Pelaksanaan Program Perencanaan Persalinan Dan Pencegahan Komplikasi (P4K) Melalui Peran Keluarga

2019 ◽  
Vol 18 (2) ◽  
pp. 49-58
Author(s):  
Yusriani Yusriani ◽  
Muh. Said Mukharrim ◽  
Reza Aril Ahri

The maternal mortality rate (MMR) is one of the important indicators of public health. AKI describes the number of women who die from a cause of death related to pregnancy disorders or treatment (excluding accident or incidental cases) during pregnancy, childbirth and during the puerperium (42 days after delivery) regardless of the length of pregnancy per 100,000 live births. South Sulawesi Province is one of the regions experiencing high maternal mortality problems, especially in Gowa Regency, namely in 2018 as many as 17 cases of maternal deaths, the highest cases of which were in the work area of Somba Opu Health Center, namely 5 cases. The general objective of this study is to analyze the role of the family in implementing the P4K program. The design of this study was qualitative with descriptive explanative design using purposive sampling technique with 33 informants consisting of 6 pregnant women, 4 husbands, 5 posyandu cadres, 3 village midwives, 1 coordinator midwife puskesmas, 8 heads environment and 6 village heads. The role of the family in implementing the P4K program in the work area of Somba Opu Health Center in Gowa Regency has been carried out but not optimally, there are still some indicators that have not been fulfilled.

2018 ◽  
Vol 46 (2) ◽  
pp. 97-108
Author(s):  
Harimat Hendarwan

Abstract The maternal mortality rate in Indonesia is still high and still far from the established target of SDG's, which is 305 compared to 102 maternal deaths per 100,000 live births. Adequate pregnancy screening services are needed to reduce maternal mortality. This study aims to determine the quality of antenatal care (ANC) services at public health centers (midwives competence and support facilities and service infrastructure). Data collection was conducted in 212 health centers and the sample size is 224 midwives in the health centers. Midwives were observed at the time of antenatal care. The observed ANC components were 5T, 7T, and 9T. In addition, it was observed also the availability of facilities, infrastructure, and medicines related to ANC in health centers. The midwives who performed the ANC correctly and well for the 9T, 7T, and 5T components were 18.8%, 23.2%, and 31.7%. Only 20.4% of health center have all equipment, medicines, and supporting media of ANC 9T service. Only one-fifth of midwives perform complete and correct ANC services for the 9T service components. Midwife knowledge in doing ANC 9T is better for those who have profession less than 20 years old and hold at least diploma degree midwifery. Keywords : Antenatal Care, Midwives, Health Center Abstrak Angka kematian ibu di Indonesia masih tinggi dan masih jauh dari target SDG’s yang telah ditetapkan, yaitu 305 dibandingkan dengan 102 kematian ibu per 100.000 kelahiran hidup. Pelayanan pemeriksaan kehamilan yang adekuat sangat dibutuhkan untuk menurunkan angka kematian ibu. Penelitian ini bertujuan mengetahui kualitas pelayanan pemeriksaan kehamilan atau antenatal care (ANC) di puskesmas (kompetensi bidan serta dukungan sarana dan prasarana pelayanan). Pengumpulan data dilakukan di 212 puskesmas dengan jumlah sampel 224 orang bidan. Bidan diamati pada saat melakukan pelayanan ANC. Komponen ANC yang diamati adalah 5T, 7T, dan 9T. Selain itu diamati juga ketersediaan sarana, prasarana, dan obat-obatan terkait dengan ANC di puskesmas. Bidan yang melakukan ANC dengan benar dan baik untuk komponen 9T, 7T, dan 5T secara berturut – turut adalah 18,8%, 23,2%, dan 31,7%. Hanya 20,4% puskesmas telah memiliki seluruh peralatan, obat, dan media penunjang pelayanan ANC 9T. Hanya seperlima bidan melakukan pelayanan ANC secara lengkap dan benar untuk komponen pelayanan 9T. Pengetahuan bidan dalam melakukan ANC 9T lebih baik pada mereka yang menjalani profesinya kurang dari 20 tahun dan berpendidikan minimal D3 kebidanan. Kata kunci : ANC, Bidan, Puskesmas


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Ria Mariani Andini ◽  
Joice Sondakh ◽  
Bismarch J. Laihad

Abstract: Maternal mortality is a complex problem that is caused by a variety of causes that can be distinguished on the determinant of near, intermediate and far. Maternal mortality or maternal death is one indicator to see the progress of the health of a country, especially with regard to maternal and child health issues. The research objective was to determine the description of Maternal Mortality Rate (MMR) in RSUP Prof. Dr. dr. R. D. Kandou Manado period January 2014 - September 2015. Methods: This study is a retrospective descriptive study. The population is all deliveries in RSUP Prof. Dr. dr. R. D. Kandou Manado period January 2014 - September 2015. The samples is 20 persons, sampling with total sampling technique. Results: based on this research, the highest number of births was in 2014 that as many as 3,347 people (70.8%), while in 2015 as many as 1,380 people (29.2%). Maternal Mortality Ratio (MMR) was 298 per 100,000 live births in 2014 and 725 per 100,000 live births in 2015. The number of maternal deaths in the period from January 2014 through September 2015 respectively by 10 people (50%). The most diagnosis entry patients is eclampsia by 10 persons (50.0%) Based on the causes of maternal mortality, that most because of hemorrhagic stroke by 7 people (35.0%).. Conclusion: Maternal Mortality Ratio (MMR) was 298 per 100,000 live births in 2014 and 725 per 100,000 live births in 2015. By entering the patient's diagnosis, most of the patients with the diagnosis of eclampsia and cause most maternal deaths are patients who died because stroke hemorrhagic period January 2014 through September 2015.Keyword: Maternal Mortality RateAbstrak: Kematian ibu merupakan salah satu indikator untuk melihat kemajuan kesehatan suatu negara, khususnya yang berkaitan dengan masalah kesehatan ibu dan anak. Tujuan penelitian adalah mengetahui gambaran Angka Kematian Ibu (AKI) di RSUP. Prof. Dr. R. D. Kandou Manado Periode Januari 2014 – September 2015. Metode: penelitian ini merupakan jenis penelitian deskriptif retrospektif. Populasi yang diambil adalah semua persalinan di RSUP. Prof. Dr. R. D. Kandou Manado Periode Januari 2014 – September 2015. Jumlah sampel adalah 20 orang, penentuan sampel dengan teknik total sampling. Hasil: berdasarkan hasil penelitian, jumlah persalinan terbanyak adalah pada tahun 2014 yaitu sebanyak 3.347 orang (70,8%) sedangkan pada tahun 2015 sebanyak 1.380 orang (29,2%). Rasio Angka Kematian Ibu (AKI) 298 per 100.000 kelahiran hidup pada tahun 2014 dan 725 per 100.000 kelahiran hidup pada tahun 2015.Sedangkan jumlah Jumlah Kematian Ibu pada periode januari 2014 sampai september 2015 masing-masing sebanyak 10 orang (50%). Diagnosa masuk pasien terbanyak yaitu eklamsia sebesar 10 orang (50,0%) Berdasarkan penyebab kematian ibu, yang tebanyak karena stroke hemoragik sebesar 7 orang (35,0%). Kesimpulan: Rasio Angka Kematian Ibu (AKI) adalah 298 per 100.000 kelahiran hidup pada tahun 2014 dan 725 per 100.000 kelahiran hidup pada tahun 2015. Berdasarkan diagnosis masuk pasien, terbanyak adalah pasien dengan diagnosa eklampsia dan penyebab kematian ibu terbanyak adalah pasien yang meninggal karena stroke hemoragik periode januari 2014 sampai september 2015.Kata kunci: Angka Kematian Ibu


2018 ◽  
Author(s):  
RONA FEBRIONA

This research was conducted in elderly posyandu work area at Dulalowo Health Center, Gorontalo City. This study aims to know and analyze the image of family support, the role of cadres, dwelling facilities and infrastructure as well as knowing the success picture in the implementation of elderly posyandu program at Dulalowo Health Center, Gorontalo City. This research uses survey type, with analytic approach. The population is 46,251 people. The sample size is 65 people. Data collection techniques include: Questionnaire, Observation, Interview and Library study data analysis used is descriptive analysis and inferential analysis. The results of the research indicate: 1) family support for elderly Posyandu enrollment, belonging to the supporting categories: 2) the role of cadres in the elderly Posyandu program, belonging to the role category (medium); 3) elderly living in elderly Posyandu careers, belonging to the supporting categories (medium): 4) Facilities and infrastructure in elderly Posyandu, are categorized as supporting category (medium); 5) The success of Elderly Posyandu at Dulalowo Health Center of Gorontalo City, belong to high category; 6) There is Influence of Family Support, Role of Cadre and Resident as well as facilities and Infrastructure to Success Level of Elderly Posyandu At Dulalowo Public Health Center of Gorontalo City. The effect of these variables is 43.8%.


2020 ◽  
Vol 4 (1) ◽  
pp. 242-247
Author(s):  
Qurotul Aini ◽  
Byba Melda Suhita ◽  
Novita Ana Anggraini

Nutritional problems, especially stunting in infants can inhibit a child's development, with negative impacts that will take place in the next life. The purpose of this study was to analyze the influence of parenting, breastfeeding, the role of health workers on the incidence of stunting in infants at the Gandusari  Public Health Center in Blitar Regency. This research design is correlational analytic with cross sectional approach. with the focus of his research directed to be analyzing some of the factors that influence the incidence of stunting in UPT Public Health Center Gandusari Blitar Regency with a population of 163 respondents and a sample of 115 respondents taken by the Simple Random Sampling technique. Data collection using a questionnaire, data analysis with logistic regression test at α = 0.05. The results showed that there was an influence of parenting on the incidence of stunting in infants (p-value = 0,000), there was an effect of breastfeeding on the incidence of stunting in infants (p-value = 0.008), there was an influence on the role of health workers on the incidence of stunting in infants (p -value = 0.003). It can be concluded that the incidence of stunting in infants at the Gandusari Community Health Center is influenced by parenting, breastfeeding, and the role of the health worker at 33% while the remaining 67% is influenced by other factors. parenting, breastfeeding, the role of health workers are factors that influence the incidence of stunting. Lack of knowledge leads to the formation of negative attitudes towards stunting prevention efforts by mothers and cadres due to lack of information.


2020 ◽  
Vol 5 (1) ◽  
pp. 36-52
Author(s):  
Nagoklan Simbolon ◽  
Pomarida Simbolon ◽  
Joice Panjaitan

Introduction. The age of life expectancy of Indonesian women is 74 years old, male 69 year, average life expectancy of 71.2 years (BPS, 2019). United Nations Data shows the number of elderly 2017 is 7.511 billion. Data World Bank, (2019) The number of elderly 5 ASEAN countries in the order as follows Thailand 11.9%, Singapore 11.5%, Vietnam 7.3%, Malaysia 6.7%, and Indonesia 5.7% while in the world 8.9%. Year 2019, the number of Indonesian elderly is prediction to be 27.5 million or 10.3%, year 2020 reached 28.8 million or 11.34% of the total population and 57 million (17.9%) Year 2045 (BPS, 2018). The UN predition that the percentage of Indonesian seniors reached 25 percent in 2050, about 74 million elderly. This figure is a challenge in creating a healthy and productive elderly or independent. Increasing age will add to the family burden. This condition requires the family to support the elderly to remain healthy, so that the self-reliant in conducting ADL. Healthy, active and independent elderly will add to the welfare and happiness of the family. The purpose of research is to know the family support relationship with elderly independence conducting ADL in Tuntungan village II work area Pancur Batu Puskesmas Regency Deli SerdangMethod. This research uses cross sectional methods. Population is all the elderly village of Tuntungan II work area Pancur Batu Public Health Center as much as 299 people. Large samples in research as much as 73 people. Data collection using interview techniques with questionnaires. Research is analyzed by univariate and Bivariat.Result. The results showed a significant relationship between the family support and elderly independence, p value, 0.000.Duscussion. Pancur Batu Public Health Center are advised to provide health education to the family the importance of providing support to theelderly to improve elderly independen


2020 ◽  
Vol 7 (2) ◽  
pp. 38-42
Author(s):  
Nada Aizza Alhanifa ◽  
Yani Kamasturyani ◽  
Shella Febiana Putri

Based on data from the Cirebon City Environment Office in 2019, the volume of waste in the city of Cirebon reaches 500-600 m3 per day, and it is estimated that the yield of waste production as much as 0.7 kg per person per day. Providing health information about waste, it is only limited to the importance of disposing of waste in its place and has not been focused on information in efforts to handle and reduce waste, especially at the household level. The purpose of this study was to determine the effect of health counseling on increasing knowledge of household waste management in the Sunyaragi Public Health Center Working Area In Cirebon City. This research uses experiments method with the one group pretest-posttest design. The population is all residents of homes in the work area of Cirebon City Sunyaragi Health Center as many as 2,060 inhabited houses. The sampling technique used was proportionate stratified random sampling technique of 75 residents. The instrument used in this study was a questionnaire.  The results showed there were 58 people (77.3%) who had good knowledge about household waste management after giving health education, more than before giving education, as many as 26 people (34.7%). Paired t-test results showed that the p value obtained was 0.00 and smaller than the value of a = 0.05. This result shows that Ho is rejected, which means that there is an effect of health education on increasing the knowledge of household waste management in the Work Area of the Sunyaragi Community Health Center in Cirebon.  It is expected that the agency will further enhance the health promotion program and educate the public regarding the importance of managing waste at the household level.


2020 ◽  
Vol 11 (1) ◽  
pp. 120-128
Author(s):  
Laurensia Yunita ◽  
Ika Mardiatul Ulfa

Latar Belakang: Pencapaian akseptor Kb Aktif di Banjarmasin Selatan berjumlah 7.835 orang (119,4%) yaitu dari Puskesmas Pekauman 6.498 orang (57,2%), Puskesmas Kelayan Timur 500 orang (9,8%), Puskesmas Pemurus Baru 379 orang (7,4%), Puskesmas Pemurus Dalam 133 orang (4,6%), Puskesmas Kelayan Dalam 196 (32,7%), dan Puskesmas Beruntung Raya 129 orang (7,7%). Dari data tersebut bahwa di Banjarmasin Selatan memiliki 6 Puskesmas dan Puskesmas yang memiliki akseptor Kb Aktif terbanyak adalah Puskesmas Pekauman. Akseptor KB Aktif yang menggunakan Kondom sebanyak 12 orang (0,089%), suntik sebanyak 819 orang (6,06%), dan pil sebanyak 1098 orang (8,15%). Kebanyakan Aseptor KB tidak mengetahui apa itu kontasepsi jangka panjang, mereka hanya tau kontrasepsi pil, suntik, impant dan IUD tetapi tidak bisa membedakan mana untuk jangka panjang serta keamannanya bagi akseptor KB.Tujuan: Mengetahui pengetahuan akseptor KB tentang penggunaan kontrasepsi jangka panjang di wilayah kerja Puskesmas Pekauman.Metode: Penelitian ini merupakan penelitian diskriftif untuk mengetahui penegtahuan akseptor KB tentang kontrasepsi jangka panjang. Teknik pengambilan sampel adalah Acidental Sampling dengan jumlah sampel sebanyak 30 responden.Hasil: Dari 30 responden sebanyak 60% pengetahuan aksepor baik tentang kontrasepsi jangka panjang, sedangkan 40 % pengetahuan aksepor cukup tentang kontrasepsi jangka panjang.Simpulan: Peranan tenaga kesehatan dalam melakukan penyuluhan tentang alat kontrasesi jangka panjang harus dilakukan dengan maksimal mengingat akseptor kb yang berbeda-beda latarbelakang pengetahuan dan pendidikannya, sehingga capaian pengguna MKJP dapat terpenuhi.Kata Kunci: Akseptor, Kontrasepsi, KB, PengetahuanAbstract Background: Achievement of active Kb acceptors in South Banjarmasin amounted to 7,835 people (119.4%), namely from the Pekauman Health Center 6,498 people (57.2%), the East Kelayan Health Center 500 people (9.8%), the Health Center Pemurus Baru 379 people ( 7.4%), Health Center Pemurus Dalam 133 people (4.6%), Health Center Kelayan Dalam 196 (32.7%), and Health Center Beruntung Raya 129 people (7.7%). Health center Pekauman acceptors of active birth control using condoms were 12 people (0.089%), injected 819 people (6.06%), and 1098 people (8.15%) pills. Most contraception acceptors do not know what long-term contraception is, they only know the contraceptive pill, injection, impant and IUD but cannot distinguish which for the long term and its safety for family planning acceptors.Objective: Knowing the knowledge of family planning acceptors about contraceptive use in the work area of the Health center Pekauman.Method: This research is a descriptive study to study the knowledge of family planning acceptors about long-term contraception. The sampling technique is accidental sampling with a total sample of 30 respondents.Results:Of the 30 respondents, 60% of acceptor knowledge is good about long-term contraception, while 40% of acceptor knowledge is enough about long-term contraception.Conclusion: The role of health workers in conducting counseling about long-term contraction tools must be carried out with a maximum ofacceptors who have different background knowledge and education, so that the achievements of MKJP users can be fulfilled. Keywords: Acceptor, Contraception, KB, Knowledge


2020 ◽  
Vol 5 (2) ◽  
pp. 86-93
Author(s):  
Rezyana Budi Syahputri ◽  
Dzul Akmal

Background: The achievement of breastfeeding in Surakarta City in 2017 was 76.7% while the target of infants with exclusive breastfeeding is 80%. The lowest achievement of exclusive breastfeeding was at Gilingan Public Health Center (66.1%). The role of health center staff is very important in improving and supporting social breastfeeding efforts.  Methods: The study was descriptive qualitative research using a case study approach. The informant of this research consists of 2 main informants and 3 triangulation informants with a purposive sampling technique.  Results: The role of health center staff in socialization were in the form of counseling and individual counseling; education program were in the form of class for pregnant women and class for parents with under-five children. There has been no health campaign implementation in the World Breastfeeding Week celebration.   Conclusions: The socialization and education program could be implemented but for the campaign has not been implemented. It was because of a lack of coordination by Gilingan Public Health Center’s staff. 


2017 ◽  
Vol 11 (2) ◽  
pp. 67
Author(s):  
Ringga Rahmi Prima ◽  
Melinda Noer ◽  
Benny Hidayat

Healthy and clean behaviour are behaviors that made family contribute in pursuing a healthy living environment. Based on City Health Office Padang data in 2015, the implementation of healthy and clean behavior at Andalas Public Health Center work area only 3,18 %. The Purpose of this study to determine the factors associated with the implementation of Healthy and clean behaviour among household  who live in Padang. This research use mixed method design with sequential explanatory approach. Samples were choosen using cluster sampling technique amount 99 unit of Household. The quantitative data were collected by interview with questionare and analyzed using multivariate, logistic regression with 95% CI (p= 0.05). The qualitative data were collected by depth interview and analyzed using content analysis. The result of multivariate analysis showed the dominant factor is basic sanitation. Basic sanitation eligible households will increase by 5.8 times. The research suggest Public Health Center should build cooperation cross-sectors with Public Work Service Office to fulfill of basic sanitation, like the fulfill of clean water needs and adding healthy sewerage system


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