scholarly journals Analisis faktor keikutsertaan screening hepatitis “B” pada ibu hamil

2022 ◽  
Vol 3 (1) ◽  
pp. 51
Author(s):  
Dedi Apriadi

Background: Nagan Raya Regency is included in the top 5 districts/cities with the fourth highest number of hepatitis in Aceh Province. The hepatitis B screening program has not been implemented properly. The impact of the low coverage of this program affects public ignorance about the spread of hepatitis B from sufferers to other communities.Objective: This study aims to analyze the participation factors for Hepatitis B screening in pregnant women in the working area of the Ujong Patihah Health Center.Method: This research design is cross sectional study, in 2021. Data were collected using a questionnaire with a sample size of 220 pregnant women. Data collection was carried out by direct interviews with respondents, using a questionnaire instrument. Data analysis used the Cgi-square statistical test with a significance level of 95%, and continued with multivariate analysis using the Binary Logistics Regression test.Results: Bivariate analysis showed that there was a relationship between knowledge (p= 0.022), mother's attitude (p= 0.010), husband's role (p = 0.018), role of health workers (p = 0.028) and participation in hepatitis B screening, while education did not affect participation in hepatitis B screening (p= 0.668). Multivariate results showed that the mother's attitude was the dominant factor for participation in hepatitis B screening (OR= 2.24).Conclusion: Positive attitudes had a 2.24 times relationship to the participation of pregnant women in hepatitis B screening than negative attitudes. 

2018 ◽  
Vol 220 (7) ◽  
pp. 1118-1126 ◽  
Author(s):  
Wei-Ju Su ◽  
Shu-Fong Chen ◽  
Chin-Hui Yang ◽  
Pei-Hung Chuang ◽  
Hsiu-Fang Chang ◽  
...  

Abstract Background The hepatitis B virus (HBV) status of pregnant women affects HBV vaccine failure in their offspring. This study is aimed to investigate the impact of the universal infant HBV vaccination program on the long-term hepatitis B surface antigen (HBsAg) rate in pregnant women. Methods Using the National Immunization Information System, we examined a 32-year period of cross-sectional data on a maternal HBsAg and hepatitis B e antigen (HBeAg) screening program launched in July 1984. An age-period-cohort model analysis of 940 180 pregnant women screened for July 1996–June 1997 and the years 2001, 2006, 2011, and 2016 was applied. Results The annual HBsAg- and HBeAg-seropositive rates decreased from 13.4% and 6.4%, respectively, for the period 1984–1985 to 5.9% and 1.0% in 2016 (P for both trends < .0001). Pregnant women with birth years after July 1986 (the HBV vaccination cohort) had the lowest relative risk (0.27 [95% confidence interval, .26–.28]) of HBsAg positivity compared with birth years before June 1984. Conclusions The birth cohort effect in relation to the universal infant HBV immunization program has effectively reduced the HBV carrier rate in pregnant women and the burden of perinatal HBV infection on the next generation.


2019 ◽  
Vol 11 (2) ◽  
pp. 17-28
Author(s):  
Eka Ratna Sari ◽  
Lusi Andriani ◽  
PS. Kurniawati

Anemia in pregnancy is a condition of pregnant woman with hemoglobin (Hb) <11 gr% in the first and third trimesters while in the second trimester hemoglobin level <10,5 gr%. World Health Organization (WHO) in 2012, reported that the prevalence of anemia in pregnant women in the world ranges an average of 14%, in industrialized countries 56% and in developing countries between 35% -75%. This study aims to determined the factors of the occurrence of anemia in third trimester pregnant women in Kampung Melayu sub-district Bengkulu City 2017. This research uses Analytical Survey design with Cross Sectional Approach. Population in this research is third trimester pregnant woman in Kampung Melayu sub-district as many as 106 people, using sample total sampling technique. The analysis used Chi square test with significance level p <0,05.The results of this study indicate that there is a relationship between adherence of Fe (p = 0,000) and knowledge (p = 0,000) with anemia occurrence in third trimester pregnant women, no relationship between age (p = 0,346), parity (p = 0,949) , Education (p = 0.198), occupation (p = 1,000) with anemia and the most dominant factor with anemia was the consumption of Fe tablet (OR = 78,803). Health workers are expected to provide routine counseling on the causes, symptoms, and effects of anemia for pregnant women and screening anemia by checking Hb at least twice during pregnancy.


2016 ◽  
Vol 1 (2) ◽  
pp. 61-70
Author(s):  
R.Oktaviance Simorangkir ◽  
Lilis Sumardiani

In the Working Area of Pancur Batu Puskesmas class, pregnant women begin to be implemented in 2016, but still found the low knowledge of pregnant women about the ideal pregnancy examination and there are pregnant women who show unimportant attitude checking pregnancy to health workers. Goals : The purpose of this research is to know the influence of maternal class on pregnant mother's knowledge and attitude about pregnancy examination and treatment. Methods : The study used a quantitative method with cross sectional design. The population of 151 pregnant women in Pancur Batu Community Health Center and 132 of them (63 pregnant women who had attended pregnant mother class and 69 pregnant women who never attended maternal class) were used as samples. Data analysis using independent t test at significance level α = 0,05. Result : The results showed the total range of knowledge scores of mothers who had followed the class of pregnant women is 7-13 with an average value of 10.08 ± 1.82, while the total range of scores of mothers who never follow the pregnant women's class is 1-9 with an average value 4,97,1,94. There is a maternal class effect on maternal knowledge of examination and treatment of pregnancy (p <3,82. There is a maternal class effect on maternal attitudes about examination and treatment of pregnancy (p3.13, while the total range of maternal scores that never follow the class of pregnant women is 27-47 with an average value of 35 , 410.001). The total score of attitudes of mothers who have attended the class of pregnant women is 41-56 with an average score of 48.24 <0.001). Conclution : It is expected that the Health Office to schedule Pancur Batu Puskesmas to carry out pregnant women's classes regularly and carried out 2 periods a year. Pancur Batu Puskesmas is expected to maintain the quality of pregnant women's classes and counseling invites all pregnant women to follow the class of pregnant women.


Author(s):  
Fatmini Fatmini ◽  
Heru Santoso ◽  
Kesaktian Manurung ◽  
Rosdiana Rosdiana

Anemia is still a problem in the world, especially in developing countries. This condition can have a detrimental impact on every age group including pregnant women. In pregnant women, anemia can cause complications for the mother and the baby she is carrying, such as life-threatening bleeding, miscarriage, low birth weight and premature birth. The purpose of this study was to determine the relationship between parity, anemia, ANC visits, nutritional status and the role of health workers with the consumption of blood-added tablets in post-partum mothers in the work area of the Mutiara Barat Health Center in 2019. This type of research is a correlation analytic study with cross-sectional method. The population in this study were all pregnant women in the third trimester who were recorded at the Mutiara Barat Health Center in January 2019 as many as 139 people and the sample was the total population of 139 respondents. Data were analyzed using the chi square statistical test which includes univariate, bivariate and multivariate analysis. The results obtained: there is a relationship between parity (p = 0.000), anemia (p = 0.016), ANC visits (p = 0.015), nutritional status (p = 0.021) and the role of officers (p = 0.000) with the consumption of tablets with blood added at postpartum mother. The dominant factor related to the consumption of blood-added tablets is the role of the officer. From the research results obtained, it is hoped that the Puskesmas can increase the knowledge of mothers about blood supplemented tablets through counseling so that it can influence the attitude of pregnant women to consume blood supplemented tablets. Keywords: ANC visit; anemia; consumption of blood added tablets; nutritional status; parity; role of officers ABSTRAKAnemia masih menjadi permasalahan di dunia terutama di negara-negara berkembang. Kondisi ini dapat memberikan dampak merugikan di setiap kelompok umur termasuk ibu hamil. Pada ibu hamil, kejadian anemia dapat menyebabkan penyulit pada ibu maupun bayi yang dikandungnya seperti perdarahan yang mengancam jiwa, keguguran, berat badan bayi lahir rendah dan kelahiran prematur. Tujuan dari penelitian ini adalah untuk mengetahui hubungan faktor paritas, anemia, kunjugan ANC, status gizi dan peran petugas kesehatan dengankonsumsi tablet tambah darah pada ibu nifas di wilayah kerja Puskesmas Mutiara Barat tahun 2019. Jenis penelitian ini adalah penelitian analitik korelasi dengan metode cross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester III yang terdata di Puskesmas Mutiara Barat pada bulan Januari 2019 sebanyak 139 orang dan sampel merupakan total populasi yaitu 139 responden. Data dianalisis menggunakan uji statistik chi square yang meliputi analisis univariat, bivariat dan multivariat. Hasil penelitian diperoleh: ada hubungan antara paritas (p=0,000), anemia (p=0,016), kunjungan ANC (p=0,015), status gizi (p=0,021) dan peran petugas(p=0,000) dengan konsumsi tablet tambah darah pada ibu nifas. Faktor yang dominan berhubungan dengan konsumsi tablet tambah darah adalah peran petugas. Dari hasil penelitian yang diperoleh diharapkan Puskesmas dapat meningkatkan pengetahuan ibu tentang tablet tambah darah melalui penyuluhan sehingga dapat mempengaruhi sikap para ibu hamil untuk berperilaku mengkonsumsi tablet tambah darah. 


2021 ◽  
Vol 12 (1) ◽  
pp. 39-47
Author(s):  
Avliya Quratul Marjan ◽  
Antania Hermada Aprilia ◽  
Iin Fatmawati

Chronic Energi Deficiency (CED) is a nutritional problem in pregnant women with a prevalence of 17,3% based on Indonesia Basic Health Research or Riset Kesehatan Dasar (Riskesdas) in 2018. Based on age groups, pregnant women who experienced the highest CED were 15-19 years (38,5%). So it is very important to know what factors are related to CED in pregnant women. The purpose of this study was to analyze determinants factors with the incidence of chronic energy deficiency in pregnant women at Gunung Sindur Bogor. This study was an observational study with a cross-sectional approach. Respondents in this study were 70 pregnant women who were selected by purposive sampling. Bivariate analysis was performed using the Chi-Square test and logistic regression for Multivariat analysis. The bivariate analysis showed that there were a relationship between age (p = 0.009), parity (p = 0.027) nutritional knowledge (p = 0.045), energy intake (p = 0.001), and protein intake (p = 0.007) with the incidence of CED in pregnant women. The multivariat results show that energy intake is the most dominant factor associated with the incidence of CED (p = 0.001) in pregnant women at Mount Sindur Bogor.


2017 ◽  
Vol 24 (3) ◽  
pp. 37-44
Author(s):  
Santoso Ujang Effendi ◽  
Buyung Keraman ◽  
Andrek Sarnandes

The impact of the incidence of anemia in pregnant women who have less knowledge during pregnancy are abortion, preterm labor, fetal and uterine disorders, low birth weight (LBW), and high maternal mortality. This study aimed to study the relationship between the level of knowledge with the incidence of anemia in pregnant women at Tanjung Kemuning Community Health Center Kaur District. This type of research was Descriptive Correlation and the design used was Cross Sectional. The data in this study used the primary data obtained by distributing questionnaires. The population in this study was all pregnant women who checked pregnancy and did not check their pregnancy at Tanjung Kemuning Community Health Center of Kaur Regency from January to June 2016 as many as 66 pregnant women. Sampling technique are Total Sampling and obtained sampel counted 35 respondents. Data analysis was done by univariate and bivariate analysis with Chi-Square test and to know closeness using Contingency Coefficient (χ2) statistic test. The result of the research showed that there were 14 respondents (40.0%) of good knowledge, and 19 respondents (54,3%) did not experience anemia. There was a significant relationship between knowledge with the incidence of anemia in pregnant women in working area of Tanjung Kemuning Community  Health  Center Kaur District with a close category. Suggestion for Tanjung Kemuning  Community  Health Center Kaur District                   to increase the intake of iron nutrition in pregnant women by doing  health promotion about  anemia  and giving  iron  tablets  to pregnant  woman. Keywords : anemia, knowledge, pregnant women


2017 ◽  
Vol 11 (1) ◽  
pp. 89
Author(s):  
Ponco Indah Arista Sari ◽  
Agus Sulistyono ◽  
Hari Basuki Notobroto

HIV AIDS is considered as global threat due to the adverse impacts it brings to all sectors. The number of person with HIV-AIDS increases both in men and women. For pregnant women, HIV is not just a threat to the mother but also for the infant, therefore as to prevent the transmission and complication during pregnancy, screening should be made through an HIV test. The purpose of this study was to analyze the relationship between the number ofantenatal care and stigmatization on participation of pregnant women for HIV testing after counseling by Health Workers in the working area of Turi Public Health Center, Lamongan. This study applied cross sectional study. The population in this study consisted of 80 pregnant women. Simple random sampling was chosen for Sampling Technique and it was obtained as many as 42 respondents. Data collection was done using a questionnaire and interviews. Data were analyzed using frequency distribution tables and chi square test with significance level of 5% (p = 0.05). The results revealed that from as many as 42 pregnant women who made antenatal visit > 4 times, 100% of these pregnant women did not take HIV test while pregnant women who made only 2–4 times antenatal visit was as many as 16 individuals (64%) took the test, and only one pregnant woman who took the test on the first visit. Pregnant women who did not have the stigmatization, 100% took the HIV test. Statistical analysis showed no correlation between the number of antenatal visits (p = 0.000) and stigmastization (p = 0.000) of pregnant women for HIV testing after counseling by Health Workers. It is necessary to increase the provision of information and education for the pregnant women through health promotion concerning the importance of HIV testing and antenatal visits to the Health Care.Keywords: HIV test, Number of antenatal care, Stigmatization 


2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Nur Masruroh

The relationship with the mother's level of anxiety in the first stage of labor active phase in BPM Atik Suharijati Surabaya. Mothers who experienced the process of labor is a physiological thing, but in reality people still think childbirth is a life and death stakes. Mothers who give birth experience anxiety levels cause birth becomes pathological. This study aims to determine the relationship with the mother's level of anxiety in the first stage of labor active phase in BPM Atik Suharijati Surabaya. Design analytical research with cross sectional approach. The population around the third trimester pregnant women who face labor in BPS Atik Suharijati in April-May 2015 of 25 respondents. A sample of 12 respondents in October was taken with the technique of "purposive sampling". Independent variables and the dependent variable levels of anxiety long active phase. Collecting data using questionnaires and partograf. Data were analyzed using the Mann Whitney test with a significance level a = 0.05. The results showed nearly half (41.7%) had mild anxiety and the majority of respondents (75%) had active phase <6 hours. Statistical test results obtained  = 0.024 < = 0.05, H0 is rejected means that there is a relationship with the mother's level of anxiety in the first stage of labor active phase in BPS Atik Suharijati. The conclusions of this study is the higher the mother's level of anxiety, the more disturbing the birth process to be gone through. So that health workers are expected to continue to provide information or understanding to pregnant women about childbirth and the factors that influence it.


2021 ◽  
Vol 7 (3) ◽  
pp. 404-412
Author(s):  
Dian Zuiatna

Introduction: Anemia is a problem in pregnancy because in pregnancy need for nutrients increases and changes in the blood and bone marrow occur. According to WHO, 40% of mortality maternal in developing countries is related to anemia in pregnancy.Objective: to determine the factors that influence anemia in pregnant women at Batu Gana Health Center in 2020.Methode: This research used an analytic survey method with a cross-sectional approach. The population was 115 people who came to check their pregnancies at the Batugana Health Center. The sample taken by using purposive sampling amounted to 53 respondents. Data analysis used the chi-square test.Results: showed that there was a correlation between knowledge about the incidence of anemia with a p-value of.040 (<.05), there was a relationship between nutritional status and the incidence of anemia with a p-value of 0.000 (<.05), there was a relationship between compliance with iron consumption and the incidence. Anemia with a p-value of .002 (<.05) and the most dominant factor affecting the incidence of anemia was nutritional status with an Exp (B) value of 30.400, meaning that family support was 30 times more likely to affect the incidence of anemia in pregnant women.Conclusion: showed that there is an effect of knowledge, nutritional status, adherence to iron consumption on the incidence of anemia.Suggestions are expected to health workers, especially midwives and doctors to improve health services, especially pregnant women so that the health status of pregnant women can be improved so that the incidence of anemia can be avoided.  Keywords: Anemia Incidence, Knowledge, Nutritional Status, Compliance with Iron Consumption ABSTRAK Latar Belakang: Anemia merupakan masalah pada wanita di dunia termasuk Indonesia. Anemia lebih sering dijumpai dalam kehamilan karena dalam kehamilan kebutuhan akan zat-zat makanan bertambah dan terjadi perubahan-perubahan dalam darah dan sumsum tulang. Menurut WHO 40% kematian ibu di negara berkembang berkaitan dengan anemia dalam kehamilan.Tujuan: untuk mengetahui faktor-faktor yang mempengaruhi kejadian anemia pada ibu hamil di Puskesmas Batu Gana Tahun 2020.Metode: Jenis penelitian menggunakan metode survey analitik dengan pendekatan cross-sectional. Populasi adalah seluruh ibu hamil yang datang memeriksakan kehamilannya di Puskesmas Batugana yaitu sebanyak 115 orang dengan teknik pengambilan sampel yaitu purrposive sampel dengan menggunakan rumus slovin dan diperoleh jumlah sampel 53 responden. Analisis data dengan menggunakan uji chi square.Hasil:  penelitian menunjukkan ada hubungan pengetahuan terhadap kejadian anemia dengan nilai p-value 0,040 (<0,05), ada hubungan status gizi terhadap kejadian anemia dengan nilai p-value 0,000 (<0,05), ada hubungan kepatuhan konsumsi zat besi terhadap kejadian anemia dengan nilai p-value 0,002 (<0,05) dan factor yang paling dominan mempengaruhi kejadian anemia adalah status gizi dengan nilai Exp (B) 30.400 artinya dukungan keluarga 30 kali lebih cenderung mempengaruhi kejadian anemia pada ibu hamil.Kesimpulan: ada pengaruh pengetahuan, status gizi, kepatuhan konsumsi zat besi terhadap kejadian anemia.Saran diharapkan kepada petugas kesehatan khusunya Bidan dan Dokter untuk meningkatkan pelayanan kesehatan khususnya ibu hamil agar status kesehatan ibu hamil dapat  ditingkatkan sehingga kejadian anemia dapat dihindari.  Kata Kunci: Kejadian Anemia, Pengetahuan, Status Gizi, Kepatuhan Konsumsi Zat Besi


2021 ◽  
Author(s):  
Amanda Sarah Thakataka ◽  
Joseph Mberikunashe ◽  
More Mungati ◽  
Tsitsi Patience Juru ◽  
Addmore Chadambuka ◽  
...  

Abstract Background Intermittent Preventive Treatment in Pregnancy (IPTp) with Sulphadoxine/ Pyrimethamine (SP) is used for the prevention of malaria among pregnant women in Zimbabwe. The program is integrated into routine Antenatal care (ANC) where a minimum of three doses is recommended during each pregnancy. The third dose coverage for Chiredzi District has consistently been below the 80% target coverage. We evaluated IPTp implementation in Chiredzi to understand the reasons for underperformance. Methods An analytical cross-sectional study was conducted using a Process-Outcome evaluation with the Logical Framework Approach. We interviewed 50 women in postnatal care and determined ANC services accessed using their ANC booklets. Health workers were interviewed for knowledge of the program. Stock availability and drug delivery records were reviewed using checklists at five high-volume sites. Epi Info 7.2.4.0™ was used for data capturing and analysis. The software was used to calculate frequencies, medians, proportions, odds ratios and p-values at a 95% confidence interval. The outcome variable was receiving ≥3 doses of SP which was computed against the independent variables such as client-related characteristics to determine which factors were contributory using univariate and bivariate analysis. Results Only 12/50 (24%) women received ≥3 doses of SP during their pregnancy. Two (4%) women started their ANC visits in the first trimester. Thirty-three (66%) had missed at least one SP dose during their ANC visit because of medicine unavailability. Knowing the number of times SP is given (OR 11.9; 95% CI 2.54-55.8) and having attended at least 4 ANC visits (OR 13.6; 95% CI 1.59 -116.0) increased the likelihood of receiving adequate SP dosing. Conclusions The IPTp-SP program in Chiredzi District was underperforming, we attributed this largely to health system factors. Erratic supply and stock-outs of SP resulted in clients missing SP doses. Clients also missed SP doses because of late ANC booking and lack of knowledge on IPTp benefits. Improving stock management and raising community awareness on prevention of malaria among pregnant women was recommended.


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