Factors Associated with Anxiety at Third Trimester Pregnant Woman at Community Health Center, Surakarta, Central Java

Author(s):  
Ambar Sulistyaning ◽  
◽  
Yuli Kusumawati ◽  
Author(s):  
◽  
Setyo Sri Rahardjo ◽  
Bhisma Murti ◽  
◽  

ABSTRACT Background: Based on the strategic plan of the Karanganyar Health Office, the good accreditation and performance assessment of community health center have not yet been achieved. This is inseparable from the performance of the employee service per-formance. This study aimed to determine factors associated with service performance among community health center employees in Karanganyar, Central Java. Subjects and Method: A cross-sectional study was carried out in 21 community health centers, Karanganyar, Central Java, in October-November. A sample of 210 employees in community health worker was selected by simple random sampling. The dependent variable was service performance. The independent variables were age, edu-cation, tenure, incentive, motivation, skill, satisfaction, accreditation status of commu-nity health center, and working environment. The data were collected by question-naire. The data were analyzed by a multiple logistic regression. Results: Service performance increased with age ≥38 years (b= 1.09; 95% CI= 0.19 to 1.99; p= 0.018), education ≥diploma 3 (b= -0.40; 95% CI= -1.67 to 0.87; p= 0.535), tenure ≥3 years (b= -0.71; 95% CI= -1.79 to 0.37; p= 0.199), good incentive (b= 0.96; 95% CI= -0.28 to 2.19; p= 0.128), good motivation (b= 0.93; 95% CI= 0.09 to 1.77; p= 0.030), good skill (b= 0.97; 95% CI= 0.06 to 1.88; p= 0.037), satisfied (b= 0.92; 95% CI= 0.05 to 1.78; p= 0.037), and good working environment (b= 0.95; 95% CI= 0.11 to 1.80; p= 0.026). Conclusion: Service performance in community health center employees increases with age ≥38 years, ≥diploma, ≥3 years of service, good incentive, good motivation, good skill, satisfied, and good working environment. Keywords: service performance, employee, community health center Correspondence: Mujiran. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +62 812-2603-915. DOI: https://doi.org/10.26911/the7thicph.04.41


2021 ◽  
Vol 3 (1) ◽  
pp. 101-107
Author(s):  
Nasriyah Nasriyah ◽  
Islami Islami ◽  
Nor Asiyah

Covid-19 is a virus that spreads very quickly in the world community, including Indonesia. Incidence of Covid-19 is very high and the transmission is very fast so that it has become a pandemic in the world. Corona virus is characterized by several symptoms, such as fever, cough and shortness of breath. In severe conditions, this viral infection can cause acute respiratory failure, severe pneumonia (lung infection), pulmonary edema, failure of body organs, and even death. The incidence of Covid-19 infection in pregnancy is increasing, therefore pregnant women are extra careful in maintaining their pregnancy. This study aims to determine the prevalence of third trimester in pregnant women who confirmed by Covid-19 at the Mayong II Jepara Community Health Center. The research method used a descriptive study with a population of all pregnant women who were examined at the Mayong II Jepara Community Health Center in 2020. The research subjects were 80 respondent third trimester pregnant women during September-December 2020 by Polymerase Chain Reaction. The results showed that 80 respondents who carried out the PCR Swab, there were 7 respondents  an average age of 20-28 years who were confirmed as Covid-19. Based on the results of this study, it is necessary for pregnant women to continued to carry out health protocols. Pregnant women who are confirmed Covid-19 are expected to carry out self isolation and if severe symptoms arise, they should contact medical physician. As a medical physician, they were to monitor pregnant women who have confirmed Covid-19 and giving treatment quickly  in the event of complications related to pregnancy.


2017 ◽  
Vol 3 (6) ◽  
pp. 765-770
Author(s):  
Iin Wahyuni ◽  
Noor Pramono ◽  
Titi Suherni ◽  
Melyana Nurul Widyawati

Objective: This study aimed to examine the pregnancy exercise during the third trimester of pregnancy on duration of the first and second stage of labor in primigravida at the Community Health Center of Sukamaju, Bandar lampung, Indonesia.Methods: This study employed a quasy experimental design with posttest-only non-equivalent control group. This study was conducted from 8 January 2017 to 12 February 2017 at the Community Health Center of Sukamaju. Forty-eight primigravida mothers were selected using consecutive sampling, with 24 assigned in the experiment and control group. Data were analyzed using Mann whitney and Chi square test.Results: The average duration of the first stage of labor in the experiment group was 495 minutes and in the control group was 685 minutes (p= 0.000); while the average duration of the second stage of labor in the experiment group was 42.5 minutes and in the control group was 68.75 minutes (p=0.000).Conclusion: There was a statistically significant difference in the duration of the first and second stage of labor between experiment and control group. It is expected for midwives in the community health centers to implement pregnancy exercise program to help mothers in accelerating the delivery process.


2021 ◽  
Vol 4 (3) ◽  
pp. 89-97
Author(s):  
Siti Ekfiyatil Wafah ◽  
Besar Tirto Husodo ◽  
Novia Handayani

Introduction: Semarang City has the highest number of HIV / AIDS cases in Central Java. Several attempts to control HIV / AIDS cases, such as the organization for AIDS that is named after AIDS Care Community (ACC) in every village scope. The purpose of this study is to describe the implementation of the ACC program in Poncol Community Health Center.Methods: This is a descriptive research, uses qualitative methods using in-depth interview for data collection techniques. There are 9 informants who are selected by using purposive sampling method. Data is analyzed using descriptive method. The process of data analysis begins with collecting data, and then reducing the data that has been generated. After that, the data are presented and concluded.Results: The results show that the implementation of ACC program in the work area of Poncol Community Health Center is assisted by Poncol Puskesmas. There is 1 ACC out of 9 ACC that is actively implementing the ACC program while the others are not running well. It is found that low capacity of ACC members, lack of funds, low of support from the local government (village), low community support, inadequate facilities and infrastructure that affect the implementation of ACC programs. Therefore, the output is not achieved optimally.Conclusions: The implementation of the of the ACC program in Poncol Community Health Center work area has not been running optimally. Support from all parties is needed, including from the members of the ACC, local government, AIDS commission, and the community in order to achieve the ACC goals.  


2020 ◽  
Vol 2 (2) ◽  
pp. 225-230
Author(s):  
Nova Yusenta ◽  
Komalasari Komalasari ◽  
Mareza Yolanda Umar ◽  
Yenny Marthalena

Angka Kematian Ibu dan Angka Kematian Neonatal Bayi di Indonesia masih tinggi dimana Kabupaten Pesisir Barat khususnya Kecamatan Bangkunat yang merupakan salah satu penyumbang tertinggi. Tujuan dari penelitian ini adalah diketahuinya Pengaruh Konseling Tentang Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) terhadap Motivasi Ibu Hamil Untuk Bersalin Di Fasilitas Kesehatan di Wilayah Kerja UPTD. Puskesmas Bengkunat Belimbing Tahun 2020. Populasi dalam penelitian ini adalah semua ibu hamil trimester III yang terdapat di Pekon Penyandingan, Pekon Pemerihan, Pekon Sumberejo dan Pekon Kota Jawa pada Bulan Maret tahun 2020 yang berjumlah 50 ibu hamil. Sedangkan Sample diambil dari populasi dengan teknik Total Sampling. Analisis bivariat dalam penelitian ini menggunakan Uji Non Parametic Yaitu Uji Wilcaxon Machted Pair Test. Hasil uji  Wilcaxon Machted Pair Test menunjukkan diperoleh p-value 0,001 (less than 0,01) yang artinya Ada pengaruh konseling tentang P4K dengan peningkatan motivasi ibu hamil untuk bersalin di fasilitas kesehatan di wilayah kerja UPTD. Puskesmas Bengkunat Belimbing tahun 2020.Abstract: Maternal Mortality and Neonatal Infant Mortality rates in Indonesia are still high in West Pesisir Regency, especially in Bengkunat sub-district, which is one of the highest contributors. The research objective was to know the influence of counseling about P4K by improving the motivation of pregnant women to childbirth in health facilities at the working areas of the UPTD community health center of Bengkunat Belimbing in 2020. The population in this research were all third trimester of pregnant women in the Pekon Penyandingan, Pekon Pemerihan, Pekon Sumberejo dan Pekon Kota Jawa on March 2020, which amounted to 50 pregnant women. While the sample is taken from the population with the Total Sampling technique. The bivariate analysis in this research uses the Non-Parametic Test Namely the Wilcoxon Matched Pair Test. The Wilcoxon Matched Pair Test results show that a p-value of 0.001 (less than 0.01), which means that there is an influence of counseling about P4K by increasing the motivation of pregnant women to childbirth in health facility at the working areas of UPTD community health center of Bengkunat Belimbing in 2020.


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