scholarly journals ANALISIS KUALITAS PELAYANAN ANTENATAL CARE(ANC) TERHADAP TINGKAT KEPUASAN IBU HAMIL DI POLI KEBIDANAN

2021 ◽  
Vol 7 (4) ◽  
pp. 620-625
Author(s):  
Yayah Khoeriah ◽  
Sri Dinengsih ◽  
Risza Choerunnisa

Background In Indonesia, the quality of ANC services is still low, seen from the coverage of ANC which is still below the national target where data on the coverage of pregnant women (K4) visits in Indonesia in 2015 was 87.48%, which means it has not reached the target of the Strategic Plan of the Ministry of Health in 2015, namely by 95%. Of the 34 provinces in Indonesia, only 3 provinces have achieved this target, namely the Riau Archipelago, DKI Jakarta, and West Java.The Purpose To know the relationship between the quality of antenatal care (ANC) services to the level of satisfaction of pregnant women in the obstetrics polyThe research design method uses an analytical survey research with a cross-sectional approach, the number of samples is 83. The research instrument uses a questionnaire, bivariate analysis uses the Chi Square test.Results Based on data from 83 pregnant women who were dissatisfied with ANC services as many as 15 people (18.1%), based on Tangibles less good and dissatisfied 16 (19.3%), Empathy 16 (19.3%)The conclusion is that there is a relationship between satisfaction with Tangibles (P-value = 0.000 OR 140.80), Reliability (P-value = 0.000 OR 86.66), Responsiviness (P-value = 0.000 OR 303.3), Assurance (P-value = 0.000 OR 140.8) and Empathy (P-value=0.000 OR 140.8)Suggestions It is hoped that health workers will improve counseling for pregnant women to conduct regular ANC visits. Keywords: Quality of service, ANC, level of satisfaction ABSTRAK Latar Belakang Di Indonesia, kualitas pelayanan ANC masih rendah dilihat dari cakupan ANC yang masih dibawah target nasional dimana data cakupan kunjungan ibu hamil (K4) di Indonesia pada tahun 2015 sebesar 87,48% yang berarti belum mencapai target Renstra Kementerian Kesehatan pada tahun 2015 yaitu sebesar 95%. Dari 34 provinsi di Indonesia, hanya 3 provinsi yang telah mencapai target tersebut, yaitu kepulauan Riau, Dki Jakarta, dan jawa barat. Tujuan Diketahui hubungan kualitas pelayanan antenatal care(anc)  terhadap tingkat kepuasan ibu hamil di poli kebidananMetode desain penelitian ini menggunakan penelitian survey analitik dengan pendekatan cross- sectional, jumlah sampel 83. instrument penelitian menggunakan kuesioner, analisis bivariate menggunakan uji Chi Square. Hasil Berdasarkan data 83 ibu hamil yang tidak puas terhadap pelayanan ANC sebanyak 15 orang (18,1%), berdasarkan Tangibles kurang baik dan tidak puas 16(19,3%), Emphaty 16 (19,3%) Kesimpulan adanya hubungan kepuasan dengan Tangibles (P-value=0,000 OR 140,80), Reliability (P-value=0,000 OR 86,66), Responsiviness (P-value=0,000 OR 303,3), Assurance (P-value=0,000 OR 140,8)dan Emphaty (P-value=0,000 OR 140,8)Saran Diharapkan kepada petugas kesehatan supaya meningkatkan konseling terhadap ibu hamil untuk melakukan kunjungan ANC secara teratur. Kata Kunci: Kualitas pelayanan, ANC, tingkat kepuasan

Author(s):  
Citra Hadi Kurniati

Midwives play an important role in the process of health care, especially antenatal care services (ANC). The quality of midwife services determines the success of the service process. The perception of pregnant women when they come for a pregnancy is related to their availability to return to Antenatal Care examination. This study aims to determine the quality of midwives in ANC services on the perception of pregnant women. This type of research uses observational analytic research, where researchers are directed to explain a situation or situation. The time approach used is cross sectional. Analysis was conducted to test the quality of midwives in providing ANC services to the perception of pregnant women. Analysis of the data in research with ordinal and scale variables is non-parametric statistics. Hypothesis testing using the Chi Square Test. The results showed that there was no relationship between the quality of midwives on perceptions of pregnant women with a p value of valeu> 0.05 with an X × count of 0.325. The conclusion of this study is that there is no relationship between the quality of midwives in providing ANC services to the perception of pregnant women


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.    


2019 ◽  
Vol 19 (3) ◽  
pp. 661
Author(s):  
Desi Andriani ◽  
Husna Yetti ◽  
Roza Sriyanti

Antenatal care or antenatal care is a planned program that is observation, education and medical treatment for pregnant women, to obtain a safe and satisfying pregnancy and childbirth process. The indicator used to assess the access of pregnant women to antenatal care is K1 direction (first visit) is the contact of pregnant women to health workers and K4 (perspective visit) is 4 or more times contact with health workers. From the data of the Padang City Health Office, it was found that the Air Tawar Puskesmas with this low level was caused by various factors. The purpose of this study was to determine factors related to the use of antenatal services. This type of research is a quantitative study with cross sectional study design with 110 respondents of third trimester pregnant women with purposive sampling technique. Data analysis was performed univariate, bivariate with Chi squre test. From the research results obtained from the five factors studied, it was found that the factors related to the use of antenatal services in freshwater health centers were access or distance with pvalue 0.009 = OR 21.676), service availability factors with a p value of 0.001 = OR 9.293, the role factor midwives with a p value of 0.001 = OR 12.302, while the family income factor, disease complaints obtained results have nothing to do with the use of antenatal services. The author's suggestion is that there is a need for good coordination with the Independent Practice Midwife (BPM), revitalize puskesmas to more strategic places and improve better facilities, improve accessibility that can be minimized, strive to reach pregnant women, especially for accessibility that is less affordable.


2021 ◽  
Vol 5 (1) ◽  
pp. 263-270
Author(s):  
Pandu Sandika ◽  
Nur Afrinis ◽  
Emdas Yahya

Complementary feeding of breastmilk to infants aged less than 6 months can cause health problems such as constipation, diarrhea and allergies. It will have an impact on the nutritional status of the infant. The purpose of this study was to determine the relationship between motivation and mother occupation with complementary feeding of breastmilk to infants under the age of 6 months in Naga Beralih village the work area of Community Health centre Kampar Utara in 2020. This type of research was analytic with cross sectional design. The population of this research was mothers who have infants aged 0-6 months in Naga Beralih village, the working area of Community Health centre Kampar Utara, totaling 41 people. Data collection tools in this study used a questionnaire. Data analysis in this study used univariate and bivariate analysis with chi square. The results showed that most of the respondents have high motivation in giving complementary breastfeeding, most of the respondents work, most of the respondents give complementary foods to infant under the age of 6 months. There was a relationship of motivation with complementary feeding with p value of 0.001. There was a work relationship with the provision of complementary feeding under the age of 6 months in Naga Beralih village the work area of Community Health centre Kampar Utara in 2020 with a p value of 0.002. For health workers, in order to increase education about the importance of complementary breastfeeding by forming classes for infants and toddlers to provide information and demonstrations, especially regarding the amount of complementary breastfeeding, types of food and timing of complementary feeding.


Author(s):  
Puji Astuti Wiratmo ◽  
Lisnadiyanti ◽  
Nurkamilia Sopianah

Introduction: Antenatal Care (ANC) is an effort to detect the occurrence of high risk in pregnant women. However, ANC non-compliance was still found due to several factors. Aim of study: This study aims to determine factors that influence ANC visits to ANC behavior at Puskesmas Pasar Rebo East Jakarta. Method: This study used a descriptive correlation design with a cross-sectional survey. Data analysis used Spearman's rho with 117 respondents. Results and Discussion: The results showed that there are some factors that influence ANC visits to ANC behavior, including age with a correlation value (r = 0.419), a p-value of 0.000; education with a correlation value (r = 0.425), p-value of 0.000; jobs with a correlation value (r = 0.279), p-value of 0.002; income with a correlation value (r = 0.407), p-value of 0.000; knowledge with a correlation value (r = 0.409), p-value of 0.000; husband / family support with a correlation value (r = 0.417), p-value of 0.000; attitude with a correlation value (r = 0.597), p-value of 0.000 (<0.05). Irregularity in carrying out ANC has a bad impact on pregnant women because they are not aware of the risk factors that may occur to the mother and her fetus and can not be detected early on the disease suffered by pregnant women. Conclusion: The conclusion of this study is nurses as health workers need to increase their role as educators and health care provider to pregnant women and their families about the importance of ANC to reduce maternal mortality and monitor the state of the fetus.


2019 ◽  
Vol 2 (2) ◽  
pp. 162
Author(s):  
Moh. Rivandi Dengo ◽  
Idjrak Mohamad

The coverage of Antenatal Care (ANC) visits in Gorontalo District during the last three years is as follows: the first visit of the pregnant women in 2015 reached 90%, the visit in the following year in 2016 decreased to 76%, and the visit in 2017 reached 89,86%. This research aims to find out the factors related to the decrease of Antenatal Care in accordance with the decrease in the Antenatal Care visits in the first contact of pregnant women checking K-1 in the working area of Community Health Center Bongomeme Gorontalo District in 2018. The population of the current research was all pregnant women listed in Kohort pregnant women book in the Community Health Center Bogomeme in 2018 there were 163 pregnant women participated. The research design used was a cross sectional study approach. The obtained data were subsequently examined using chi-square test by referring to p value < 0,005. The research results shown that the parity variable of the pregnancy has p value of 0,038, pregnant women knowledge has p value of 0,012, and pregnant women job has p value of 0,000. Thus, this variable has a parity of pregnancy, knowledge of pregnant women and occupation of pregnant women has a relationship with antenatal visits (K-1), while family support variables with p value of 0.478 means that this variable has no relationship with antenatal visits (K-1). The conclusion was the parity, pregnant women knowledge, and pregnant women occupation have the significant relationship with the antenatal care visits (K-1), while the family support has no significant relationship with antenatal visits (K-1). The pregnant women should maintain the pregnancy spacing, maintain the pregnancy health, and increase their knowledge.Cakupan kunjungan Antenatal Care (ANC) di Kabupaten Gorontalo selama tiga tahun terakhir adalah cakupan kunjungan pertama ibu hamil (K-1) tahun 2015 mencapai 90%, pada tahun berikutnya tahun 2016 terjadi penurunan yaitu 76% dan pada tahun 2017 mencapai 89,86%. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan rendahnya kunjungan Antenatal Care pada kontak pertama pemeriksaan ibu hamil K-1 pada Wilayah Kerja Puskesmas Bongomeme Kabupaten Gorontalo tahun 2018. Adapun populasi pada penelitian ini adalah seluruh ibu hamil tercatat di buku kohort ibu hamil Puskesmas Bongomeme tahun 2018 yaitu sebanyak 163 orang ibu hamil. Desain penelitian yang digunakan adalah pendekatan cross sectional study. Data yang diperoleh kemudian dilakukan uji statistic chi square dengan melihat nilai p value < 0,005. Hasil penelitian menunjukkan bahwa variable paritas kehamilan dengan nilai p value 0,038, pengetahuan ibu hamil nilai p value 0,012, dan pekerjaan ibu hamil nilai p value 0,000. Artinya variabel paritas kehamilan, pengetahuan ibu hamil dan pekerjaan ibu hamil memiliki hubungan dengan kunjungan antenatal (K-1). Sedangkan variabel dukungan keluarga nilai p value 0,478 ini berarti variabel dukungan keluarga tidak memiliki hubungan dengan kunjungan antenatal (K-1). Disimpulkan bahwa paritas, pengetahuan ibu, pekerjaan ibu ada hubungan yang signifikan dengan kunjungan antenatal K-I, sedangkan dukungan keluarga tidak memiliki hubungan yang signifikan dengan kunjungan antenatal (K-I). Ibu hamil agar lebih menjaga jarak kehamilan, menjaga kesehatan kehamilan, meningkatkan pengetahuan ibu hamil.


2019 ◽  
Vol 6 (01) ◽  
pp. 33-43
Author(s):  
Dudi Ahmad M ◽  
Sri Mulyanti ◽  
Neni Nuraeni

Human Immunodeficiency Virus (HIV) is a condition where a person does not have immunity. The disease can be transmitted from pregnant women to the child they are carrying, in an effort to detect early HIV, VCT needs to be done. Karanganyar Community Health Center data in 2017 VCT service coverage for pregnant women in 2017 was less than 26.7%. This study aims to determine the factors associated with the use of VCT in pregnant women. This type of research is quantitative by using descriptive correlation method and cross sectional approach. The population is 70 pregnant women who were obtained by purposive sampling technique. Data obtained by closed questionnaire and data analyzed using frequency distribution and chi square test. The results showed knowledge about VCT examination included less (52.9%), attitudes included negative (55.7%), secondary education (52.9%), most did not work (67.1%), more than half received less support from their husbands (57.1%), and most did not utilize VCT services (72.9%). Factors related to the use of VCT are knowledge (p value 0,000), attitude (p value 0,000), education (p value 0,000) and husband's support (p value 0,000), unrelated factors are work (p value 0.196). The conclusion from this study factors related to the use of VCT are knowledge, attitudes, education and husband's support. Therefore, it is better for health workers, especially nurses, to provide nursing services to pregnant women, especially the use of VCT services as an effort in early detection of HIV in pregnant women. Keywords: Factors, Utilization of VCT Services


2019 ◽  
Vol 3 (3S) ◽  
pp. 84-89
Author(s):  
Dian Furqani ◽  
Nuraerni Semagga

This study aims to see the factors that influence the quality of Antenatal Care in the City of Palopo; the type of design used is analytical descriptive with the Cross-Sectional Study approach. Samples from this study were all pregnant women based on 1, 2 and 3th-trimester pregnancy age, and 3 who were lived at the research location as many as 154 people who conducted inspection visits from January to March 2018. The results showed that the average age of the mother was 20 years. In the research statisticallly interconnected variables are maternal knowledge showed p-value (0.000). There are several variables have statistical significance, but there are differences in the percentage between the classification of each variabels as for the quality of Antenatal care associated with parity, maternal characteristics (age, education and occupation), antenatal care in each of the 1.2 trimester, and 3. Service access and economic welfare status, where each variable has a p-value> 0.005. The study expects that a health program should not look the quantity of maternal pregnancy visits, but pay attention to the examination checks received at each gestational age. We hope to encourage mothers to be more active in paying attention to the examinations that will be accepted based on their gestational age so that good health services and of recipients of services occur.


2019 ◽  
Vol 1 (1) ◽  
pp. 1-7
Author(s):  
Maria T. E. Koba ◽  
Frans G. Mado ◽  
Yoseph Kenjam

Family planning aims at reducing maternal mortality rates and reducing population growth rate with the main target of couples of childbearing age. One of the family planning options offered is long-term reversible contraceptive method (MKJP). The purpose of this study was to determine the factors associated with interest in using MKJP in the work area of Camplong health center, Fatuleu sub-district, Kupang regency in 2018. The research was quantitive study with cross-sectional approach. The sample of 77 people was selected using simple random sampling. The instrument uses was a questionnaire. Data analysis techniques consisted of descriptive and bivariate analysis (chi-square test) with α= 0,05. The study indicated that knowledge (p-value= 0,09) and the role of health workers (p-value =0,001) were associated with the use of the MKJP while attitude (p-value = 0,765) and husband support (p-value = 0,131) had no relationship with MKJP. Health center needs to regularly provide information to the community about the advantages of MKJP especially for couples of childbearing age who have already had more than three children.


2021 ◽  
Vol 9 (1) ◽  
pp. 111-125
Author(s):  
Ni Gusti Made Ayu Agung Budhi ◽  
Maryanah Maryanah

Quality Antenatal Care (ANC) services can prevent complications during pregnancy, but during the Covid-19 pandemic, there is a policy for mothers to postpone ANC visits. The purpose of the study was to find out how the influence of ANC services during the Covid-19 pandemic on the incidence of complications in pregnant women. The research method used is an analytical survey with a Cross-Sectional approach. The number of samples is 110 pregnant women respondents. The statistical test used is the Chi-Square test. The results showed that the age of pregnant women was 92.1% of healthy reproductive age, high school education level was 90.4%, some pregnancies experienced by mothers 2 were 66.7%, work as housewives were 67%. The biggest complication that occurs in pregnant women is anemia (40%). The provision of quality ANC services with 10T has a positive influence on the incidence of complications in pregnancy during the pandemic (p-value <0.05), as well as understanding of the Maternal and Child Health (MCH) book (p-value <0.05) and the anxiety felt by the mother (p-value <0.05) influences the occurrence of complications. The conclusions obtained were the effect of providing quality ANC services with 10 T, understanding of the MCH handbook on the incidence of complications during the covid-19 pandemic.


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