Abstract

ABSTRACT Healthcare Associated Infection (HAIs) is one of the health problems in the world, including Indonesia. HAIs have direct impacts as an economic burden which in principle, can be prevented if health service facilities consistently implement the program of Prevention and Control of Infection (PCI). Universal precaution is part of PCI efforts in health care facilities. This writing aims to determine knowledge, attitudes, and behavior of midwives related to universal precautions in the prevention of infection in an independent midwife practice. The research was conducted in West Java and East Kalimantan provinces. The research design was cross sectional with quantitative method. The sampling technique was purposive sampling whereas the number of samples was determined based on the minimum sample size of 30 for the correlational descriptive research, and the number of samples was 38 midwives. The results of this study indicate that there was a discrepancy between knowledge, attitude, and behavior of midwives towards the application of universal precautions. In terms of behavior, there are some components of universal precautions with very low percentages, such as using self-protective equipment completely when helping with labor (10.5%), and disposing of sharps collection containers such as syringes into temporary shelters just in time determined (18.4%). Need for capacity building to improve the ability of independent midwives in the application of universal precautions. Keywords: Universal precautions, knowledge, attitudes, behavior of midwives   ABSTRAK Penyakit infeksi terkait pelayanan kesehatan atau Healthcare Associated Infection (HAIs) merupakan salah satu masalah kesehatan di berbagai dunia, termasuk Indonesia. HAIs berdampak langsung sebagai beban ekonomi yang secara prinsip, dapat dicegah bila fasilitas pelayanan kesehatan secara konsisten melaksanakan program Pencegahan dan Pengendalian Infeksi (PPI). Kewaspadaan universal (Universal precaution) merupakan bagian dari upaya PPI di sarana pelayanan kesehatan. Penulisan ini berrtujuan untuk mengetahui pengetahuan, sikap, dan perilaku bidan terkait kewaspadaan universal dalam pencegahan infeksi di bidan praktik mandiri. Penelitian dilakukan di Provinsi Jawa Barat dan Kalimantan Timur. Disain penelitian adalah potong lintang dengan metode kuantitatif. Teknik pengambilan sampel dengan cara sampling purposive sedangkan jumlah sampel ditentukan berdasarkan  jumlah sampel minimal 30 untuk penelitian deskriptif korelasional, dan diperoleh jumlah sampel sebanyak 38 orang bidan. Hasil penelitian ini menunjukkan bahwa terdapat ketidak sesuaian antara  pengetahuan, sikap, maupun perilaku bidan terhadap penerapan kewaspadaan universal. Dalam hal perilaku, terdapat beberapa komponen kewaspadaan universal dengan  persentase  sangat rendah, seperti menggunakan alat pelindung diri dengan lengkap ketika menolong persalinan (10,5%), dan membuang wadah penampungan sampah benda tajam seperti jarum suntik ke tempat penampungan sementara tepat pada waktu yang sudah ditentukan (18,4%). Perlu adanya capacity building untuk meningkatkan kemampuan  bidan praktik mandiri dalam penerapan kewaspadaan universal. Kata kunci: Kewaspadaan universal, pengetahuan, sikap, dan perilaku bidan