scholarly journals Choice of Delivery Places and Factors which Influence it in the Aceh Besar Regency

Author(s):  
Moh. Andalas ◽  
Ilham Kosman

Objective: To determine the relationship of maternal delivery and the factors that influence in Aceh Besar regency of Aceh Province. Method: We used a cross-sectional study design. Data were collected in all Community Health Centres in each sub-district in Aceh Besar regency of Aceh province. The total sample size of this study was 80 patient data, with details of 40 maternity patients in health facilities and 40 patients who were delivered to non-health facilities. Data were taken on factors that influence the choice of place of delivery, i.e. travel time from home to health facilities, age, parity, antenatal care, education, and income. Results: The result of chi-square test showed significant relation time (p = 0,000), Education (p = 0,011), parity (p = 0,000), antenatal care (p = 0,025), age (p = 0,003), revenue (p = 0.022) with maternity delivery in Aceh Besar regency. From the result of multivariate analysis found that travel time is the most influential factor in choosing the birth place with (OR = 51,976). Conclusion: The result of multivariate analysis showed that travel time was the most influential factor in choosing the delivery place with 51,976 times. Keywords: health facilities, maternal mortality rate, safe delivery   Abstrak Tujuan: Untuk mengetahui hubungan tempat persalinan ibu dan faktor-faktor yang mempengaruhi di Kabupaten Aceh Besar Provinsi Aceh. Metode: Penelitian ini menggunakan desain potong lintang. Data diambil di seluruh Puskesmas di setiap kecamatan di Kabupaten Aceh Besar Provinsi Aceh. Jumlah total sampel penelitian ini adalah 80 data pasien, dengan rincian 40 pasien yang bersalin di fasilitas kesehatan dan 40 pasien yang bersalin di non fasilitas kesehatan. Data yang diambil mengenai informasi faktor yang mempengaruhi pilihan tempat persalinan, yaitu waktu tempuh dari rumah ke fasilitas kesehatan, usia, paritas, ANC, pendidikan, dan pendapatan. Hasil: Hasil uji chi-square menunjukkan terdapat hubungan secara signifikan waktu tempuh (p=0,000), pendidikan (p=0,011), paritas (p=0,000), ANC (p=0,025), usia (p=0,003), pendapatan (p=0,022) dengan pemilihan tempat persalinan ibu di Kabupaten Aceh Besar. Dari hasil analisis multivariate didapatkan waktu tempuh adalah faktor yang paling berpengaruh dalam memilih tempat persalinan dengan (OR=51,976). Kesimpulan: Berdasarkan hasil analisis regresi logistik, kelompok yang waktu tempuh nya dari rumah ke fasilitas kesehatan < 30 menit 51,976 kali lebih besar kemungkinan memilih tempat persalinan di fasilitas kesehatan. Kata kunci: angka kematian ibu, fasilitas kesehatan, persalinan aman

2018 ◽  
Vol 9 (2) ◽  
pp. 331
Author(s):  
Rahmalia Afriyani ◽  
Ika Savitri ◽  
Nur Sa'adah

<p>Breast milk is the best food for an infant. Toddlers are faster affected by the chronic diseases such as cancer, heart disease, hypertension, and diabetes when they grow up. The main causes are less quality of getting the exclusive breastfeeding. The percentage of exclusive breastfeeding in Maimunah’s midwifery lab work was only77,09% in 2016. The purpose of this study was to determine those factors that influenced exclusive breastfeeding in Maimunah’s midwifery lab work Palembang. This study was about a quantitative one with a cross-sectional approach and carried on 2nd-15th of August 2016. There were 94 qualified respondents and the data collection was done by using the questionnaire. The data were analyzed by frequency test, chi-square test, and logistic regression. The shown that 62.8% who gave the exclusive breastfeeding, 55,3% didn’t work,  47,9% were in an age of 20-30, 59,6% had high education, and 63,8% had children ≥2. Meanwhile, there was a significant relationship between exclusive breastfeeding with the occupation (p-value=0.000), age (p-value=0.025), education  (p-value=0,020), and parity (p-value=0.022). The result of multivariate analysis shown that influential factors of exclusive breastfeeding were occupational, age and parity. Furthermore, the most influential factor was an occupation with OR = 10.197.  It was suggested to improve the motivation of working mothers to have the exclusive breastfeeding by facilitating them with the corner of breastfeeding in their office.</p>


2020 ◽  
Vol 7 (2) ◽  
pp. 101
Author(s):  
Ainun Mardhiah

ABSTRAK Keberadaan bidan di Indonesia sangat diperlukan untuk meningkatkan kesejahteraan ibu dan janinnya. Menurut WHO, setiap tahun sekitar 160 juta perempuan di seluruh dunia hamil. Para ahli menyadari bahwa persalinan akan berjalan lancar apabila adanya peningkatan pelayanan antenatal care. Tujuan penelitian ini adalah untuk mengetahui faktor pengetahuan, sikap, lama bekerja dan fasilitas kesehatan memengaruhi pelayanan ANC 10T oleh bidan Di Wilayah Kerja Puskesmas Teluk Dalam Kabupaten Simeuleu Tahun 2017. Desain penelitian adalah survei analitik dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah seluruh bidan yang memberikan pelayanan ANC di Wilayah Kerja Puskesmas Teluk Dalam Kabupaten Simeuleu Tahun 2017 berjumlah 32 orang dengan menggunakan teknik sampling jenuh. Analisis yang digunakan adalah analisis univariat, bivariat dengan uji chi-square.Hasil analisis data diperoleh bahwa ada hubungan faktor pengetahuan, sikap, lama bekerja dan fasilitas kesehatan terhadap pelayanan ANC 10T oleh bidan Di Wilayah Kerja Puskesmas Teluk Dalam Kabupaten Simeuleu yaitu nilai p = 0,049 untuk pengetahuan nilai p =  0,001 untuk sikap, nilai p = 0,01 untuk lama kerja, nilai p = 0,013 untuk fasilitas kesehatan. Ada hubungan faktor pengetahuan, sikap, lama kerja dan fasilitas kesehatan terhadap pelayanan ANC 10T oleh bidan Di Wilayah kerja Puskesmas Teluk Dalam kebupaten Simeuleu. Kata Kunci : fasilitas kesehatan; lama kerja; antenatal care; pengetahuan; sikap  THE INFLUENCIN FACTORS OF  ANTENATAL CARE SERVICE BY MIDWIVES ABSTRACT The existence of midwives in Indonesia is very much needed to improve the welfare of mothers and their fetuses. According to WHO, every year about 160 million women worldwide become pregnant. The purpose of this study was to determine the factors of knowledge, attitudes, length of work and health facilities that influence Antenatal Care services by midwives at at Teluk Dalam Health Center working area, Simeuleu Regency in 2017. The research design used was an analytic survey with the approach used in this study was cross sectional. The sample used in this study were all midwives who provided ANC at Teluk Dalam Health Center working area, Simeuleu Regency in 2017 totaling 32 people using saturated sampling techniques. The analysis used was univariate, bivariate analysis with the chi-square test. The results of the data analysis showed that there was a relationship between knowledge, attitudes, length of work and health facilities on ANC services by midwives at Teluk Dalam Health Center working area, Simeuleu Regency, namely p = 0.049 for knowledge, p value = 0.001 for attitude, p value = 0.01 for length of work, p value = 0.013 for health facilities, each variable P value <α = 0.05. The conclusion of this study is that there is a relationship between knowledge, attitudes, length of work and health facilities on ANC services by midwives at Teluk Dalam Health Center working area, Simeuleu Regency . Keywords : attitude; health facilities; knowledge; length of work; ANC services


2019 ◽  
Vol 13 (2) ◽  
pp. 11-14
Author(s):  
Farzana Zafreen ◽  
Md Mahbubur Rahman ◽  
Latifa Rahman ◽  
Md Abdul Wahab

Introduction: Antenatal care (ANC) is the care of a pregnant woman required to ensure a healthy pregnancy and safe childbirth. According to the World Health Organization to achieve the full life-saving potential for pregnant women and babies, minimum four ANC visits are essential. Quality and quantity of ANC visit depends on socio-demographic characteristics, knowledge, awareness and attitude of the individual. To get the benefits from ANC services awareness among pregnant women and their family members are very important. Objective: To evaluate the awareness about ANC service among the pregnant women attending Upazila Health Complex of a rural community. Materials and Methods: This descriptive cross-sectional study was conducted among the pregnant women attending the outpatient department of Kaligonj Upazila Health Complex, Gazipur, Bangladesh from January to March 2017. Data were collected by face-to-face interview of the respondents using a structured questionnaire. Chi-square (χ2) test was done to see the association among the respondents’ socio-demographic characteristics with awareness about ANC services. Result: Respondents’ age range was 16-40 years and 61.9% were below 25 years and 71.1% married before 20 years. More than half (66.5%) of the respondents’ found aware about pregnancy danger sign, safe delivery and benefits of ANC service. This study found a significant (p<0.05) association between socio-demographic characteristics and awareness about ANC services of respondents. Conclusion: Overall knowledge and awareness level on different component and benefits of ANC visit were below the national standard.  To improve the community awareness and practice on ANC services community campaign is recommended. Journal of Armed Forces Medical College Bangladesh Vol.13(2) 2017: 11-14


Author(s):  
Rubiyati Rubiyati

ABSTRACT Antenatal Care is the care given to pregnant woman to monitor, support maternal health and maternal detect, whether normal or troubled pregnant women. Aki in Indonesia amounted to 359 in 100.000 live births. The purpose of the study was to determine the relationship between age and education in the clinic Budi Mulia Medika 2014. This study used a survey method whit cross sectional analytic. This is the overall study population of women with gestational age ≥36 weeks who come to visit the clinic Budi Mulia Medika Palembang on February 10 to 18. The study sample was taken in non-random with the technique of “accidental smapling “ with respondents who happens to be there or variable. The obtained using univariate and bivariate analysis using Chi-Square test statistic. The results of the univariate analysis showed that 83,3% of respondents did according to the standard prenatal care, high risk age 40,0 %, 60,0% lower risk of age, higher education 70,0%, 30,0% low education. Bivariate analysis showed that there was no significant relationship betwee age and pregnancy tests wit p value= 0,622, and significant relationship between education and prenatal care with p value= 0,019. From the results of this study are expected to need to increase outreach activities to the community about the importance of examination of pregnancy according to gestational age in an effort to reduse maternal mortality.   ABSTRAK Antenatal Care merupakan pelayanan  yang di berikan pada ibu hamil untuk memonitor, mendukung kesehatan ibu dan mendeteksi ibu, apakah ibu hamil normal atau bermasalah. Di Indonesia AKI berjumlah 359 per 100.000 kelahiran hidup. Tujuan penelitian adalah untuk mengetahui hubungan antara usia dan pendidikan dengan pemeriksaan kehamilan di klinik budi mulia medika tahun 2014. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi penelitian ini adalahseluruh ibu dengan usia kehamilan ≥ 36 minggu yang dating berkunjung ke Klinik Budi Mulia Medika pada tanggal 10-18 Februari. Sampel penelitian ini di ambil secara non random dengan tekhnik ‘’ Accidental Sampling’’ dengan responden yang kebetulan ada atau tersedia. Data yang di peroleh menggunakan analisis univariat dan bivariat menggunakan uji statistik Chi-Square. Hasil analisis univariat ini menunjukan bahwa 83,8% responden melakukan pemeriksaan kehamilan sesuai standar, 16,7% tidak melakukan pemeriksaan kehamilan sesuai standar, usia resiko tinggi 40,0%, usia resiko rendah 60,0%, pendidikan tinggi 70,0 %, pendidikan rendah 30,0 %. Analisis bivariat menunjukan bahwa tidak ada hubungan bermakna antara usia dengan pemeriksaan kehamilan dengan p value =0,622, ada hubunngan bermakana antara pendidikan dengan pemeriksaan kehamilan dengan p value = 0,019. Dari hasil penelitian ini di harapkan perlu meningkatkan kegiatan penyuluhan kepada masyarakat tentang pentingnya dilakukan pemeriksaan kehamilan sesuai dengan umur kehamilan sebagai upaya menurunkan angka kematian ibu.    


2017 ◽  
Vol 3 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Tin Tin Aye ◽  
Datuk Muhammad Yusolf Ibrahim ◽  
Daw Khin Saw Naing ◽  
Than Myint ◽  
Muhammad Hj Jical

Women have been fulfilling their reproductive responsibility of propagating human race, many have died and many more faced death in the process of delivering babies, but this can be prevented by taking appropriated antenatal care, clean and safe delivery and essential obstetric care. Antenatal care is the first phase to be encountered once a woman has conceived. The objective of the study was to assess the antenatal (AN) care practice and pregnancy outcome of ever-married women aged 18 to 49 years old having at least one pregnancy experience, residing in kampongs of Kudat area, Sabah, East Malaysia, Northern Borneo from December 2015 to October 2016. Cross–sectional analytical study, non-probability convenient sampling method was used and 300 eligible participants were interviewed face to face by trained interviewer using pretested questionnaire. 99.3% of all the women received AN care, and 97% of the women received AN care practice (AN visit of 4 times and above). Mean AN visit was 9 times. The study revealed that overall knowledge amongst the women with good knowledge was 47.2% and low knowledge was 52.8%. Additionally, there was significant association between education and knowledge, income and knowledge, AN care practices and knowledge. But there was no significant association between AN practice and complication. Despite these results, outcomes were good and all complications were properly and successfully addressed. This may reflect the effectiveness of current national maternal health programs.Asian J. Med. Biol. Res. March 2017, 3(1): 31-37


2016 ◽  
Vol 1 (2) ◽  
pp. 48-60
Author(s):  
Oktafiana Manurung ◽  
Ermawaty Arisandi Siallagan

According to the World Health Organization (WHO) Indonesian women have According to the World Health Organization (WHO) Indonesian women have very bad criteria in terms of health, marriage, employment, education, equality with men. This condition is thought to lead to low maternal access to antenatal care. Goals : Antenatal care in accordance with antenatal care standards may decrease Maternal and Infant Mortality due to regular antenatal care can detect early problems that occur in the mother during pregnancy.Methods : The type of this research is analytical descriptive with cross sectional design which aims to analyze the influence of access and motivation of pregnant mother to mother behavior in doing antenatal visit. The research was conducted in Pancur Batu Puskesmas Working Area. The population is 181 people and the sample size is 61 people. Data analysis was performed using univariate analysis, bivariate analysis with Chi-Square test, and multivariate analysis with multiple logistic regression test.Result : The result of this research indicate that physical accessibility variable is the availability of unrelated officer (p = 0,461) to mother behavior in antenatal visit, social accessibility variable (p = 0,005) and attitude (p = 0,023), and for motivation variable is motive P = 0.005) and expectations (p = 0.019) had a significant effect on maternal behavior in antenatal visits.Conclution : Based on the results of research suggested Head of Pancur Batu Puskesmas to conduct training to officers especially midwives who provide services mainly about hospitality in providing services and to officers implementing services further improve the communication of information and education so that every pregnant women have a good understanding that can eventually cause attitude Positive, high motivation and expectation that can affect the mother in conducting standardized antenatal visits.


2020 ◽  
Vol 4 (3) ◽  
pp. 100-111
Author(s):  
Vita Camelia ◽  

Stunting is a children growth problem that occurs a result of chronic malnutrition in the first 1000 days of life. The indicator of stunting is using the height measurement according to age HFA (Height for Age) under -2 SD based on the WHO growth standard curve according to sex. The impacts of stunting are the occurrence of growth disorders, barriers to development and the risk of metabolic disorders in adulthood. One of the risk factors for stunting is history of quality and quantity Antenatal Care (ANC). This study aimed to determine the relationship between quality and quantity history of ANC visits and stunting in toddlers aged 24-59 years in Pujon District Malang Regency. The method used in this research was observational analytic by using cross-sectional design. The population of this study was all mothers who have children aged 24-59 months that were conducted in January 2020. Ninety eight respondents taken by purposive sampling as the sample of the research. The data was obtained by filling out questionnaires and KIA books, then analyzed with chi-square test (α = 0.05). The results showed that there was a significant relationship in quality (p-value = 0.004) and quantity (p-value = 0.003) toward stunting.


2019 ◽  
Author(s):  
Hasifah K. Namatovu ◽  
Tonny J. Oyana ◽  
Jude T. Lubega

AbstractThere is growing evidence in Uganda that the non-attendance of antenatal care is largely influenced by the lack of decision-making autonomy, inadequate information and poor services offered in health facilities. Although previous studies have examined barriers and facilitators of antenatal care, a few of them have investigated the extent of decision making autonomy and ICT adoption among expectant mothers. A cross sectional design through focus group discussions and survey questionnaires was used to collect data. Three hundred and twenty households were randomly sampled in Kampala and Jinja districts. The Chi-square tests (χ2) for independence to analyze group differences among women’s socio-demographic characteristics and decision-making autonomy was used. Inclusion criteria included respondents aged 18 and 50 years, completion of primary school education, expectant mothers and mothers who gave birth two years prior to the study. A hundred and sixty-four respondents participated in this survey. About 59.5% of women lacked decision making autonomy. Midwives (37.6%) and village health teams (35%) were a major source of antenatal care information, and 49.5% of expectant mothers lacked ANC information. Ninety percent (90%) of mothers did not use any form of ICT’s to enhance their decisions yet 79% possessed mobile phones. We observed a strong association between antenatal care decision-making autonomy and women with higher education (χ2 = 8.63, ρ = 0.035), married (χ2 = 4.1, ρ = 0.043) and mature (36–50) (χ2 = 8.81, ρ = 0.032). The main findings in this study suggest that ICT adoption and decision making autonomy among expectant mothers is still low and less appreciated. Control measures and interventions should be geared towards empowering women to influence their decisions.


2016 ◽  
Vol 32 (6) ◽  
pp. 189
Author(s):  
Mayumi Nitami ◽  
Sri Tjahyani Budiutami

Determinants of dengue mosquito eradication (PSN) in the households in Bogor in 2016PurposeThis study aimed to determine the factors that affect of PSN on housewives in Cibinong and the factors found that influence were: job, knowledge, attitude, behavior of housewife, counselling, active jumantik, giving abatement and the number of container.MethodsA cross-sectional study was conducted using 125 housewifes in Cibinong sub-district. The statistical analysis used chi-square and multiple logistic regression tests.ResultsThis study showed that counseling and the existence of jumantik cadre were the determinants of the application of mosquito nest eradication. Counseling was the most influential factor on the application of mosquito nest eradication.Conclusion Dengue control and prevention counseling should be given to all age groups in the community regularly and it is recommended to reactivate jumantik cadres.


2021 ◽  
Vol 13 (01) ◽  
pp. 96
Author(s):  
Nining Sulistyowati ◽  
Yeti Trisnawati

ABSTRAKLatar belakang: Pandemi Covid-19 menyebabkan banyak pembatasan hampir ke semua layanan rutin termasuk pelayanan kesehatan maternal dan neonatal. Ibu hamil menjadi enggan ke puskesmas atau fasiltas pelayanan kesehatan karena takut tertular, adanya anjuran menunda pemeriksaan kehamilan dan kelas ibu hamil Kurangnya kunjungan ANC ini bisa menyebabkan bahaya bagi ibu maupun janin seperti terjadinya perdarahan saat masa kehamilan karena tidak terdeteksinya tanda bahaya. Tujuan penelitian: Untuk menganalisis kecemasan ibu hamil terhadap kunjungan antenatal care di masa pandemic covid-19. Metode: Penelitian analitik dengan rancangan cross sectional. Penelitian dilakukan di Praktik Mandiri Bidan di Kota Tanjungpinang dari bulan Januari – Februari 2021. Populasi seluruh ibu hamil TM III yang terdata di Praktik Mandiri Bidan di Kota Tanjungpinang dengan sampel sebanyak 32 responden. Teknik purposive sampling dengan kriteria antara lain ibu hamil dengan usia kehamilan trimester III, mampu mengungkapkan perasaan dan kecemasannya, mempunyai handphone dan nomor whatsapp, memiliki Buku KIA serta skor L-MMPI (Lie-Score Minnesota Multiphase Personality Inventory) <10. Hasil penelitian: Hasil uji statistik chi square diperoleh nilai p 0,016 (p<0,05) disimpulkan ada hubungan antara tingkat kecemasan ibu hamil dengan kunjungan antenatal care ke fasilitas pelayanan kesehatan di masa pandemi Covid-19. Simpulan: Hasil penelitian menunjukkan bahwa kunjungan ANC ibu hamil ke fasilitas pelayanan kesehatan pada masa pandemi covid-19 sebagian besar melakukan kunjungan ANC teratur 22 ibu hamil (68,8%), ibu hamil tidak mengalami kecemasan 9 (28,1%). Ibu hamil yang mengalami kecemasan dan tidak teratur melakukan kunjungan ANC sebanyak 12 ibu hamil (37,5%). Ibu hamil yang tidak mengalami cemas seluruhnya melakukan kunjungan ANC secara teratur yaitu 9 responden.Kata kunci: umur, Pendidikan, pekerjaan, kehamilan, kecemasan, frekuensi antenatal carePREGNANT MOTHER'S ANXIETY LEVELS ON ANTENATAL CARE VISITS DURING THE COVID-19 PANDEMICABSTRACTBackground: The Covid-19 pandemic has caused many restrictions on almost all routine services, including maternal and neonatal health services. Pregnant women are reluctant to go to the puskesmas or health service facilities for fear of contracting it, there are recommendations to postpone pregnancy checks and classes for pregnant women. This lack of ANC visits can cause danger to the mother and fetus, such as bleeding during pregnancy because no danger signs are detected. The purpose of the study: To analyze the anxiety of pregnant women regarding antenatal care visits during the covid-19 pandemic. Methods: Analytical research with cross sectional design. The study was conducted at the Independent Midwife Practice in Tanjungpinang City from January - February 2021. The population of all TM III pregnant women recorded at the Midwife Independent Practice in Tanjungpinang City with a sample of 32 respondents. Purposive sampling technique with criteria including pregnant women with the third trimester of pregnancy, being able to express their feelings and anxieties, having a cellphone and whatsapp number, having a KIA Book and an L-MMPI (Lie-Score Minnesota Multiphase Personality Inventory) score <10. Research results: The results of the chi square statistical test obtained a p value of 0.016 (p <0.05) it was concluded that there was a relationship between the level of anxiety of pregnant women and antenatal care visits to health care facilities during the Covid-19 pandemic. Conclusion: The results showed that ANC visits of pregnant women to health care facilities during the covid-19 pandemic mostly carried out regular ANC visits 22 pregnant women (68.8%), pregnant women did not experience anxiety 9 (28.1%). Pregnant women who experience anxiety and do not regularly visit ANC as many as 12 pregnant women (37.5%). Pregnant women who do not experience anxiety all make regular ANC visits, namely 9 respondents.Keywords: age, education, occupation, pregnancy, anxiety, antenatal care frequency.


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