scholarly journals Hubungan kepatuhan bidan puskesmas dalam penerapan antenatal care terpadu berkualitas dengan deteksi komplikasi dan penyakit pada ibu hamil

2018 ◽  
Vol 32 (5) ◽  
pp. 171
Author(s):  
Siti Sholikhah ◽  
Heru Pradjatmo ◽  
Mohammad Hakimi

Compliance of midwife primary health center in implementation of the antenatal care integrated quality, disease detection and complications in pregnant womenPurpose This research aimed to determine the relationship of midwife’s compliance in the implementation of the antenatal care (ANC) integrated quality with disease detection and complications in pregnant women.MethodsThis research was an observational study with a retrospective cohort design. The sample was midwives who serve pregnant women in a primary health center, involving 125 midwives. The place of research was in 21 health centers throughout Kulon Progo. Research instruments used a questionnaire, with total sampling. Data analysis used: univariable analysis to determine the distribution of the data, bivariable with chi-square tests, multivariable with linear regression tests with 95% CI and significance of p=0.05, and a qualitative analysis.ResultsMidwives' compliance to the standard operating procedure has a 35% greater chance of detecting complications and illness in pregnant women than the midwife who did not follow standard operating procedure. Not all midwives in primary health care comply with ANC integrated quality.ConclusionThis study contributes to an understanding that compliance of midwives to ANC integrated quality is important as an effort to detect complications in pregnant women. The health office should establish a team for socialization, supervision, and assistance in the implementation of ANC integrated quality.

2018 ◽  
Vol 1 (2) ◽  
pp. 75-80
Author(s):  
Asni Asni ◽  
Mochamad Anwar ◽  
Sulistyaningsih Sulistyaningsih

WHO data in 2016 estimated that 36.7 million people suffered from HIV globally, and 34.5 million among them were adults. Yogyakarta Special Province in 2016 found that there were 2,954 cases of HIV with the highest cases in Sleman Regency as many as 868 cases. Mlati I Primary Health Center was a Primary Health Center with the lowest coverage of HIV testing for pregnant women, namely in 2017 there were 752 pregnant women, and only 414 (55.05%) were tested for HIV. The purpose of this study was to determine the relationship between perceptions of integrated antenatal care quality service and the participation of HIV testing of pregnant women. The study applied cross sectional research method. The population in this study were pregnant women who performed ANC examinations at Mlati I Primary Health Center in September - November 2018 with a total of 318 pregnant women. The samples in the study were 154 with the simple random sampling technique. The instrument of data collection in this study used a questionnaire. Data analysis employed chi Square and logistic regression. The results of bivariate statistical tests using chi square showed that sig value = 0.000 0.05 with OR 13.896 meaning that women who had a good perception of the quality of ANC services had 13.896 higher chance to have HIV tests compared to those who had poor perceptions of the quality of integrated ANC services . Good perception of the quality of integrated ANC services for pregnant women had a greater chance of taking an HIV test.


2018 ◽  
Vol 5 (2) ◽  
pp. 27-31
Author(s):  
Maryam Ulfah ◽  
Yani Kamasturyani ◽  
Putri Mutiara Ramandani

Background:Knowledge of leprosy prevention is the knowledge of a person doing a first line prevention or pervention action before a disease occurs. Based on data from Cirebon district Health OfficeThe incident of leprosy are 232 patients.According to the data primary health center Losari, Kedaton and Babakan There are 37 leprosy patients. Purpose: This research aimed to know an overview of knowledge about the prevention of leprosy, know an overview risk of cutaneous transmission, and knowlegde connection of prevention with leprosy transmission of primary health center Lossari, Kedaton and Babakan Cirebon District. Method:This is quantitative with Cross Sectional Study design. The population in this research is family members of leprosy primary health center Losari, Kedaton dan Babakan Cirebon district. The samples were choosen by Propotional Random Sampling which amounted to 114 respondents. The data retrieval research was conducted on 15 July – 15 September 2018. The research instrument was a questionnaire. Data analysis using Chi Square test. Result:The result of univariate analysis shows that connection of prevention leprosy was motsly good, that is mostly less 14 respondent (46,7%) and leprosy transmission mostly not risk 21 respondent (70,0%),. The result of chi square test was obtained p value = 0,011. Conclusion:Its indicatedthat there is a relationship betweenIndicating that H0 is rejected an Ha accepted means the a knowlegde connection of prevention with leprosy transmission of primary health center Lossari, Kedaton and Babakan Cirebon District


2018 ◽  
Vol 1 (3) ◽  
pp. 038-045
Author(s):  
Eva Sartika Dasopang

Latar Belakang: Diabetes mellitus merupakan salah satu penyakit metabolisme yang terjadi pada seseorang karena terjadinya peningkatakan kadar gula darah melebihi batas normal. Peningkatan kadar gula terjadi karena adanya gangguan pada sekresi insulin dan kerja insulin. Salah satu cara untuk mencegah resiko terjadinya komplikasi dan kekambuhan pada diabetes mellitus adalah dengan menerapkan kepatuhan diet pada penderita diabetes mellitus. Kepatuhan diet pada penderita diabetes mellitus harus diperhatikan karena diet merupakan salah satu factor untuk menstabilkan kadar gula dalam darah menjadi normal dan mencegah terjadinya komplikasi pada penderita diabetes mellitus Metode Penelitian: Penelitian ini di desain secara cross sectional. Populasi pada penelitian ini adalah seluruh pasien diabetes mellitus yang melakukan kunjungan di Puskesmas Labuhan Medan pada bulan Juli 2017.Pengambilan sampel dilakukan dengan metode purposive sampling.Data dikumpulkan dengan menggunakan kuisioner dan analisis data menggunakan metode Chi square. Hasil: Penderita Diabetes Mellitus di puskesmas Pekan Labuhan Medan mempunyai tingkat pengetahuan rendah sebesar 2%, sedang 44% dan tinggi 54%.Sedangkan tingkat kepatuhan rendah sebesar 2%, sedang 46% dan tinggi 52%. Kesimpulan: Hasil penelitian menunjukan bahwa tidak terdapat adanya hubungan yang signifikan antara pengetahuan diet dengan kepatuhan diet pada penderita diabetes mellitus di Puskesmas Pekan Labuhan Medan dengan p value 0,001 (< 0,05). Background: Diabetes mellitus is one of metabolism disease due to abnormally high blood glucose level. The high blood glucose levels occur because of interference in insulin secretion and insulin action. One way to prevent the risk of complications and recurrence in diabetes mellitus is to apply dietary adherence to people with diabetes mellitus. Dietary compliance in people with diabetes mellitus must be considered because the diet is one factor to stabilize blood glucose levels to normal and prevent complications in people with diabetes mellitus. Methods: The research design was cross sectional. The population of this study were all diabetes mellitus patients The population in this study were all patients with diabetes mellitus who visited Primary Health Center of Labuhan Medan in July 2017. Sampling was performed by purposive sampling method. Data was collected using questionnaires and data were analyzed using the Chi-square method. Results: Diabetes Mellitus patients at Pekan Labuhan Medan Primary health center have a low level of knowledge of 2%, moderate 44% and high 54%. While the level of compliance was low at 2%, medium 46%, and high 52%. Conclusion: The results showed that there was no significant difference between knowledge of diet and dietary compliance in people with diabetes mellitus at the Pekan Labuhan Primary Health Center, Medan with p-value of 0,001 (< 0,05).


2018 ◽  
Vol 1 (2) ◽  
pp. 81-86
Author(s):  
Elfa Rahmawati Fitri ◽  
Herlin Fitriana Kurniawati

HIV/AIDS cases in Indonesia are still high including the infection from mothers to the babies. Infection cases from mothers to babies in Yogyakarta Special Province is also found on babies. The preliminary study also obtained the result that in 2015 not all of the pregnant women who were willing to have VCT (Voluntary Counseling and Testing) in Sleman Regency working area. The data of VCT  in Prambanan Primary Health Center also shows that the prevalence rate of VCT check as a preventive effort was still low. The research is aimed at investigating the correlation between midwife’s support and VCT on pregnant women in Prambanan Primary Health Center in 2016. The study employed observational analytic with a cross-sectional approach. The population of the study was all mothers who did pregnancy examination and got counseling VCT service. The samples used accidental sampling technique. Data analysis used chi-square with the trustworthy rate 95%. The result of the study showed that there was no correlation between midwife and VCT on pregnant women. It can happen because of the midwife as a professional attendant could not attend the pregnant women full time. It can be concluded that there was no correlation between midwife’s support and VCT on pregnant women in Prambanan Primary Health Center in 2016. It is expected that midwives can identify the problem in VCT on pregnant women by giving emotional and respect support to the patients as well as the families.


2021 ◽  
Vol 2 (4) ◽  
pp. 32-44
Author(s):  
Elya Rosa ◽  
Razia Begum Suroyo ◽  
Aida Fitria

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


Author(s):  
Yuhemy Zurizah Yuhemy Zurizah

ABSTRACT [Examination of pregnancy is health care by health workers to saw a pregnant women during pregnancy are performed according to standard antenatal visits i.e. 4 times examination during pregnancy which is 1 times in the first quarter, the second quarter on a 1 time, 2 times in the third quarter. The purpose of the research to determine the factors related to Antenatal Care (ANC) on pregnant women at health center Palembang Social 2012. This research uses this type of research survey with analytic approach Cross Cross-sectional, i.e. between the independent variable (the age of pregnant women,education of pregnant women and parity) and dependency AnteNatal Care (visit )just observed and taken once and for all at the same time at the time of research. The population is to be taken in this research are all expectant mothers who never saw her pregnancy inSocial Health Center Palembang in 2012.Sampling is done with a technique Sistematic Sampling that amounted to 149.Respondents withante natal care visits of pregnant womenthe appropriate standard i.e. 117 respondents (78,5%), age the risk is high that is 93 (62.4%) respondents, higher education, i.e. 96 respondents (64,4%), low risk parity i.e. 83 respondents (55,8%).Test results Of Chi-Square is known to have a meaningful relationship between theindependent variables (age, education and parity of mothers)withthe dependent variable (ante natal care visits of pregnant women). Suggestions for the clinic diharapkan more health workers improve services for pregnant women.                                      ABSTRAK Pemeriksaan kehamilan adalah pelayanan kesehatan oleh tenaga kesehatan untuk memeriksakan ibu hamil selama masa kehamilannya yang dilaksanakan sesuai dengan standar kunjungan antenatal yaitu 4 kali pemeriksaan selama kehamilan yaitu 1 kali pada triwulan pertama, 1 kali pada triwulan kedua, 2 kali pada triwulan ketiga. Tujuan Penelitian untuk mengetahui faktor-faktor yang berhubungan dengan Antenatal Care (ANC) pada ibu hamil di Puskesmas Sosial Palembang Tahun 2012. Penelitian ini menggunakan jenis penelitian survei analitik dengan pendekatan Cross Sectional, yaitu antara variabel independen (umur ibu hamil,pendidikan ibu hamil dan paritas) dan dependen (kunjungan AnteNatal Care )hanya diobservasi dan diambil satu kali saja dalam waktu bersamaan pada saat penelitian. Populasi yang akan diambil pada penelitian ini adalah semua ibu hamil yang pernah memeriksakan kehamilannya di Puskesmas Sosial Palembang Tahun 2012. Pengambilan sampel dilakukan dengan teknik Sistematic Sampling yang berjumlah 149. Responden dengan kunjungan ante natal care ibu hamil yang sesuai standar yaitu 117 responden (78,5%), umur resiko  tinggi yaitu 93 responden (62,4%), pendidikan tinggi yaitu 96 responden (64,4%), paritas resiko rendah yaitu 83 responden (55,8%). Dari hasil uji Chi-Square diketahui ada hubungan yang bermakna antara variabel independen (umur,pendidikan dan paritas ibu) dengan variabel dependen (kunjungan ante natal care ibu hamil). Saran untuk pihak puskesmas diharapkan petugas kesehatan lebih meningkatkan pelayanan bagi ibu hamil.    


2020 ◽  
Vol 3 (1) ◽  
pp. 6-12
Author(s):  
Esitra Herfanda ◽  
Indah Pratiwi

HIV and AIDS transmission to infants can be prevented by comprehensive and effective PMTCT (Prevention Mother to Child Transmission) efforts in health care facilities. The role of the midwife in encouraging pregnant women to conduct PMTCT examinations is to provide support in the form of information, appreciation, instrumental and emotional information about HIV and AIDS thoroughly to the client until the client understands and gives the permission to conduct PMTCT examinations. The purpose of this study was to determine the correlation between midwife’s support and PMTCT examinations of pregnant women at Kasihan II Primary Health Center of Bantul. This research was conducted using observational analytic methods with cross sectional approach. Data collection techniques employed accidental sampling as many as 40 pregnant women as the respondents. The research instrument was a questionnaire with chi square as data analysis. The results of the study obtained showed that 80% among 40 respondents received good support, and 82.5% conducted PMTCT examinations. There was a correlation between midwife’s support and PMTCT examinations for pregnant women in Kasihan II Primary Health Center of Bantul with p value = 0.000 (p <0.05). Thus, it can be concluded that there was a correlation between midwife’s support and PMTCT examination for pregnant women at Kasihan II Primary Health Center of Bantul.   Keywords: Midwife, Support, PMTCT.


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