scholarly journals Current status of antenatal care of pregnant women—8 provinces in China, 2018

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wenling Hu ◽  
Huanqing Hu ◽  
Wei Zhao ◽  
Aiqun Huang ◽  
Qi Yang ◽  
...  
Keyword(s):  
Health Services ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Community Health ◽  
First Trimester ◽  
Community Health Services ◽  
Current Status ◽  
Categorical Variables ◽  
Chi Square ◽  
Prenatal Care Visit

Abstract Background Antenatal care (ANC) played a crucial role in ensuring maternal and child safety and reducing the risk of complications, disability, and death in mothers and their infants. The objective of this study was to evaluate the current status of ANC emphasizing the number, timing, and content of examinations on a national scale. Methods The data was collected from maternal and newborn’s health monitoring system at 8 provinces in China. After ethical approval, all pregnant women registered in the system at their first prenatal care visit, we included 49,084 pregnant women who had delivered between January 1, 2018 and December 31, 2018. Descriptive statistics of all study variables were calculated proportions and chi-square for categorical variables. Results Of the 49,084 women included in this study, the mean number of ANC visits was 6.95 ± 3.45. By percentage, 78.79% women received ANC examinations at least five times, 39.93% of the women received ANC examinations at least eight times and 16.66% of the women received ANC examinations at least 11 times. The proportion of first ANC examination in first trimester was 61.87%. The percentage of normative ANC examinations and the percentage of qualified ANC examinations were 30.98 and 8.03% respectively. Only 49.40% of the total women received all six kinds of examination items in first ANC examination: 91.47% received a blood test, 91.62% received a urine test, 81.56% received a liver function examination, 80.52% received a renal function examination, 79.07% received a blood glucose test, and 86.66% received a HIV/HBV/syphilis tests. 50.85% women received the first ANC examination in maternal and child health care (MCH) institutions, 14.07% in a general hospital, 18.83% in a township hospital, 13.15% in a community health services center, and 3.08% in an unspecified place. The proportion of women who received each of the ANC examination items in community health services center was the highest, but that in the MCH institutions was the lowest. Conclusions There is a big difference between the results of this study and the data in official reports, this study found the current status of antenatal care is not optimal in China, findings from this study suggest that the systematization, continuity and quality of ANC examinations need to be improved.

Rural and Metropolitan Community Health: Celebrating the Strengths

1999 ◽  
Vol 5 (3) ◽  
pp. 60
Author(s):  
Angela Littleford ◽  
Debbie Martin ◽  
Lee Martinez ◽  
Angela May
Keyword(s):  
Health Services ◽  
Community Health ◽  
Case Studies ◽  
Rural Community ◽  
South Australia ◽  
Community Health Services ◽  
Current Status ◽  
Future Directions ◽  
History Of ◽  
Rural Community Health

The paper outlines the strengths, similarities and differences of metropolitan and rural community health sectors. Case studies are used to look at the history of community health in South Australia, its current status is described and some future directions are proposed. Perspectives are drawn from the authors' collective experiences. Rural and metropolitan community health services in South Australia have developed from different models since they were established in the 1970s. Rural community health services have invariably been established as entities within hospitals and health services, although metropolitan community health services have generally been established as stand alone facilities independent of the acute sector. To illustrate this, two case studies are used to demonstrate the evolution of metropolitan and rural community health services.

scholarly journals Mix Method Analysis of Factors Affecting Implementation of Antenatal Care (ANC) in Pregnant Women in the Work Area of the Medan Deli Health Center, Medan Deli District, Medan

2021 ◽  
Vol 2 (4) ◽  
pp. 32-44
Author(s):  
Elya Rosa ◽  
Razia Begum Suroyo ◽  
Aida Fitria
Keyword(s):  
Health Services ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Center ◽  
Health Workers ◽  
Physical And Mental Health ◽  
Chi Square ◽  
Qualitative Approaches ◽  
Work Area ◽  
Husband Support

workers which includes physical and mental health to get mothers and babies who are healthy during pregnancy, childbirth and postpartum. Data from the Medan Deli Health Center shows that in 2019 the K1 coverage is only (87%) and K4 only (66%), while the target of K1 and K4 coverage is 100% respectively. Many factors are thought to be the cause of not achieving coverage of antenatal care (ANC) implementation. The purpose of this study was to analyze the factors that influence the implementation of ANC in pregnant women. This type of research is a mix method with quantitative and qualitative approaches. The study population was 195 people, with the Slovin formula taken a sample of 66 people. Quantitative analysis was univariate, bivariate using chi-square and multivariate using multiple logistic regression at the 95% confidence level ( = 0.05). The qualitative analysis was analyzed by means of reduction, data display and verification. The results showed the variables that influenced the implementation of antenatal care (ANC) in pregnant women in the work area of ​​the Medan Deli Public Health Center in 2020, namely knowledge p = 0.032, attitude p = 0.018, parity p = 0.008, health services p = 0.016, husband support p = 0.026 and support for health workers p = 0.041. The unrelated variable was job status p = 0.269. The most dominant variable was the health service variable which had a value of Exp (B) = 12.048, meaning that respondents who received health services had 12 times the chance of implementing antenatal care compared to respondents who did not get health services. The conclusion of this research is that the implementation of antenatal care in pregnant women is influenced by knowledge, attitudes, parity, health services, husband support and support from health workers. It is hoped that health workers, especially midwives, will provide good IEC about the implementation of antenatal care to every pregnant woman and carry out more frequent home visit activities and provide advice to the puskesmas to re-attach the standby husband and cooperate with local regional leaders

FAKTOR YANG BERHUBUNGAN DENGAN KEPUASAN PELAYANAN ANC DI BIDAN KUNGKAI

2019 ◽  
Vol 1 (1) ◽  
pp. 13-19
Author(s):  
Dewi Nopiska Lilis
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Community Health ◽  
Care Service ◽  
Community Health Center ◽  
Care Program ◽  
Chi Square ◽  
Cross Sectional ◽  
The Government ◽  
Village Midwife

ABSTRAKAKI di Indonesia sampai saat ini masih tinggi, dan ini merupakan masalah kesehatan yang sampai saat ini belum dapat diatasi secara tuntas. Untuk itu pemerintah mengadakan suatu program salah satunya adalah program ante natal care. Untuk mengetahui berhasilnya program pelayanan antenatal care dilakukan dengan pendataan cakupan antenatal care. Berdasarkan survei awal yang telah dilakukan di Bidan Desa Kungkai Tahun 2017 terdapat rendahnya cakupan pelayanan antenatal care. Maka tujuan penelitian ini untuk mengetahui beberapa faktor yang berhubungan dengan kepuasan pelayanan ANC di Bidan Desa Kungkai Kecamatan Bangko wilayah kerja Puskemas Bangko tahun 2017. Penelitian ini menggunakan metode analitik menggunakan rancangan cross sectional. Populasi dan sampel penelitian ini adalah seluruh ibu hamil yang memeriksakan kehamilan di Bidan Desa Kungkai Kecamatan Bangko Tahun 2017 yang berjumlah 64 orang.Hasil penelitian didapatkan dari 64 orang ibu hamil tersebut dilihat dari IKM setelah dikonversi yaitu 56,6 dengan mutu pelayanan C kinerja unit pelayanan kurang puas. Teknik pengumpulan data dengan menggunakan kuesioner, pengolahan data dengan manual, analisis data bivariat dengan Chi Square Test.Hasil analisis menunjukkan ada hubungan antara umur, pendidikan dan status pekerjaan dengan kepuasan terhadap pelayanan ANC di Bidan Desa Kungkai Tahun 2017. Penelitian ini diharapkan dapat dimanfaatkan oleh bidan desa supaya dapat memberikan pelayanan yang bermutu untuk meningkatkan derajat kesehatan masyarakat di Desa Kungkai Kabupaten Merangin.Kata Kunci: ANC; Bidan; Kepuasan; Pelayanan.ABSTRACTAKI in Indonesia is still high up to now, and this is a health problem that until now has not been resolved completely. For this reason, the government held a program, one of which was the antenatal care program. To find out the success of the antenatal care service program is carried out by collecting antenatal care coverage. Based on the initial survey conducted in Kungkai Village Midwife in 2017 there is a low coverage of antenatal care services. So the purpose of this study is to find out several factors related to satisfaction of ANC services in the Kungkai Village Midwife, Bangko Subdistrict, Bangko Community Health Center working area in 2017.This study uses an analytical method using a cross sectional design. The population and sample of this study were all pregnant women who examined pregnancy in the Kungkai Village Midwife, Bangko Year 2017 District, which amounted to 64 people. The results were obtained from 64 pregnant women seen from the IKM after conversion, 56.6 with service quality C service unit performance less satisfied. Data collection techniques using questionnaires, data processing with manual, bivariate data analysis with Chi Square Test.The results of the analysis show that there is a relationship between age, education and employment status with satisfaction with ANC services in Kungkai Village Midwife in 2017. This research is expected to be used by village midwives in order to provide quality services to improve community health in the Kungkai Village of Merangin Regency.Keywords: ANC; Midwife; Satisfaction; Service,

scholarly journals Kajian Pelaksanaan Pelayanan Cakupan K4 Di Puskesmas Baumata Tahun 2018

2019 ◽  
Vol 1 (3) ◽  
pp. 124-133
Author(s):  
Neneng N. K . Manu ◽  
Tadeus A. L. Regaletha ◽  
Erny E Pua Upa
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
First Trimester ◽  
Child Health Services ◽  
Annual Reports ◽  
District Health Office ◽  
District Health

 K4 pregnant women services are complete antenatal services with a time of examination, namely one visit in the first trimester, one visit in the second trimester, and two visits in the third trimester. The Baumata Community Health Center experienced a decline in K4 coverage based on the Kupang District Health Office profile data and annual reports where in 2016 K4 coverage reached 60.7%, in 2017 it reached 51.8% and in 2018 it only reached 44.2%. This research is a combination of qualitative and quantitative research (mix method) with descriptive research. The purpose of this study is to examine the implementation of K4 coverage services at the Baumata community health center in 2018 which includes description of inputs (human resources, facilities, sources of funds, policies and Standard Operating Procedures), process descriptions (planning and organizing) as well as output descriptions (K4 coverage ). Informants in this study amounted to 13 people and respondents numbered 66 people consisting of the Head of the Family Health and Nutrition Section of the Kupang District Health Office, the Head of the Baumata community health center, the Midwife who provided K4 services and the mother who had a pregnancy (K4) at the community health center Baumata in 2018. The results showed that in terms of input at the Baumata community health center as a whole it was good but there was no Ultrasonography facility at the community health center and the limited space where there was no special room for maternal and child health services/ family planning/immunization, in terms of the process is good related to planning, organizing and forms of services received by pregnant women are in accordance with 10T standards, it's just a long time in the process of providing services due to poor management time and lack of awareness of pregnant women to check pregnancy to the facility. The nearest health bag is due to the lack of knowledge of pregnant women about the importance of antenatal care, while in terms of output based on document review it can be seen that in the past three years there has been a decline in achievement of the K4 target at the Baumata community health center. It is recommended that the Baumata community health center procure supporting facilities in the form of Ultrasonography and additional rooms, make time management so that pregnant women do not wait too long for the service process, and conduct socialization to the public about the importance of antenatal care.

scholarly journals HUBUNGAN PENGETAHUAN DENGAN CAKUPAN K4 PADA IBU HAMIL DI PUSKESMAS SANGKUNUR

2021 ◽  
Vol 16 (3) ◽  
pp. 899-903
Author(s):  
Lena Juliana Harahap
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Health Center ◽  
Statistical Tests ◽  
Simple Random Sampling ◽  
First Trimester ◽  
Chi Square ◽  
Cross Sectional ◽  
Pregnancy And Childbirth ◽  
Chi Square Test

Antenatal Care (ANC) is a planned program in the form of observation, education and medical treatment for pregnant women to obtain a safe and satisfying process of pregnancy and childbirth. ANC visits should be done at least 4 times during pregnancy, namely K1 to K4, with a time distribution of at least 1 time in the first trimester (0-12 weeks of gestation), at least 1 time in the second trimester (12-24 weeks of gestation), and at least 2 times in the third trimester (24 weeks gestation - birth). This type of research is an analytic study with a cross sectional design. The population in this study were all 124 pregnant women in the final third semester of Sangkunur Health Center using simple random sampling of 95 people. Data obtained from the Sangkunur Health Center and through the results of interviews using a questionnaire. The data analysis method was analyzed by univariate, bivariate using the Chi-square test. Based on the results of statistical tests with the Chi-square test, it is known that there is a relationship between knowledge and K4 coverage in pregnant women (0.006 <0.05). It is recommended to Sangkunur Health Center to regularly provide outreach to pregnant women about the importance of conducting antenatal care visits in order to get antenatal care services so that pregnant women can visit health service places.

scholarly journals Patient experience surveys for children’s community health services: A scoping review

2021 ◽  
pp. 136749352110058
Author(s):  
Helen J Nelson ◽  
Catherine Pienaar ◽  
Anne M Williams ◽  
Ailsa Munns ◽  
Katie McKenzie ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Community Health ◽  
Patient Experience ◽  
Scoping Review ◽  
Emotional Support ◽  
Community Health Services ◽  
Experience Of Care ◽  
Healthcare Experience

Patient experience surveys have a user focus and measure the quality of person-centered health care for hospital inpatients and consumers of community health services, providing a governance process to evaluate the quality of care and to action improvement. Experience of care has been described as effective communication, respect and dignity, and emotional support. Measurement criteria for these domains are not standardized, leading to inconsistent reporting of patient experience. The objective of this scoping review was to synthesize evidence for measuring experience of care in children’s community health services using the Joanna Briggs Institute framework for scoping review method. Three parent-reported surveys met the inclusion criteria, and 50 survey items were assessed by expert reviewers for fit to domains of healthcare experience. Conceptual domains of parent experience in children’s community health services included respect and dignity, effective communication, and emotional support. A gap was identified, in that few items in identified surveys measured emotional support. This contribution will promote consistent reporting of healthcare experience, informing policy and practice for person-centered health care.

COMMUNITY HEALTH SERVICES

1971 ◽  
Vol 20 (6) ◽  
pp. 545
Author(s):  
ROSELLA. CUNNINGHAM
Keyword(s):  
Health Services ◽  
Community Health ◽  
Community Health Services

COMMUNITY HEALTH SERVICES

1970 ◽  
Vol 19 (6) ◽  
pp. 546
Author(s):  
Hodgman ◽  
Callahan Eileen
Keyword(s):  
Health Services ◽  
Community Health ◽  
Community Health Services

The Effect of Counselling Intervention during Antenatal Care on the Knowledge and Attitude about Danger Signs in Pregnancy: A Cross-Sectional Study in Takalar Regency -

2020 ◽  
Vol 10 (2) ◽  
pp. 51-55
Author(s):  
Nurhikmah ◽  
Tahir Abdullah ◽  
Stang ◽  
Suriah ◽  
Andi Imam Arundhana ◽  
...  
Keyword(s):  
Health Service ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Community Health ◽  
Health Workers ◽  
Community Health Service ◽  
Cross Sectional ◽  
Danger Signs ◽  
Knowledge And Attitude ◽  
In Pregnancy

Objective: This study was to examine the effects of counselling delivered during antenatal care on the knowledge and attitudes of pregnant women about danger signs in pregnancy.Methods: This was a pre-experimental design using one group pre- and post-test only. This study was conducted in Takalar, specifically within Sanrobone Community Health Service working area. Takalar is located in South Sulawesi Province Indonesia and this area is coastal with the majority of people working as a fisherman. Participants of this study were pregnant women living in the villages which are included in the working area of Sanrobone Community Health Service.Results: The study shows that counselling improved knowledge and attitude of pregnant women about danger signs in pregnancy (p=0.011 and p=0.025, respectively). The number of pregnant women with good knowledge and positive attitude increased after the intervention (43.8% vs 93.8%, 62.5% vs 93.8%, respectively).Conclusions: In can be concluded that intervention by means of counselling can improve the knowledge and attitude of pregnant women about danger signs in pregnancy. Therefore, it is important to implement the counselling program delivered by health workers in Community Health Service in order to mitigate the risk of maternal mortality.

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