scholarly journals PENINGKATAN KUNJUNGAN IBU HAMIL DI PUSKESMAS SEBAGAI EFEK DIGUNAKANNYA ULTRASOUND PADA PEMERIKSAAN KEHAMILAN

2020 ◽  
Vol 10 (2) ◽  
pp. 141-152
Author(s):  
Ingan Tarigan ◽  
Tita Rosita ◽  
Tin Afifah ◽  
Soewarta Kosen
Keyword(s):  
Antenatal Care ◽  
Health Workers ◽  
Community Health Center ◽  
Total Sample ◽  
Mortality Rates ◽  
Pregnancy Complication ◽  
Health Facilities ◽  
Health Centers ◽  
Ultrasound Device ◽  
The Government

Abstract Background: Maternal and neonatal mortality rates are still a problem in Indonesia. Various efforts have been made, such as training and placing midwives in villages, increasing the number of deliveries performed in health facilities. There is a consensus that an important intervention is to provide appropriate health facilities managed by trained health workers who assist in childbirth, including midwives and doctors. One of the means of infrastructure that needs to be considered available at the community health center (puskesmas) is an ultrasound device to detect pregnancy complications. Objective: The purpose of this study was to determine the effect of the use of ultrasound devices to increase antenatal care (ANC) to health centers. Method: the study design was a quasi-experiment conducted at 20 puskesmas in Bogor district. Analyses was conducted in descriptive, the total sample participating in the study was 4,049 cases, but only 3,314 cases were analysed. Result: The results of the study prove that the availability of USG at the puskesmas increases ANC visits to the puskesmas. The availability of ultrasound and the use of ultrasound affect the number of ANC visits to health facilities, especially to puskesmas. As an attraction for screening and ANC during pregnancy, the government needs to provide an ultrasound device at puskesmas. Key words: Ultrasoundgraphic, antenatal care, Puskesmas, midwives, pregnancy complication Abstrak Latar belakang: Angka kematian ibu dan neonatal masih merupakan masalah di Indonesia. Berbagai upaya telah dilakukan, seperti melatih dan menempatkan bidan di desa, meningkatkan jumlah persalinan yang dilakukan di fasilitas kesehatan. Ada konsensus yang menyatakan bahwa intervensi yang penting dilakukan adalah memberikan fasilitas kesehatan yang layak dikelola oleh tenaga kesehatan terlatih yang menolong persalinan, antara lain bidan dan dokter. Salah satu sarana prasarana yang perlu dipertimbangkan tersedia di puskesmas adalah alat ultrasound untuk mendeteksi komplikasi kehamilan. Tujuan:  mengetahui pengaruh penggunaan alat USG terhadap peningkatan antenatal care (ANC) ke puskesmas. Metode: disain penelitian adalah quasi eksperimen yang dilakukan pada 20 puskesmas di kabupaten Bogor. Analisis dilakukan secara deskriptif, total sampel yang berpatisipasi dalam penelitian 4.049 kasus, namun yang di analisis hanya 3.314 kasus.  Hasil: Ketersedian USG di puskesmas meningkatkan kunjungan ANC ke puskesmas. Ketersediaan USG dan penggunaan USG mempengaruhi jumlah kunjungan ANC ke fasilitas kesehatan, khususnya ke puskesmas. Sebagai daya Tarik untuk melakukanskrining dan ANC pada saat kehamilan, maka pemerintah perlu menyediakan alat USG di puskesmas.   Kata kunci: Ultrasound, Antenatal Care, Puskesmas, Bidan, Komplikasi Kehamilan

scholarly journals Penerapan Face Shield Bagi Tenaga Medis Untuk Menangani Pasien Covid-19 di Kota Batu Jawa Timur

2021 ◽  
Vol 2 (1) ◽  
pp. 1-6
Author(s):  
Mochamad Arif Irfai1 ◽  
Muchlis Arif ◽  
Nova Kristiana ◽  
I Made Arsana4
Keyword(s):  
Community Health ◽  
Community Health Centers ◽  
Health Workers ◽  
Medical Personnel ◽  
Health Facilities ◽  
Health Centers ◽  
Referral Hospitals ◽  
The Government ◽  
Activity Questionnaires ◽  
Helmet Design

The purpose of this activity is to assist the government in providing and distributing face shields for medical personnel at referral hospitals to treat covid-19 patients. At first we analyzed the problems with partners (hospitals and community health centers). The results of the analysis show that hospitals and health centers lack a helmet-face shield for medical personnel to treat covid-19 patients. Based on the results of discussions and requests from the partner. Then the design is carried out to manufacture a helmet-face shield. There are 2 PPE made, The first type is only a face shield and the second type is obtained a helmet design that is equipped with a face shield or can be called a helmet-face shield. At the end of the activity, questionnaires were distributed to respondents consisting of doctors, nurses and other medical personnel. Respondents were selected randomly in health facilities in Batu, East Java. The response from medical personnel has generally been positive. This can be seen from the questionnaires distributed to respondents. More than 90% of the results of the questionnaire stated that helmet-face shield and face shield products could be accepted by health workers.

scholarly journals THE CHILDBIRTH UTILIZATION IN HEALTH FACILITIES IN THE WORKING AREA OF SUNGAI LOKAN PHC TANJUNG JABUNG TIMUR REGENCY: A CROSS SECTIONAL STUDY

NSC Nursing ◽  
2021 ◽  
pp. 20-33
Author(s):  
Lia Artika Sari ◽  
Yuli Suryanti ◽  
Enny Susilawati
Keyword(s):  
Health Center ◽  
Family Support ◽  
Health Workers ◽  
Community Health Center ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Service Access ◽  
Cross Sectional ◽  
Family Culture ◽  
Work Area

Introduction: The low number of deliveries assisted by midwives or health workers is an indicator of the low utilization of health facilities by mothers in labor. This study analyzes the factors related to the utilization of childbirth in health facilities in the Sungai Lokan Community Health Center Work Area, Tanjung Jabung Timur Regency. Materials and Methods: This research is an analytic observational using a cross-sectional approach involving 74 participants. The research was conducted from January to July 2019 in the Sungai Lokan Health Center Work Area, Tanjung Jabung Timur Regency. Results: The results showed that the factor of the utilization of childbirth in health facilities was related to family culture (p = 0.0001) and family support (p = 0.003), while the service access factor was not related (p = 0.364). Conclusion: The role of health workers in socializing the importance of utilizing health facilities as a place of delivery is significant in reducing maternal mortality Keywords: Health Facilities; Family Culture; Family Support; Access To Services

scholarly journals An assessment of mental health programs at community health centers in north Minahasa, Indonesia

2021 ◽  
Vol 8 (12) ◽  
pp. 5707
Author(s):  
Jessica Gloria Mogi ◽  
Gustaaf A. E. Ratag
Keyword(s):  
Mental Health ◽  
Community Health ◽  
Community Health Centers ◽  
Supported Employment ◽  
Health Workers ◽  
Health Facilities ◽  
Health Centers ◽  
Healthcare Facilities ◽  
Family Approach ◽  
Mental Health Programs

Background: The Indonesian government recognizes the importance of mental health issues as indicated by the inclusion of such issues as indicators in the national program, the Healthy Indonesian Program with Family Approach (PIS-PK). This program is enforced in community health centers (puskesmas) in every regency in the country. However, the continually increasing number of mental disorder cases and the intense stigmatization of people with these disorders indicate the need to re-evaluate the capacity and delivery of designated centers’ mental health programs.Methods: This community survey involved interviewing the program directors of four community health centers in north Minahasa using the WHO-AIMS 2.2 questionnaire.Results: Very little effort has been made to improve mental health facilities and programs. Examples of aspects of health facilities that are lacking include training for health workers, the provision of psychotropic drugs, and supported employment or occupational rehabilitation.Conclusions: Community health centers are primary healthcare facilities for society. Therefore, mental health services should be implemented as one of their main programs.

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.

The Description of Knowledge about Antenatal Care in Village X Bandung Regency in 2019

2021 ◽  
Vol 8 (1) ◽  
pp. 033-037
Author(s):  
Antri Ariani ◽  
Andria Pragholapati
Keyword(s):  
Antenatal Care ◽  
Gestational Age ◽  
Health Workers ◽  
Mortality Rates ◽  
Knowledge Questionnaire ◽  
Care Visit ◽  
High Knowledge ◽  
Quantitative Descriptive ◽  
Postpartum Mothers ◽  
Improve Health

The lack of maternal Antenatal care visit is one of the determinants that cause maternal mortality rates in Indonesia. Antenatal care is care for pregnant women during pregnancy, starting from conception to the birth of the fetus. The purpose of this study was to study the Antenatal Care Knowledge Overview in Village X Bandung Regency in 2019. The design of this study was quantitative descriptive with 74 postpartum mothers respondents. Data were collected using a knowledge questionnaire. The results obtained from the knowledge of Antenatal Care in Village X Bandung Regency in 2019 were high knowledge of Antenatal Care (73%) and low knowledge of 27%. The conclusion of the study showed respondents who had high knowledge of ANC was more than 73% compared to those who had low knowledge of 27%. Health workers need to improve health education for mothers with high gestational age and home visits.

scholarly journals Adherence to malaria rapid diagnostic test results and a qualitative study on Health Workers perception about the test in Agona East District of Ghana

2020 ◽  
Author(s):  
Selina Ansah-Koi
Keyword(s):  
Diagnostic Test ◽  
Rapid Diagnostic Test ◽  
Health Workers ◽  
Health Planning ◽  
National Level ◽  
Health Facilities ◽  
Health Centers ◽  
Quantitative Aspect ◽  
Test Results ◽  
Negative Test

Abstract Background Ghana has adopted the policy of diagnostically testing for malaria before treatment. The Rapid Diagnostic Test (RDT) is used to diagnose malaria especially in lower health facilities like Health Centers (HC) and Community-based Health Planning Services (CHPS) Compounds without microscopy. Studies have shown that clinicians do not always adhere to negative malaria test results of the RDT and prescribe anti-malarials. Methods Quantitative aspect focused on how malaria is diagnosed and adherence to negative rapid diagnostic test results using the consulting room register and patients’ folder of six health facilities within the period of July to September 2015. In-depth interviews using purposive sampling was conducted for 14 health workers at Health Centers and CHPS compounds to find out their perceptions about malaria RDT and reasons for adherence or non-adherence to test results.Results Of the six health facilities in the Agona East District, 3.87% (14/362) were presumptively diagnosed with malaria whiles 96.10% (348/362) were diagnosed with malaria using RDT.For those tested with RDT, 15.25% tested negative and 84.75% tested positive. Of those who tested negative, 20.75% were given anti-malarials and 79.25% did not receive anti-malarials. Health workers perceived the Malaria RDT kit as easy to use and also as making work easier. Testing is done mainly because it is a policy. Conclusion The malaria testing rate in the Agona East District is higher than that at the National level. Health Centers compared to CHPS compounds are likely to treat for malaria in cases of a negative test result. There is also high adherence to negative test results. Health workers perceive the RDT as a useful tool which has made malaria diagnosis easy.

scholarly journals Hubungan Keteraturan Antenatal Care pada Ibu Hamil Trimester III dengan Kejadian Pre Eklamsia di Puskesmas Banjarsengon kabupaten Jember.

2020 ◽  
Vol 5 (1) ◽  
pp. 1-6
Author(s):  
Ayu Puteri Nur Perdani
Keyword(s):  
Data Collection ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Quantitative Research ◽  
Health Workers ◽  
Mortality Rates ◽  
Third Trimester ◽  
Cross Sectional ◽  
Relationship Of ◽  
The Relationship

Antenatal care is one form of health services for pregnant women which if done regularly can reduce both maternal and infant mortality rates, by conducting regular antenatal care it is expected that pregnant women and fetuses can be monitored for their development by health workers. This study aims to determine the relationship of regular antenatal care in third trimester pregnant women with the incidence of Pre-eclampsia in Banjarsengon Health Center, Jember Regency. This study uses a quantitative research design with a cross-sectional approach. Respondents in this study were 20 people with purposive sampling data collection techniques. Data were analyzed using exact fisher. The results of this study found that there is a relationship between regular Antenatal care in Trimester III pregnant women with the incidence of Pre-Eclampsia.

scholarly journals Why do women attend antenatal care but give birth at home? a qualitative study in a rural Ghanaian District

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261316
Author(s):  
Kennedy A. Alatinga ◽  
Jennifer Affah ◽  
Gilbert Abotisem Abiiro
Keyword(s):  
Antenatal Care ◽  
Health Workers ◽  
Belief Systems ◽  
Home Delivery ◽  
Health Facilities ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Women’S Autonomy ◽  
Women's Autonomy ◽  
At Home

Background The Sustainable Development Goal Three has prioritised reducing maternal, under-5 and neonatal mortalities as core global health policy objectives. The place, where expectant mothers choose to deliver their babies has a direct effect on maternal health outcomes. In sub-Saharan Africa, existing literature has shown that some women attend antenatal care during pregnancy but choose to deliver their babies at home. Using the Andersen and Newman Behavioural Model, this study explored the institutional and socio-cultural factors motivating women to deliver at home after attending antenatal care. Methods A qualitative, exploratory, cross-sectional design was deployed. Data were collected from a purposive sample of 23 women, who attended antenatal care during pregnancy but delivered their babies at home, 10 health workers and 17 other community-level stakeholders. The data were collected through semi-structured interviews, which were audio-recorded, transcribed and thematically analysed. Results In line with the Andersen and Newman Model, the study discovered that traditional and religious belief systems about marital fidelity and the role of the gods in childbirth, myths about consequences of facility-based delivery, illiteracy, and weak women’s autonomy in healthcare decision-making, predisposed women to home delivery. Home delivery was also enabled by inadequate midwives at health facilities, the unfriendly attitude of health workers, hidden charges for facility-based delivery, and long distances to healthcare facilities. The fear of caesarean section, also created the need for women who attended antenatal care to deliver at home. Conclusion The study has established that socio-cultural and institutional level factors influenced women’s decisions to deliver at home. We recommend a general improvement in the service delivery capacity of health facilities, and the implementation of collaborative educational and women empowerment programmes by stakeholders, to strengthen women’s autonomy and reshape existing traditional and religious beliefs facilitating home delivery.

scholarly journals HUBUNGAN PEMANFAATAN DANA BANTUAN OPERASIONAL KESEHATAN TERHADAP PENINGKATAN CAKUPAN PEMERIKSAAN KEHAMILAN DAN PERSALINAN DI FASILITAS KESEHATAN

2020 ◽  
Vol 11 (1) ◽  
pp. 79-88
Author(s):  
Suparmi Suparmi ◽  
Iram Barida Maisya ◽  
Anissa Rizkianti ◽  
Ika Saptarini ◽  
Ario Baskoro
Keyword(s):  
Public Health ◽  
Maternal Health ◽  
Linear Regression ◽  
Antenatal Care ◽  
Health Workers ◽  
Pearson Correlation ◽  
Health Facilities ◽  
P Value ◽  
Correlation Test ◽  
Pearson Correlation Test

Abstract Background: Health Operational Assistance (BOK) is a central government fund allocation to support the operation of Health Center (Puskesmas) to increase promotive and preventive activities related to public health, including maternal health. Objective: This study aims to determine the relationship of BOK utilization on maternal health service coverage. Method: The study used secondary data from the Ministry of Health e-Renggar Planning and Budget Bureau, Statistics Indonesia, the Ministry of Finance and the 2018 Public Health Development Index (IPKM) report. The unit of analysis is districts. Bivariate analysis was performed by Pearson correlation test, while multivariate analysis was performed by linear regression using SPSS software version 15. Results: The result of Pearson correlation test showed that BOK utilization was positively correlated with an increase in the antenatal care coverage (r = 0.294; p-value = 0,000) and coverage of deliveries by health workers in health facilities (r = 0.227; p-value = 0,000). The results of linear regression analysis showed BOK utilization, the percentage of poverty and the adequacy of posyandu have a significant relationship with antenatal care coverage and coverage of delivery assisted by health workers in health facilities. Conclusion: The health operational fund utilization increase antenatal care coverage and coverage of delivery assisted by health workers in health facilities. Therefore, it is necessary to optimize the use of BOK for the achievement of priority public health programs, especially for innovative activities that have a high degree of leverage towards the achievement of SDGs so that the target in reducing Maternal Mortality Rate (MMR) can be achieved. Keywords: health operational fund, maternal health, coverage, services   Abstrak Latar Belakang: Bantuan Operasional Kesehatan (BOK) merupakan salah satu sumber pembiayaan dari pemerintah pusat untuk menunjang operasional Puskesmas dalam meningkatkan upaya promotif dan preventif terkait kesehatan masyarakat, salah satunya kesehatan ibu. Tujuan: Studi ini bertujuan untuk mengetahui hubungan pemanfaatan BOK terhadap cakupan pelayanan kesehatan ibu. Metode: Studi ini menggunakan data sekunder dari laporan e-renggar Biro Perencanaan dan Anggaran Kementerian Kesehatan, Badan Pusat Statistik, Kementerian Keuangan dan laporan Indeks Pembangunan Kesehatan Masyarakat (IPKM) tahun 2018. Unit analisis adalah Kabupaten/Kota. Analisis bivariate dilakukan dengan uji korelasi pearson, sedangkan analisis multivariate dilakukan dengan regresi linier menggunakan software SPSS versi 15. Hasil: Hasil analisis uji korelasi pearson menunjukkan bahwa persentase realisasi BOK berkorelasi positif dengan peningkatan cakupan pemeriksaan kehamilan K4 (r=0,294; p-value=0,000) dan cakupan persalinan oleh tenaga kesehatan di fasilitas kesehatan (r=0,227; p-value=0,000). Hasil analisis regresi linier menunjukkan pemanfaatan BOK, persentase penduduk miskin dan kecukupan posyandu mempunyai hubungan bermakna dengan cakupan K4 dan cakupan persalinan ditolong oleh tenaga kesehatan di fasilitas kesehatan. Kesimpulan: Pemanfaatan BOK berhubungan dengan peningkatan cakupan K4 dan cakupan persalinan ditolong oleh tenaga kesehatan di fasilitas kesehatan. Optimalisasi pemanfaatan BOK untuk pencapaian program prioritas kesehatan masyarakat diperlukan, terutama untuk kegiatan-kegiatan inovatif yang memiliki daya ungkit tinggi terhadap pencapaian SDGs sehingga target dalam menurunkan Angka Kematian Ibu (AKI) dapat tercapai. Kata kunci: bantuan operasional kesehatan, kesehatan ibu, cakupan, pelayanan

scholarly journals THE ROLE OF PUNJAB RURAL SUPPORT PROGRAMME IN PROVIDING HEALTH FACILITIES TO RURAL WOMEN;

2018 ◽  
Vol 21 (05) ◽  
pp. 1033-1038
Author(s):  
Ayesha Riaz ◽  
Sher Muhammad ◽  
Ijaz Ashraf ◽  
Aisha Siddique ◽  
Khalid Mahmood Ch
Keyword(s):  
Social Services ◽  
Rural Women ◽  
Rural Areas ◽  
Health Workers ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Total Sample ◽  
Health Facilities ◽  
Poor People

Despite the fact that women account for more than half of the total worldpopulation, they are still not considered equal to men. The health of rural women in Pakistanis very poor because of the lack of health services and competent health workers. Besidesgovernment health centres, hospitals and many Non-Governmental Organizations (NGOs)are also working in the rural areas for providing social services to rural women. Punjab RuralSupport Programme is also working for socio-economic empowerment of rural women. PRSPbegan to provide health facilities to the poor people in villages through Basic Health Units(BHUs). Objectives: To analyze the role of PRSP in providing health facilities to women in ruralarea. Design: A multistage simple random sampling technique was used for the study. Setting:District Faisalabad. Material & Methods: The population for the study consisted of rural womenonly who were members of the Community Organizations (COs) of PRSP. Out of the eight townsof district Faisalabad, four towns which cover rural areas (Samundri, Iqbal town, Jaranwala,and Chak Jhumra) were selected. Four field units of PRSP are working in these four towns i.e.Salarwala in Chak Jhumra, Satiana in Jaranwala, Khidarwala in Samundri, and Dijkot in IqbalTown. These field units had 214, 203, 170 and 238 female COs, respectively. A sample of 10%COs was selected from each field unit randomly. Thus the total selected COs were 82. Fivemembers from each CO were selected at random. In this way the total sample size for the studywas 410 respondents. A reliable and validated data collection instrument consisting of openand close ended questions was used. The data were analyzed using SPSS. It was concludedthat respondents were satisfied with certain facilities like availability of female doctors in BHUs,availability of medicines and availability of competent and qualified paramedics. Provision ofbasic tests (blood, sugar, pregnancy and haemoglobin etc.) was very weak area which neededmuch improvement. Conclusions: It was also concluded that respondents were satisfied withthe behaviour of staff at BHUs. However, provision of basic medical equipment needed attentionfrom the authorities.

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