Evaluation of the Implementation of K4 Coverage Services at Harapan and Waibu Health Centers in the Jayapura Regency

Abstract

Background: K4 coverage (fourth visit) is the number of pregnant women who have received ANC services following the service provisions according to the recommended schedule for each trimester during pregnancy compared to the target number of pregnant women in a work area over a period of one year. According to the profile data from the Jayapura Regency Health Office, the number of K4 visits in 2020 was 69.2% and there was an increase in 2021 of 77.7%, below the provincial target of 95%. Objectives: The purpose of this study was to evaluate the implementation of K4 coverage services at Harapan Health Center and Waibu Health Center in terms of input, process, output, and external factors. Methods: This type of research is qualitative with a case study approach. There were 9 informants in this study consisting of staff from the Health Office, health workers at the Waibu and Harapan Health Centers, and pregnant women from the working areas of each Health Center. Data was collected by in-depth interviews using a list of questions and document study. Result: The results of the research on service inputs for K4 coverage at the Harapan Health Center had no problems, while at the Waibu Health Center there was a lack of human resources, complete and adequate infrastructure, and funding that had not been allocated properly. The process flow for K4 coverage services at the Health Center is appropriate. The output that has not been achieved is due to the uncertainty in predicting the targeting of pregnant women. External factors of geography, demography and support also have an influence on K4 coverage services.