scholarly journals Hubungan Pemeriksaan Kehamilan K4 dengan Kejadian Kehamilan Resiko Tinggi pada Ibu Hamil Trimester III

2019 ◽  
Vol 4 (1) ◽  
pp. 199
Author(s):  
Rosmeri Bukit
Keyword(s):  
High Risk ◽  
Antenatal Care ◽  
Care Service ◽  
High Risk Pregnancy ◽  
P Value ◽  
Third Trimester ◽  
Chi Square ◽  
Cross Sectional ◽  
Risk Pregnancy ◽  
Chi Square Test

<p><em>A high-risk pregnancy is a pathological pregnancy that can affect the general state of the mother and baby. Early detection can be done on antenatal care service is by increasing coverage of antenatal care especially pregnancy examination ≥ 4 times or K4. The purpose of this study is to determine the relationship of pregnancy examination K4 with high risk of third trimester pregnancy at Harapan Raya Pekanbaru Health Center in 2014. The research quantitative type with analytical method, using cross sectional approach. Population of all pregnant women in the third trimester who conducted pregnancy checkup at the Puskesmas Harapan Raya total of 50 people. The sample size was 50 people with Total Sampling and statistical test using Chi square test. The results showed that obtained P value 0.001 where P value ≤ 0.005 Ho in rejection means there is a significant relationship. The conclusion of this study is that there is a relationship between the examination of pregnancy K4 with the incidence of high risk pregnancy trimester III.</em></p><p><em><br /></em></p><p><em>Kehamilan resiko tinggi merupakan kehamilan patologi yang dapat mempengaruhi keadaan umum ibu dan bayi. Cara deteksi dini dapat dilakukan pada pelayanan antenatal care yaitu dengan peningkatan cakupan pelayanan antenatal khususnya pemeriksaan kehamilan ≥4 kali atau K4. Tujuan penelitian ini adalah untuk mengetahui hubungan pemeriksaan kehamilan K4 dengan resiko tinggi kehamilan trimester III di Puskesmas Harapan  Raya Pekanbaru tahun 2014. </em><em>Jenis penelitian kuantitatif dengan metode analitik, menggunakan pendekatan cross sectional. Populasi seluruh ibu hamil trimester III yang  melakukan pemeriksaan kehamilan di Puskesmas Harapan Raya  jumlah 50 orang. Jumlah sampel  50 orang   dengan Total Sampling dan uji statistik menggunakan  uji Chi square. Hasil penelitian menunjukkan bahwa diperoleh P value 0,001 dimana P value ≤ 0,005 Ho di tolak artinya ada hubungan yang signifikan. Simpulan dari penelitian ini yaitu ada hubungan antara pemeriksaan kehamilan K4 dengan  kejadian kehamilan resiko tinggi trimester III.</em></p><p><em><br /></em></p>

scholarly journals Analisis Faktor yang Memengaruhi Pelayanan Antenatal Care oleh Bidan

2020 ◽  
Vol 7 (2) ◽  
pp. 101
Author(s):  
Ainun Mardhiah
Keyword(s):  
Antenatal Care ◽  
Health Center ◽  
Care Service ◽  
Health Facilities ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Work And Health

ABSTRAK Keberadaan bidan di Indonesia sangat diperlukan untuk meningkatkan kesejahteraan ibu dan janinnya. Menurut WHO, setiap tahun sekitar 160 juta perempuan di seluruh dunia hamil. Para ahli menyadari bahwa persalinan akan berjalan lancar apabila adanya peningkatan pelayanan antenatal care. Tujuan penelitian ini adalah untuk mengetahui faktor pengetahuan, sikap, lama bekerja dan fasilitas kesehatan memengaruhi pelayanan ANC 10T oleh bidan Di Wilayah Kerja Puskesmas Teluk Dalam Kabupaten Simeuleu Tahun 2017. Desain penelitian adalah survei analitik dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah seluruh bidan yang memberikan pelayanan ANC di Wilayah Kerja Puskesmas Teluk Dalam Kabupaten Simeuleu Tahun 2017 berjumlah 32 orang dengan menggunakan teknik sampling jenuh. Analisis yang digunakan adalah analisis univariat, bivariat dengan uji chi-square.Hasil analisis data diperoleh bahwa ada hubungan faktor pengetahuan, sikap, lama bekerja dan fasilitas kesehatan terhadap pelayanan ANC 10T oleh bidan Di Wilayah Kerja Puskesmas Teluk Dalam Kabupaten Simeuleu yaitu nilai p = 0,049 untuk pengetahuan nilai p =  0,001 untuk sikap, nilai p = 0,01 untuk lama kerja, nilai p = 0,013 untuk fasilitas kesehatan. Ada hubungan faktor pengetahuan, sikap, lama kerja dan fasilitas kesehatan terhadap pelayanan ANC 10T oleh bidan Di Wilayah kerja Puskesmas Teluk Dalam kebupaten Simeuleu. Kata Kunci : fasilitas kesehatan; lama kerja; antenatal care; pengetahuan; sikap  THE INFLUENCIN FACTORS OF  ANTENATAL CARE SERVICE BY MIDWIVES ABSTRACT The existence of midwives in Indonesia is very much needed to improve the welfare of mothers and their fetuses. According to WHO, every year about 160 million women worldwide become pregnant. The purpose of this study was to determine the factors of knowledge, attitudes, length of work and health facilities that influence Antenatal Care services by midwives at at Teluk Dalam Health Center working area, Simeuleu Regency in 2017. The research design used was an analytic survey with the approach used in this study was cross sectional. The sample used in this study were all midwives who provided ANC at Teluk Dalam Health Center working area, Simeuleu Regency in 2017 totaling 32 people using saturated sampling techniques. The analysis used was univariate, bivariate analysis with the chi-square test. The results of the data analysis showed that there was a relationship between knowledge, attitudes, length of work and health facilities on ANC services by midwives at Teluk Dalam Health Center working area, Simeuleu Regency, namely p = 0.049 for knowledge, p value = 0.001 for attitude, p value = 0.01 for length of work, p value = 0.013 for health facilities, each variable P value <α = 0.05. The conclusion of this study is that there is a relationship between knowledge, attitudes, length of work and health facilities on ANC services by midwives at Teluk Dalam Health Center working area, Simeuleu Regency . Keywords : attitude; health facilities; knowledge; length of work; ANC services

scholarly journals Hubungan Antara Kualitas & Kuantitas Riwayat Kunjungan Antenatal Care (ANC) Dengan Stunting Pada Balita Usia 24-59 Bulan Di Kecamatan Pujon Kabupaten Malang

2020 ◽  
Vol 4 (3) ◽  
pp. 100-111
Author(s):  
Vita Camelia ◽  
Keyword(s):  
Antenatal Care ◽  
P Value ◽  
Growth Disorders ◽  
Height Measurement ◽  
Chi Square ◽  
Cross Sectional ◽  
Standard Curve ◽  
Chi Square Test ◽  
History Of ◽  
Cross Sectional Design

Stunting is a children growth problem that occurs a result of chronic malnutrition in the first 1000 days of life. The indicator of stunting is using the height measurement according to age HFA (Height for Age) under -2 SD based on the WHO growth standard curve according to sex. The impacts of stunting are the occurrence of growth disorders, barriers to development and the risk of metabolic disorders in adulthood. One of the risk factors for stunting is history of quality and quantity Antenatal Care (ANC). This study aimed to determine the relationship between quality and quantity history of ANC visits and stunting in toddlers aged 24-59 years in Pujon District Malang Regency. The method used in this research was observational analytic by using cross-sectional design. The population of this study was all mothers who have children aged 24-59 months that were conducted in January 2020. Ninety eight respondents taken by purposive sampling as the sample of the research. The data was obtained by filling out questionnaires and KIA books, then analyzed with chi-square test (α = 0.05). The results showed that there was a significant relationship in quality (p-value = 0.004) and quantity (p-value = 0.003) toward stunting.

scholarly journals The Effect of Antenatal Care During Covid -19 on Complications of Pregnant

2021 ◽  
Vol 9 (1) ◽  
pp. 111-125
Author(s):  
Ni Gusti Made Ayu Agung Budhi ◽  
Maryanah Maryanah
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Positive Influence ◽  
High School Education ◽  
Reproductive Age ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
And Child Health

Quality Antenatal Care (ANC) services can prevent complications during pregnancy, but during the Covid-19 pandemic, there is a policy for mothers to postpone ANC visits. The purpose of the study was to find out how the influence of ANC services during the Covid-19 pandemic on the incidence of complications in pregnant women. The research method used is an analytical survey with a Cross-Sectional approach. The number of samples is 110 pregnant women respondents. The statistical test used is the Chi-Square test. The results showed that the age of pregnant women was 92.1% of healthy reproductive age, high school education level was 90.4%, some pregnancies experienced by mothers 2 were 66.7%, work as housewives were 67%. The biggest complication that occurs in pregnant women is anemia (40%). The provision of quality ANC services with 10T has a positive influence on the incidence of complications in pregnancy during the pandemic (p-value <0.05), as well as understanding of the Maternal and Child Health (MCH) book (p-value <0.05) and the anxiety felt by the mother (p-value <0.05) influences the occurrence of complications. The conclusions obtained were the effect of providing quality ANC services with 10 T, understanding of the MCH handbook on the incidence of complications during the covid-19 pandemic.

DUKUNGAN SUAMI, PENGETAHUAN, DAN SIKAP IBU HAMIL TERHADAP KUNJUNGAN ANTENATAL CARE

2020 ◽  
Vol 6 (4) ◽  
pp. 413-420
Author(s):  
Yulia Safitri ◽  
Desi Handayani Lubis
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Third Trimester ◽  
Chi Square ◽  
Cross Sectional ◽  
Negative Attitudes ◽  
Knowledge And Attitudes ◽  
Knowledge Variable ◽  
Chi Square Test ◽  
Regression Tests

ABSTRACT Background: Generally, pregnancy develops normally until delivery, but some pregnancies can be risky in certain circumstances so that antenatal care is necessary. Some pregnant women did not perform ANC (K1 and K4) allegedly because of lack of support from their husbands, lack of knowledge and negative attitudes about ANC.Objective: To determine the effect of husband's support, knowledge, and attitudes of pregnant women on Antenatal Care Visits.Method: This study is an analytic survey with a cross sectional approach. It was conducted in Tandem Hulu I Village, Hamparan Perak Subdistrict, with the research time being February 2020. The population of this study were all third trimester pregnant women in Tandem Hulu I Village, namely 38 people and all of them were taken as the sample. The data were analyzed by univariate, bivariate with chi-square test, and multivariate using multiple logistic regression tests at the 95% confidence level ( = 0.05).Results: The study showed that the majority of ANC visits by pregnant women were not according to standards (52.6%), which were according to standards (47.4%). ANC visit of pregnant women in Hamparan Perak Subdistrict, Deli Serdang Regency was influenced by husband's support (p = 0.033), and knowledge (p = 0.004), while attitudes had no effect (p = 0.156). Knowledge variable was the most dominant variable affecting ANC visits. Pregnant women with good knowledge had a 13.7 times higher chance of making ANC visits according to standards than pregnant women with less knowledge. The probability of pregnant women visiting ANC according to standards was 90.99% if the husband's support was good and the mother's knowledge was good.Conclusion: Husband's support and knowledge of pregnant women affect ANC visit in Tandem Hulu I Village, Hamparan Perak District.Suggestion Gathering pregnant women and husbands or families to be given information about the importance of ANC visits and reminding pregnant women and husbands to always read the MCH Handbook so that they know the importance of ANC visits Keywords: Husband's Support, Knowledge, Attitude, ANC Visit ABSTRAK Latar Belakang : Umumnya kehamilan berkembang dengan normal sampai persalinan, tetapi beberapa kehamilan dapat berisiko pada keadaan tertentu sehingga perlu dilakukan pemeriksaan kehamilan (antenatal care). Sebagian ibu hamil tidak melakukan ANC (K1 dan K4) diduga karena kurang dukungan suami, kurang pengetahuan dan sikap yang negatif tentang ANC.Tujuan : Mengetahui pengaruh dukungan suami, pengetahuan, dan sikap ibu hamil terhadap Kunjungan Antenatal Care.Metode: Jenis penelitian ini adalah survei analitik dengan pendekatan Cross Sectional. Penelitian dilaksanakan di Desa Tandem Hulu I Kecamatan Hamparan Perak, dengan waktu penelitian Februari 2020. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester III di Desa Tandem Hulu I yaitu 38 orang dan seluruhnya dijadikan sampel (total populasi). Data dianalisis secara univariat, bivariat dengan uji chi-square, dan multivariat menggunakan uji regresi logistik berganda pada tingkat kepercayaan 95% (=0,05).Hasil : Penelitian menunjukkan bahwa mayoritas kunjungan ANC ibu hamil tidak sesuai standar (52,6%), yang sesuai standar (47,4%). Kunjungan ANC ibu hamil di Kecamatan Hamparan Perak Kabupaten Deli Serdang dipengaruhi oleh dukungan suami (p = 0,033), dan pengetahuan (p = 0,004), sedangkan sikap tidak berpengaruh (p = 0,156).  Variabel pengetahuan merupakan variabel paling dominan memengaruhi kunjungan ANC. Ibu hamil berpengetahuan baik berpeluang 13,7 kali lebih tinggi melakukan kunjungan ANC sesuai standar dibandingkan ibu hamil yang berpengetahuan kurang. Probabilitas ibu hamil melakukan kunjungan ANC sesuai standar sebesar 90,99% bila dukungan suami baik dan pengetahuan ibu baik.Kesimpulan: Dukungan Suami dan Pengetahuan Ibu Hamil berpengaruh terhadap Kunjungan ANC di Desa Tandem Hulu I Kecamatan Hamparan Perak.Saran: Mengumpulkan ibu hamil dan suami atau keluarga untuk diberikan penyuluhan tentang pentingnya Kunjungan ANC dan mengingatkan ibu hamil dan suami untuk selalu membaca Buku KIA sehingga mengetahui pentingnya Kunjungan ANC Kata Kunci:           Dukungan Suami, Pengetahuan, Sikap, Kunjungan ANC

Factors associated with high-risk pregnancy: role of environmental contaminants, Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Martins ◽  
J Fernandes ◽  
Y Pamplona ◽  
C Barbieri ◽  
J Vaz ◽  
...  
Keyword(s):  
High Risk ◽  
Environmental Contaminants ◽  
Sao Paulo ◽  
The State ◽  
High Risk Pregnancy ◽  
São Paulo ◽  
Multiple Logistic Regression ◽  
Chi Square ◽  
Risk Pregnancy ◽  
Chi Square Test

Abstract Introduction The Região Metropolitana da Baixada Santista (RMBS) is considered as a region with the worst maternal and child mortality rates in the state of São Paulo, Brazil. Besides this, RMBS has the worst rates of environmental contamination. High-Risk Pregnancy is one of the factors that lead to a higher chance of morbidity and mortality of the mother and fetus binomial. Objective Evaluate the relationship between exposure to environmental contaminants and high-risk pregnancy. Methodology Case-control study, using a probabilistic sample composed of 402 pregnant women divided into with and without high-risk pregnancy. The instrument used was a self-administered questionnaire and secondary data on contaminated areas obtained from the Environmental Company of the State of São Paulo. Descriptive analysis, Chi-square test, univariate and multiple logistic regression analysis were performed. The participants were also georeferenced by place of residence. Results It was observed an association, by chi-square test between high-risk pregnancy and age over 35 years (p &lt; 0.05), use of insecticide (p &lt; 0.001), consumption of foods packed in plastics (p = 0.050) and manipulation with oil paint (p = 0.002). The final multiple logistic regression model demonstrated that those who live in contaminated areas are 2 times more likely to have a risk pregnancy (OR = 1.993; 95%CI: 1.02; 3.90), as well as identified as jointly important risk factors for pregnancy: working in health services (OR = 3.97 (95%CI: 1.00; 16.09)), use of insecticide (OR = 3.45 (95%CI: 1.66; 7.16)) and use of oil paint (OR = 6.96 (95%CI: 1.38; 35.09)). Conclusions Environmental contaminants play an important role in pregnancy, and mitigating measures are needed to improve the environment and reduce high-risk pregnancy in RMBS. Key messages Exposure to the environmental contaminants is an important rik factor in the pregnancy. The Região Metropolitana da Baixada Santista (RMBS) is considered as a region with the worst maternal and child mortality rates in the state of São Paulo, Brazil.

scholarly journals HUBUNGAN ANTARA KUALITAS BIDAN DALAM PELAYANAN ANTENATAL CARE TERHADAP PERSEPSI IBU HAMIL

2020 ◽  
Vol 10 (1) ◽  
pp. 36-40
Author(s):  
Citra Hadi Kurniati
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Care Services ◽  
Chi Square Test ◽  
Parametric Statistics ◽  
Sectional Analysis

Midwives play an important role in the process of health care, especially antenatal care services (ANC). The quality of midwife services determines the success of the service process. The perception of pregnant women when they come for a pregnancy is related to their availability to return to Antenatal Care examination. This study aims to determine the quality of midwives in ANC services on the perception of pregnant women. This type of research uses observational analytic research, where researchers are directed to explain a situation or situation. The time approach used is cross sectional. Analysis was conducted to test the quality of midwives in providing ANC services to the perception of pregnant women. Analysis of the data in research with ordinal and scale variables is non-parametric statistics. Hypothesis testing using the Chi Square Test. The results showed that there was no relationship between the quality of midwives on perceptions of pregnant women with a p value of valeu> 0.05 with an X × count of 0.325. The conclusion of this study is that there is no relationship between the quality of midwives in providing ANC services to the perception of pregnant women

FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN FREKUENSI PEMERIKSAAN KEHAMILAN (K4) DI PUSKESMAS TIMUR KOTA PRABUMULIH TAHUN 2017

2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Citra Ayuh Darty Citra Ayuh Darty
Keyword(s):  
High Risk ◽  
Antenatal Care ◽  
Random Sampling ◽  
Systematic Sampling ◽  
Check List ◽  
Chi Square ◽  
Cross Sectional ◽  
Pregnancy And Childbirth ◽  
Chi Square Test ◽  
Study Population

ABSTRAK   Menurut (WHO) antenatal care  bertujuan untuk mendeteksi dini terjadinya resiko tinggi terhadap kehamilan dan persalinan juga dapat menurunkan angka kematian ibu dan memantau keadaan janin.Penelitian ini bertujuan untuk mengetahui hubungan antara umur, pendidikan dan pekerjaan ibu dengan Frekuensi pemeriksaan kehamilan (K4) di Puskesmas Timur Kota Prabumulih Tahun 2017. Penelitian ini menggunakan survey analitik dengan pendekatan Cross Sectional. Populasi penelitian ini yaitu semua ibu hamil yang melakukan kunjungan ANC di Puskesmas Prabumulih Timur kota Prabumulih Tahun 2017 yang berjumlah 416 orang.Pengambilan sampel menggunakan teknik random sampling dengan pendekatan sistematik sampling.Alat pengambilan sampel menggunakan Check List, analisis data dilakukan secara univariat dan bivariat dengan uji statistic Chi-Square .Hasil penelitian ini menunjukkan dari 203 responden dengan melakukan standar kunjungan ANC sebanyak 91 orang (44,8%), dan tidak standar 112 orang (55,2%), umur resiko tinggi sebanyak 106 orang (52,2%) dan umur resiko rendah 97 orang (47,8%), pendidikan tinggi 98 orang (48,3%) dan pendidikan rendah 105 orang (51,7%), bekerja sebanyak 85 orang (41,9%) dan tidak bekerja sebanyak 118 orang (58,1%). Dari hasil penelitian ini di harapkan agar pihak puskesmas lebih mengupayakan pelayanan kesehatan dan konseling terhadap frekuensi pemeriksaan kehamilan.   ABSTRACT According to the (WHO) antenatal care aimed at the early detection of high risk of pregnancy and childbirth can also reduce maternal mortality and monitor the state of the fetus.This study aims to determine the relationship between age, education and occupation mothers with antenatal Frequency (K4) in East Health Center Prabumulih City in 2017.This research uses analytic survey with cross-sectional approach.This study population is all the pregnant women who visited health centers ANC in Eastern Prabumulih Prabumulih city in 2017, amounting to 416 people. Sampling using random sampling with systematic sampling approach. Sampling tool using Check List, data analysis univariate and bivariate statistical Chi-Square test. Results of this study show from 203 respondents by standard ANC visit as many as 91 people (44.8%), and not the standard 112 people (55.2%), high risk age were 106 men (52.2%) and a lower risk of age 97 people (47.8%), higher education 98 (48.3%) and low education 105 people (51.7%), working as many as 85 people (41.9%) and did not work as many as 118 people (58, 1%). From the results of this study in the hope that the clinic be seeking health care and counseling to the frequency of antenatal care (K4).

scholarly journals Sistem Penghargaan dan Rasio Perawat Pasien dengan Kinerja Perawat di RSUD Panembahan Senopati Bantul

2016 ◽  
Vol 2 (3) ◽  
pp. 99
Author(s):  
Habibur Rochman ◽  
Edi Sampurno Ridwan ◽  
Effatul Afifah
Keyword(s):  
Health Care ◽  
Health Services ◽  
Random Sampling ◽  
Care Service ◽  
Health Care Service ◽  
Simple Random Sampling ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

<p>Nursing service is the key of health care service in hospitals. Therefore, it is necessary to restuctre the health service quality related to the adequacy of nurse-patient ratio. The improvement of health services quality is a form of strategy to enhance patient safety. The performance of a nurse is the key of health care service and is very important to address in order to maintain and improve the quality of health services. The award system is one of motivation methods used to increase nurse performance. The purpose of this study was to know the relationship between awards system and nurse-patients ratio with nurse performance at RSUD Panembahan Senopati Bantul. The study design was observational analytic with cross sectional approach. Samples were selected by stratified random sampling, then simple random sampling resulting on 65 nurses. Data analysis was done by using chi-square test. The results showed that there was relationship between award system and the nurse performance with p-value 0.02 (p&gt;0.05). Conversely there was no relationship between award system and nurse patients ratio and the nurse performance with p-value 1.000 (p&gt;0.05). In conclusion, there was a significant relationship between award system and nurse performance, and there was no relationship between the nurse patients ratio and nurse performance.</p>

scholarly journals Hubungan Status Akreditasi Puskesmas dengan Capaian Program Antenatal Care

2020 ◽  
Vol 30 (3) ◽  
Author(s):  
Agus Dwi Harso ◽  
Hadjar Siswantoro ◽  
Armaji Kamaludi Syarif
Keyword(s):  
Antenatal Care ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
A Value ◽  
Significant Difference ◽  
Chi Square Test ◽  
The Government ◽  
The Relationship

Abstract One of the government’s efforts to reduce MMR, which is still high, is the implementation of the Antenatal Care (ANC) program at the primary health center (PHC). Besides, the government also accredits PHC to improve the quality of health services starting in 2015, so it is hoped that ANC achievements will increase. This study aims to determine the relationship between accreditation status and ANC achievements in PHC. The study design was cross-sectional with a sample of 103 accredited PHC. The distribution of PHC samples is seen based on the 2013 Public Health Development Index (IPKM) categorized as low, medium, and high. Analysis of the relationship between accreditation status and the K4 achievement program used the chi-square test. The results of this study indicate that the majority of the PHC in the sample are distributed in areas with a high and medium IPKM areas. The relationship between accreditation status and K4 achievement showed a value of p = 0.034. The logistic regression results showed that when compared with primary - complete accredited PHC, basic PHC had OR = 0.224 (95% CI: 0.064 - 0.786) with p = 0.020 to the proportion of K4 achievements. Meanwhile, the middle PHC had OR = 0.517 (95% CI: 0.146 - 1.828) with a p-value = 0.306. This study concludes that the accreditation status of PHC is related to the proportion of K4 achievements. The proportion of K4 achievements increases with the increase in the level of PHC accreditation. A basic accredited PHC has a chance to achieve K4 by 0.224, lower than a primary – complete accredited PHC. There was no significant difference between middle accredited PHC with primary - complete PHC for the proportion of K4 achievement Abstrak Salah satu upaya pemerintah menurunkan AKI yang masih tinggi adalah dengan pelaksanaan program Antenatal Care (ANC) di puskesmas. Selain itu, pemerintah juga melakukan akreditasi puskesmas untuk meningkatkan mutu pelayanan kesehatan yang dimulai tahun 2015, sehingga diharapkan capaian ANC meningkat. Penelitian ini bertujuan untuk mengetahui hubungan status akreditasi terhadap capaian ANC di puskesmas. Desain penelitian ini adalah crosssectional dengan sampel penelitian sebanyak 103 puskesmas terakreditasi. Sebaran sampel puskesmas dilihat berdasarkan Indeks Pembangunan Kesehatan Masyarakat (IPKM) tahun 2013 dengan dikategorikan sebagai IPKM rendah, sedang, dan tinggi. Analisis hubungan status akreditasi dengan program capaian K4 digunakan uji chi-square. Hasil dari penelitian ini menunjukkan mayoritas puskesmas yang menjadi sampel terdistribusi pada wilayah dengan IPKM tinggi dan sedang. Hasil analisis chi-square hubungan antara status akreditasi dengan ketercapaian K4 menunjukkan nilai p=0,034. Hasil regresi logistik menunjukkan bahwa jika dibandingkan dengan puskesmas terakreditasi utama-paripurna, puskesmas terkareditasi dasar mempunyai OR = 0,224 (95%CI: 0,064 - 0,786) dengan nilai p = 0,020 terhadap proporsi capaian K4. Sedangkan puskesmas terkareditasi madya mempunyai OR = 0,517 (95% CI: 0,146 - 1,828) dengan nilai p = 0,306. Kesimpulan penelitian ini adalah status akreditasi puskesmas berhubungan dengan proporsi capaian K4. Proporsi capaian K4 meningkat seiring meningkatnya satus akreditasi puskesmas. Puskesmas terakreditasi dasar mempunyai peluang untuk tercapaianya K4 sebesar 0,224 lebih rendah dibandingkan puskesmas terakreditasi utama - paripurna. Tidak ada perbedaan yang signifikan antara puskesmas terakreditasi madya dengan puskesmas terakreditasi utama-paripurna terhadap proporsi capaian K4.

FAKTOR-FAKTOR YANG MEMPENGARUHI KINERJA BIDAN PADA PELAYANAN ANTENATAL CARE DI PUSKESMAS SEKOTA PALEMBANG TAHUN 2014

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Wargustini Wargustini
Keyword(s):  
Antenatal Care ◽  
Cross Sectional Study ◽  
P Value ◽  
Test Results ◽  
Chi Square ◽  
Cross Sectional ◽  
Care Services ◽  
Chi Square Test ◽  
Performance Results ◽  
The Relationship

ABSTRACK  This study aimed to determine the knowledge, motivation, leadership, incentives / rewards, and education with the performance of midwives in Antenatal Care Services (ANC) at health centers in the country Palembang, this study uses observational analytic study design "cross sectional" with 48 midwives sample using the formula, by conducting interviews and questionnaires. There are 15 respondents have less knowledge has an 31.25% lower performance. Results obtained by chi-square test p-value = 0.04 (p <0.05) and Rφ = 0.288 means that there is a connection with the performance of midwife knowledge, the closeness of the relationship is low, motivation midwives obtained value ρ = 0.017 and Rφ = 0.466 means that there is a relationship the performance of average -midwife with the relationship, clinic leaders leadership values obtained ρ = 0.00 and Rφ = 0.28  means that there is a relationship with the midwives' work closeness of the relationship is low. Chi-square test results obtained by the value of the incentive factor ρ = 0.019 = 0.328 declared value Rφ no relationship with the midwives' work closeness of the relationship is average. Factors education obtained ρ = 0.021 and the value of Rφ = 0.041 means that there is a relationship with the midwives' work closeness of the relationship being. Four chief centers are expected to consider factors - factors related to the performance of midwives that knowledge, motivation, leadership, incentives, and education.         ABSTRAK Penelitian ini bertujuan untuk mengetahui faktor pengetahuan, motivasi kerja, kepemimpinan, insentif / imbalan, dan  pendidikan yang berhubungan dengan kinerja bidan pada pelayanan Antenatal Care ( ANC ) di Puskesmas Sekota Palembang, penelitian ini menggunakan penelitian observasi analitik dengan rancangan “cross sectional study” dengan jumlah sampel 48 bidan dengan menggunakan rumus, dengan melakukan wawancara dan kuesioner. Terdapat 15 responden memiliki pengetahuan kurang 31,25 % memilki kinerja rendah. Hasil uji chi-square diperoleh nilai p=0,04 ( p< 0,05) dan Rφ = 0,289 berarti ada hubungan pengetahuan dengan kinerja bidan, dengan keeratan hubungan rendah, motivasi bidan diperoleh nilai ρ=0,017 dan Rφ=0,466 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan sedang, kepemimpinan pemimpin puskesmas diperoleh nilai ρ=0,00 dan Rφ = 0,28 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan rendah. Hasil uji chi-square faktor insentif diperoleh nilai ρ = 0,019 nilai Rφ = 0,328 menyatakan ada hubungan dengan kinerja bidan dengan keeratan hubungan rendah. Faktor pendidikan diperoleh nilai ρ = 0,021 dan Rφ = 0,41 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan sedang. Diharapkan keempat kepala puskesmas memperhatikan faktor – faktor yang berhubungan dengan kinerja bidan yaitu pengetahuan, motivasi kerja, kepemimpinan, insentif, dan pendidikan.        

Sign in / Sign up

Export Citation Format

Share Document