Maternal and child health problems continue to be priority health issues in Indonesia, especially in East Nusa Tenggara (NTT). The maternal mortality rate in NTT has reached 159/100,000 live births, while infant and under-five mortality rates have reached 32/1000 live births and 40/1,000 live births, respectively above the national value of 23/1000 live births and 32/1,000 live births. It indicates that the health and maternal and child health policies in NTT have not been maximally implemented. One of the causes is the lack of available health worker resources that provide health services. The research objective is to identify the effect of health resources' availability on the performance of maternal and child health policy implementation in NTT. A quantitative research method for data collection was carried out in 11 districts in NTT and 104 public health centers (pusat kesehatan masyarakat, puskesmas) towards 235 health workers from August to December 2019. The results show that the health workers were categorized as insufficient/not available (mean value of 2.64), and puskemas did not have doctors, midwives, and nurses conforming to standards. There was also inadequacy in some aspects such as budget (average value of 2.45), medical devices (average value of 2.75), medicines and medical supplies, buildings, and transport. A correlation was found between resources and the performance of maternal and child health policies (p=0.00) with a coefficient correlation of 0.546. It indicates a strong and positive correlation, which means that if there is an increase in resources, maternal and child health policy implementation will also. Partial linear regression tests showed t arithmetic=13.304 >t table 1.97, which means that H0 was rejected. It suggests a significant effect between resources and the performance of maternal and child health policy implementation in NTT. In conclusion, resources had a positively significant impact on the performance of maternal and child health policy in NTT. PENGARUH KETERSEDIAAN SUMBER DAYA KESEHATAN TERHADAP KINERJA IMPLEMENTASI KEBIJAKAN KESEHATAN IBU DAN ANAK DI NUSA TENGGARA TIMURPermasalahan kesehatan ibu dan anak (KIA) terus menjadi prioritas masalah kesehatan di Indonesia khususnya di Nusa Tenggara Timur (NTT). Angka kematian ibu di NTT mencapai 159/100.000 kelahiran hidup (KH), sedangkan angka kematian bayi dan balita mencapai 32/1.000 KH dan 40/1.000 KH yang masing-masing di atas nilai nasional, yaitu 23/1.000 KH dan 32/1.000 KH. Kondisi tersebut mengindikasikan bahwa penerapan kebijakan KIA di NTT belum dilaksanakan secara maksimal. Salah satu penyebabnya adalah sumber daya manusia kesehatan yang memberikan pelayanan kesehatan kurang tersedia. Tujuan penelitian adalah mengidentifikasi pengaruh ketersediaan sumber daya manusia kesehatan terhadap kinerja penerapan kebijakan KIA di NTT. Metode penelitian adalah kuantitatif. Pengumpulan data dilakukan di 11 kabupaten dan 104 pusat kesehatan masyarakat (puskesmas) pada 235 tenaga kesehatan dari bulan Agustus hingga Desember 2019. Hasil penelitian menunjukkan bahwa tenaga kesehatan dikategorikan tidak cukup/tidak tersedia (nilai rerata 2,64) dan puskesmas tidak memiliki dokter, bidan, dan perawat sesuai standar. Selain itu, terdapat juga kekurangan di beberapa aspek seperti anggaran biaya (nilai rerata 2,45), alat kesehatan (nilai rerata 2,75), obat dan perbekalan kesehatan, alat medis, bangunan, serta alat transportasi. Korelasi ditemukan antara sumber daya dan kinerja penerapan kebijakan KIA (p=0,00) dengan koefisien korelasi 0,546. Hal ini berarti korelasi cukup kuat dan positif, artinya jika sumber daya ditingkatkan maka kinerja implementasi kebijakan KIA juga meningkat. Uji regresi linier parsial menunjukkan t hitung=13,304 >t tabel 1,97 yang bermakna H0 ditolak. Hal ini menunjukkan pengaruh yang signifikan antara sumber daya dan kinerja penerapan kebijakan KIA di Provinsi NTT. Simpulan, sumber daya berpengaruh signifikan positif terhadap kinerja penerapan kebijakan KIA di NTT.

Point Of Care Quality Improvement (POCQI) merupakan model peningkatan kualitas layanan kesehatan untuk memastikan pasien menerima perawatan kesehatan berkualitas. Dokumentasi keperawatan merupakan indikator penting kualitas asuhan keperawatan. Penelitian ini bertujuan meningkatkan kualitas dokumentasi asuhan keperawatan melalui penerapan model point of care quality improvement (POCQI) di Ruang Perinatal RSUD Kabupaten Kupang dan RSUD Kabupaten Rote Ndao. Jenis penelitian kuantitatif dengan rancangan penelitian eksprimen. Total populasi 60 responden dan sampel 30 responden sebagai kelompok intervensi dan 30 sebagai kelompok kontrol. Pengambilan sampel menggunakan metode sampling jenuh. Analisa data univariat mendekskripsikan karakteristik responden dan karakteristik variabel, analisis bivariat menggunakan uji t test. Hasil penelitian menunjukkan bahwa pendokkumentasian sebelum intervensi POCQI kategori kurang (63%) dan setelah intervensi kategori baik (100%), ada pengaruh signifikan penerapan model POCQI dan PDSA (Plan-Do-Study-Action) terhadap dokumentasi keperawatan p;< 0.05 (p= 0.000).  Kesimpulan setelah intervensi model POCQI, tingkat pengetahuan, sikap dan motivasi perawat dalam pendokumentasian asuhan keperawatan pada kategori baik. Penerapan PDSA telah berjalan dengan baik, terdapat pengaruh penerapan model POCQI dan PDSA terhadap mutu dokumentasi keperawatan. Saran rumah sakit dapat menggunakan pendekatan ini untuk peninggkatan kualitas layanan kesehatan anak.

BACKGROUND: The fact shows that the performance of health service policy implementation from the output aspect (out put) and the outcome (out comes) policy has not been in line with expectations. This condition will also have a direct influence on the Human Development Index in East Nusa Tenggara Province, where the position of East Nusa Tenggara is still in the order of 32 out of 34 provinces in Indonesia, which ranges from 68.77. The main purpose of this study was to identify the health service accessibility in East Nusa Tenggara. Furthermore, this study also intended to find out the performance of policy implementation and was to identify the effect of accessibility of health sevices on the performance of policy implementation on mothers and children in East Nusa Tenggara. SUBJECT &amp; METHOD: This research is a quantitative study, conducted in 11 districts, 104 community healths services, and has 235 health workers as respondents in East Nusa Tenggara Province of Indonesia. RESULT: The results of the study on conditions of accessibility and networking in maternal and child health services in East Nusa Tenggara Province are still lacking (mean 2.7), meaning that conditions of accessibility in East Nusa Tenggara Province do not support the implementation of MCH policies. The performance of MCH policy implementation in East Nusa Tenggara Province is in the 3.36 category, meaning that the targets of MCH services that have been made have not been maximally realized. There is a correlation between accessibility conditions and the performance of MCH policy implementation (p = 0.00), the correlation coefficient of 0.429 shows that this correlation is quite strong, although not very strong. This correlation shows a positive relationship which means that if the accessibility conditions are easier, it will improve the performance of MCH policy implementation. The effect of accessibility on policy performance has been carried out partial linear regression test (t test), found t count = 19.0115 &gt; t table 1.97 means that there is a significant influence on the condition of accessibility to the performance of MCH policies in East Nusa Tenggara Province. CONCLUSION: Accessibility to health services in East Nusa Tenggara Province is still lacking, the policy implementation performance is good and there is a significant and positive influence between service accessibility and policy implementation performance. RECOMENDATION: The government is expected to be more serious in efforts to open the accessibility of health services and set more realistic targets that could be achieved.

The percentage of malnutrition and stunting are still a major problem in east Nusa Tenggara Indonesia. Therefore we need a way to overcome these nutritional problems, among others, with the Positive Deviance Approach. This method is an act of community empowerment by transferring positive behaviour in mothers with malnutrition children. The research objective is Identify the effect of a positive deviance approach on mothers who have malnourished children. Subject and Method: this research is pre-experimental with one group pre-post test design. Data collection on 31 mothers who have malnutrition children. Result: after the intervention the mother's knowledge increases regarding feeding, child care and environmental health. After intervention maternal behavior increased regarding feeding, child care and environmental health. Statistical analysis shows that there is a significant influence between a positive deviance approach to experience with mothers' knowledge (p=0,03) and behavior (p=0,04) about feeding, caring for children and environmental health. Conclusion: The Positive Deviance approach gives an effect on increasing the knowledge and behavior of mothers in feeding, child care and environmental health. Recommendation: Use the Positive deviance method for changing people's behavior.