Efektivitas Dinas Kesehatan Kabupaten Asahan dalam Mewujudkan Tujuan Pembangunan Berkelanjutan melalui Penurunan Angka Kematian Ibu

Abstract

The Maternal Mortality Rate in Asahan Regency ranks among the top five highest in North Sumatra Province. Efforts to reduce maternal mortality are in line with the government's commitment to achieving the Sustainable Development Goals, particularly Goal 3: 'Good Health and Well-Being.' This study aims to provide an in-depth description of the effectiveness of the Asahan Regency Health Office, as a Regional Apparatus Organization, in realizing the Sustainable Development Goals through the reduction of maternal mortality. The analysis in this study employs organizational effectiveness indicators proposed by Gibson (1995), which include: productivity, efficiency, flexibility, development, and satisfaction. The research method used in this study is descriptive qualitative research. Data and information were collected through interviews, observation, documentation, and literature review. The data and information were then compiled and analyzed to draw conclusions. Subsequently, the validity of the data was examined and established through triangulation. The findings of the study indicate that the effectiveness of the Asahan Regency Health Office in achieving the Sustainable Development Goals through the reduction of maternal mortality can be assessed using five indicators. Government productivity is still considered ineffective in reducing maternal mortality, as reflected in the fluctuating mortality rates and the fact that the target of zero maternal deaths has not yet been approached. In terms of efficiency, the government can be considered effective, as it has been able to implement all planned programs despite the budget being far from ideal. Regarding flexibility, the government is considered moderately effective, supported by policies that prioritize service delivery before completing administrative procedures. For the development indicator, the government is deemed effective, as evidenced by training provided to healthcare workers, the procurement of medical equipment, and evenly distributed health promotion efforts. Lastly, in terms of satisfaction, the government is considered effective, as the people of Asahan Regency have expressed their satisfaction with the services provided.