scholarly journals PELAYANAN PEMERIKSAAN KEHAMILAN BERKUALITAS YANG DIMANFAATKAN IBU HAMIL UNTUK PERSIAPAN PERSALINAN DI INDONESIA

2019 ◽  
Vol 18 (1) ◽  
pp. 60-69
Author(s):  
Ika Dharmayanti ◽  
Khadijah Azhar ◽  
Dwi Hapsari Tjandrarini ◽  
Puti Sari Hidayangsih
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Social Environment ◽  
Maternal Health Services ◽  
Living Environment ◽  
Health Centers ◽  
Safe Delivery ◽  
Highly Educated ◽  
Analysis Technique

ABSTRACT Antenatal care (ANC) is a prevention healthcare for maternal health and their babies. In order to fulfill the needs of them, an accessible health facility that provides ANC with qualified services for the community is needed. This study aims to determine the utilization of maternal health services as preparation for safe delivery. Analysis of this study used the data from National Health Indicator Survey (Sirkesnas) 2016 and Village Potential Census (Podes) 2014. The analysis technique was multivariable logistic regression. The results showed that the use of qualified ANC tended to be used by mothers who were examined by midwives in health centers, highly educated mothers, those who were living in moderate and good neighborhoods, not living in slums (social environment) and residing in Java-Bali region.  It can be concluded that midwives and location of ANC provided important role to improve the utilization of ANC services as an ideal preparation for safe delivery. Keywords: Quality of ANC, maternal health, living environment, social environment   ABSTRAK Pemeriksaan kehamilan atau antenatal care (ANC) merupakan upaya untuk menjaga kesehatan ibu hamil dan bayinya. Dalam  memenuhi kebutuhan tersebut, diperlukan fasilitas kesehatan yang mudah diakses oleh masyarakat serta pelayanan pemeriksaan ANC yang berkualitas. Penelitian ini bertujuan untuk mengetahui pemanfaatan pelayanan kesehatan ibu hamil sebagai persiapan persalinan yang aman.  Analisis menggunakan data Survei Indikator Kesehatan Nasional (Sirkesnas) tahun  2016 dan Potensi Desa (Podes) tahun 2014. Teknik analisis yang digunakan adalah regresi logistik multivariabel. Hasil uji regresi logistik multivariabel menunjukkan bahwa pemanfaatan ANC berkualitas cenderung digunakan oleh ibu yang diperiksa bidan di puskesmas, ibu berpendidikan tinggi, tinggal di lingkungan permukiman sedang dan baik, tidak tinggal di wilayah kumuh (lingkungan sosial) serta bertempat tinggal di Regional Jawa-Bali. Dapat disimpulkan bahwa bidan dan tempat ANC mempunyai peran sangat penting untuk meningkatkan pemanfaatan pelayanan ANC ideal sebagai persiapan persalinan yang aman. Kata kunci: Pelayanan kehamilan  berkualitas, kesehatan ibu hamil, lingkungan permukiman, lingkungan sosial

scholarly journals Maternal Health Care Among Refugees and Host Communities in Northern Uganda: Access, Quality, and Discrimination

2021 ◽  
Vol 2 ◽  
Author(s):  
Siri Aas Rustad ◽  
Helga Malmin Binningsbø ◽  
Haakon Gjerløw ◽  
Francis Mwesigye ◽  
Tony Odokonyero ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Health Facility ◽  
Maternal Health Services ◽  
Maternal Health Care ◽  
Host Community ◽  
Northern Uganda

Introduction: Uganda is one of the largest refugee-hosting nations in the world, with the majority of the refugees having fled South Sudan. In the early 2000's the local government and refugee health systems were merged to create a more equal and integrated system for refugees and the host population. Our aim is to investigate whether mothers from the two groups experience the same access to and quality of maternal health services, and whether refugee- and host-community mothers perceive the maternal health services differently.Methods: In November–December 2019, we conducted a household survey of 1,004 Ugandan nationals and South Sudanese refugee mothers aged 15–49 in the West Nile region covering the districts of Arua, Yumbe, and Adjumani, and elicited information on access to maternal health care services, perceptions of the quality of services, and feelings of discrimination. The data was then analyzed using Ordinary Least Squares and logistic regression.Results: Our analyses do not reveal large differences between refugees and the host community in terms of access to and the quality of maternal health services. Results from bivariate models indicate that refugee mothers are 6% points less likely to receive antenatal care (p-value < 0.05) but are 8% points more likely to give birth at a health facility (p-value < 0.05). Refugee mothers are generally less satisfied with how they were treated during antenatal care (0.132 lower average value on a Likert scale, p-value < 0.01). Refugee mothers are also 4% points more likely to feel discriminated against during ANC compared to their counterparts in the host community (p-value < 0.05).Discussion: The way women feel treated at the health facility during maternal health care is an important aspect of quality care. While there seems to be equal access to resources between refugees and host community mothers in Northern Uganda in terms of access to and quality of care, there is still a discrepancy between the two groups in terms of how the women feel treated. Policymakers and practitioners in the health sector should pay attention to these perceived inequalities between refugees and women from the host communities to ensure equally inclusive treatment across groups.

Antenatal Care in Sudan: A Qualitative Study Into Accessibility and Quality of Maternal Health Services in Khartoum

2018 ◽  
Vol 8 (2) ◽  
pp. 77-86
Author(s):  
Rayan Mohamed-Ahmed ◽  
Muna Abdel Aziz ◽  
Richard Walker
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Cost Effective ◽  
Maternal Health Services ◽  
Modern Medicine ◽  
Group Discussions ◽  
Maternal Deaths ◽  
Physical Barriers

Antenatal care is shown to be a cost-effective intervention for reducing rates of maternal mortality. However, utilization of maternal health services in Sudan remains low and maternal deaths high. This study aims to investigate why Sudanese women do not attend antenatal care, satisfaction with services and views on improving uptake. Focus group discussions took place, with 30 women who had delivered in the past year, in five areas in Khartoum. Themes in transcripts were identified. Factors that can affect a woman’s choice to attend antenatal care extend beyond physical barriers and include misconceptions of it’s use, conflict between faith and modern medicine and dissatisfaction with previously used services. The care provider’s perceived lack of empathy, unpunctuality and lack of health promotion can also contribute to underutilization.

scholarly journals Kualitas Lingkungan Kerja dan Kinerja Bidan Puskesmas dalam Pelayanan Kesehatan Ibu

2014 ◽  
pp. 265 ◽  
Author(s):  
Sri Purnama Rezeki ◽  
Dumilah Ayuningtyas
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Community Health ◽  
Community Health Centers ◽  
Maternal Health Services ◽  
Health Centers ◽  
Quality Of Work Life ◽  
P Value ◽  
Quality Of Work

Peningkatan angka kematian ibu dan kesenjangan cakupan pelayanan kesehatan ibu antar puskesmas, diasumsikan berhubungan dengan kinerja bidan yang dipengaruhi lingkungan tempat bekerja (puskesmas). Penelitian dengan desain potong lintang dengan metode kuantitatif dan kualitatif ini bertujuan mengetahui hubungan antara komponen quality of work life (QWL) dengan kinerja bidan puskesmas pada pelayanan kesehatan ibu. Studi ini dilaksanakan di 11 puskesmas wilayah kerja Kabupaten Bintan pada bulan Februari - Maret 2013. Data dikumpulkan dengan menggunakan kuesioner pada 67 responden dan wawancara pada 10 informan. Berdasarkan hasil penelitian, hanya 35,8% bidan puskesmas mempunyai skor kinerja di atas rata-rata, beberapa puskesmas mempunyai skor komponen QWL di bawah rata-rata. Hubungan yang signifikan ditemukan antara komponen keterlibatan karyawan (nilai p = 0,005) dan rasa bangga terhadap institusi (nilai p = 0,039) dengan kinerja bidan puskesmas dalam pelayanan kesehatan ibu.Increasing maternal mortality ratio and also gaps of the maternal health services scope among community health centers, assumed related to the performance of midwife clinics who is affected by the environment in which working (community health centers). This cross sectional study with quantitative and qualitative approaches aims to determine the relationship between Quality of Work Life (QWL) components with the midwives clinics performance in maternal health services. The study is implemented in 11 community health centers in working area Bintan Regency in February - March 2013. Data are collected by using questionnaires with 67 respondents and interview with 10 informants. Based on the study results, only 35.8% midwives clinics having performance scores above average, some community health center having component QWL scores below average. There is a relationship between employee engagement (p value = 0.005) and sense ofpride to the institution (p value = 0.039) with midwives clinics performance in maternal health services.

scholarly journals Improving maternal health services through social accountability interventions in Nepal: an analytical review of existing literature

2020 ◽  
Vol 41 (1) ◽  
Author(s):  
Adweeti Nepal ◽  
Santa Kumar Dangol ◽  
Anke van der Kwaak
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Health System ◽  
Maternal Health Services ◽  
Policy Formulation ◽  
Social Accountability ◽  
The Social ◽  
The Government ◽  
The Impact

Abstract Background The persistent quality gap in maternal health services in Nepal has resulted in poor maternal health outcomes. Accordingly, the Government of Nepal (GoN) has placed emphasis on responsive and accountable maternal health services and initiated social accountability interventions as a strategical approach simultaneously. This review critically explores the social accountability interventions in maternal health services in Nepal and its outcomes by analyzing existing evidence to contribute to the informed policy formulation process. Methods A literature review and desk study undertaken between December 2018 and May 2019. An adapted framework of social accountability by Lodenstein et al. was used for critical analysis of the existing literature between January 2000 and May 2019 from Nepal and other low-and-middle-income countries (LMICs) that have similar operational context to Nepal. The literature was searched and extracted from database such as PubMed and ScienceDirect, and web search engines such as Google Scholar using defined keywords. Results The study found various social accountability interventions that have been initiated by GoN and external development partners in maternal health services in Nepal. Evidence from Nepal and other LMICs showed that the social accountability interventions improved the quality of maternal health services by improving health system responsiveness, enhancing community ownership, addressing inequalities and enabling the community to influence the policy decision-making process. Strong gender norms, caste-hierarchy system, socio-political and economic context and weak enforceability mechanism in the health system are found to be the major contextual factors influencing community engagement in social accountability interventions in Nepal. Conclusions Social accountability interventions have potential to improve the quality of maternal health services in Nepal. The critical factor for successful outcomes in maternal health services is quality implementation of interventions. Similarly, continuous effort is needed from policymakers to strengthen monitoring and regulatory mechanism of the health system and decentralization process, to improve access to the information and to establish proper complaints and feedback system from the community to ensure the effectiveness and sustainability of the interventions. Furthermore, more study needs to be conducted to evaluate the impact of the existing social accountability interventions in improving maternal health services in Nepal.

scholarly journals The Correlation of Maternal Factors and The Quality of Antenatal Care Services With Low Birth Weight Babies In Health Facilities Level I

2018 ◽  
Vol 3 (1) ◽  
pp. 103
Author(s):  
Wira Meiriza ◽  
Aladin Aladin ◽  
Edison Edison
Keyword(s):  
Birth Weight ◽  
Maternal Health ◽  
Nutritional Status ◽  
Antenatal Care ◽  
Maternal Age ◽  
Economic Status ◽  
Maternal Factors ◽  
Care Services ◽  
Low Birth Weight Babies

Infant Mortality Rate in West Sumatra still increased from 96 cases in 2015 becomes 111 cases in 2016. One of the contributors to this was the case of Low Birth Weight Babies (LBWB), wich is birth weight < 2500 grams. Causative factors of LBWB are derived from maternal factors because it is related to fetal growth, starting from the moment of conception until the baby is born. Maternal health is very influential towards the growth and development of the fetus. In addition, Antenatal Care is also require to monitor maternal health. Antenatal service care quality can detect the occurrence of risk in pregnancy. This study aims to determine the relationship of maternal factors based on maternal age, parity, distance of pregnancy, complications of pregnancy, economic status, nutritional status, anemia status, antenatal care implementation and the quality of antenatal care services with LBWB incidence on health facilities level 1 in Padang City.This study used a comparative cross-sectional design totalling 72 respondents consisting of a group of mothers who gave birth to babies with birth weight < 2500 grams and ≥ 2500 grams using consecutive sampling technique. Then conducted interviews and observations by using questionnaires as well as data processing were carried out using SPSS. The results showed there was a correlation between pregnancy complications (p = 0.033), anemia status (p = 0.016) and the implementation of antenatal care (p = 0.000) with the incidence of LBWB, while the unrelated were maternal age (p = 0.405), parity (p = 1,000), pregnancy distance (p = 1,000), economic status (p = 0.637), nutritional status (p = 0.326), and quality of antenatal care services (p = 0.812).The conclusion of this study is that there is no correlation between the quality of antenatal care services and the incidence of LBWB, and the implementation of antenatal care is the dominant factor related with the incidence of LBWB in Padang City.

Interrelationships Between Maternal Health Services in Uganda: A Structural Equation Analysis

2019 ◽  
Author(s):  
Ruth Atuhaire
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Health Facility ◽  
Structural Equation ◽  
First Trimester ◽  
Maternal Health Services ◽  
Facility Delivery ◽  
Health Facility Delivery ◽  
Mediating Factor

Abstract Background Maternal health care and treatment services have a bearing on maternal mortality. Direct and Indirect factors affecting Maternal health outcomes therefore require understanding to enable well targeted interventions. This study, therefore, assessed the interrelationships between early antenatal care, health facility delivery and early postnatal care.Methods We investigated Maternal Health services using utilizing Antenatal care (ANC) within three months of pregnancy, Health facility delivery and utilizing postnatal care (PNC) within 48 hours after childbirth. The 2016 Uganda Demographic and Health Survey data was used. During analysis, a Generalized Structural Equation Model using logistic link and binomial family option was used. The interrelated (Endogenous) outcomes were timely ANC, health facility delivery and timely PNC.Results Timely ANC (aOR=1.04; 95% CI=0.95-1.14) and(aOR=1.1; 95% CI=1.00-1.26) was directly related to increased odds of health facility delivery and timely PNC respectively. Factors that increased the odds of timely ANC as a mediating factor for health facility delivery and timely PNC were women age 35-39 (aOR=1.18; 95% CI=0.99-1.24) compared to women age 15-19, completing primary seven (aOR=1.68; 95% CI=1.58-1.81) compared to some primary, available health workers (aOR=1.06; 95% CI=0.97-1.18), complications (aOR=2.04; 95% CI=1.89-2.26) and desire for pregnancy(aOR=1.15; 95% CI=1.03-1.36). Factors that reduced the odds of timely ANC were being married (aOR=0.93; 95% CI=0.89-1.20), distance and cost of service being problematic (aOR=0.97; 95% CI=0.85-1.1) (aOR=0.5; 95% CI=0.37-0.82) respectively. Factors that significantly influenced health facility delivery through timely ANC were; unmarried (OR=1.03; (=1.04*0.99)), distance being problematic ((aOR=1.0; (=1.04*0.97)) and complications (aOR=2.02; (=1.04*1.94)). Factors that significantly influenced timely PNC through timely ANC were; women age 35-39 (aOR=1.3; (=1.18*1.1)) compared to 15-19, completing primary seven (aOR=1.68; (=1.68*1.1))compared to some primary and service cost being problematic (aOR=0.55; (=0.5*1.1)). Surprisingly, health facility delivery was not statistically significant as a mediator for timely PNC.Conclusion Attending antenatal care within first trimester was a mediating factor for health facility delivery and early postnatal care. Interventions in maternal health should focus on factors that increase antenatal care first trimester attendance in resource limited settings. Furthermore, Government should reduce on costs of attaining all maternal health services and emphasize girl education completion.

Strategies to improve maternal and reproductive health

2018 ◽  
pp. 126-132
Author(s):  
Address Malata ◽  
Jennifer Hall ◽  
Martha Kamanga
Keyword(s):  
Maternal Health ◽  
Reproductive Health ◽  
Healthcare Services ◽  
Maternal Health Services ◽  
Global Strategy ◽  
Fertility Rates ◽  
Quality Healthcare ◽  
Maternal Risk ◽  
Health Strategy

Many single interventions are available to enhance access to and quality of maternal health services but none alone can significantly reduce the rate of maternal mortality in a population. Factors such as rapid urbanisation, political unrest, changes in fertility rates, or growing numbers of institutional births, change the scenario of maternal risk and call for reappraisal of a country’s maternal health strategy and programme priorities. Strategies to improve maternal health, such as the Global Strategy for Women’s and Children’s Health, act as a roadmap to ensure that every woman and her newborn survive. It is vital to consider both the whole reproductive, maternal, neonatal, child, and adolescent health continuum of care, and all levels of healthcare, from community to tertiary settings to improve maternal health. Furthermore, women must be empowered to take decisions about their own health and access to quality healthcare services must be improved.

scholarly journals Persistence of the inverse care law in maternal health service utilization: An examination of antenatal care and hospital delivery in Ghana

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Coretta M.P. Jonah
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Maternal Health Services ◽  
Maternal Health Service ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Know How ◽  
The Past ◽  
Inverse Care Law ◽  
Maternal Health Outcomes

The gap in maternal health outcomes, access and utilization between the haves and have-nots continues to be a challenge globally despite improvements over the past decade. Though Ghana has experienced steady gains in maternal health access and utilization over the years, maternal outcomes, on the other hand, remain poor. In this regard, it is essential to know how various groups in the population achieved improvements and whether some women continue to be disproportionately disadvantaged. The paper performs an analysis of cross-sectional data from the 2017 Ghana maternal health survey to examine the existence of the inverse care law in maternal health services in Ghana. Using descriptive techniques and multivariate logistic regression models the study reveals a pro-rich and pro-urban gradient in the use of hospital facilities for delivery and antenatal care attendance — also, regions known for their high levels of poverty feature significantly lower rates of hospital deliveries. The paper concludes by stressing that unless policies are changed to accommodate these groups, overall gains in maternal health will continue to be incremental.

scholarly journals Association between male involvement during antenatal care and use of maternal health services in Mwanza City, Northwestern Tanzania: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036211
Author(s):  
Clara C Natai ◽  
Neema Gervas ◽  
Frybert M Sikira ◽  
Beatrice J Leyaro ◽  
Juma Mfanga ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Male Involvement ◽  
Maternal Health Services ◽  
Cross Sectional Study ◽  
Growth Monitoring ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mwanza City

BackgroundMale involvement in antenatal care (ANC) is among interventions to improve maternal health. Globally male involvement in ANC is low and varies in low-income and middle-income countries including Tanzania where most maternal deaths occur. In Sub-Sahara, men are chief decision makers and highly influence maternal health. In Tanzania information is limited regarding influence of male involvement during ANC on utilisation of maternal health services.ObjectivesTo determine the effect of male involvement during ANC on use of maternal health services in Mwanza, Tanzania.DesignA cross-sectional study conducted from June to July 2019.SettingThis study was conducted at seven randomly selected health facilities providing reproductive, maternal and child health (RCH) services in Mwanza City.ParticipantsIncluded 430 postpartum women who delivered 1 year prior to the study and attending for RCH services (growth monitoring, vaccination, postpartum care).Outcome measures4 or more ANC visits, skilled birth attendant (SBA) use during childbirth and postnatal care (PNC) utilisation 48 hours after delivery.MethodsInterviews and observation of the women’s ANC card were used to collect data. Data was entered, cleaned and analysed by SPSS.ResultsThe mean age of participants was 25.7 years. Of 430 women, 54.4% reported their partners attended ANC at least once, 69.7% reported they attended for four or more ANC visits during last pregnancy, 95% used SBAs during childbirth and 9.2% attended PNC within 48 hours after delivery. Male involvement during ANC was significantly associated with four or more ANC visits (Crude Odds Ratio (COR): 1.90; 95% CI: 1.08–3.35) but not with SBA use or PNC utilisation.ConclusionMale involvement in ANC is still low in Mwanza, as 46% of the partners had not attended with partners at ANC. Alternative strategies are needed to improve participation. Studies among men are required to explore the barriers of participation in overall RCH services.

Sign in / Sign up

Export Citation Format

Share Document