scholarly journals How Much Time Do Midwives Spend on Antenatal Care? Assessment of Antenatal Care (ANC) in Six Districts/cities of West Java-indonesia

2021 ◽  
Author(s):  
Evindiyah Prita Dewi ◽  
Amal Chalik Sjaaf ◽  
Baequni Boerman
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
West Java ◽  
City Governments ◽  
Health Authorities ◽  
Care Assessment ◽  
The Government ◽  
Time Required ◽  
Primary Health Facilities

Abstract Background: The government makes various policies to improve the health of pregnant women, which in turn has an impact on reducing maternal mortality and infant mortality. Antenatal care (ANC) is the most important strategy to improve the health of pregnant women. Distric/city governments must ensure the availability of antenatal services for their communities in primary health facilities (PHF). Midwives are the primary provider of antenatal care at PHF. This study describes the time required for midwives to provide standardized antenatal care.Methods: This study was a time study method, which analyzes the average time of ANC Services by midwives in PHF. The study observed fifty-eight midwives who gave ANC services to five hundred fifty-two pregnant women in six districts in West Java. The data collection was carried out in January-February 2019.Results: In this study, it was found that the time to ANC varied widely; for ANC-I, the average is 30.34 minutes (Min 25 minutes- Max 50 minutes; lower mean 56,7%), ANC-II 23.12 minutes (Min 17 minutes - Max 36 minutes; Lower mean 63,5%), and ANC-T 26.9 minutes (Min 23 minutes - Max 35 minutes; lower mean 53,2%). The order of service time is as follows: ANC-I, ANC-T and ANC-II.Conclusions: The time used for ANC is still significantly less than that recommended by the WHO for pregnant women's visits (40 minutes per visit). The reason will undoubtedly affect the quality of ANC services. It is hoped that District/City Administrative and Health Authorities will pay more attention to the duration time of ANC visits by developing a standard time of visit per patient or increasing the number of midwives in carrying out ANC services at that location.

EFFECTIVENESS OF USING MCH BOOKS AND MONSCA APPLICATIONS IN THE IMPLEMENTATION OF 14 T ANTENATAL SERVICE STANDARDS

2020 ◽  
Vol 12 (1) ◽  
pp. 68-73
Author(s):  
Rahmawati Rahmawati ◽  
Syarif Syafruddin ◽  
Nontji Wena
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Continuity Of Care ◽  
Control Design ◽  
Sampling Technique ◽  
Limited Time ◽  
Control Groups ◽  
Post Test ◽  
Service Standards

The component of antenatal care received by pregnant women is classified as incomplete because the implementation of standard pregnancy services is still using conventional methods. There are obstacles faced by midwives, such as the limited time in a recording, which has an impact on the declining quality of antenatal care standards. This research aims to compare the effectiveness of the use of KIA books and MONSCA applications in midwives in the application of the standard Antenatal service 14 T. This research was conducted in Puskesmas Tanete and Puskesmas Bontobangun Bulukumba District. The method used in the study is experimental quasi (pre-test post-test nonequivalent control design). Using a sample of midwives in this study, as many as 36 people were divided into two groups (18 intervention groups and 18 control groups). The sampling technique in this study used purposive sampling. Data were analyzed using the Mann-Whitney Test. The results showed that there was a difference in the effectiveness of using KIA books with MONSCA applications, MOSCA's applications were easier to use, faster, safer, and more accurate than KIA books. It can be concluded that the MONSCA application is more effective than KIA books. Key words: Effectiveness, Android-based Smart Continuity of Care application, KIA book, Antenatal service 14 T

scholarly journals Influenza vaccination during pregnancy and influencing factors in Korea: A multicenter questionnaire study of pregnant women and obstetrics and gynecology doctors

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Byung Soo Kang ◽  
San Ha Lee ◽  
Woo Jeng Kim ◽  
Jeong Ha Wie ◽  
In Yang Park ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Pregnant Women ◽  
Influencing Factors ◽  
World Health ◽  
Obstetrics And Gynecology ◽  
Health Authorities ◽  
The Government ◽  
Vaccine Information ◽  
Health Organization ◽  
Maternal Influenza

Abstract Background Although the World Health Organization and health authorities in most countries recommend that pregnant women receive inactivated influenza virus vaccines, coverage remains low. This study aimed to investigate (1) the proportion of pregnant women who received an influenza vaccination and influencing factors and (2) the proportion of obstetrics and gynecology (OBGYN) doctors who routinely recommend influenza vaccination to pregnant women and influencing factors. Methods Two separate, anonymized questionnaires were developed for physicians and pregnant and postpartum women and were distributed to multicenters and clinics in South Korea. The proportions of women who received influenza vaccination during pregnancy and OBGYN doctors who routinely recommend the influenza vaccine to pregnant women were analyzed. Independent influencing factors for both maternal influenza vaccination and OBGYN doctors’ routine recommendations to pregnant women were analyzed using log-binomial regression analysis. Results The proportion of self-reported influenza vaccination during pregnancy among 522 women was 63.2%. Pregnancy-related independent factors influencing maternal influenza vaccination were “(ever) received information about influenza vaccination during pregnancy” (OR 8.9, 95% CI 4.17–19.01), “received vaccine information about from OBGYN doctors” (OR 11.44, 95% CI 5.46–24.00), “information obtained from other sources” (OR 4.38, 95% CI 2.01–9.55), and “second/third trimester” (OR 2.41, 95% CI 1.21–4.82).. Among 372 OBGYN doctors, 76.9% routinely recommended vaccination for pregnant women. Independent factors effecting routine recommendation were “working at a private clinic or hospital” (OR 5.33, 95% CI 2.44–11.65), “awareness of KCDC guidelines” (OR 3.11, 95% CI 1.11–8.73), and “awareness of the 2019 national free influenza vaccination program for pregnant women” (OR 4.88, 95% CI 2.34–10.17). OBGYN doctors most commonly chose ‘guidelines proposed by the government or public health (108, 46%) and academic committees (59, 25%), as a factor which expect to affect the future recommendation Conclusion This study showed that providing information about maternal influenza vaccination, especially by OBGYN doctors, is crucial for increasing vaccination coverage in pregnant women. Closer cooperation between the government and OBGYN academic societies to educate OBGYN doctors might enhance routine recommendations.

scholarly journals Analisis Faktor yang Berhubungan dengan Kinerja Bidan dalam Memberikan Pelayanan Antenatal Berkualitas Diwilayah Kerja Puskesmas Kota Bukittinggi Tahun 2018

2019 ◽  
Vol 19 (1) ◽  
pp. 53
Author(s):  
Khairan Nisa ◽  
Joserizal Serudji ◽  
Delmi Sulastri
Keyword(s):  
Data Analysis ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Monitoring And Evaluation ◽  
Dominant Factor ◽  
The Public ◽  
Depth Interview ◽  
Quantitative Data Analysis

Quality antenatal care has a major role in reducing maternal mortality. Every effort to improve quality must also be accompanied by efforts to pay attention to factors that contribute to improving the performance of midwives in providing services. The study used a combination of quantitative approaches in 67 midwives in the Bukittinggi and qualitatively in 15 informants, of which 9 people included in-depth interview informants to coordinator midwives, head of the Public health center and staffing and 6 FGD informants to midwives on duty at the health center.The results of quantitative data analysis, factors related to the performance of midwives are incentives, motivation and workload. Motivation is the most dominant factor related to the performance of midwives. The results of qualitative data analysis, the leadership plays an important role in increasing motivation to work midwives and optimizing the role of midwives in overcoming problems related to overlapping workloads. Midwives also need to increase their participation efforts and empower pregnant women so that programs can run well and provide positive feedback for improving the health status of pregnant women. Basically antenatal services provided by midwives are in accordance with standards, but the paradigm of antenatal care for pregnant women must shift from achieving quantity to focus on quality. To improve the performance of midwives in providing antenatal care, several efforts are needed: monitoring and evaluation of the quality of antenatal care by midwives, leadership involvement in efforts to increase midwife motivation both from supervision and reward management in non-material forms. Providing equal opportunities for midwives to improve competence through training, especially training related to quality antenatal care. In addition, the provision of infrastructure at the polindes needs attention. 

scholarly journals The Implementation of The Antenatal Care (ANC) In Kalijaga Public Health Center Cirebon City

2021 ◽  
Vol 8 (1) ◽  
pp. 26-30
Author(s):  
Nurmala Sari ◽  
Ani Nurhaeni ◽  
Sumarni
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Health Workers ◽  
Care Center ◽  
Research Use ◽  
Work Area ◽  
Arm Circumference ◽  
The Government ◽  
Descriptive Survey ◽  
Service Standards

Antenatal care is examination pregnancy in do for pregnant women during the her pregnancy to prevent complication of pregnancy and to prepare for a healthy birth. The purpose of this research conducted to determine the implementation of the antenatal care center Kalijaga Cirebon City in 2020. The kind of research use is descriptive survey. The population in research it is a whole pregnant women who performs the first visit in the work area Kalijaga Cirebon as many as 195 pregnant women with a sampleof 66 respondents. The instrument used in this study used a checklist. The research results show that pregnant women get the service measurement of the height bodies and weight as many as 60 (91%), the measurement of blood pressure 60 (91%), measurements the upper arm circumference 60 (91%), examinatin fundus uteri high 54 (82%), screening for TT immunization 47 (71%), administration of Fe tablets 39 (59%), percent the fetus and fetal heartbeat 33 (50%), a laboratory test of 43 (65%), managementof cases kasus 33 (50%) and a dialogue 60 (91%). Conclusion obtained in this research that there are pregnant women who should be given at the time of the first. Suggested health workers to improve services to pregnant women in accordance with the care of service standards that has been determined by the government.

scholarly journals Beyond coverage: a qualitative study exploring the perceived impact of Gabon’s health insurance plan on access to and quality of prenatal care

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
N’doh Ashken Sanogo ◽  
Arone Wondwossen Fantaye ◽  
Sanni Yaya
Keyword(s):  
Quality Of Care ◽  
Health Insurance ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Professionals ◽  
Supply Side ◽  
Demand Side ◽  
Structured Interviews ◽  
Compulsory Health Insurance

Abstract Background Access to affordable and adequate healthcare in a health system determines the universal health coverage achievement for all residents in a country. Achieving access to healthcare requires the availability of a financing system that ensures access to and provision of adequate care, regardless of the ability to pay. In sub-Saharan Africa, accessibility, use and coverage of prenatal visits are very low and poor, which reduces the quality of care. This paper explored the impact of a social health insurance scheme on the quality of antenatal care in Gabon. Methods This qualitative study involved the analysis of data collected from semi-structured interviews and non-participant observations to assess the quality of antenatal care. The study elicited perceptions on the demand side (pregnant women) and the supply side (health professionals) in health facilities. Fifteen semi-structured interviews were conducted with pregnant women (aged between 15 and 49) and 5 with health professionals, who each had a seniority of at least 10 years, at different levels of care. Nine non-participant observations were also conducted. Coded transcripts were reviewed and analyzed using the Canadian Institute for Public Administration of Citizen-Centered Services model as an analytical guide. Results On the demand side, women were generally satisfied with the prenatal services they receive in health facilities. However, complaints were made about the rudeness of some nurses, the high price of the delivery kit (50,000 XAF), and the fact that some essential medicines for maternity are not covered. On the supply side, participants agreed that compulsory health insurance is important in providing antenatal care access to those who need it the most. However, some problems remain. The participants outlined some logistical problems and a lack of medical equipment, including the stock of drugs, disinfectants, and the absence of clean water. Conclusion Understanding the perceptions of pregnant women and health professionals regarding the quality of antenatal care can help to inform refinements to methods through which the services can be better provided. In addition, the study findings are vital to increasing the use of care, as well as combating high maternal mortality rates. Compulsory health insurance has improved the accessibility and utilization of healthcare services and has contributed to improved quality of care.

scholarly journals Do the quality of health care services provided at personal health care institutions of Kaunas city and access to it meet expectations of pregnant women

Medicina ◽  
2009 ◽  
Vol 45 (8) ◽  
pp. 652 ◽  
Author(s):  
Virginija Vanagienė ◽  
Birutė Žilaitienė ◽  
Tadas Vanagas
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Quality Of Health Care ◽  
Response Rate ◽  
Care Facility ◽  
Family Physicians ◽  
Personal Health ◽  
Health Care Institutions

Objectives. To evaluate if the quality of services provided by family physicians and obstetricians/gynecologists at primary personal health care institutions of Kaunas city and access to it meet the needs and expectations of pregnant women. Material and methods. Pregnant women visiting the selected health care institutions at their third trimester of pregnancy were asked to fill in the anonymous questionnaire. The study was conducted at two randomly selected maternity centers of Kaunas city and two family practices of Kaunas city where antenatal care was provided by family physicians. The questionnaires were given to 106 patients visiting family physicians (response rate was 88.7%) and to 202 patients visiting obstetricians/ gynecologists (response rate was 81.7%). Results. Health services provided by family physicians and obstetricians/gynecologists met the expectations of pregnant women in respect of providing with information and communication. The patients of obstetricians/gynecologists significantly more often stated that they were very satisfied with patient-physician communication (P<0.05), they significantly more often understood explanations given by the physician (P<0.001) and claimed having sufficient knowledge about pregnancy (P<0.05), while the patients of family physicians significantly more often asserted that the physician helped them in preparation for childbirth (P<0.05). The patients of obstetricians/gynecologists significantly more often did not face any problems with access to services as compared to the patients of family physicians (z=3.0). Most of pregnant women stated that they were satisfied or very satisfied with the quality of health care at the health care facility providing them with antenatal care irrespective of the physician’s specialty. Conclusions. The quality of antenatal health care provided by both family physicians and obstetricians/gynecologists and access to it satisfied the needs and expectations of the surveyed women. Correction of the limitations noticed, e.g., closer communication, more understandable explanations, more attention to preparation for childbirth, better work planning, could improve the quality of antenatal care provided by the family physicians.

scholarly journals HUBUNGAN KETERATURAN KUNJUNGAN ANC (ANTENATAL CARE) DAN KEPATUHAN KONSUMSI TABLET FE DENGAN KEJADIAN ANEMIA PADA IBU HAMIL TRIMESTER III DI KECAMATAN MARON PROBOLINGGO

2019 ◽  
Vol 3 (1) ◽  
pp. 46
Author(s):  
Veny Nurmasari ◽  
Sri Sumarmi
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Random Sampling ◽  
Sampling Method ◽  
Case Control Study ◽  
Simple Random Sampling ◽  
Third Trimester ◽  
Anemia During Pregnancy ◽  
The Government ◽  
Control Study

Background: Anemia during pregnancy as a risk factor for maternal and fetal health. The government has implemented iron tablet distribution for pregnant women to prevent anemia during pregnancy. Problems arasie due to non-compliance of pregnant women in consuming iron tablets.Objectives: The purpose of the study was to analyze the correlation between regularity of antenatal care visits (ANC), and comlpliance of iron tablets consumption with anemia in third trimester pregnant women.Method: The study used a case control study design. The samples were 30 consists of 15 cases and 15 control taken by simple random sampling method. This study correlated the regularity of ANC visits and compliance to consumption of iron tablets between regularity of antenatal care visits (ANC), and comlpliance of iron tablets consumption with anemia in third trimester pregnant women.The study was conducted in the working area of Maron Health Center Probolinggo in May – August 2018. Data were analyzed using chi square.Results: The results showed that the regularity of antenatal care visits (ANC) (p = 0.001; OR = 4) and compliance of iron tablets consumption (p = 0.001; OR = 3.46) related with anemia. Pregnant women who didn’t regularly visit ANC had 4 times greater risk of anemia, while non-comliance pregnant women consume iron tablets had 3,46 times greater risk of anemia.Conclusion: The regularity of ANC visits and compliance to iron tablet consumption were related to anemia in third trimester pregnant women.ABSTRAKLatar Belakang: Anemia selama kehamilan merupakan faktor risiko bagi kesehatan ibu dan janin. Pemerintah telah menerapkan distribusi tablet Fe untuk ibu hamil sebagai upaya pencegahan anemia selama kehamilan. Masalah timbul akibat ketidakteraturan ANC dan ketidakpatuhan ibu hamil dalam mengonsumsi tablet Fe.Tujuan: Tujuan penelitian untuk menganalisis hubungan keteraturan kunjungan Antenatal Care (ANC) dan kepatuhan konsumsi tablet Fe dengan kejadian anemia pada ibu hamil trimester IIIMetode: Menggunakan desain studi case controldengan besar sampel 30 yang terdiri dari 15 kasus dan 15 kontrol diambil dengan metode simple random sampling. Penelitian ini menghubungkan keteraturan kunjungan Antenatal Care (ANC) dan kepatuhan konsumsi tablet Fe dengan kejadian anemia pada ibu hamil trimester III.Penelitian dilakukan di wilayah kerja Puskesmas Maron Kabupaten Probolinggo pada bulan Mei–Agustus 2018. Analisis data yang digunakan adalah chi- square.Hasil: Hasil penelitian menunjukkan terdapat hubungan antara keteraturan kunjungan Antenatal Care (ANC) (p=0,001; OR=4) dan kepatuhan konsumsi tablet Fe (p=0,001; OR=3,46) dengan kejadian anemia. Ibu hamil yang tidak teratur melakukan kunjungan ANC memiliki risiko 4 kali lebih besar untuk mengalami anemia, sedangkan ibu hamil yang tidak patuh mengonsumsi tablet Fe berisiko 3,46 kali lebih besar untuk mengalami anemia.Kesimpulan: Keteraturan kunjungan ANC dan kepatuhan konsumsi tablet Fe berhubungan dengan kejadian anemia pada ibu hamil trimester III.

scholarly journals A Multilevel Bayesian Markov Chain Monte Carlo Poisson Modelling of Factors Associated With Number of Components of Antenatal Care Offered Pregnant Women In Nigeria

2021 ◽  
Author(s):  
Adeniyi Francis Fagbamigbe ◽  
Omon Stellamaris Fagbamigbe ◽  
Olugbenga Sunday Olaseinde ◽  
Oluwasomidoyin O. Bello ◽  
Vincent Setlhare ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Monte Carlo ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Blood Test ◽  
Urine Test ◽  
Iron Supplement ◽  
Number Of Components ◽  
Danger Signs

Abstract Background: The most recent WHO guideline on antenatal care (ANC) utilization reaffirmed the necessary and compulsory care and services a pregnant woman should receive to maximize the importance and gains of ANC. While most studies focused on the time of initiation and number of ANC contacts, emphasis was rarely placed on the components of ANC offered women. This study assessed the number of components of ANC received by pregnant women as a proxy for the quality of ANC services offered in Nigeria. We also assessed the clustering of the components and within-country differentials and inequalities in the components of ANC received in Nigeria.Methods: We used nationally representative cross-sectional data from the 2018 Nigeria Demographic Health Survey. We analysed data of 11867 women who had at least one ANC contacts during the most recent pregnancy within five years preceding the survey. The assessed components were tetanus injection, blood pressure, urine test, blood test, iron supplement, malaria intermittent preventive treatment in pregnancy (IPTp), and told about danger signs. Others are intestinal parasite drugs (IPD)intermittent and HIV/PMTCT counsel. Descriptive statistics, bivariable and multivariable multilevel Bayesian Monte Carlo Poisson model were used. Results: In all, 94% had blood pressure measured, 91% received tetanus injection, had iron supplement-89%, blood test-87%, urine test-86%, IPTp-24%, danger signs-80%, HIV/PMTC-82% and IPD-22%. The overall prevalence of receiving all 9 components was 5% and highest in Ogun (24%) and lowest in Kebbi (0.1%). The earlier the initiation of ANC, the higher the number of contacts, and the higher the quality of ANC received. Respondents with higher education have 4% (adjusted incidence risk ratio (aIRR): 1.04, 95% credible interval (CrI): 1.01-1.09) higher risk of receiving more components of ANC relative to those with no education. The risk of receiving more ANC components were 5% (aIRRR: 1.05, 95% CI: 1.01-1.10) higher among pregnant women aged 40 to 49 years than those aged 15 to 19 years. Women who decide their healthcare utilization alone had 2% higher risk of getting more components than those whose spouses are the only decision taker of health care use. Other significant factors were household wealth status, spouse education, ethnicity, place of ANC, and skill of ANC provider. Pregnant women who had their blood pressure measured were very likely to have blood and urine tests, tetanus injection, iron supplement, and HIV talks.Conclusions: Only one in every 20 pregnant women received all the 9 ANC components with wide disparities and inequalities across the background characteristics and the States of residence in Nigeria. There is a need to ensure that all pregnant women receive adequate components. Stakeholders should increase supplies, train, and create awareness among ANC providers and pregnant women in particular.

scholarly journals Factors Related to the Quality of Antenatal Care Based on The Complete Scope of the Examination of Pregnant Women in the Health Center at Palopo City

2019 ◽  
Vol 3 (3S) ◽  
pp. 84-89
Author(s):  
Dian Furqani ◽  
Nuraerni Semagga
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Gestational Age ◽  
Statistical Significance ◽  
P Value ◽  
Service Access ◽  
Maternal Knowledge ◽  
Cross Sectional ◽  
Maternal Characteristics

This study aims to see the factors that influence the quality of Antenatal Care in the City of Palopo; the type of design used is analytical descriptive with the Cross-Sectional Study approach. Samples from this study were all pregnant women based on 1, 2 and 3th-trimester pregnancy age, and 3 who were lived at the research location as many as 154 people who conducted inspection visits from January to March 2018. The results showed that the average age of the mother was 20 years. In the research statisticallly interconnected variables are maternal knowledge showed p-value (0.000). There are several variables have statistical significance, but there are differences in the percentage between the classification of each variabels as for the quality of Antenatal care associated with parity, maternal characteristics (age, education and occupation), antenatal care in each of the 1.2 trimester, and 3. Service access and economic welfare status, where each variable has a p-value> 0.005. The study expects that a health program should not look the quantity of maternal pregnancy visits, but pay attention to the examination checks received at each gestational age. We hope to encourage mothers to be more active in paying attention to the examinations that will be accepted based on their gestational age so that good health services and of recipients of services occur.

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