Path Analysis Factors Affecting Pregnant Women Participation to The Triple Elimination Examination in Semarang, Central Java

Author(s):  
Mei Fatimah ◽  
◽  
Supriyadi Hari Respati ◽  
Eti Poncorini Pamungkasari ◽  
◽  
...  

ABSTRACT Background: Early diagnosis and immediate treatment during antenatal care are highly effective in to the prevention of mother-to-child-transmission (MTCT). The World Health Organization (WHO) launched the global initiative for the elimination of MTCT of syphilis, HIV, and Hepatitis B, and developed global guidance to reduce those incidences, named the triple elimination examination. This study aimed to examine factors affecting pregnant women participation to the triple elimination examination in Semarang, Central Java, using path analysis model. Subjects and Method: A cross sectional study was carried out at 25 community health centers in Semarang, Central Java, from December 2019 to February 2020. A sample of 200 pregnant women was selected by stratified random sampling. The dependent variable was participation to triple elimination examination. The independent variables were intention, attitude, outcome expectation, modeling, knowledge, husband support, access to information, and distance to the health center. The data were collected by questionnaire and analyzed by path analysis run on Stata 13. Results: Pregnant women participation to the triple elimination examination was directly increased with strong intention (b= 4.68; 95% CI= 1.50 to 7.86; p= 0.004), positive attitude (b= 2.61; 95% CI= 1.08 to 4.13; p= 0.001), strong self-efficacy (b= 1.98; 95% CI= 0.38 to 3.57; p= 0.015), modeling (b= 1.93; 95% CI= 0.44 to 3.42; p= 0.011), positive outcome expectation (b= 2.38; 95% CI= 0.69 to 4.06; p= 0.006), high knowledge (b= 1.61; 95% CI= 0.05 to 3.17; p= 0.044), strong husband support (b= 1.65; 95% CI= 0.21 to 3.09; p= 0.025), and accessible information (b= 1.85; 95% CI= 0.29 to 3.40; p= 0.020). Participation to the triple elimination examination was directly decreased with distance to health service (b= -2.15; 95% CI= -3.73 to -0.57; p= 0.008). It was indirectly affected by attitude, knowledge, outcome expectation, and access to information. Conclusion: Pregnant women participation to the triple elimination examination is directly increased with strong intention, positive attitude, strong self-efficacy, modeling, positive outcome expectation, high knowledge, strong husband support, and accessible information. Participation to the triple elimination examination is directly decreased with distance to health service. It is indirectly affected by attitude, knowledge, outcome expectation, and access to information. Keywords: triple elimination, pregnant women, path analysis Correspondence: Mei Fatimah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285801236097. DOI: https://doi.org/10.26911/the7thicph.03.105

2017 ◽  
Vol 8 (2) ◽  
Author(s):  
Chusnul Zulaika ◽  
Dewi Sari R ◽  
Mirtaria K

Kehamilan normal bisa memiliki risiko, semua ibu hamil  perlu perawatan agar ibu dan janin tetap dalam keadaan sehat. Sedangkan kehamilan yang resiko tinggi akan menghadapi berbagai permasalahan yang dapat mengganggu proses persalinan. Kehamilan dengan masalah dikelompokkan kehamilan risiko tinggi yaitu keadaan yang dapat mempengaruhi optimalisasi ibu maupun janin (Manuaba,2003). Kehamilan risiko tinggi adalah kehamilan dengan satu lebih  faktor risiko baik ibu maupun janinnya yang memberi dampak kurang menguntungkan baik ibu maupun janinnya (Rochjati, 2003). Apabila setiap abnormalitas dicurigai berdasarkan atas riwayat atau pemeriksaan fisik, maka pasien dirujuk ke pemeriksa dengan keahlian dalam ultrasonografi (Tucker, 2004).Di Provinsi Jawa Tengah pada tahun 2015 terdapat 619 kasus kematian ibu. Kota Semarang menduduki peringkat ke 2 setelah kabupaten Brebes dengan jumlah kematian ibu di Kota Semarang  terdapat 35 kasus. Di Puskesmas Purwoyoso pada tahun 2015 terdapat 1 kasus kematian ibu. Sedangkan jumlah ibu hamil resiko tinggi di Puskesmas Purwoyoso pada tahun 2015 terdapat 595 ibu hamil.Untuk mencari alternatif solusi pemecahan masalah di atas, maka diadakan peningkatan pengetahuan tentang pendampingan ibu hamil resiko tinggi di Puskesmas Purwoyoso dengan tujuan untuk meningkatkan pengetahuan para kader tentang kehamilan resiko tinggi. Setelah dilakukan penyuluhan didapatkan hasil pengetahuan dan kesadaran para kader untuk melaksanakan pendampingan meningkat.Diharapkan setelah dilakukan pengabdian penulis menyarankan para kader, keluarga dan suami mendukung ibu hamil untuk melakukan pemeriksaan kehamilan di bidan ataupun di puskesmas.Kata kunci        : IBM ; Kader ; Pendampingan ibu hamil resiko tinggi IBM HIGH RISK PREGNANCY ASSISTANCE BY POSYANDU CARDER IN PURWOYOSO PUSKESMAS REGIONNormal pregnancy can have a risk, all pregnant women need care so that mother and fetus remain in good health. While high-risk pregnancies will face a variety of problems that can interfere with labor. Pregnancy with the problem grouped high-risk pregnancies is a condition that can affect the optimization of mother and fetus (Manuaba, 2003). A high-risk pregnancy is a pregnancy with one more risk factor for both mother and fetus that has an adverse impact on both the mother and the fetus (Rochjati, 2003). If any abnormality is suspected based on a history or physical examination, the patient is referred to an examiner with expertise in ultrasonography (Tucker, 2004).In Central Java Province in 2015 there were 619 cases of maternal deaths. Semarang City is ranked second after Brebes district with the number of maternal deaths in Semarang city there are 35 cases. At Puskesmas Purwoyoso in 2015 there is 1 case of maternal mortality. While the number of high risk pregnant women at Purwoyoso Puskesmas in 2015 there are 595 pregnant women.To find alternative solutions to the above solutions, there is an increased knowledge about high risk pregnant women in Purwoyoso Puskesmas in order to increase the knowledge of cadres about high risk pregnancy. After the counseling obtained the knowledge and awareness of the cadres to carry out mentoring increased.It is hoped that after the dedication of the writer suggest that cadres, family and husband support pregnant mother to conduct pregnancy examination in midwife or at puskesmasKey words             : IBM; Cadres; High risk pregnancy assistance


Author(s):  
Ardianto Pambudi, ◽  
Nurchim ◽  
Agustina Srirahayu

In Indonesia, the mortality rate for pregnant women is still high. One of the contributing factors is the lack of knowledge and awareness of communication between pregnant women and midwives in the process of antenatal care, resulting in a delay in recognizing the danger signs of pregnancy. The purpose of this study is to provide a pregnant mother's health application that can be run on an android system. Android as a smartphone operating system, supports the development of new application ideas and innovations to add system functionality. The stages of making the application include (1) analyzing user needs by observing the Independent Practice Midwife in the Polokarto Sukoharo area, Central Java. Next, (2) design a system consisting of two users, including midwives and pregnant women. Finally, (3) the implementation of making a system design in the form of an android application. This Maternal Health Application has a feature that pregnant women can communicate with midwives directly to submit complaints, examination results, information about pregnancy and the calculation of Estimated Birth Days (HPL). Thus, it is hoped that this application can be used as a digital health service that facilitates access to information and public health services, especially those related to pregnancy.


2018 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Nurul Ainia

Increased population growth was a problem faced by Indonesia. One of reason is because of the high unmet need for family planning. This research analyzed Influence factor family planning needs based on social cognitive theory. The research was quantitative study with a cross sectional design. Samples were married woman with the age of 15–49 years who don’t to have children or postpone their pregnancy either by using contraception or not as many as 70 womans and taken by simple random sampling. The independent variable were observational learning, outcome expectation, self efficacy, husband support, access to information, and access to health services. The dependent variable of this study was family planning needs. Quantitative data were analyzed using binary logistic regression test. A quarter of respondents were of unmet need for family planning. There was influence observational learning, husband support, and access information to family planning needs. This research concluded that was the determinant factor that influence to family planning need was access to information.


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