peraturan-peraturan}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid15678159 ,}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1053\langfe1033\langnp1053\insrsid15678159\charrsid15678159 
 keputusan-keputusan yang digunakan baik oleh pihak yang mengatur maupun yang diatur}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3477673  (Lawrence M. Friedman, 2009:221)}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\lang1053\langfe1033\langnp1053\insrsid15678159\charrsid15678159 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid15678159\charrsid15678159 
\par }\pard\plain \ltrpar\qj \fi720\li709\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid15678159 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 
{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 Menurut }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9909967 penulis}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 , peraturan perundang \endash 
 undangan di Indonesia mengenai pelayanan kesehatan ibu guna mempercepat penurunan angka kematian ibu sudah melindungi hak ibu. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid12663323 
Hak atas pelayanan dan perlindungan kesehatan bagi ibu di Indonesia merupakan hak dasar sebagaimana termaktub dalam Und}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 ang-Undang Dasar 1945. Pasal 28}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159\charrsid12663323 H UUD 1945 menyebutkan bahwa \'94Setiap orang berhak hidup sejahtera lahir dan batin, bertempat tinggal, dan mendapatkan lingkungan hidup yang baik dan sehat serta berhak memperoleh pelayanan kesehatan\'94
. Selanjutnya, Pasal 34 ayat (3) UUD 1945 menyebutkan \'94Negara bertanggungjawab atas penyediaan fasilitas pelayanan kesehatan dan fasilitas pelayanan umum yang layak\'94; dan Undang \endash 
 undang Nomor 39 Tahun 1999 tentang Hak Asasi Manusia. Pencantuman hak terhadap pelayanan kesehatan tersebut, tidak lain bertujuan untuk menjamin hak-hak kesehatan yang fundamental seperti tertuang dalam }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\i\f0\fs24\insrsid15678159\charrsid12663323 Declaration of Human Right}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid12663323  1948, bahwa \'93}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid15678159\charrsid12663323 
health is a fundamental human right}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid12663323 \'94. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid12663323 Adapun mengenai pembangunan kesehatan nasional diatur dalam Undang-undang Nomor 36 Tahun 2009 tentang Kesehatan. Secara spesifik, pemerintah mengatu
r hak atas pelayanan dan perlindungan kesehatan bagi ibu di dalam Pasal 126 Undang \endash 
 undang Nomor 36 Tahun 2009 tentang Kesehatan, ayat (1) Upaya kesehatan ibu harus ditujukan untuk menjaga kesehatan ibu sehingga mampu melahirkan generasi yang sehat dan be
rkualitas serta mengurangi angka kematian ibu; (2) Upaya kesehatan ibu sebagaimana dimaksud pada ayat (1) meliputi upaya promotif, preventif, kuratif dan rehabilitatif; (3) Pemerintah menjamin ketersediaan tenaga, fasilitas, alat dan obat dalam penyelengg
araan pelayanan kesehatan ibu secara aman, bermutu, dan terjangkau; (4) Ketentuan lebih lanjut mengenai pelayanan kesehatan ibu diatur dengan Peraturan Pemerintah. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid12663323 Salah satu faktor penting yang berkontribusi terhadap kematian ibu adalah kualitas pelayanan
 obstetri pada berbagai tingkat pelayanan kesehatan. Dalam rangka peningkatan kualitas layanan obstetri, Kementerian Kesehatan menerbitkan Keputusan Menteri Kesehatan Nomor 284/MENKES/SK/III/2004 tentang Buku Kesehatan Ibu dan Anak, merupakan buku pedoman
 
praktis bagi petugas kesehatan terutama dokter dan bidan. Pedoman ini disusun dalam bentuk buku saku yang dilengkapi algoritma untuk memudahkan tenaga kesehatan dalam melakukan penanganan secara cepat kasus kegawatdaruratan obstetri. Buku Saku Pelayanan K
e
sehatan Ibu di Fasilitas Kesehatan Dasar dan Rujukan terdiri dari 6 Bab, yaitu: Bab 1 Kegawatdaruratan dalam Kehamilan dan Persalinan; Bab 2 Kehamilan dan Persalinan Normal; Bab 3 Kehamilan dan Persalinan dengan Masalah; Bab 4 Masalah Nifas; Bab 5 Kontras
epsi; Bab 6 Sistem dan Cara Rujukan.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid12663323 Pasal 1 Peraturan Menteri Kesehatan Nomor 75 Tahun 2014 tentang Pusat Kesehatan Masyarakat, menyatakan bahwa \'93
Pusat Kesehatan Masyarakat yang selanjutnya disebut Puskesmas adalah fasilitas pelayanan kesehatan yang menyel
enggarakan upaya kesehatan masyarakat dan upaya kesehatan perseorangan tingkat pertama, dengan lebih mengutamakan upaya promotif dan preventif, untuk mencapai derajat kesehatan masyarakat yang setinggi-tingginya di wilayah kerjanya\'94}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid16260331 .
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid12663323 Dalam rangka menyelara
skan kewenangan bidan dengan tugas pemerintah untuk meningkatkan kualitas pelayanan kesehatan yang merata, Pasal 9 Peraturan Menteri Kesehatan Nomor 1464/X/Menkes/2010 tentang Izin dan Penyelenggaraan Praktik Bidan, \'93
Bidan dalam menjalankan praktik, berwenang untuk memberikan pelayanan yang meliputi: pelayanan kesehatan ibu, pelayanan kesehatan anak, dan pelayanan kesehatan reproduksi perempuan dan keluarga berencana\'94; Pasal 10 Ayat (1) \'93
Pelayanan kesehatan ibu sebagaimana dimaksud dalam Pasal 9 huruf a diberikan pada masa pra hamil, kehamilan, masa persalinan, masa nifas, masa menyusui dan masa antara dua kehamilan\'94.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10049490 Peningkatkan mutu pelayanan maternal dan perinatal sebagai pemenuhan hak masyarakat di bidang kesehatan sehingga terjadi penurunan angka kemat
ian ibu dan bayi. Pelayanan maternal dan perinatal dikelola secara efektif dan efisien sesuai dengan visi, misi, dan tujuan dari Rumah Sakit untuk menjamin tersedianya pelayanan yang dapat dipertanggungjawabkan. Pengelolaan pelayanan maternal perinatal me
r
upakan bagian integral dari unit pelayanan Rumah Sakit dan diatur agar dapat memenuhi kebutuhan masyarakat. Hal ini termaktub dalam Keputusan Menteri Kesehatan RI Nomor 604/Menkes/SK/VII/2008 tentang Pedoman Pelayanan Maternal Perinatal Pada Rumah Sakit U
mum Kelas B, Kelas C, dan Kelas D.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10049490 
Peraturan Menteri Kesehatan Nomor 97 Tahun 2014 tentang Pelayanan Kesehatan Masa Sebelum Hamil, Masa Hamil, Persalinan, dan Masa Sesudah Melahirkan, Penyelenggaraan Pelayanan Kontrasepsi, Serta Pelayanan Kesehatan Seksual,
 menyatakan dalam Pasal 2, Permenkes ini bertujuan untuk: a. menjamin kesehatan ibu sehingga mampu melahirkan generasi yang sehat dan berkualitas; b. mengurangi angka kesakitan dan angka kematian ibu dan bayi baru lahir; c. menjamin tercapainya kualitas h
idup dan pemenuhan hak-hak reproduksi; dan d. mempertahankan dan meningkatkan kualitas pelayanan kesehatan ibu dan bayi baru lahir yang bermutu, aman, dan bermanfaat sesuai dengan perkembangan ilmu pengetahuan dan teknologi. Pasal 3 menyatakan bahwa \'93
Pemeri
ntah, pemerintah daerah provinsi, dan pemerintah daerah kabupaten/kota menjamin ketersediaan sumber daya kesehatan, sarana, prasarana, dan penyelenggaraan Pelayanan Kesehatan Masa Sebelum Hamil, Masa Hamil, Persalinan, dan Masa Sesudah Melahirkan, Penyele
nggaraan Pelayanan Kontrasepsi, serta Pelayanan Kesehatan Seksual\'94.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10049490 
Permenkes Nomor 43 Tahun 2016 tentang Standar Pelayanan Minimal Bidang Kesehatan, menyatakan bahwa konsep Standar Pelayanan Minimal (SPM) berubah dari Kinerja Program Kementerian menjadi Kinerja Pemerintah Daerah (Pemda) yang memiliki konsekuensi }{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid15678159\charrsid10049490 reward}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10049490  dan }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid15678159\charrsid10049490 
punishment}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10049490 
, sehingga Pemda diharapkan untuk memastikan tersedianya sumber daya (sarana, prasarana, alat, tenaga dan uang/biaya) yang cukup agar proses penerapan SPM berjalan adekuat. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid5900443 Ada
pun dalam desain pelaksanaannya, hak tersebut diarahkan melalui kebijakan strategi dan aktivitas untuk menurunkan Angka Kematian Ibu (AKI) antara lain melalui peningkatan program upaya kesehatan perorangan, program upaya kesehatan masyarakat, progra}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6252072 m pencegahan}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid5900443  pemberantasan penyakit}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6252072 ,}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159  dan program promosi kesehatan. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid5900443 
Hal ini bermakna bahwa dalam mempromosikan kesehatan diperlukan pemahaman dan analisis kebutuhan yang tepat sasaran, sehingga nantinya akan mempengaruhi kebijakan sosial dan kebijakan kesehatan. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid6892189 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid5900443 Pasal 3 Peraturan Gubernur Jawa Tengah Nomor 17 Tahun 2016 Tentang Penyelenggaraan Kesehatan Ibu Dan Anak menyebutkan \'93
Maksud dari Penyelenggaraan Kesehatan Ibu dan Anak adalah untuk memberikan kepastian dan jaminan serta perlindungan pelayanan kesehatan 
terhadap ibu dan anak yang berkeadilan tanpa diskriminasi dan menjunjung tinggi nilai-nilai kemanusiaan untuk mendapatkan pelayanan yang sesuai standar\'94. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid5900443 Peraturan Daerah Kabupaten Banyumas Nomor 4 Tahun 2014 tentang Kesehatan Ibu, Bayi Baru Lahir, Bayi d
an Anak Balita (KIBBLA), menyatakan bahwa kesehatan merupakan kebutuhan dasar bagi setiap orang yang pemenuhannya menjadi tanggung jawab bersama; kesehatan KIBBLA merupakan salah satu indikator dalam menilai derajat kesehatan masyarakat; dalam rangka meni
ngkatkan derajat Kesehatan Ibu, Bayi Baru Lahir, Bayi dan Anak Balita perlu dikembangkan jaminan dan kualitas pelayanan kesehatan yang optimal, menyeluruh, terarah, terpadu dan berkesinambungan}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6892189 .
}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
\par Dari penjelasan diatas, faktor substansi hukum mengenai pelayanan kesehatan ibu mencakup }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid5971534 sistem hukum yang berupa}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
 Undang \endash  undang,}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid5971534  peraturan-peraturan, }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 dan }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159\charrsid5971534 keputusan-keputusan yang digunakan baik oleh pihak yang mengatur maupun yang diatur}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 . }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159\charrsid4737275 Hukum bertugas melayani masyarakat, bukan sebaliknya. Kualitas suatu hukum di
tentukan dengan kemampuannya untuk mengabdi pada kesejahteraan manusia. Kalimat ini seolah menyiratkan kepada kita untuk kembali pada aliran utilitarianisme }{\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid4737275 Jeremy Bentham }{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid4737275 yang menyatakan bahwa tujuan hukum adalah untuk mencapai \'93}{\rtlch\fcs1 \ai\af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid15678159\charrsid4737275 
the greatest happiness for the greatest number of people}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid4737275 \'94}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3477673  (Jeremy Bentham, 1997:83)}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid4737275 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \b\lang1057\langfe1033\langnp1057\insrsid15678159\charrsid6061054 \hich\af0\dbch\af0\loch\f0 2.\tab}}\pard\plain \ltrpar\s16\qj \fi-357\li709\ri0\sb120\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls13\adjustright\rin0\lin709\itap0\pararsid16260331\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\f0\fs24\insrsid15678159\charrsid6061054 Struktur Hukum}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid15678159 
\par }\pard\plain \ltrpar\qj \fi720\li709\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid15678159 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 
{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid14971304 Struktur menurut Lawrence M. Friedman adalah kerangka bagian yang memberi semacam bentuk da}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8732566 
n batasan terhadap keseluruhan,}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3431456  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang2057\langfe1033\langnp2057\insrsid8732566\charrsid3431456 meliputi}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\cf6\lang2057\langfe1033\langnp2057\insrsid8732566\charrsid8732566  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid14971304 pemerintah (eksekutif
), pembuat peraturan (legislatif) ataupun lembaga kehakiman (yudikatif). Para aparat penegak hukum, seyogyanya harus bersikap konsisten terhadap apa yang telah dikeluarkannya. Ia tidak boleh mangkir dari kebijakan-kebijakan hukum yang telah dibuatnya}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3477673  (Lawrence M. Friedman, 2009:223)}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid14971304 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid15678159 
\par }\pard \ltrpar\qj \fi720\li709\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid8925736 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
Pasal 2 Peraturan Bupati Banyumas Nomor 14 Tahun 2010 tentang Penjabaran Tugas dan Fungsi Dinas Kesehatan Kabupaten Banyumas, menyatakan bahwa \'93}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid7811362 
Dinas Kesehatan mempunyai tugas melaksanakan teknis operasional urusan}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6518478  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid7811362 
pemerintahan daerah bidang kesehatan berdasarkan asas otonomi dan tugas}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9464341  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid7811362 pembantuan}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid15678159 \'94}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid7811362 .}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8925736  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159\charrsid537845 Rincian tugas }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 kepala Dinas Kesehatan Kabupaten Banyumas terkait }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid537845 
tindak kerja dan obyek kerja }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 adalah }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid537845 memimpin perumusan kebijakan}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid9464341  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid537845 teknis operasional urusan}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9464341  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159\charrsid537845 pemerintahan daerah bidang}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9464341  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid537845 kesehatan }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159 dengan }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid537845 cara melalui penyusunan rancangan produk}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9464341  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159\charrsid537845 hukum, naskah dinas dan cara lain}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9464341  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid537845 setelah berkoordinasi dengan perangkat}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6518478  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid537845 daerah dan instansi terkait lainnya}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159  s}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid537845 ebagai}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9464341  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid537845 pedoman}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid9464341  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid537845 pelaksanaan}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9464341  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid537845 
tugas}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 . }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid11292540 Guna menunjang pelayanan kesehatan ibu dalam percepatan pe}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159 nurunan angka kematian ibu mengenai}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid11292540  koordinasi, perencanaan, pembinaan}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 ,}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid11292540  evaluasi dan pelaporan kegiatan dinas, kewenangan diberikan kepada beberapa jabatan terkait, diantaranya adalah sebagai berikut:}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9464341 
 }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid1400097 Sekretaris Dinas, }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 S}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid1400097 
ubbagian Bina Program, Subbagian Keuangan, Subbagian Umum, Bidang Pembinaan dan Pengendalian Pelayanan Kesehatan, Seksi Pelayanan Kesehatan Dasar dan Rujuka}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 n, Seksi Kesehatan Ibu dan Anak.

\par }\pard \ltrpar\qj \fi720\li709\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid15678159 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 Pasal 3 }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159\charrsid13592097 Peraturan Bupati Banyumas Nomor 7 Tahun 2010 tentang Pembentukan, Susunan}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9464341  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159\charrsid13592097 Organisasi, Jenis dan Tata Kerja Unit Pelaksana Teknis }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid4934013 pada}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9464341  }{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 Dinas Daerah Kabupaten Banyumas, menyatakan bahwa \'93Unit Pelaksana Teknis selanjutnya disebut }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid13592097 
UPT adalah pelaksana sebagian kegiatan teknis operasional dan/atau kegiatan teknis}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9464341  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid13592097 
penunjang yang mempunyai wilayah kerja satu atau beberapa kecamatan yang}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9464341  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid13592097 b}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159 erkedudukan di bawah Dinas. 
\par Pasal 35 Peraturan Menteri Kesehatan Nomor 75 Tahun 2014 tentang Pusat Kesehatan Masyarakat menyebutkan bahwa \'93}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid8008480 Puskesmas menyelenggarakan upaya kesehatan
 masyarakat tingkat pertama dan upaya kesehatan perseorangan tingkat pertama}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 \'94}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid8008480 
. Upaya kesehatan masyarakat tingkat pertama sebagaimana dimaksud}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9464341  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid8008480 meliputi upaya kesehatan masyarakat esensial dan}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9464341  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid8008480 upaya kesehatan masyarakat pengembangan. Upaya kesehatan masyara
kat esensial sebagaimana dimaksud harus diselenggarakan oleh setiap Puskesmas untuk}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9464341  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid8008480 
mendukung pencapaian standar pelayanan minimal kabupaten/kota}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9464341  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid8008480 bidang kesehatan.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid16721744 Meskipun upaya untuk memenuhi kebutuhan bidang kesehatan melekat pada setiap warga negara, n
amun mengingat karakteristik barang/jasa kesehatan tidak dapat diusahakan/diproduksi sendiri secara langsung oleh masing-masing warga negara, melainkan harus ada pihak lain yang secara khusus memproduksi dan menyediakannya, maka penyediaan barang/jasa bid
ang kesehatan mutlak memerlukan keterlibatan pemerintah untuk:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid14971304 \hich\af0\dbch\af0\loch\f0 a.\tab}}\pard\plain \ltrpar\s16\qj \fi-357\li1077\ri0\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls23\adjustright\rin0\lin1077\itap0\pararsid15678159\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 {\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid14971304 Menjamin tersedianya barang/jasa kesehatan yang dapat diperoleh warga negara yang memerlukan sesuai dengan kebutuhannya;
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid14971304 \hich\af0\dbch\af0\loch\f0 b.\tab}Menyediakan barang/jasa kesehatan bagi warga negara yang tidak mamp
u memenuhi kebutuhannya di bidang kesehatan.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \b\lang1057\langfe1033\langnp1057\insrsid15678159\charrsid6061054 \hich\af0\dbch\af0\loch\f0 3.\tab}}\pard \ltrpar\s16\qj \fi-357\li709\ri0\sb120\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls13\adjustright\rin0\lin709\itap0\pararsid16260331\contextualspace {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid15678159\charrsid6061054 Budaya Hukum
\par }\pard\plain \ltrpar\qj \fi720\li709\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid15678159 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 
{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 
Pelayanan antenatal sesuai standar adalah pelayanan yang diberikan kepada ibu hamil minimal 4 kali selama kehamilan dengan jadwal satu kali pada trimester pertama, satu kali pada trimester kedua 
dan dua kali pada trimester ketiga yang dilakukan oleh Bidan dan atau Dokter dan atau Dokter Spesialis Kebidanan baik yang bekerja di fasilitas pelayanan kesehatan pemerintah maupun swasta yang memiliki Surat Tanda Register (STR).}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid7106884 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 Capaian kinerja Pemerinta
h Daerah Kabupaten/Kota dalam memberikan pelayanan kesehatan ibu hamil dinilai dari cakupan Pelayanan Kesehatan Ibu Hamil (K4) sesuai standar di wilayah kabupaten/kota tersebut dalam kurun waktu satu tahun.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15411475  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 Target capaian kinerja Pemerintah Daerah Kabupate
n/Kota dalam pelayanan kesehatan ibu hamil adalah 100 persen. Mengingat jumlah kunjungan K4 di Kabupaten Banyumas pada tahun 2016 yaitu 91,21%}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13785032  (Dinkes Kab. Banyumas, 2016:34)}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 , maka diperlukan rencana strategis untuk menjangkau ibu hamil yang belum mendapatkan pelayanan kesehatan}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
 ibu hamil (K4) sesuai standar. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 
Dengan dasar pemikiran inilah maka perlu adanya suatu kajian khusus untuk menjangkau seluruh ibu hamil agar memperoleh pelayanan ibu hamil sesuai standar.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 Pelayanan persalinan sesuai standar adalah per
salinan yang dilakukan oleh Bidan dan atau Dokter dan atau Dokter Spesialis Kebidanan yang bekerja di fasilitas pelayanan kesehatan Pemerintah maupun Swasta yang memiliki Surat Tanda Register (STR) baik persalinan normal dan atau persalinan dengan komplik
asi. Fasilitas pelayanan kesehatan meliputi Polindes, Poskesdes, Puskesmas, bidan praktek swasta, klinik pratama, klinik utama, klinik b}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 ersalin, balai kesehatan ibu}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328  anak, }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 dan }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 rumah sakit pemerintah maupun swasta.}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 Standar pelayanan persalinan normal m
engikuti acuan asuhan persalinan normal yang tercantum dalam Peraturan Menteri Kesehatan Nomor 97 Tahun 2014 tentang Pelayanan Kesehatan Masa Sebelum Hamil, Masa Hamil, Persalinan, dan Masa Sesudah Melahirkan, Penyelenggaraan Pelayanan Kontrasepsi, Serta 
Pelayanan Kesehatan Seksual. Adapun untuk persalinan dengan komplikasi mengikuti acuan dari Buku Saku Pelayanan Kesehatan Ibu di Fasilitas Kesehatan Rujukan.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 Pelayanan Kegawatdaruratan ibu dan neonatus adalah penanganan kasus ibu-neonatus yang mengalami pen
yulit dan memerlukan penanganan adekuat dari tingkat pelayanan dengan kompetensi terendah sampai tertinggi secara berkolaborasi}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159  sehingga dapat ter}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159\charrsid10583328 sedianya jejaring sistem rujukan pelayanan kegawatdaruratan ibu dan BBL/neonatus yang berfungsi secara efektif, efisien dan berkeadilan}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid4411100  (USAID, 2014:1)}
{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 .}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 Rujukan Medis sesuai Undang Undang Rumah Sakit No}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid4411100 mor}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159\charrsid10583328  44 tahun 2009 merupakan kegiatan rujukan yang berkaitan dengan urusan medis dan dibagi menjadi 3 yaitu:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid15678159 \hich\af0\dbch\af0\loch\f0 a.\tab}}\pard\plain \ltrpar\s16\qj \fi-357\li1077\ri0\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls25\adjustright\rin0\lin1077\itap0\pararsid15678159\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 {\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid15678159 Rujukan Kasus
\par }\pard \ltrpar\s16\qj \li1077\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin1077\itap0\pararsid15678159\contextualspace {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid15678159 
Rujukan kasus merupakan rujukan yang berkaitan dengan kasus yang dialami klien dalam hal ini komplikasi ibu dan bayi baru lahir/neonatus.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid15678159 \hich\af0\dbch\af0\loch\f0 b.\tab}}\pard \ltrpar\s16\qj \fi-357\li1077\ri0\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls25\adjustright\rin0\lin1077\itap0\pararsid15678159\contextualspace {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid15678159 Rujukan Laboratorium
\par }\pard \ltrpar\s16\qj \li1077\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin1077\itap0\pararsid15678159\contextualspace {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid15678159 
Rujukan bahan laboratorium yang berkaitan dengan kebutuhan diagnosa komplikasi ibu dan bayi baru lahir/neonatus.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid15678159 \hich\af0\dbch\af0\loch\f0 c.\tab}}\pard \ltrpar\s16\qj \fi-357\li1077\ri0\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls25\adjustright\rin0\lin1077\itap0\pararsid15678159\contextualspace {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid15678159 Rujukan Ilmu
\par }\pard \ltrpar\s16\qj \li1077\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin1077\itap0\pararsid15678159\contextualspace {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid15678159 Ruju
kan ilmu pengetahuan diantara tenaga kesehatan dalam rangka peningkatan pengetahuan penanganan komplikasi ibu dan bayi baru lahir/neonatus dimana pihak yang lebih kompeten akan memberikan ilmu sesuai kebutuhan dan kewenangan.
\par }\pard\plain \ltrpar\qj \fi720\li709\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid15678159 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 
{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 Sistem rujukan dibangun dengan
 membuat jejaring antar fasilitas dan pemangku kepentingan agar pelayanan rujukan kegawatdaruratan ibu dan BBL/Neonatus dapat menjadi efektif, efisien dan berkeadilan.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid1464318  }{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 Terdapat dua prinsip yang perlu diperhatikan agar dapat dihasilkan suatu sistem jejaring pelayanan rujukan yang efektif, efisien}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid11231781 ,}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328  dan berkeadilan, yaitu:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid15678159 \hich\af0\dbch\af0\loch\f0 a.\tab}}\pard\plain \ltrpar\s16\qj \fi-357\li1077\ri0\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls26\adjustright\rin0\lin1077\itap0\pararsid15678159\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 {\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid15678159 Kolaborasi
\par }\pard \ltrpar\s16\qj \fi720\li709\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid12807212\contextualspace {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid15548215 
Mengingat Sistem Kesehatan Nasional di Indonesia berjenjang dari tingkat kompetensi terendah di tingkat bidan di desa atau Bidan Praktik Swasta sampai tingkat tertinggi yaitu R
umah Sakit tersier yang melibatkan pelayanan sektor pemerintah maupun swasta serta mempunyai tingkat kewenangan yang berbeda maka prinsip kolaborasi antar fasilitas yang berbeda tersebut menjadi sangat penting khususnya bagi komplikasi Ibu dan BBL (Neonat
us) yang merupakan keadaan gawat darurat.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12807212 
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159 \hich\af0\dbch\af0\loch\f0 b.\tab}}\pard \ltrpar\s16\qj \fi-357\li1077\ri0\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls26\adjustright\rin0\lin1077\itap0\pararsid15678159\contextualspace {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 Pertukaran Informasi }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159\charrsid16587037 
\par }\pard\plain \ltrpar\qj \fi720\li709\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid15678159 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 
{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 Agar dapat terbangun suatu jejaring sistem rujukan yang efektif dan efisien,maka antar pemberi layanan di semua fasilitas yang}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159  telah berjejaring seyogy}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 anya}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid1464318  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159\charrsid10583328 harus terjadi suatu pertukaran informasi yang tepat dan sama.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid1464318  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 
Pertukaran informasi bisa berbentuk media cetak berupa surat, pedoman, leaflet,poster, buku saku maupun elektronik berupa SMS, email, atau dalam pertemuan,}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid1464318  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159\charrsid10583328 magang, pembinaan, pelatihan}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid1464318 ,}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328  dan lain-lain.}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid15678159 
\par }\pard \ltrpar\qj \fi720\li709\ri0\sb120\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid4590952 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13259735 T}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159\charrsid10583328 iga kondisi perlu dicermati dalam menyelamatkan ibu, yaitu:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid15678159 \hich\af0\dbch\af0\loch\f0 a.\tab}}\pard\plain \ltrpar\s16\qj \fi-360\li1069\ri0\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls27\adjustright\rin0\lin1069\itap0\pararsid15678159\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 {\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid15678159 Pertama, sifat komplikasi obstetri yang tidak dapat diprediksi akan dialami oleh siapa dan kapan akan terjadi (dalam kehamilan, persalinan, atau pasca salin terutama 24 jam pertama pasc
a salin). Hal ini menempatkan setiap ibu hamil mempunyai resiko mengalami komplikasi kebidanan yang dapat mengancam jiwa.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid15678159 \hich\af0\dbch\af0\loch\f0 b.\tab}
Kedua, karena setiap kehamilan beresiko maka seharusnya setiap ibu mempunyai akses terhadap pelayanan yang adekuat yang dibutuhkann
ya saat komplikasi terjadi. Sebagian komplikasi dapat mengancam jiwa sehingga harus segera mendapatkan pertolongan di Rumah Sakit yang mampu memberikan pertolongan kegawatdaruratan kebidanan dan bayi baru lahir. 
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid15678159 \hich\af0\dbch\af0\loch\f0 c.\tab}Ketiga, sebagian besar kematian ibu terj
adi pada masa persalinan dan dalam 24 jam pertama pasca persalinan, suatu periode yang sangat singkat sehingga akses terhadap dan kualitas pelayanan pada periode ini perlu mendapatkan prioritas agar mempunyai daya ungkit yang tinggi dalam menurunkan kemat
ian ibu.
\par }\pard\plain \ltrpar\qj \fi720\li709\ri0\sb120\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid4590952 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 Dalam kenyataannya, langkah \endash 
 langkah pencegahan dan penanganan komplikasi tersebut diatas seringkali tidak terjadi, yang disebabkan oleh karena keterlambatan dalam setiap langkah, yaitu:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid10583328 \hich\af0\dbch\af0\loch\f0 a.\tab}}\pard\plain \ltrpar\s16\qj \fi-357\li1077\ri0\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls28\adjustright\rin0\lin1077\itap0\pararsid15678159\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 {\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 Terlambat mengambil keputusan}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
\par }\pard \ltrpar\s16\qj \li1077\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin1077\itap0\pararsid15678159\contextualspace {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid9454009 
Keterlambatan pengambilan keputusan di tingkat masyarakat dapat disebabkan oleh beberapa hal berikut ini:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid1464318 \hich\af0\dbch\af0\loch\f0 1)\tab}}\pard \ltrpar\s16\qj \fi-360\li1418\ri0\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls29\adjustright\rin0\lin1418\itap0\pararsid15678159\contextualspace {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid1464318 
Ibu terlambat mencari pertolongan tenaga kesehatan walaupun akses terhadap tenaga kesehatan tersedia 24/7 (24 jam dalam sehari dan 7 hari dalam seminggu). }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid1464318 
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid1464318 \hich\af0\dbch\af0\loch\f0 2)\tab}}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid1464318 
Keluarga terlambat merujuk karena tidak mengerti tanda bahaya yang mengancam jiwa ibu.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid10583328 \hich\af0\dbch\af0\loch\f0 3)\tab}}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10583328 
Tenaga kesehatan terlambat melakukan pencegahan dan/atau mengidentifikasi komplikasi secara dini yang disebabkan oleh karena kompetensi tenaga kesehatan tidak optimal
, antara lain kemampuan dalam melakukan APN (Asuhan Persalinan Normal) sesuai standar dan penanganan pertama keadaan GDON (Gawat Darurat Obstetri dan Neonatal).
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid10583328 \hich\af0\dbch\af0\loch\f0 4)\tab}Tenaga kesehatan tidak mampu meng\'94advokasi\'94
 pasien dan keluarganya mengenai pentingnya merujuk tepat waktu untuk menyelamatkan jiwa ibu.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid4339626 \hich\af0\dbch\af0\loch\f0 b.\tab}}\pard \ltrpar\s16\qj \fi-357\li1077\ri0\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls28\adjustright\rin0\lin1077\itap0\pararsid15678159\contextualspace {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid4339626 
Terlambat mencapai RS Rujukan dan Rujukan Tidak Efektif, yang dapat disebabkan karena:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid4339626 \hich\af0\dbch\af0\loch\f0 1)\tab}}\pard \ltrpar\s16\qj \fi-360\li1418\ri0\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls30\adjustright\rin0\lin1418\itap0\pararsid15678159\contextualspace {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid4339626 Masalah geografis
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid4339626 \hich\af0\dbch\af0\loch\f0 2)\tab}Ketersediaan alat transportasi
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid4339626 \hich\af0\dbch\af0\loch\f0 3)\tab}Stabilisasi pasien komplikasi (misalnya pre \endash  syok) tidak terja
di/tidak efektif, karena keterampilan tenaga kesehatan yang kurang optimal dan/atau obat/alat kurang lengkap
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid4339626 \hich\af0\dbch\af0\loch\f0 4)\tab}Monitoring pasien selama rujukan tidak dilakukan atau dilakukan tetapi tidak ditindaklanjuti

\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid4339626 \hich\af0\dbch\af0\loch\f0 c.\tab}}\pard \ltrpar\s16\qj \fi-357\li1077\ri0\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls28\adjustright\rin0\lin1077\itap0\pararsid15678159\contextualspace {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid4339626 Terlambat Mendapatkan Pertolongan Adekuat di RS 
Rujukan, yang dapat disebabkan karena:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid15678159 \hich\af0\dbch\af0\loch\f0 1)\tab}}\pard \ltrpar\s16\qj \fi-360\li1418\ri0\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls31\adjustright\rin0\lin1418\itap0\pararsid15678159\contextualspace {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid15678159 
Sistem administratif pelayanan kasus gawat darurat di RS tidak efektif
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid15678159 \hich\af0\dbch\af0\loch\f0 2)\tab}Tenaga kesehatan yang dibutuhkan (SPOG, Sp. Anatesi, Sp. Anak, dll) tidak tersedia
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid15678159 \hich\af0\dbch\af0\loch\f0 3)\tab}Tenaga kesehatan kurang terampil walaupun akses terhadap tenaga tersedia
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid15678159 \hich\af0\dbch\af0\loch\f0 4)\tab}
Sarana dan prasarana tidak lengkap/tidak tersedia, termasuk ruang perawatan, ruang tindakan, peralatan dan obat 
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid15678159 \hich\af0\dbch\af0\loch\f0 5)\tab}Darah tidak segera tersedia
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid15678159 \hich\af0\dbch\af0\loch\f0 6)\tab}Pasien tiba di RS dengan \'93kondisi medis yang sulit diselamatkan\'94
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid15678159\charrsid15678159 \hich\af0\dbch\af0\loch\f0 7)\tab}Kurang jelasnya pen
gaturan penerimaan kasus darurat agar tidak terjadi penolakan pasien atau agar pasien dialihkan ke RS lain secara efektif 
\par }\pard\plain \ltrpar\qj \fi720\li709\ri0\sb240\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid10649205 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid4339626 
Kurangnya informasi di masyarakat tentang kemampuan sarana pelayanan kesehatan yang dirujuk dalam penanganan kegawatdaruratan maternal dan bayi baru lahir sehingga pelayanan adekuat tidak diperoleh}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid15678159 Perlu diketahui bahwa mungkin terdapat lebih dari satu faktor penyumbang. 
\par }\pard \ltrpar\qj \fi720\li709\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid15678159 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid14701295 P}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15678159\charrsid10954492 
eningkatan fasilitas dan kompetensi petugas kesehatan hanya akan maksimal jika bersamaan dengan peningkatan kesadaran dan partisipasi masyarakat dalam mengakses pelayanan yang telah disiapkan. Peningkatan kesadaran dan partisipasi masyarakat sebagai salah
 
satu komponen utama program KIBBLA Terpadu bisa diwujudkan melalui berbagai kegiatan yang sifatnya langsung berdampak kepada sikap dan perilaku masyarakat (PHBS) antara lain Kelas Ibu, Kemitraan Bidan-Dukun, Perawatan Metoda Kanguru (PMK) di masyarakat, M
anajemen Terpadu Balita Sakit di Masyarakat (MTBS-M), Pra-Musrenbangdes, P4K/Desa Siaga, dan lainnya.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10954492 Peningkatan akses dan kualitas pelayanan kesehatan sebagai komponen utama berikutnya dapat dilakukan melalui upaya peningkatan sarana/fasilitas kesehatan s
erta kompetensi petugas seperti bidan desa, perawat, dokter, dan lainnya. Berbagai program yang telah terbukti mampu memperbaiki komponen rujukan (PONEK), pengenalan standar kinerja (SBM-R), pencegahan infeksi (PI), penguatan Penatalaksanaan Kegawatdarura
tan Maternal dan Neonatal (MNERC dan }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid15678159\charrsid12283167 Emergency drill}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10954492 ), PMK di rumah sakit, dan lainnya.}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid10954492 Sinkronisasi dan keberlanjutan gerak kedua komponen utama di atas akan ditentukan oleh berfungsinya komponen manajemen kesehatan. Pergerakan kedua komponen di atas akan 
sia-sia atau terhenti di tengah jalan tanpa peningkatan kemampuan manajemen sebagai komponen ketiga dari program KIBBLA Terpadu, yang menjamin keberlangsungan kedua komponen lainnya.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6760865  }{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid7894572 Unsur ketiga dari keterpaduan program KIBBLA adalah pemantauan. Pentingny
a penggunaan data sasaran dan target pelayanan yang sama untuk berbagai program sangat memudahkan pemantauan program KIBBLA (misalnya pemberian tablet besi, imunisasi tetanus toxoid atau pengukuran tinggi badan, berat badan, dan pemeriksaan laboratorium p
r
otein urin). Diperlukan keseragaman dalam memformulasi sasaran, target, dan indikator pencapaian, termasuk pelaksanaan pemantauan. Pemantauan menggunakan PWS-KIA untuk KIBBLA Terpadu bukan hanya untuk mengukur keberhasilan berdasarkan indikator cakupan pr
ogram yang telah ditentukan, tetapi juga untuk}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6760865  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid7894572 mengetahui kesenjangan antar program atau kesenjanga}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 n antar wilayah Puskesmas atau Pemerintah Daerah K}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159\charrsid7894572 
abupaten. Dengan melakukan penelusuran terhadap sebab terjadinya kesenjangan, maka dapat ditentukan rencana tindak lanjut yang harus dilakukan untuk perbaikan program.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15678159 
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \b\lang1057\langfe1033\langnp1057\insrsid6317155\charrsid11535368 \hich\af0\dbch\af0\loch\f0 D.\tab}}\pard\plain \ltrpar\s16\qj \fi-357\li357\ri0\sa120\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin357\itap0\pararsid11535368\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\f0\fs24\insrsid6317155\charrsid11535368 Kesimpulan 
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid6246394\charrsid10820830 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \ltrpar\s16\qj \fi-360\li709\ri0\sa120\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls35\ilvl1\adjustright\rin0\lin709\itap0\pararsid11535368\contextualspace {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid6246394\charrsid10820830 
Angka Kematian Ibu (AKI) di Kabupaten Banyumas masih relatif tinggi karena budaya hukum }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid4814202\charrsid10820830 
yang merupakan sikap manusia terhadap hukum dan sistem hukum kepercayaan, nilai, pemikiran, serta harapannya. Sikap dan penilaian dari tenaga kesehatan dan masyarakat secara khusus mengenai pencegahan dan penanganan kegawatdaruratan masih mengalami kendal
a.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid10820830\charrsid10820830  Dalam kenyataannya, langkah \endash 
 langkah pencegahan dan penanganan komplikasi dalam pelayanan kesehatan ibu seringkali tidak terjadi, yang disebabkan oleh karena keterlambatan dalam setiap langkah, yaitu terlambat mengambil keputusan, terlambat mencapai RS rujukan}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \f0\fs24\insrsid10820830 /}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid10820830\charrsid10820830 rujukan tidak efektif,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid10820830  dan}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\f0\fs24\insrsid10820830\charrsid10820830  terlambat mendapatkan pertolongan adekuat di RS rujukan}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid10820830 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid10820830\charrsid10820830 
Kurangnya informasi di masyarakat tentang kemampuan sarana pelayanan kesehatan yang dirujuk dalam penanganan kegawatdaruratan maternal dan bayi baru lahir sehingga pelayanan adekuat tidak diperoleh}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid10820830 .}
{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid6317155 
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid4814202\charrsid6317155 \hich\af0\dbch\af0\loch\f0 2.\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid4814202\charrsid6317155 Langkah \endash 
 langkah}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid12276551  kebijakan}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid1050855  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid9532088\charrsid6317155 
percepatan penurunan angka kematian ibu di Kabupaten Banyumas ialah dengan keterpaduan sasaran sebagai penerima manfaat pelayanan merupakan bagian penting yang perlu dilihat secara holistik 
sejak masa kehamilan, persalinan, dan nifas, yang dilanjutkan dengan pelayanan paska persalinan bagi ibu nifas dan bayi baru lahir sampai usia balita. Hal ini mengikuti rangkaian siklus hidup biasanya disebut sebagai \'93}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\i\f0\fs24\insrsid9532088\charrsid6317155 continuum of care}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid9532088\charrsid6317155 \'94. Pemberian pelayana
n kepada salah satu sasaran harus diberikan secara komprehensif yakni mencakup promoitf, preventif, kuratif, dan rehabilitatif. Keterpaduan sasaran sangat penting karena dalam perjalanannya, kehamilan seorang ibu dapat mengalami komplikasi sehingga memerl
ukan penanganan komplikasi ke puskesmas PONED atau harus dilanjutkan sampai ke Rumah Sakit rujukan (RS PONEK). }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid4814202\charrsid10035001 
\par }\pard \ltrpar\s16\qj \li720\ri0\sa120\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid10035001\contextualspace {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid10035001 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid10035001\charrsid6317155 
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \b\lang1057\langfe1033\langnp1057\insrsid6500015\charrsid10238624 \hich\af0\dbch\af0\loch\f0 E.\tab}}\pard \ltrpar\s16\ql \fi-357\li357\ri0\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin357\itap0\pararsid11535368\contextualspace {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid6500015\charrsid10238624 Saran}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid6317155 
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid14562648\charrsid11535368 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \ltrpar\s16\qj \fi-360\li709\ri0\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls36\adjustright\rin0\lin709\itap0\pararsid11535368\contextualspace {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid14562648\charrsid11535368 
Bagi Pemerintah untuk senantiasa memperluas akses dan program pelayanan kesehatan ibu, sehingga mencakup seluruh daerah di Kabupaten Banyumas.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid14562648\charrsid11535368 \hich\af0\dbch\af0\loch\f0 2.\tab}Bagi tenaga kesehatan untuk senantiasa meningkatkan kualitas diri dalam mendiagnosis, }
{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid13124337\charrsid11535368 melakukan }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid14562648\charrsid11535368 
pencegahan, dan penanganan komplikasi dalam pelayanan kesehatan ibu, sehingga tidak terjadi pelayanan yang substandar atau }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid13124337\charrsid11535368 kurang}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\f0\fs24\insrsid14562648\charrsid11535368  adekuat.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid6317155\charrsid11535368 
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \lang1057\langfe1033\langnp1057\insrsid14562648\charrsid11535368 \hich\af0\dbch\af0\loch\f0 3.\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid14562648\charrsid11535368 
Bagi masyarakat untuk senantiasa }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid12862597\charrsid11535368 
meningkatkan pengetahuan, dalam hal ini mengenali tanda bahaya yang dialami pada ibu dan pencegahan keterlambatan dalam pengambilan keputusan yang paling utama dari keluarga. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid14562648\charrsid11535368 
\par }\pard\plain \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12063388 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang1057\langfe1033\cgrid\langnp1057\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid7686859 
\par }\pard \ltrpar\qc \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10109158 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid7238017 
\par }\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid12276551 \page 
\par }\pard \ltrpar\qc \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10035001 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs24\insrsid7764876\charrsid7686859 DAFTAR PUSTAKA
\par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12063388 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid7764876\charrsid7764876 
\par }\pard \ltrpar\qj \fi-709\li709\ri0\sa200\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid9526700 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9526700\charrsid13979020 E}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid9526700 .}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9526700\charrsid13979020  Erasmus}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9526700 , et al. 2014. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\i\f0\fs24\insrsid9526700\charrsid2430855 Mapping }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid9526700 The Existing Body }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\lang1033\langfe1033\langnp1033\insrsid9526700 o}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \i\f0\fs24\insrsid9526700\charrsid2430855 f Health Policy Implementation Research In Lower Income Settings: What Is Covered And What Are The Gaps}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9526700 . Oxford University Press.}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1033\langnp1033\insrsid9526700 
\par }\pard \ltrpar\qj \fi-709\li709\ri0\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid5339076 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5339076\charrsid7406890 
Evaluasi Rencana Pembangunan Jangka Menengah Nasional (RPJMN) 2010 - 2014 Kementerian Perencanaan Pembangunan Nasional/Badan Perencanaan Pembangunan Nasional Tahun 2015}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\lang1033\langfe1033\langnp1033\insrsid5339076\charrsid9526700 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid7700323\charrsid7700323 Jeremy Bentham}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1033\langnp1033\insrsid11535368 . }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid7700323 1997}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1033\langnp1033\insrsid11535368 .}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid7700323  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid7700323\charrsid7700323 
Cavendish Law Cards Jurisprudence}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid7700323\charrsid7700323 , }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid11535368 London}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\lang1033\langfe1033\langnp1033\insrsid11535368 : }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid11535368\charrsid7700323 Ca}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid11535368 vendish Publishing}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\lang1033\langfe1033\langnp1033\insrsid11535368 .}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1033\langnp1033\insrsid7700323\charrsid11535368 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5339076\charrsid7406890 Jimly Asshidiqie dan Ali Safa\rquote at. 2006. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid5339076\charrsid11535368 Teori Hans Kelsen Tentang Hukum}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid11535368 . Jakarta}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1033\langnp1033\insrsid11535368 :}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5339076\charrsid7406890 
 Sekretariat Jenderal dan Kepaniteraan Mahkamah Konsitusi.
\par }\pard \ltrpar\qj \fi-709\li709\ri0\sa200\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid9526700 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9526700\charrsid1735150 Kate Walton}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid9526700 . 2015. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid9526700\charrsid9526700 Policy Paper}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\lang1033\langfe1033\langnp1033\insrsid9526700\charrsid9526700 :}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid9526700\charrsid9526700  Rencana Aksi Daerah Percepatan Penurunan Angka Kematian Ibu (RAD PPAKI)}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9526700 .}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\lang1033\langfe1033\langnp1033\insrsid1786131  Jakarta:}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid9526700  USAID.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1033\langnp1033\insrsid9526700\charrsid9330197 
\par }\pard \ltrpar\qj \fi-709\li709\ri0\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid5339076 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5339076\charrsid7406890 Lieberman S, Capuno JJ, Minh HV. }{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid4210057 2010. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid5339076\charrsid13066978 
Decentralizing health: lessons from Indonesia, the Philippines, and Vietnam. Chapter in Books: East Asia Decentralizes}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5339076\charrsid7406890 .}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid4210057  Washin}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1033\langnp1033\insrsid11535368 g}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid4210057 ton DC}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\lang1033\langfe1033\langnp1033\insrsid11535368 :}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid4210057  World Bank.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5339076\charrsid7406890 
\par Panduan SDGs Untuk Pemerintah Daerah (Kota dan Kabupaten) dan Pemangku Kepentingan Daerah, International NGO Forum on Indonesian Development, 2015 
\par Salim H.S. 2014. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid5339076\charrsid11535368 Penerapan Teori Hukum Pada Penelitian Tesis Dan Disert}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid11535368\charrsid11535368 asi}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid11535368 . Edisi 1 Cetakan 3. Jakarta}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1033\langnp1033\insrsid11535368 :}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5339076\charrsid7406890 
 Rajawali Press.
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5339076 Satjipto Rahardjo. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5339076\charrsid7406890 2009. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \i\f0\fs24\insrsid5339076\charrsid11535368 
Penegakan Hukum}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5339076\charrsid7406890 . Yogyakarta}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1033\langnp1033\insrsid11535368 :}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid5339076\charrsid7406890  Genta Publishing.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs24\insrsid5339076\charrsid2570033 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5339076\charrsid7406890 Simatupang R, Rentanida. 2009. Evaluation of decentralization outcomes in Indonesia: analysis of health and education sectors. [}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\i\f0\fs24\insrsid5339076\charrsid11535368 Dissertation}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5339076\charrsid7406890 ]. Atlanta}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1033\langnp1033\insrsid11535368 :}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5339076\charrsid7406890  Department of Economics Georgia State University.
\par Visi dan Arah Pembangunan Jangka Panjang 2005 \endash  2025, Kantor Menteri Negara Perencanaan Pembangunan Nasional/Badan Perencanaan Pembangunan Nasional}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5339076 
\par }\pard \ltrpar\qj \fi-709\li709\ri0\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid7078148 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid7078148\charrsid7078148 
Profil Kesehatan Indonesia, Kementerian Kesehatan Republik Indonesia, 2015 
\par }\pard \ltrpar\qj \fi-709\li709\ri0\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid7700323 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid7700323\charrsid7700323 Undang \endash 
 undang Dasar Republik Indonesia 1945 
\par Undang \endash  undang Nomor 39 Tahun 1999 tentang Hak Asasi Manusia
\par Undang \endash  undang Nomor 36 Tahun 2009 tentang Kesehatan 
\par Undang \endash  undang Nomor 23 Tahun 2014 tentang Pemerintahan Daerah
\par Undang \endash  undang Nomor 36 Tahun 2014 tentang Tenaga Kesehatan 
\par Undang \endash  undang Nomor 40 Tahun 2014 tentang Sistem Jaminan Sosial Nasional
\par Peraturan Menteri Kesehatan Nomor 1464/X/Menkes/2010 tentang Izin dan Penyelenggaraan Praktik Bidan
\par Peraturan Menteri Kesehatan Nomor 75 Tahun 2014 tentang Pusat Kesehatan Masyarakat
\par Peraturan Menteri Kesehatan Nomor 97 Tahun 2014 tentang Pelayanan Kesehatan Masa Sebelum Hamil, Masa Hamil, Persalinan, dan Masa Sesudah Melahirkan, Penyelenggaraan Pelayanan Kontrasepsi, serta Pelayanan Kesehatan Seksual
\par Peraturan Menteri Kesehatan Nomor 43 Tahun 2016 tentang Standar Pelayanan Minimal Bidang Kesehatan
\par Keputusan Menteri Kesehatan Nomor 284/MENKES/SK/III/2004 tentang Buku Kesehatan Ibu dan Anak
\par Keputusan Menteri Kesehatan Nomor 369/MENKES/SK/III/2007 tentang Standar Profesi Bidan 
\par Keputusan Menteri Kesehatan RI Nomor 604/Menkes/SK/VII/2008 tentang Pedoman Pelayanan Maternal Perinatal Pada Rumah Sakit Umum Kelas B, Kelas C, dan Kelas D
\par Peraturan Gubernur Jawa Tengah Nomor 17 Tahun 2016 Tentang Penyelenggaraan Kesehatan Ibu Dan Anak Di Provinsi Jawa Tengah
\par }\pard \ltrpar\qj \fi-709\li709\ri0\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin709\itap0\pararsid10964040 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid7700323\charrsid7700323 Perat
uran Daerah Kabupaten Banyumas Nomor 4 Tahun 2014 tentang Kesehatan Ibu, Bayi Baru Lahir}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid10964040 , Bayi, dan Anak Balita (KIBBLA}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\lang1033\langfe1033\langnp1033\insrsid10964040 )}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1033\langfe1033\langnp1033\insrsid9330197\charrsid10964040 
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