scholarly journals Hubungan antara Kunjungan Ibu Hamil, Persalinan Ditolong Tenaga Kesehatan, dan Pelayanan Kesehatan Ibu Nifas Dengan Angka Kematian Ibu (AKI)

2021 ◽  
Vol 3 (11) ◽  
pp. 845-853
Author(s):  
Nita Dewi Mardiana ◽  
Siti Nurrochmah ◽  
Septa Katmawanti
Keyword(s):  
Health Care ◽  
Mortality Rate ◽  
Antenatal Care ◽  
Maternal Mortality ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Research Result ◽  
Postpartum Health ◽  
Maternal Mortality Rate ◽  
Care Health

Abstract: Maternal be the one of important that means it need serious handling. Almost every two minute, in someplace at world, a woman die because maternal complication and labor. At year 2016, maternal mortality rate in the East Java Province reaching 91,000 every 100.000 live birth. This number experiences has been rising compared year 2015 that reach 89,6 every 100.000 live birth. Maternal health service when pregnant until postnatal become important effort for reducing maternal mortality rate. Increasing mortality rate in year 2016 followed by decreasing of antenatal care, health care delivery, and postpartum health care. This research intended to know correlation between antenatal care, health care delivery, and postpartum health care with maternal mortality rate in the east java province years 2017. This research is correlational research with a data using a secondary data that obtained from Health agency east java province. Data analyses use pearson-product moment with helped of Microsoft Excel. Population from this research is all of East Java Province. Result of this research founding significant result between antenatal care and health care delivery with maternal mortality rate and direction negative relation. Different with that two variable, This research result also show there is no significant between postpartum health care services with maternal mortality rate and positive course of relation. Based on the research result, can be concluded that the range of antenatal care and health care delivery will be followed by decreasing of maternal mortality rate in a significant manner. Abstrak: Angka Kematian Ibu (AKI) menjadi salah satu isu penting yang artinya memerlukan penanganan serius dalam upaya pencegahannya. Hampir setiap dua menit, di suatu tempat di dunia, seorang wanita meninggal karena komplikasi kehamilan dan persalinan. Tahun 2016, AKI di Jawa Timur meningkat di angka 91,00 bila dibandingkan tahun sebelumnya di 89,6. Pelayanan di bidang kesehatan ibu selama masa kehamilan, persalinan, hingga nifas menjadi penting sebagai upaya penurunan AKI. Meningkatnya AKI pada tahun 2016 diikuti dengan menurunnya kunjungan ibu hamil(antenatal), persalinan ditolong tenaga kesehatan (linakes), dan pelayanan kesehatan ibu nifas (yankes nifas). Tujuan dilakukannya penelitian untuk mengetahui hubungan kunjungan antenatal, linakes, dan yankes nifas dengan AKI di Provinsi Jawa Timur tahun 2017. Penelitian ini merupakan penelitian korelasional dengan data yang dipakai merupakan data sekunder yang diperoleh dari hasil pencatatan pada Dinkes Jatim. Analisis data menggunakan uji pearson-product moment dengan bantuan Microsoft Excel. Populasi dari penelitian ini adalah seluruh kabupaten dan kota di Provinsi Jawa Timur. Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara kunjungan entenatal dan linakes dengan AKI, serta hubungan yang tidak signifikan antara yankes nifas dengan AKI. Berdasarkan hasil penelitian, dapat disimpulkan bahwa peningkatan cakupan kunjungan ibu hamil dan persalinan ditolong tenaga kesehatan akan diikuti oleh penurunan AKI secara signifikan, begitu juga sebaliknya.

The provision of basic medical care Health microplanning: a systems approach to appropriate technology

1977 ◽  
Vol 199 (1134) ◽  
pp. 61-68
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Systems Approach ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Appropriate Technology ◽  
Care Health ◽  
Basic Medical

A method of detailed technological planning is described in which a subsystem of the total health care delivery system is identified, and the components within it created and integrated with one another. The components produced are termed a microplan, since they concern planning for technical detail. A project for microplanning in Indonesia is discussed, and some of the promising features of the new method described.

scholarly journals Factor analysis in maternal mortality study in Omsk region in 1995-2003

2006 ◽  
Vol 5 (1) ◽  
pp. 97-106
Author(s):  
G. V. Fyodorova ◽  
E. A. Butova ◽  
I. A. Banyushevich
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Statistical Method ◽  
Health Care System ◽  
Maternal Mortality Rate ◽  
Mortality Study ◽  
Working Out ◽  
Care System

Practice factor analysis, information statistical method based on K. Iberle theory (1980) are presented in the article. With the method the factors which influence on maternal mortality were scientifically proved. The factors have been ranged and the most es-sential were exposed. The data obtained may be abailable in working out measures to decrease a maternal mortality rate - an index which characterizes to a certain extent the guality of functionaling in the region health care system.

scholarly journals Geographic, Health Care Access, Racial Discrimination, and Socioeconomic Determinants of Maternal Mortality in Georgia, United States

2021 ◽  
Vol 10 (2) ◽  
pp. 278-286
Author(s):  
Elizabeth Afibah Armstrong-Mensah ◽  
Damilola Dada ◽  
Amber Bowers ◽  
Aruba Muhammad ◽  
Chisom Nnoli
Keyword(s):  
Health Care ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Health Care Access ◽  
Determinants Of Health ◽  
Maternal Mortality Rate ◽  
Care Access ◽  
The Relationship

Over the past decade, the United States has been taking steps to reduce its rising maternal mortality rate. However, these steps have yet to produce positive results in the state of Georgia, which tops the list of all 50 states with the highest maternal mortality rate of 46.2 maternal deaths per 100,000 live births for all women, and a maternal mortality rate of 66.6 deaths per 100,000 live births for African American women. In Georgia, several social determinants of health such as the physical environment, economic stability, health care access, and the quality of maternal care contribute to the high maternal mortality rate. Addressing these determinants will help to reduce the state’s maternal mortality rate. This commentary discusses the relationship between social determinants of health and maternal mortality rates in Georgia. It also proposes strategies for reversing the trend.We conducted an ecological study of the relationship between social determinants of health and maternal mortality in Georgia. We searched PubMed and Google Scholar and reviewed 80 English articles published between 2005 and 2021. We identified five key social determinants associated with high maternal mortality rates in Georgia - geographic location of obstetric services, access to health care providers, socioeconomic status, racism, and discrimination. We found that expanding Medicaid coverage, reducing maternal health care disparities among the races, providing access to maternal care for women in rural areas, and training a culturally competent health workforce, will help to reduce Georgia’s high maternal mortality rate.   Copyright © 2021 Armstrong-Mensah et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

scholarly journals PRECONCEPTION CARE SEBAGAI STRATEGI MENURUNKAN ANGKA KEMATIAN IBU DI INDONESIA

2017 ◽  
pp. 139-143
Author(s):  
Yunita Wulandari ◽  
Wahyu Dwi Agussafutri
Keyword(s):  
Systematic Review ◽  
Mortality Rate ◽  
Antenatal Care ◽  
Maternal Mortality ◽  
Randomized Control Trial ◽  
Preconception Care ◽  
Health Improvement ◽  
Literature Study ◽  
Maternal Mortality Rate ◽  
Randomized Control

ABSTRAK Angka Kematian Ibu (AKI) di Indonesia pada tahun 2015 belum sesuai target WHO melalui MDG’s. Masih tingginya angka kematian ibu masih didominasi penyebab langsung yaitu perdarahan sebesar 32%. Preconception care memberikan dampak yang positif terhadap penurunan AKI. Preconception care dimulai dari masa remaja sampai menjelang terjadinya konsepsi. Selama ini program prakonsepsi belum diperhatikan kebutuhannya secara maksimal. Tujuan studi literatur ini bertujuan untuk menyajikan hasil penelitian mengenai bagaimana preconception care itu secara langsung maupun tidak langsung berdampak pada penurunan AKI. Metode yang digunakan adalah telaah hasil penelitian tentang preconception care yang dipublikasikan dari tahun 2010 sampai 2015 pada sumber elektronik antara lain Pubmed, Ebsco, Proquest , Sage Journal, Science Direct ditemukan 503 dan ada 5 jurnal yang memenuhi kriteria inklusi. Kata kunci “women of child bearing age, preconception care, maternal and child health” digunakan untuk mempermudah pencarian literatur. Kriteria inklusi meliputi artikel berbahasa Inggris, tipe penelitian systematic review, Randomized Control Trial (RCT). Hasil telaah diketahui bahwa pre conception care mempunyai dampak yang positif terhadap kesehatan wanita mulai dari masa remaja sampai dengan masa mempersiapkan kehamilan dan masa diantara kehamilan. Preconception care yang dilaksanakan dengan baik berdampak kepada rendahnya angka kematian ibu. Kesimpulan dan saran preconception care bagian dari continuum care yaitu preconception care, antenatal care, intranatal dan post natal care. Masa prekonsepsi berdampak terhadap fase/ masa selanjutnya. Masa prekonsepsi yang baik akan berdampak kepada masa persiapan kehamilan, masa kehamilan dan masa setelah melahirkan dan masa diantara melahirkan. Oleh karena itu optimalisasi preconception care sangat penting dalam pelayanan keperawatan.   Kata kunci: preconception care, angka kematian ibu, peningkatan kesehatan ibu.     ABSTRACT The reduction of maternal mortality rate in Indonesia in 2015 was still below the target of WHO through MDG’s. The high mortality rate was dominated by the direct cause, namely: bleeding as much as 32%. Preconception care has a positive impact on the reduction of maternal mortality rate. Preconception care starts since adolescence until before conception. All this time, the needs of preconception program has not been considered maximally. The objective of this literature study is to display the results of researches on how preconception care has direct and indirect impacts on the maternal mortality rate. This literature study employed the study of the results of researches on preconception which had been published 2010 until 2015 in the electronic media. The keywords of “preconception care, maternal mortality rate (MMR)” were used to search the intended literatures. The inclusive criteria of the study were the searched articles in Indonesian and in English; the researches employed systematic review, Randomized Control Trial (RCT), and qualitative phenomenological approach. Preconception care had positive impacts on female health since adolescence until preconception and conception. The preconception care which was conducted well had an impact on the reduction of maternal mortality rate. The searching by using the keywords found 503 articles, 5 articles fulfilled the criteria for further study. In conclusion, preconception care is a continuum care which includes preconception care, antenatal care, intra-natal, and postnatal care. The preconception has an impact on the following phases. The good preconception will have an impact on the pre-conception, antenatal period, intra-natal period, and postnatal period. Thus, optimization of preconception care is very important in the nursing services.   Keywords: preconception care, maternal mortality rate, maternal health improvement  

scholarly journals Gambaran Faktor-faktor Ibu Mengikuti Kelas Ibu Hamil di Wilayah Kerja Puskesmas Tempuran Kabupaten Magelang Tahun 2013

2014 ◽  
Vol 1 (1) ◽  
pp. 6
Author(s):  
Nova Wijanarko ◽  
Siti Fadhilah ◽  
Dusi Catur Susiwati
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Basic Education ◽  
Care Delivery ◽  
Newborn Care ◽  
The Body ◽  
Infant Mortality Rate ◽  
Maternal Mortality Rate ◽  
Pregnant Mothers

Background : The maternal mortality rate (MMR) and infant mortality rate (IMR) is an indicator of success in the development of the health sector. One of the new breakthroughs in the health section of the family in an effort to lower the maternal mortality rate is to establish Pregnancy Class. Pregnancy class is a means to learn together about the health of pregnant women, in the form of face-to-face in a group that aims to increase knowledge, change attitudes and behaviors in order to understand the mother's pregnancy, the body changes and complaints during pregnancy, prenatal care, delivery, postnatal care, KB postpartum, newborn care, myths, beliefs, local customs, infectious diseases and birth certificates. Objective : Knowing description of the factors pregnant mothers attend classes. Method : This study is the descriptive type, using cross-sectional approach. The sampling technique used was simple random sampling with a sample size in this study was 57 respondents. Results: Most of the mothers knowledge level of pregnant women who attend classes are good that as many as 45 respondents (78.9%). Most of the mothers who attend classes pregnant women have high levels of basic education (elementary and secondary) as many as 44 respondents (77.2%). Most have the attitude agrees with the class of pregnant women as many as 46 respondents (80.7%). Most of the husband to provide support to mothers who attend classes pregnant women as many as 44 respondents (77.2%). Conclusions : The level of knowledge of mothers who attend classes either pregnant women, the level of basic education, has agreed attitudes toward classroom activities pregnant women, and the husband's mother gave support to pregnant mothers to attend classes.

scholarly journals The Frequency of Anemia and Underlying Factors among Iranian Pregnant Women from Provinces with Different Maternal Mortality Rate

2019 ◽  
Author(s):  
Mohammad Esmaeil MOTLAGH ◽  
Seiyed Davoud NASROLLAHPOUR SHIRVANI ◽  
Farahnaz TORKESTANI ◽  
Zahra HASSANZADEH-ROSTAMI ◽  
Seyed-Mozaffar RABIEE ◽  
...  
Keyword(s):  
Health Care ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
First Trimester ◽  
Third Trimester ◽  
Cross Sectional Survey ◽  
Nutritional Disorder ◽  
Cross Sectional ◽  
Maternal Mortality Rate

Background: Anemia is a common nutritional disorder that is more prevalent in pregnant women than other population groups. This study aimed to assess the frequency of anemia and its association with health care determinants among Iranian pregnant women from provinces with different Maternal Mortality Rate (MMR). Methods: This cross-sectional survey was carried out on 2737 pregnant women referred to public health centers in Iran, 2015. The participants were randomly selected by multistage sampling from six provinces with low, moderate or high MMR. The level of hemoglobin lower than 11 g/dl were defined as anemia in first and third trimester of pregnancy. Results: The rate of anemia in first and third trimester were respectively 8.2 and 26.7%. The most determinants of anemia among women in both first and third trimester of pregnancy were geographical classes with high MMR, no care before pregnancy, and type of house. Moreover, lower number of previous pregnancies (OR, 0.48; 95% CI, 0.27 to 0.85) and adequate care during pregnancy (OR, 0.66; 95% CI, 0.47 to 0.92) were protected women from anemia and high number of children (OR, 2.07; 95% CI, 1.13 to 3.80) enhanced risk of anemia in first trimester of pregnancy. Moreover, higher body mass index had lower odds of anemia in third trimester. Conclusion: The rate of anemia is differed in various parts of Iran, and this disorder gets worse in third trimester of pregnancy than first. Strengthening health care programs may be a useful strategies to prevent and control anemia.

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