scholarly journals Pelatihan Bidan tentang Komunikasi Interpersonal dan Konseling (KIP/K) dalam Upaya Peningkatan Kualitas Antenatal Care di Puskesmas Kalitidu Kabupaten Bojonegoro

2022 ◽  
Vol 1 (1) ◽  
pp. 134-148
Author(s):  
Siti Mar'atus Sholikah ◽  
Sri Anggraeni ◽  
Ari Tri Rahayu
Keyword(s):  
Antenatal Care ◽  
Health Center ◽  
Community Health Center ◽  
Infant Mortality Rate ◽  
Average Score ◽  
Lecture Method ◽  
Post Test ◽  
Service Training ◽  
And Child Health

ABSTRAK Indikator keteraturan pemeriksaan kehamilan menggambarkan kualitas pelayanan Program Kesehatan Ibu dan Anak (KIA). Pada tahun 2019 di Puskesmas Kalitidu cakupan Kunjungan Kehamilan (K4) di Puskesmas Kalitidu belum mencapai target 100% yaitu tercapai 91%. Komplikasi kehamilan targetnya 15-20%, tercapai 40.96% dan komplikasi persalinan 44,17%. Angka Kematian Bayi (AKB) sebesar 8,13/1000 KH. Sedangkan Bidan di wilayah Puskesmas Kalitidu yang belum mengikuti pelatihan KIP/K sebesar 20 orang (90,91%) dari 22 bidan.Tujuan umum untuk meningkatkan pengetahuan dan keterampilan Bidan  melalui pelatihan bidan tentang Komunikasi Interpersonal dan Konseling (KIP/K) dalam upaya peningkatan kualitas ANC. Pelatihan ini dilaksanakan selama tiga hari di Puskesmas Kalitidu, diikuti 22 bidan dengan metode ceramah tanya jawab,demonstrasi dan praktik KIP/K. Hasil kegiatan adalah peningkatan kualitas Bidan dalam KIP/K yaitu peningkatan pengetahuan dengan nilai rata-rata post tes 94,55 %, keterampilan KIP/K nilai rata-rata 82,50%, terbentuknya Komitmen Bersama Bidan dalam mendukung mensukseskan kegiatan Bidan tentang KIP&K dalam upaya peningkatan kualitas ANC. Luarannya peningkatan kualitas Bidan, HKI, Modul dan jurnal. Saran: sosialisasi KIP/K pada Bidan yang belum mengikuti pelatihan dan 7 hak ibu hamil pada pelayanan ANC serta menerapkannya dalam pelayanan ANC. Kata kunci: Bidan, KIP/K, Pengabmas, pelatihan.  ABSTRACT The indicators of regularity for antenatal care describe the quality of services for the Maternal and Child Health Program (MCH). In 2019 at the Kalitidu Health Center cThe coverage of Pregnancy Visits (K4) at the Kalitidu Health Center has not reached the 100% target, which is 91%. The target for pregnancy complications is 15-20%, achieved 40.96% and delivery complications 44.17%. The Infant Mortality Rate (IMR) is 8.13/1000 KH. Meanwhile, 20 midwives in the Kalitidu Community Health Center have not attended KIP/K training (90.91%) out of 22 midwives. ANC quality. This training was held for three days at the Kalitidu Health Center, attended by 22 midwives with a question and answer lecture method, demonstration, and KIP/K practice. The result of the activity is an increase in the quality of Midwives in KIP/K, namely an increase in knowledge with an average post-test score of 94.55%, KIP/K skills an average score of 82.50%, the formation of a Joint Commitment of Midwives in supporting the success of Midwives' activities on KIP&K in an effort to improve the quality of ANC. The output is improving the quality of midwives, HKI, modules, and journals. Suggestion: socialization of KIP/K to midwives who have not attended training and 7 rights of pregnant women in ANC services and apply them in ANC services. Keywords: Midwife, KIP/K, Community Service, training.

EFFECTIVENESS OF USING MCH BOOKS AND MONSCA APPLICATIONS IN THE IMPLEMENTATION OF 14 T ANTENATAL SERVICE STANDARDS

2020 ◽  
Vol 12 (1) ◽  
pp. 68-73
Author(s):  
Rahmawati Rahmawati ◽  
Syarif Syafruddin ◽  
Nontji Wena
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Continuity Of Care ◽  
Control Design ◽  
Sampling Technique ◽  
Limited Time ◽  
Control Groups ◽  
Post Test ◽  
Service Standards

The component of antenatal care received by pregnant women is classified as incomplete because the implementation of standard pregnancy services is still using conventional methods. There are obstacles faced by midwives, such as the limited time in a recording, which has an impact on the declining quality of antenatal care standards. This research aims to compare the effectiveness of the use of KIA books and MONSCA applications in midwives in the application of the standard Antenatal service 14 T. This research was conducted in Puskesmas Tanete and Puskesmas Bontobangun Bulukumba District. The method used in the study is experimental quasi (pre-test post-test nonequivalent control design). Using a sample of midwives in this study, as many as 36 people were divided into two groups (18 intervention groups and 18 control groups). The sampling technique in this study used purposive sampling. Data were analyzed using the Mann-Whitney Test. The results showed that there was a difference in the effectiveness of using KIA books with MONSCA applications, MOSCA's applications were easier to use, faster, safer, and more accurate than KIA books. It can be concluded that the MONSCA application is more effective than KIA books. Key words: Effectiveness, Android-based Smart Continuity of Care application, KIA book, Antenatal service 14 T

scholarly journals Factor Affecting the Utilization of Family Planning Program Services

2021 ◽  
Vol 2 (2) ◽  
pp. 41-50
Author(s):  
Melda Andriani ◽  
Megawati Megawati ◽  
Asriwati Asriwati ◽  
Lucia Lastiur
Keyword(s):  
Family Planning ◽  
Community Health ◽  
Health Center ◽  
Mixed Methods Research ◽  
Quantitative Methods ◽  
Family Planning Program ◽  
Health Workers ◽  
Community Health Center ◽  
Planning Program

Family planning to spacing or planning the number and distance of pregnancies using contraception. Data on active family planning participants based on the type of contraception at the Pasie Raya Community Health Center in 2019 was 39.4%, there was no increase in the coverage of active KB participants based on the type of contraception in 2018 of 49.4%. The aim is to find out what are the factors that influence the use of family planning program services for women in the working area of ​​the Pasie Raya Community Health Center. This type of research is a combination research (mixed methods research) combining or combining quantitative methods and qualitative methods with Accidental Sampling sampling techniques on 90 samples and 5 informants. Quantitative data were analyzed using univariate, bivariate and multivariate logistic regression tests. The results of the study showed the influence of knowledge, information sources, culture, family support and support from health workers on the utilization of family planning program services. Based on the multivariate analysis, the support variable for health workers is the dominant variable, while the results of the qualitative analysis on key informants and supporters can be concluded that women have taken advantage of the Kb service program, but most of the women do not understand and understand the benefits that are obtained from the family planning program. The conclusion from the health workers is very important in the utilization of family planning program services. It is recommended that the Health Office conduct more evaluations of family planning services at the Puskesmas. It is necessary to improve the quality of Kb services by including health workers in training.

EFFECT OF HEALTH EDUCATION AUDIOVISUAL BASED ON HEALTH BELIEF MODEL TOWARDS COMPLIANCE BEHAVIOR OF TB PATIENTS IN PREVENTION TRANSMISSION AT NAMBO PUBLIC HEALTH CENTER AREA

2020 ◽  
Vol 2 (2) ◽  
pp. 8-12
Author(s):  
Ari Nofitasari ◽  
Nawawi Nawawi ◽  
Mimi Yati ◽  
Sarah Sarizan Yunam
Keyword(s):  
Public Health ◽  
Health Education ◽  
Health Center ◽  
Community Health Center ◽  
Health Belief ◽  
Sampling Technique ◽  
Public Health Center ◽  
Post Test ◽  
Belief Model ◽  
Center Area

Background: Health education can improve an adherence and reduce treatment delays in Tuberculosis (TB) patients. Based on results of interviews with TB patients at Nambo Public Health Center in December 2019, the results of interviews that has conducted on 4 patients, it found that the patients was undergoing treatment at the public health center , there were family members who were undergoing same treatment, there had been no routine preventive measures. The 4 patients interviewed said that they did not know clearlyto preventiontransmission  because the health worker only gave a sheet of paper which was recommended to be read at home. The General objective of this study was to determine the effect of health education patients in prevention of transmission at the Nambo Public Health Center Area. Methods: The type of study was quasyi experimental method with a pre test and post test design. The population of this study was 75 people, by using proportional random sampling technique with 26 respondents. The method of analysis  used paired t test of the statistical analysis. Result: The results of this study, showed that the above table analysis obtained the value of t=10,111>1,706, where t count was greater than the value of t table. It shows that there was asignificant effect of Health Prevention behavior at Nambo Public Health Center. Conclusion: It is hoped that the Nambo Community Health Center will always educationorconselingwhichwillincreasecommunityknowledge on TB prevention in the working area.

REPRODUCTIVE AND CHILD HEALTH SERVICES AND DEMOGRAPHIC CHANGE IN THE DISTRICTS OF UTTAR PRADESH, 2002–13

2016 ◽  
Vol 49 (5) ◽  
pp. 685-709
Author(s):  
Mamta Rajbhar ◽  
Sanjay K. Mohanty
Keyword(s):  
Child Health ◽  
Antenatal Care ◽  
Fixed Effects ◽  
Uttar Pradesh ◽  
Infant Mortality Rate ◽  
Child Health Services ◽  
Reproductive And Child Health ◽  
Female Literacy ◽  
And Child Health ◽  
Over Time

SummaryThis study examined the effect of reproductive and child health (RCH) services on fertility and child mortality in the districts of Uttar Pradesh. It specifically measured the effect of antenatal care, medical assistance at birth, child immunization and use of modern methods of contraception on Total Fertility Rate (TFR), Infant Mortality Rate (IMR) and Under-five Morality Rate (U5MR) before and after the National Rural Health Mission (NRHM) period. Data from the 2002–04 District Level Household Survey (DLHS-2), 2012–13 Annual Health Survey (AHS) and the 2001 and 2011 Censuses of India were used. The TFR and U5MR were estimated from the Census of India with district as the unit of analysis. Descriptive statistics, composite indices, random- and fixed-effects models and difference-in-difference models were used to understand the effect of RCH services on the reduction in TFR, IMR and the U5MR. The results suggest large inter-district variations in the coverage of RCH services in the state. During the post-NRHM period, improvement was highest in safe delivery followed by immunization coverage and antenatal care and least for contraceptive use in most districts. The relative ranking of districts has not changed much over time. In 2002–04, the RCH Index was highest in Lucknow (0.442) followed by Ballia and least in Kaushambi (0.115). By 2012–13, it was highest in Jhansi (0.741) and lowest in Shrawasti (0.241). The districts of Kaushambi, Unnao, Mahoba, Banda and Hardoi performed better in the RCH Index over time, while Ballia, Gautam Buddha Nagar, Kanpur Nagar, Pratapgarh and Sonbhadra remained poor. The RCH service coverage and demographic outcomes were poor in seven districts, particularly those in eastern and western Uttar Pradesh. The regression analyses suggest that the RCH Index exerts greater influence on the reduction in IMR and U5MR, while female literacy exerts greater influence on the reduction in TFR. The results of the hybrid model suggest that a 10% change in RCH Index would lead to a 3 point decline in IMR, and a 10% increase in female literacy would lead to a 0.2 point decline in TFR. The study suggests continuing investment in female education and RCH services with a greater focus on poor-performing districts to realize demographic and health targets.

scholarly journals Hubungan Kualitas Pelayanan Rawat Inap Dengan Indeks Kepuasan Masyarakat Puskesmas Wonosari

2020 ◽  
Vol 8 (2) ◽  
pp. 16-23
Author(s):  
Lilik Mulyati
Keyword(s):  
Health Center ◽  
Service Providers ◽  
Community Health Center ◽  
Bivariate Analysis ◽  
P Value ◽  
Community Satisfaction ◽  
Cross Sectional ◽  
Spearman Rank ◽  
Satisfaction Index

Community satisfaction measurements are intended to determine the level of community satisfaction with the services provided and provide an opportunity for the community to assess the services that have been received.The design of this study is quantitative with a Cross-Sectional approach. The study was conducted by involving 59 respondents taken by accidental sampling. The study was conducted in April until May 2019 at Wonosari Health Center, Bondowoso Regency. The measuring instrument used was a questionnaire, then bivariate analysis was performed with Spearman Rank Analysis, with a significance of p = 0.05. The results of the Spearman Rank statistical test with significance levels p <0.05. Obtained p-value 0,000 which means There is a Relationship between the Quality of Inpatient Services and the Wonosari Community Health Center Community Satisfaction Index with a correlation coefficient of 0.714. The quality of inpatient care results in an index of community satisfaction when receiving health services provided. The quality of this service can ultimately provide several benefits, including the establishment of harmonious relationships between service providers and customers, providing a good basis for creating customer loyalty and building a favorable recommendation for these service providers.

scholarly journals Zero Maternal Death with KECUBUNG Featured in SATE Krembung Application (Integrated Queue System) in Krembung Community Health Center in 2017 until 2018

2020 ◽  
Vol 4 (1) ◽  
pp. 59
Author(s):  
Arif Rahman Nurdianto
Keyword(s):  
High Risk ◽  
Early Detection ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Health Center ◽  
Maternal Death ◽  
Community Health Center ◽  
Work Area ◽  
Special Programs ◽  
And Child Health

ABSTRACTThere are some special programs in Maternal and Child Health that have not yet been reached and have a bad trend like the number of Low Birth Weight (LBW), cases of stillbirth, and babies died. There was a congenital defect in babies, increased obstetric complications, and there is one case of maternal death. There were neo-complications in infants and babies. The problem that often results in the death of pregnant women is the lack of early detection at first-level facilities in the Krembung Health center. Early detection and treatment or planning in cases of high-risk pregnant women is lacking, and then we created a SATE Krembung application in 2017. Making SATE Krembung application, socializing to the community, socializing the features of KECUBUNG to report mothers at high risk, and bringing services closer to the community and to evaluate reports from residents. Activities are collected, analyzed, and processed into mature data. The number of people activities collected during the collection of data during this research from 500 users of application from 2017 until 2018. There was a decrease in maternal mortality rates to zero patients in 2017 and 2018. The use of SATE Krembung is quite effective in reducing maternal mortality to zero patients in the Krembung health center work area, but this must be improved with the development of applications. The application of SATE Krembung with KECUBUNG feature can reduce maternal mortality by empowering health cadres and the community to be aware of the environmental conditions surrounding them.Keywords                   : SATE Krembung, KECUBUNG, Maternal Death

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