scholarly journals GAMBARAN PENGETAHUAN DAN SIKAP KADER TENTANG DETEKSI DINI REIKO TINGGI PADA IBU HAMIL DI WILAYAH PUSKESMAS PELAMBUAN BANJARMASIN

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Sixtia Kusumawati

keseluruhan. Upaya percepatan penurunan angka kematian bayi dan angka kematian ibu, tentunya akan berhasil apabila melibatkan seluruh pemangku kepentingan baik unsur pemerintahan maupun unsur masyarakat dan dunia usaha. Bentuk peran serta masyarakat dalam bidang kesehatan adalah Posyandu yang dilaksanakan oleh kader. Penelitian ini bertujuan untuk mengetahui bagaimana   gambaran pengetahuan dan sikap kader tentang cara  deteksi dini resiko tinggi pada ibu hamil di wilayah kerja Puskesmas Pelambuan Banjarmasin Tahun 2018. Jenis penelitian deskriptif dengan desain penelitian cross sectional. Jumlah sampel adalah 75. Hasil penelitian menunjukkan tingkat pengetahuan kader cara deteksi dini resti pada ibu hamil mayoritas berkategori   kurang   yaitu   sebanyak 50 orang (66,7%) dari 75 orang   responden. Dan mayoritas sikap kader tentang deteksi dini resti pada ibu hamil bersikap negatif yaitu sebanyak 40 orang (53.3%) dari 75 orang responden. Perlu adanya koordinasi dengan pihak-pihak terkait untuk memberikan edukasi kepada kader sehingga kejadian kegawatdaruratan pada ibu hamil dapat di deteksi secara dini.Kata kunci: Pengetahuan, sikap, kader, deteksi dini risiko tinggi, ibu hamil AbstractThe problem of maternal mortality and morbidity in Indonesia is a big problem for the whole nation. An efforts to accelerate the reduction of infant and maternal mortality rates will certainly succeed if it involves all stakeholders, both the government, society and the business world. The form of community participation in the health sector is Posyandu which carried out by cadres. The purpose of this research is to find a description of knowledge and attitudes of cadres on how early detection of high risk pregnant women in Puskesmas Pelambuan Banjarmasin 2018The research method used in this study was descriptive, cross sectional design. The number of samples is 75. The results of the study showed that the level of cadres knowledge regarding early detection of high risk in pregnant women was mostly categorized as less, namely as many as 50 people (66.7%) from 75 respondents. And the majority of cadre attitudes about early detection of high risk in pregnant women are negative, as many as 40 people (53.3%) of 75 respondents. It is necessary to conduct coordination with related parties to provide education to cadres so that emergency event in pregnant women can be detected early.Key word: Knowledge, Attitude, Cadre, Early detection of high risk, pregnant women

Author(s):  
Arif Rahman Nurdianto

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


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Teshale Abosie Ananche ◽  
Legesse Tadesse Wodajo

Abstract Background Maternal death related to obstetric complications remains a great challenge in developing countries. Since these complications are not consistently predictable, it is important to plan different preventive approaches to overcome them when. As the information on birth preparedness, complication readiness, and predictors were limited in the study area, we conducted this study. Methods A Cross-sectional study involving 396 pregnant women was conducted from 1st April to 1st May 2018. Data were collected using a pre-tested structured questionnaire. Descriptive, binary and multiple logistic regression analyses were conducted in SPSS for windows version 20. P values < 0.05 were considered significant. Results Of 361 women interviewed (91% response rate), birth preparedness and complication readiness were present in 24.10% (87/361) of women. Maternal factors, age 18–19 (AOR = 0.18; 95% CI (0.04,0.94)), 20–34 (AOR = 0.40; 95% CI (0.20,0.78)), education, not able to read/write (AOR = 0.36;95% CI (0.15,0.85),read/write (AOR = 0.41;95% CI (0.19,0.89)), Muslim religion (AOR = 0.40; 95% CI (0.18,0.85)) income ETB, < 1000 (AOR = 0.21; 95% CI (0.07,0.67)),1000–2000, (AOR = 0.38; 95% CI (0.19,0.76)), and the mothers’ knowledge on key danger signs of postpartum (AOR = 0.48; 95% CI (0.26,0.90)) were independent predictors of birth preparedness and complication readiness. Conclusions Educational status, age, religion, family income, and knowledge of obstetric danger signs were significantly associated with birth preparedness and complication readiness. The Government and other health sector partners should work to improve women’s education, income, and focus on young age groups on pregnancy danger signs.


2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Yosi Yusrotul Khasanah

Strategi pembangunan kesehatan menuju Indonesia sehat 2010 mengisyaratkan bahwa pembangunan kesehatan ditujukan pada upaya menyehatkan bangsa. Indikator keberhasilannya antara lain ditentukan oleh angka mortalitas dan morbiditas, angka kematian  ibu (AKI) dan angka kematian bayi (AKB).Salah satu upaya penting yang sedang ditempuh oleh pemerintah untuk mempercepat penurunan angka kematian  ibu (AKI) dan angka kematian bayi (AKB) di Indonesia adalah dengan mendekatkan pelayanan kesehatan kepada masyarakat yang antara lain dilakukan melalui penempatan bidan di desa (BDD). Tujuan penelitian ini untuk mengetahui  faktor–faktor yang berhubungan dengan kesediaan bidan desa untuk tetap tinggal di desa di Kabupaten Cirebon. Penelitian ini merupakan penelitian analitik Cross Sectional. Populasi pada penelitian ini adalah bidan desa yang ada di Kabupaten Cirebon sejumlah 424 orang. Teknik pengambil sample menggunakan total sampling,  yang bersedia mengisi kuesioner berjumlah 353 bidan desa. Metode pengumpulan data menggunakan wawancara dan.instrumen yang digunakan adalah kuesioner, analisa data menggunakan uji chi square. Hasil penelitian ini menunujukkan variabel umur  (p=0,00), variabel status perkawianan  (p = 0,00), variabel lama kerja (p= 0,00), variabel lama kerja (p= 0,00) ada hubungan dengan kesediaan bidan tinggal di desa, sedangkan variabel ketersediaaan polindes (p=0,57) menunjukkan tidak adanya hubungan kesediaan bidan tinggal di desa.Kata kunci : Faktor kesediaan bidan Desa   ABSTRACTThe heath deveplopment strategis towards a healhty Indonesia 2010 implies that health development is aimed at making the nation healhty indicator of success are determined by mortality and morbidity and morbidity,maternal mortality (MMR) and infant mortality (IMR). One of the important effort being pursued by the government to accelerate the reduction of maternal mortality (MMR) and Infant mortality (IMR) in Indonesia is to bring healh service closser to the community, which among other is done by placing midewifes in the village. The pupose of this study was to determine the factors related to willingness of village midwives to say in village in Cirebon Regency. This is cross secsional analytical study with a population of research that is village midwife in Cirebon District with a total of 242 village midewive, sampling technique using random sampling technique of 353. The results of this study indicate factors related to the willingness of village midwives to stay in the village are 25-34 years of age, marital status is married, tenure of more than 10 years, civil servant employment status, with additional income excluding salary.  The result of the study addressed the age vaeriabel (p=0,00)  the  marriage status variable (p =0,00), variable leght of employment (p=0,00) there was a relationship with the willingness of midewives to live in the village while the polindes availability variable (p=0,57) relationship with the willingness of midewives to live in the village.Key word : village midewife’s willingness, availability of Polindes 


Author(s):  
Ika Mardiyanti ◽  
Nursalam Nursalam ◽  
Shrimarti R. Devy ◽  
Ernawaty Ernawaty

The ability of pregnant women to detect early of a high risk pregnancy is still below the average which is one of the causes of complications that can endanger the wellbeing of the mother and fetus. The purpose of this study is to determine the relationship between factors of parity, knowledge and exposure to information on the independence of mothers in early detection of the risk of pregnancy. This type of analytic observational research uses a cross sectional design. A total sample of 125 pregnant women was chosen by “Stratified Random Sampling” technique. The results of Multiple Logistic Regression Analysis show that the knowledge variable Exp (B) 6.657 is a significant variable, the exposure to danger information variable Exp (B) 7.657 is a significant variable and the parity variable Exp (B) 8.060 is also a significant variable. Midwives and health workers further increase counseling so that pregnant women and families can receive more information about the danger signs of pregnancy, especially the high risk of pregnancy and being able to do early detection.


2021 ◽  
Vol 13 (02) ◽  
pp. 140
Author(s):  
Suwarnisih . ◽  
Eka Novitayanti

ABSTRAKSasaran pembangunan kesehatan yang akan dicapai pada tahun 2025 adalah meningkatnya derajat kesehatan masyarakat yang salah satunya ditunjukkan oleh menurunnya Angka Kematian Ibu dengan  mengenalkan resiko tinggi pada ibu hamil dilakukan dengan skrining/deteksi dini berbagai faktor resiko secara pro aktif terhadap semua ibu hamil. Kader kesehatan memiliki peran yang besar dalam hal deteksi dini risiko tinggi kehamilan dan persalinan yang memerlukan pengetahuan dan penerapan model deteksi. Tujuan penelitian ini adalah  Untuk mengetahui Hubungan Tingkat Pengetahuan Dengan Penerapan Model Deteksi Dini Kehamilan Resiko Tinggi Oleh Kader Posyandu Di Desa Jaten, Karanganyar. Metode penelitian observasional analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah 192 orang kader posyandu di desa Jaten, tehnik sampling yang digunakan adalah “Accidental Sampling” dimana yang mengisi kuesioner  melalui goegle form sejumlah 54 orang. Hasil penelitian Tingkat Pengetahuan Responden Sebagian besar mempunyai Tingkat Pengetahuan Baik yaitu 42 responden (77,8%), penerapan model deteksi dini kehamilan resiko tinggi oleh kader posyandu sebagian besar responden mempunyai penerapan model deteksi dini yang baik yaitu 41 responden (75,8%), hasil analisis cros tabulasi dengan uji  Fisher's Exact Test di dapatkan hasil nya nilai p = 0,001. Kesimpulan : ada hubungan antara tingkat pengetahuan dengan penerapan model deteksi dini kehamilan resiko tinggi oleh kader posyandu desa Jaten, Karanganyar.  Kata Kunci : kader, model deteksi, kehamilan resiko tinggiTHE RELATIONSHIP OF KNOWLEDGE LEVEL WITH THE APPLICATION OF HIGH RISK PREGNANCY EARLY DETECTION MODELS BY POSYANDU CADRES IN JATEN VILLAGE, KARANGANYARABSTRACTThe health development target to be achieved in 2025 is to increase the degree of public health, one of which is indicated by a decrease in the Maternal Mortality Rate by introducing high risk to pregnant women through screening/early detection of various risk factors proactively for all pregnant women. Health cadres have a big role in terms of early detection of high risk pregnancy and childbirth which requires knowledge and application of detection models. The purpose of this study was to determine the relationship between the level of knowledge and the application of the early detection model of high risk pregnancy by Posyandu cadres in Jaten Village, Karanganyar. Analytical observational research method with a cross sectional approach. The population in this study were all posyandu cadres in the village of Jaten, the sampling technique used was "Accidental Sampling" as many as 54 people. The results of the study on the Knowledge Level of Respondents Most of the respondents had a good knowledge level, namely 42 respondents (77.8%), the application of the high risk pregnancy early detection model by posyandu cadres, most of the respondents had a good early detection model application, namely 41 respondents (75.8%) , the results of the cross tabulation analysis with the Fisher's Exact Test, the result is the p value = 0.000. Conclusion; there is a relationship between the level of knowledge and the application of the high-risk pregnancy early detection model by posyandu cadres in Jaten village, Karanganyar. Keywords: Cadre, Detection Model, High Risk Pregnant


2021 ◽  
Vol 8 (2) ◽  
pp. 161-165
Author(s):  
Laily Prima Monica ◽  
Maria Ulfa

The problem of maternal mortality and morbidity in Indonesia is still become a big problem. In fact, the maternal mortality rate in Indonesia is still the highest in Asean. The factors above are the direct causes of maternal mortality. The causes of this death can be minimized by antenatal care which monitors the condition of the mother's pregnancy regularly to predict the risks that may arise so that preventive measures can be taken. The design used correlational research with a cross-sectional approach. The population in this research was all pregnant women aged 20-35 years who did antenatal care at Polindes Jatinom Kecamatan Kanigoro Kabupaten Blitar as many as 12 pregnant women. The sampling technique used accidental sampling. The sample was some of the pregnant women aged 20-35 years who did antenatal care at the time of the research as many as 12 pregnant women. Results: The result showed 67% was in the category of very satisfied and 75% of pregnant women had high motivation towards antenatal care. There was a correlation between the satisfaction of pregnant women on antenatal care services by midwife and  motivation to do antenatal care proven by the results of the Spearman Rank statistical test which showed the value of sig = 0,000. Midwives are expected to maintain and keep the quality of service, especially in providing antenatal care to pregnant women so that the needs of mothers during antenatal care are always satisfied.


2020 ◽  
Vol 3 (2) ◽  
pp. 201-206
Author(s):  
Ety Diana Sulistyawati ◽  
Byba Melda Suhita ◽  
Nurdina Nurdina

Maternal Mortality can be prevented by early detection of high risks or complications during pregnancy, by conducting prenatal checks into available health services. The high maternal mortality rate indicates that the quality of maternal health services that are still low includes antenatal care (ANC) services. The purpose of the study was to analyze integrated anc services for satisfaction and high risk events of pregnant women at Masyithoh Bangil Pasuruan Islamic Hospital. The research design used is quantitative research with a cross sectional approach. Instrument data used questionnaire sheets using Chi Square test and Ordinal Regression. The results of the analysis of chi square test between variables ANC services integrated with satisfaction of pregnant women obtained p-value 0,000 <0,05, meaning that there is a relationship between integrated ANC services to satisfaction of pregnant women at Masyithoh Bangil Pasuruan Islamic Hospital. Whereas between integrated ANC service variables with high risk events obtained p-value 0.015 <0.05, meaning that there is a relationship between integrated ANC services to the high risk incidence of pregnant women at Masyithoh Bangil Pasuruan Islamic Hospital. Based on the results of the Ordinal Regression Test analysis shows that the most influential variable with the Integrated ANC Service at the Masyithoh Bangil Pasuruan Islamic Hospital is the variable satisfaction of pregnant women with a p-value of 0,000 <0,05. It is expected that respondents can conduct an Integrated ANC on a regular basis and the service can remain satisfactory


Author(s):  
Jaideep K. C. ◽  
Prashant D. ◽  
Girija A.

Background: In India about 20-30% pregnancies belong to high risk category, which is responsible for 75% of perinatal morbidity and mortality. Early detection and effective management of high risk pregnancy can contribute substantially to reduction in maternal mortality. Objective was to study the prevalence of high risk among antenatal women and also to know the socio demographic factors associated with high risk. Methods: A cross-sectional study was carried out between Jan. to June 2016. A total of 600 pregnant women attending antenatal clinic in PHC Kinaye were interviewed using predesigned, pretested questionnaire. Results: In present study, prevalence of high risk pregnancy was 30.7% and 59.8 were having bad obstetric history, 4% were having pregnancy induced hypertension, 5.5% were elderly gravida, 3.2% were Rh negative and 22.3% were having other risk factors. Factors such as education status of pregnant women, age at pregnancy and parity of pregnant women were found to be significantly associated with the prevalence of high risk. Conclusions: Prevalence of high risk among pregnant women was found to be 30.7%. Detection of high risk in early stages will help in preventing maternal mortality. 


2020 ◽  
Vol 7 (2) ◽  
pp. 109-116
Author(s):  
Pedvin Ratna Meikawati ◽  
Ana Setyowati ◽  
Ni’matul Ulya

The Maternal and Child Health Book (KIA) is a form of family and community active participation in the field of maternal and child health. The successful application of the MCH Handbook as a tool to increase the coverage of MCH services is inseparable from the role of the parties related to the health of pregnant women, mothers in labor, newborns, infants and toddlers. The MCH Handbook has several uses, among others, as a guide for mothers and children to contain information and records on maternal and child health, and the MCH handbook serves as the only means of recording maternal and child health. This study aims to analyze the completeness of documenting pregnant women data from the MCH Handbook at the Pekalongan City Health Center. This research was conducted using a combination of quantitative and qualitative research methods (mixed methodology). Quantitative research uses survey research methods and a cross sectional approach, where the variables are measured at the same time. The population in this study was the KIA book, while the samples in this study were midwives who were serving at the Puskesmas with a minimum work period of 1 year and pregnant women who were having their pregnancies examined, the sample size was determined by the incidental sampling method and purposive sampling based on the health center used. The test results with logistic regression obtained p value <0.05 and the value of Exp (B) ≥ 2 is the variable of tenure. The working period variable has a p value of 0.095, the value of Exp (B) is 10.0 (OR ≥ 2), while the history variable does not have a p value <0.05, namely with a p value of 0.341, the value of Exp (B) is 3.0. So it can be concluded that there is no effect of working period and history together on the completeness of the MCH book documentation for early detection of high risk in pregnancy. Midwives at the Pekalongan City Health Center are advised to further improve the completeness of the MCH Handbook in the early detection of high-risk pregnant women. Increase motivation to midwives by rewarding midwives who have performed their duties well.


2018 ◽  
Vol 7 (4) ◽  
pp. 248
Author(s):  
Dini Rima Fadilah ◽  
Shrimarti Rukmini Devy

<span lang="EN-US">The death of pregnant women is still the world's attention in the field of health. The SDG's indicator provides one of the goals in the health field. The target to be achieved is a global maternal mortality ratio of less than 70/100,000 live births by 2030. According to WHO, preeclampsia is one of the leading causes of maternal death in the world, including Indonesia. East Java Province with the highest ranking in Indonesia. One of the cities in East Java which is the leading contributor to preeclampsia is Surabaya with 16 cases in 2016. The government carries out the treatment to reduce maternal mortality due to preeclampsia through antenatal care. This study aimed to analyze antenatal care visits for early detection of preeclampsia. The method in this research is qualitative research method with data retrieval technique using in-depth interview. Based on the results of research antenatal care visits have an effect on early detection of preeclampsia. Pregnant women who regularly make antenatal visits can prevent possible dangers of pregnancy as early as possible. So the maternal mortality rate (MMR) due to pre-eclampsia can be decreased.</span>


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