scholarly journals Multi Level Education Katoga Improve The Competence of Health Cadres, Public Figure, and Family in Preventing, Early Detection and Handling Pregnancy Emergency

2020 ◽  
Vol 4 (2) ◽  
pp. 118
Author(s):  
Ratna Hidayati ◽  
Dwi Setyorini
Keyword(s):  
High Risk ◽  
Mortality Rate ◽  
Early Detection ◽  
Community Empowerment ◽  
Infant Mortality Rate ◽  
Community Leaders ◽  
Community Leader ◽  
Public Figure ◽  
Multi Level ◽  
Education Training

Introduction: Extraordinary policies have been launched by the government to reduce Maternal Mortality Rate/ Infant Mortality Rate (MMR/IMR) , however this has not been comparable with the expected results. The purpose of this study was to determine the effectiveness of Katoga's multi-level education on the competence of cadres, public figure, and families in preventing, detecting early and handling emergency pregnancy to reduce MMR/IMR. Methods: This research study used action research with stratified respondents, 10 health cadres who will provide training to 30 community leader respondents and subsequently public figure will provide training to 60 selected families with simple random sampling. The independent variable was multi-level education and the dependent variable was competence in early detection of emergencies in pregnancy. Data were collected using a questionnaire and analyzed by t-test. Results: The results showed that the increasing of the competence in preventing, early detecting and handling emergency pregnancy after receiving multilevel education training in health cadres from the previous value of 70 to 93; in community leaders from 61.1 to 80.5 and in families from 58.0 to 78.9. There was a significant increase in competency with multi-level education training in increasing competency in a larger population with a cadre pValue of 0.003; community leaders 0,000 and families 0,000. Conclusions: Community empowerment in the health sector through multi-level education can spread knowledge in preventing, detecting high-risk pregnancies early and managing maternal emergencies so as to facilitate the task of health nurses to obtain information about pregnant women detected as high-risk populations.

scholarly journals Studi Kasus Kehamilan Dengan Risiko Tinggi

2021 ◽  
Vol 1 ◽  
pp. 1633-1641
Author(s):  
Linda Ratna Sari ◽  
F Fitriyani
Keyword(s):  
High Risk ◽  
Mortality Rate ◽  
Early Detection ◽  
Health Service Delivery ◽  
Infant Mortality Rate ◽  
Midwifery Care ◽  
Mild Anemia ◽  
Risk Patients ◽  
The Subject

AbstractMaternal mortality rate (MMR) and infant mortality rate (IMR) are determinants and benchmarks for the success of health service delivery. In 2019 Indonesia's Maternal Mortality Rate (MMR) is still high, at 305 per 100,000 live births. The purpose of this case study is to provide midwifery care during pregnancy to high-risk mothers aged over 35 years and mild anemia to minimize complications that will occur. The method of this case study is to provide midwifery care to pregnant women with high risk in the form of exposure to the subject of one client who experiences a high risk of pregnancy who will be given care during pregnancy. The results of this case study are given care to reduce the complaints felt by the client and carry out early detection to reduce the occurrence of complications. The conclusion of this case study is midwifery care for Ny. N during pregnancy in Pekalongan has been carried out on high-risk patients aged more than 35 years and mild anemia according to the needs and authority of the midwife so that it does not cause any complications. For this reason, midwives need to provide care as a form of early detection to reduce the incidence of complicationsKey Word: Maternity care, pregnant, high risk AbstrakAngka kematian ibu (AKI) dan angka kematian bayi (AKB) menjadi penentu dan tolak ukur keberhasilan penyelenggaraan pelayanan kesehatan. Pada tahun 2019 Angka Kematian Ibu (AKI) Indonesia masih tetap tinggi, yaitu 305 per 100.000 kelahiran hidup. Tujuan dari studi kasus ini adalah memberikan asuhan kebidanan selama masa kehamilan pada ibu dengan risiko tinggi usia diatas 35 tahun dan anemia ringan untuk meminimalkan komplikasi yang akan terjadi. Metode studi kasus ini adalah dengan pemberian asuhan kebidanan pada ibu hamil dengan risiko tinggi berupa pemaparan dengan subyek satu klien yang mengalami risiko tinggi dalam kehamilanya yang akan diberikan asuhan selama masa kehamilan. Hasil studi kasus ini diberikan asuhan untuk mengurangi keluhan yang dirasakan klien serta melakukan deteksi dini untuk mengurangi terjadinya komplikasi. Simpulan studi kasus ini adalah asuhan kebidanan pada Ny. N selama masa kehamilan Pekalongan sudah dilakukan pada pasien yang mengalami risiko tinggi usia lebih dari 35 tahun dan anemia ringan sesuai kebutuhan dan kewenangan bidan sehingga tidak menimbulkan komplikasi apapun. Untuk itu bidan perlu melakukan asuhan sebagai bentuk deteksi dini untuk mengurangi timbulnya komplikasiKata kunci: asuhan kebidanan, ibu hamil, risiko tinggi

scholarly journals Analisis Hubungan Faktor Internal Dan Eksternal Dengan Kinerja Bidan Desa Dalam Deteksi Dini Dan Penanganan Ibu Hamil Kekurangan Energi Kronik (KEK) di Kabupaten Grobogan Tahun 2015

2016 ◽  
Vol 4 (3) ◽  
pp. 206-213
Author(s):  
Rosmala Kurnia Dewi ◽  
Sri Achadi Nugraheni ◽  
Ayun Sriatmi
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Early Detection ◽  
Pregnant Women ◽  
Community Support ◽  
Health Facilities ◽  
Infant Mortality Rate ◽  
Live Births ◽  
Leader Support ◽  
Health Centres

Chronic Energy Deficiency (CED) is one of the causes of maternal and infant mortality indirectly. Maternal Mortality Rate (MMR) in Grobogan District increased gradually during the period of 2011 – 2012 from 26 cases (114.03/100,000 live births) to 34 cases (151.15/100,000 live births), and decreased sharply to be 22 cases (102.03/100,000 live births) in 2013. Meanwhile, Infant Mortality Rate (IMR) was 194 cases in 2011, rose dramatically in 2012 to be 240 cases, and declined sharply in 2013 to be 166 cases. Low Birthweight Babies (LBWB) was one of the causes of infant mortality because pregnant women suffered from CED during their pregnancies. The aim of this study was to analyse internal and external factors with performance of village midwives in conducting early detection and handling pregnant women with CED. This was an observational-analytic study using cross-sectional approach. Data were collected using structured questionnaires. Population was 243 village midwives at health centres in Grobogan District. As many as 71 village midwives were selected randomly using a technique of stratified random sampling. Data were analysed using analyses of bivariate (chi square test) and multivariate (logistic regression test). The results of this research showed that most of the respondents aged ranging from 20-35 years old (76.1%), had working period less than or equal to 6 years (53.5%), ever handled CED (81.7%). Variables of health facilities (p=0.001), fellow worker support (p=0.016), community support (p=0.001), leader support (p=0.0001) had significant relationship with the performance of village midwives in conducting early detection of pregnant women with CED. Factors jointly influencing the performance were health facilities (p=0.000; Exp(B)=25.395), and leader support (p=0.001; Exp(B)=10.278). As suggestions, health centres and District Health Office need to provide complete health facilities to improve performance of health workers in providing services.

scholarly journals The Competence of Health Workers in the Early Detection of Neonatal at the Puskesmas Ulee Kareng, Banda Aceh

2020 ◽  
Vol 7 (2) ◽  
pp. 12
Author(s):  
Dewi Marianthi ◽  
Teuku Alamsyah
Keyword(s):  
At Risk ◽  
Mortality Rate ◽  
Early Detection ◽  
Health Workers ◽  
Neonatal Care ◽  
Infant Mortality Rate ◽  
P Value ◽  
Quasi Experimental ◽  
Care Training ◽  
Banda Aceh

Infant mortality rate in Indonesia is quite high, and newborns have an even higher mortality rate compared to toodlesr or older infants. The competence of the health workers in identifying early detection of newborns at risk in the communit considered as one of the factors that generates  belated treatment in the health services. To increase the competence of health workers in early detection of newborns at risk by providing training for neonatal care. A quasi-experimental quantitative method, with one-group pretest-posttest design. The sample of the research is 45 health workers in Ulee Kareng Health Center, Banda Aceh. The result of the research revealed the increased competence in knowledge, attitudes and skills of the health workers with p value 0,0000 before and after the neonatal care training. Neonatal care training will increase the competence (knowledge, attitudes and skills) of health workers in early detection of newborns at risk.

scholarly journals Web-Based Partograph on Early Detection of Emergency Cases and Referral Processes

2019 ◽  
Vol 11 (6) ◽  
pp. 79
Author(s):  
Devianti Tandiallo ◽  
Mardiana Ahmad ◽  
Syafruddin Syarif ◽  
Nasrudin A. Mappaware ◽  
Prihantono Prihantono ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Early Detection ◽  
Warning System ◽  
Sampling Technique ◽  
Infant Mortality Rate ◽  
P Value ◽  
Web Based ◽  
Quasi Experimental ◽  
Emergency Detection ◽  
Better Than

INTRODUCTION: The partograph is designed as a tool to monitor a woman’s progress of labor. If it is used appropriately, the partograph can be used as a means of prevention and an early warning system to the need for further action such as caesarian section. The used of partograph is able to lower the percentage of Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). This study aimed to determine the comparison between word electric browser (WEB)-based partograph and the conventional partograph. MATERIALS & METHODS: This study aimed to compare between the use of WEB-based patorgaph and conventional patograph. To gain the data, the researcher adopted quasi experimental method. Using purposive sampling technique, 30 women in labour were participated in this study. The data were analyzed by using the Independent T- test and Mann-Whitney test. RESULTS: The result of the study showed that the utilization of WEB-based partograph is faster in recording the contraction, oxytocin, and the process of giving birth than the utilization of conventional partograph. Furtehrmore, promptness of WEB-based partograph in early detection has p-value 0.000 (<0.05) and p-value in emergency detection is 0.014 (<0.05) which means that there was differences between the use of WEB-based partograph and conventional partograph. Meanwhile, p-value of referral process is 1.000 (>0.05) which means that there was no difference in using both WEB-based partograph and conventional partograph. CONCLUSION: This means that using the monitoring of the WEB-based partograph or the conventional partograph showed differences. The utilization of WEB-based partograph is better than conventional partograph since it can be used as a means to monitor the progress of labour.

scholarly journals Early Detection of High Risk Pregnancy

2017 ◽  
Vol 12 (2) ◽  
pp. 225-232
Author(s):  
Arif Kurniawan ◽  
Colti Sistiarani ◽  
Bambang Hariyadi
Keyword(s):  
High Risk ◽  
Early Detection ◽  
Pregnant Women ◽  
Health Workers ◽  
Community Empowerment ◽  
High Risk Pregnancy ◽  
Study Approach ◽  
Women Health ◽  
Risk Pregnancy

There are 30.939 pregnant women in Banyumas, with 6.206 cases referred due to high-risk pregnancies. Petahunan village in Pekuncen has the the highest incidence of high-risk pregnancies compared with other villages. The purpose of this study is to describe the implementation of early detection of high-risk pregnancies in Petahunan village, Pekuncen. This study used qualitative research methods with case study approach. Research instruments used in-depth interviews and focus group disscussion toward early detection of high-risk pregnancy issue. The informants were 7 people include pregnant women, health workers, midwives, head of village and village health forum chairman. The result showed only antenatal care implemented to detect high-risk pregnancy and no programs and community empowerment efforts in early detection of high-risk pregnancies.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN PERSALINAN NORMAL DI KLINIK BERSALIN BUDI MULIA MEDIKA PALEMBANG PADA TAHUN 2011

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Nurdjani Nurdjani
Keyword(s):  
High Risk ◽  
Mortality Rate ◽  
Randomized Study ◽  
Infant Mortality Rate ◽  
Chi Square ◽  
Cross Sectional ◽  
Normal Delivery ◽  
Significance Level ◽  
Live Births ◽  
Health Organization

  ABSTRACT   Childbirth is a process in which the baby, placenta and amniotic membranes out of the mother's uterus at full term pregnancy after 37 weeks) without any complications.According to the Word Health Organization (WHO) estimates that more than 585 000 women die annually during pregnancy or childbirth. Indonesia Demographic Health Survey (IDHS) in 2008 states the maternal mortality rate (MMR) at delivery was 228 per 100,000 live births and infant mortality rate (IMR) 34 per 1,000 live births. The purpose of this study are known factors associated with normal delivery at the Budi Mulia Clinic in  Palembang 2011. This study uses analytic survey with cross sectional approach. The population in this study were all mothers in the maternity Maternity Budi Mulia Clinic in Palembang May 2011. Sampling was carried out on non-randomized study with the technique of "Accidental Sampling". Data analysis carried out univariate and bivariate statistics with Chi-Square test with significance level α = 0.05. The results showed there were from 38 respondents (65.7%) of respondents with a normal delivery, good knowledge (88.0%) had less knowledge (30.8%), age at high risk (10.0%) the age of risk (89 , 3%), and parity at high risk (27.3%) were low risk (85.2%). The results of this study showed no significant association between knowledge, maternal age and parity with normal deliveries at the Maternity Budi Mulia Clinic in Palembang  2011. From the results of this study, researchers hope to improve the health care workers and normal delivery care services more often to perform alarm counseling delivery.   ABSTRAK Persalinan adalah proses dimana bayi, plasenta dan selaput ketuban keluar dari uterus ibu pada usia kehamilan cukup bulan setelah 37-42  minggu tanpa disertai adanya penyulit. Menurut Word Health Organization (WHO) memperkirakan lebih dari 585.000 ibu pertahunnya meninggal saat hamil atau bersalin. Hasil Survei Demografi Kesehatan Indonesia (SDKI) tahun 2008 menyebutkan angka kematian ibu (AKI) saat melahirkan adalah 228 per 100.000 kelahiran hidup dan angka kematian bayi (AKB) 34 per 1.000 kelahiran hidup. Tujuan penelitian ini adalah diketahuinya faktor–faktor yang berhubungan dengan persalinan normal di Klinik Bersalin Budi Mulia Medika Palembang Tahun 2011. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi pada penelitian ini adalah semua ibu yang bersalin di Klinik Bersalin Budi Mulia Medika Palembang Pada Tahun 2011. Pengambilan sampel pada penelitian dilakukan secara non random dengan teknik “Accidental Sampling”. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan dari 38 responden terdapat (65,7%) responden dengan persalinan normal, pengetahuan baik (88,0%) yang pengetahuan kurang (30,8%), umur resiko tinggi (10,0%) yang umur resiko (89,3%), dan paritas resiko tinggi (27,3%) yang resiko rendah (85,2%). Hasil penelitian ini menunjukkan ada hubungan yang bermakna antara pengetahuan, umur ibu, dan paritas dengan persalinan normal di Klinik Bersalin Budi Mulia Medika Palembang Tahun 2011. Dari hasil penelitian ini, peneliti berharap petugas pelayanan kesehatan dapat meningkatkan pelayanan asuhan persalinan normal serta lebih sering untuk melaksanakan konseling tanda bahaya persalinan.

Early Detection of Hepatocellular Carcinoma Requires a Combined Surveillance Protocol in High-Risk Individuals

Endoscopy ◽  
2006 ◽  
Vol 38 (11) ◽  
Author(s):  
A Qasim ◽  
T Tajjudin ◽  
B Zaman ◽  
D Maguire ◽  
J Geoghegan ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
High Risk ◽  
Early Detection ◽  
Surveillance Protocol

EFEKTIFITAS KONSELING LAKTASI PADA IBU HAMIL TRIMESTER III TERHADAP PELAKSANAAN MENYUSUI

2019 ◽  
Vol 11 (1) ◽  
pp. 41-50
Author(s):  
Heni Purwaningsih ◽  
Umi Aniroh ◽  
Eko Mardiyaningsih
Keyword(s):  
Mortality Rate ◽  
Pregnant Women ◽  
Body Position ◽  
Development Program ◽  
Optimal Growth ◽  
Infant Mortality Rate ◽  
P Value ◽  
Time Data ◽  
Emotional Bonding ◽  
Post Test

Program pembangunan kesehatan di Indonesia masih berfokus pada upaya peningkatan derajat kesehatan ibu dan anak terutama pada masa prenatal. Hal ini disebabkan masih tingginya Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB). ASI yang diberikan sejak usia dini dan dilanjutkan dengan ASI eksklusif selama 6 bulan dapat menurunkan angka kesakitan dan angka kematian bayi serta meningkatkan tumbuh kembang bayi secara optimal.  Penelitian ini bertujuan untuk mengetahui efektifitas pemberian konseling laktasi terhadap pelaksanaan menyusui pada ibu hamil trimester III. Desain penelitian menggunakan quasi eksperimen dengan rancangan One Group Pre-test dan  Post-test Desain. Populasi dalam penelitian ini adalah ibu hamil trimester III dan sampel yang diambil adalah 18 ibu hamil. Alat penggumpulan data menggunakan lembar observasi BREAST (body position, respons, emotional bonding, anatomy dan sucking time). Analisis data menggunakan wilcoxon.Hasil penelitian didapatkan pelaksanaan menyusui sebelum dilakukan konseling laktasi dalam kategori kurang (72,2%) sedangkan pelaksanaan menyusui setelah dilakukan konseling laktasi (77,8%) dalam kategori baik. Konseling laktasi efektif dilakukan untuk meningkatkan pelaksanaan menyusui denganp-value 0,003 (p<0,005).Konseling laktasi seharusnya diberikan pada masa prenatal sehingga pada saat postpartum, ibu sudah mampu memberikan asi secara maksimal. Pendampingan terhadap ibu hamil juga berperan dalam pelaksanaan pemberian ASI.   Kata kunci : Konseling laktasi, ASI, pelaksanaan menyusui   THE EFFECTIVENESS OF LACTATION COUNSELING IN THE 3rd TRIMESTER PREGNANT WOMEN ON BREASTFEEDING IMPLEMENTATION   ABSTRACT Indonesia's health development program still focuses on improving mother and child health, especially at the prenatal stage. It is due to the high maternal mortality rate (MMR) and Infant Mortality Rate (IMR). Breastmilk given from an early age and continued with exclusive breastfeeding for six months can reduce infants morbidity and mortality rate and increase their optimal growth. The purpose is to investigate the effectiveness of lactation counseling to the implementation of breastfeeding in third-trimester. The study design used quasi experiments with one group pre-test and post-test. Population was the 3rd-trimester pregnant mothers, and the samples were 18 mothers. The data collection tool used BREAST observation sheets (body position, response, emotional bonding, anatomy and sucking time). Data analysis used Wilcoxon. The result of the research shows that breastfeeding before lactation counseling is in less category (72,2%) while breastfeeding after lactation counseling (77,8%) is in a goodcategory. Effective lactation counseling is performed to improve the implementation of breastfeeding with p-value 0.003 (p <0.005). Lactation counseling should be given during the prenatal period so that at the time of postpartum, the mother has been able to give breastmilk maximally. Mentoring for pregnant women also plays a role in the implementation of breastfeeding Keywords: lactation counseling, breast milk, breastfeeding implementation

Perbandingan Linieritas Dalam Pendeteksian Faktor-Faktor Yang Mempengaruhi Angka Kematian Bayi Di Provinsi Aceh

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Desfira Ahya ◽  
Inas Salsabila ◽  
Miftahuddin
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Linear Model ◽  
Health Workers ◽  
Additive Model ◽  
Infant Mortality Rate ◽  
Mortality Data ◽  
Important Indicator ◽  
Penalized Spline ◽  
Aceh Province

Angka Kematian Bayi/ Infant Mortality Rate (IMR) merupakan indikator penting dalam mengukur keberhasilan pengembangan kesehatan. Nilai IMR juga dapat digunakan untuk mengetahui tingkat kesehatan ibu, kondisi kesehatan lingkungan dan secara umum, tingkat pengembangan sosio-ekonomi masyarakat. Penelitian ini bertujuan untuk memperoleh model IMR terbaik menggunakan tiga pendekatan: Model Linear, Model Linear Tergeneralisir dan Model Aditif Tergeneralisir dengan basis P-spline. Sebagai tambahan, berdasarkan model tersebut akan terlihat variabel yang mempengaruhi tingkat kematian bayi di provinsi Aceh. Penelitian ini menggunakan data jumlah kematian bayi di tahun 2013-2015. Data dalam penelitian ini diperoleh dari Profil Kesehatan Aceh. Hasil menunjukkan bahwa model terbaik dalam menjelaskan angka kematian bayi di provinsi Aceh tahun 2013-2015 ialah Model Linear Tergeneralisir dengan basis P-spline menggunakan parameter penghalusan 100 dan titik knots 8. Faktor yang sangat mempengaruhi angka kematian ialah jumlah pekerja yang sehat.   Infant mortality rate (IMR) is an important indicator in measuring the success of health development. IMR also can be used to knowing the level of maternal health, environmental health conditions and generally the level of socio-economic development in community. This research aims to get the best model of infant mortality data using three approaches: Linear Model, Generalized Linear Model and Generalized Additive Model with Penalized Spline (P-spline) base. In addition, based on the model can be seen the variables that affect to infant mortality in Aceh Province. This research uses data number of infant mortality in Aceh Province period 2013-2015. The data in this research were obtained from Aceh’s Health Profile. The results show that the best model can be explain infant mortality rate in Aceh Province period 2013-2015 is GAM model with P-spline base using smoothing parameter 100 and knots 8. Factor that high effect to infant mortality is number of health workers.

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