Latar Belakang: Kabupaten Mukomuko merupakan kabupaten pemekaran di Provinsi Bengkulu. Kinerja Dinas Kesehatan belum optimal meliputi kebijakn pembinaan, pengawasan, evaluasi dan pengelolaan laporan dalam pencapaian cakupan program KIA di Kabupaten Mukomuko. Pelayanan program KIA dalam pelaksanaannya di Kabupaten Mukomuko dapat dilihat dari cakupan KIA, AKI, AKB, K4, salinakes. Kinerja Dinas Kesehatan Kabupaten Mukomuko khususnya Bidang P2P, Yankes, Seksi Yankes adalah penanggung jawab program KIA di Kabupaten Mukomuko. Tujuan: Untuk mengetahui kinerja Dinas Kesehatan dalam mendukung program KIA di Kabupaten Mukomuko Metode: Penelitian ini adalah menggunakan rancangan studi kasus dengan metode kualitatif. Unit analisis penelitian ini Kinerja Dinas Kesehatan dalam mendukung program KIA. Instrumen penelitian adalah pedoman wawancara mendalam, diskusi kelompok terarah dan check list. Hasil: Faktor input sumber daya manusia (SDM) seksi kesehatan ibu dan anak Dinas Kesehatan Kabupaten Mukomuko sangat terbatas baik secara kualitas maupun kuantitas, sehingga kinerja pelaksanaan program KIA di puskesmas belum optimal. Target cakupan pelayanan KIA di puskesmas belum tercapai akibat dari kebijakan Dinas Kesehatan dalam menentukan target yang tidak disesuaikan dengan kondisi dan kemampuan sumber daya yang dimiliki, sehingga menyebabkan beberapa puskesmas tidak mencapai target tersebut. Peran Dinas Kesehatan dalam proses mendukung ketersediaan input pelaksanaan program KIA Dinas Kesehatan dan puskesmas hanya berfungsi mendistribusikan dana serta sarana. Penempatan tenaga dilakukan oleh BKD, sehingga berakibat penempatan baik tenaga di Dinas maupun bidan tidak sesuai dengan kebutuhan yang diusulkan. Dinas Kesehatan telah melakukan fungsi pengawasan, pembinaan dan evaluasi pelaksanaan program KIA di puskesmas namun belum optimal. Seksi KIA Dinas Kesehatan hanya menampung dan merekapitulasi laporan kegiatan KIA. Lintas program hanya bersifat persetujuan saja, dalam pelaksanaan belum maksimal karena komitmen yang ada belum terealisasi. Kesimpulan: Kinerja Dinas Kesehatan Kabupaten Mukomuko sudah cukup baik. Dinas Kesehatan Kabupaten Mukomuko dalam melaksanakan program kesehatan harus melihat kembali peran, fungsi dan kegiatankegiatan yang dilakukan oleh masing-masing unit kerja dan segenap stakeholder yang secara bersinergi mendukung keberadaan program kesehatan.

Background: Mukomuko represent an extended district in Bengkulu Province. The health office performance has not been optimal in terms of policies on education, supervision, evaluation and report management in achieving the program coverage of MCH in Mukomuko District. MCH Program service covers MCH, AKI, AKB, K4, salinakes. The performance of Mukomuko District Health Office in the sectors of Communicable Disease Control (P2P), Health Service (Yankes), Health Service Subdivision is the responsibility of Mukomuko MCH Program. Objective: The research aims at identifying the performance of district health office in supporting MCH Program of Mukomuko District. Method: The research applied the design of a qualitative case study. The analyzed unit of the research was the performance of district health office in supporting MCH program. The research employed guided in-depth interview, focus group discussion and check list. Result: The human resource input in the sub-division of MCH of Mukomuko district health office was very limited in terms of quality and quantity so that the performance of MCH program implementation was not yet optimal. The target of MCH program coverage in health center has not been achieved because the policies issued by the district health office in determining the target was not in accordance with the condition and capability of the resource owned. Hence, some health centers could not achieve the target. The role of health office in the process of providing the input for MCH program implementation in the health office and health centers functioned solely in distributing the fund and facilities. Staff dispatchment was done by Official Administration Body (BKD), so the dispatchment of health officials and midwives was not in accordance with the proposed needs. The health office has performed its fuctions in supervision, education and evaluation of MCH program in health centers, but it has not been optimal. MCH Sub-division of health office only received and recapitulated the MCH activity reports. Cross-program was only to ask for agreement, and the implementation was not optimal because the commitment was not realized. Conclusion: Mukomuko Health Office has performed well. The health office should review and synergize its roles and functions, and also the activities performed by each unit and all stakeholders in order to support the existence of health programs.

Kata Kunci : Evaluasi kinerja,Dinas kesehatan,Program KIA, evaluation of health office performance, MCH Program