Update Knowledge Peningkatan Pengetahuan dan Ketrampilan Partograf, Peningkatan Level STR, dan Perpanjangan SIPB pada Bidan

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ABSTRAK

Bidan memiliki peran strategis dalam memberikan pelayanan kebidanan yang komprehensif, sehingga dituntut untuk senantiasa memperbarui pengetahuan dan keterampilan agar layanan yang diberikan tetap berkualitas, aman, dan sesuai perkembangan ilmu. Salah satu instrumen penting adalah partograf yang berfungsi memantau kemajuan persalinan, mendeteksi dini komplikasi, serta mendukung pengambilan keputusan klinis. Namun, penggunaan partograf di Indonesia masih rendah, hanya sekitar 17,7% pada saat rujukan maternal, sehingga turut berkontribusi terhadap tingginya angka kematian ibu dan bayi akibat perdarahan, eklampsia, dan infeksi. Di Kota Serang, pemanfaatan partograf belum optimal meskipun telah ada berbagai program pelatihan, dan hal ini diperkuat dengan masih rendahnya pemahaman bidan mengenai proses naik level STR serta perpanjangan SIPB yang kini mensyaratkan bukti kompetensi terbaru. Untuk menjawab tantangan tersebut, kegiatan Update Knowledge seluruh ranting IBI Cabang Kota Serang tahun 2025 dilaksanakan pada 50 bidan dengan tahapan workshop partograf, sosialisasi regulasi STR dan SIPB, pendampingan administratif, inovasi media booklet ber-HKI, serta evaluasi menggunakan pretest–posttest dan uji Wilcoxon Signed Rank Test. Hasil kegiatan menunjukkan peningkatan signifikan dalam pengetahuan dan keterampilan peserta (p=0,000), sementara booklet ber-HKI terbukti efektif sebagai media edukasi praktis dan berkelanjutan. Dengan demikian, kegiatan ini terbukti efektif meningkatkan kompetensi bidan terkait penggunaan partograf serta pemahaman regulasi profesi, sekaligus memberikan kontribusi terhadap mutu pelayanan kebidanan dan keselamatan ibu serta bayi. Program ini diharapkan dapat direplikasi secara berkala di berbagai wilayah dengan dukungan pemerintah dan organisasi profesi agar peningkatan kompetensi bidan dapat berlangsung secara merata dan berkesinambungan.

Kata Kunci: Bidan, Partograf, Surat Tanda Registrasi (STR), Surat Izin Praktik Bidan (SIPB).

ABSTRACT

Midwives play a highly strategic role in providing comprehensive maternal health services; therefore, they are consistently required to update their knowledge and skills to ensure that the care delivered remains high-quality, safe, and aligned with scientific advancements. One essential instrument is the partograph, which functions to closely monitor the progress of labor, promptly detect complications, and effectively support timely clinical decision-making. However, the utilization of the partograph in Indonesia remains relatively low, recorded at only 17.7% during maternal referrals, thereby contributing to the persistently high maternal and neonatal mortality rates caused by hemorrhage, eclampsia, and infection. In Serang City, the application of the partograph has not yet been fully optimized despite various training programs, and this challenge is further emphasized by the limited understanding of midwives regarding the process of upgrading their Registration Certificate (STR) and renewing their Midwifery Practice License (SIPB), which currently require documented proof of updated competencies. To address these issues, the Update Knowledge program of the Serang City IBI Branch in 2025 was implemented for 50 midwives through a series of activities including a partograph workshop, dissemination of STR and SIPB regulations, administrative mentoring, the development of an HKI-registered booklet as an innovative learning medium, and evaluation using pretest–posttest as well as the Wilcoxon Signed Rank Test. The results demonstrated a statistically significant improvement in participants’ knowledge and skills (p=0.000), while the HKI-registered booklet was proven to be an effective, practical, and sustainable educational tool. Consequently, this program was shown to be highly effective in enhancing midwives’ competencies in utilizing the partograph and understanding professional regulations, while simultaneously contributing to the quality of midwifery services and the safety of mothers and newborns. It is strongly recommended that similar programs be replicated periodically in various regions with the support of government and professional organizations to ensure equitable and continuous improvement of midwives’ competencies.

Keywords: Midwife, Partograph, Registration Certificate (STR), Midwifery Practice License (SIPB).