scholarly journals PERAN KADER KESEHATAN DALAM MENSUKSESKAN PROGRAM KELAS IBU HAMIL DI WILAYAH KERJA PUSKESMAS KEDUNGMUNDU TAHUN 2016

2017 ◽  
Vol 3 (1) ◽  
pp. 52
Author(s):  
Siti Nur Umariyah Febriyanti

Latar Belakang : Kelas ibu hamil adalah sarana belajar bersama tentang kesehatan bagi ibu hamil difasilitasi oleh bidan atau tenaga kesehatan. Hasil survey awal kepada bidan koordinator ruang KIA, kegiatan kelas ibu hamil di wilayah kerja Puskesmas Kedungmundu belum berjalan dengan maksimal, data dari poli KIA tahun 2015 tercatat 2449 ibu hamil, yang mengikuti kegiatan kelas ibu hamil sebanyak 70 ibu atau (3,498%). Keberhasilan program kelas ibu hamil sangat bergantung pada dukungan peran serta masyarakat atau kader kesehatan. Tujuan : Mengeksplorasi peran kader kesehatan dalam mensukseskan program kelas ibu hamil di wilayah kerja Puskesmas Kedungmundu. Metode Penelitian : Penelitian ini dengan metode kualitatif, pendekatan deskriptif fenomenologi, teknik pengumpulan data wawancara mendalam, partisipan 3 kader kesehatan, pada tanggal 21–28 April 2016. Hasil : Peran kader kesehatan dalam persiapan kelas ibu hamil sudah baik, meliputi koordinasi dengan fasilitator yaitu bidan, melakukan penjaringan peserta, memotifasi ibu-ibu  hamil untuk hadir dalam kelas ibu hamil, serta mempersiapkan tempat dan alat. Peran kader kesehatan dalam pelaksanaan  kelas ibu hamil sudah baik, yaitu mendampingi ibu hamil selama kegiatan, melakukan pencatatan dalam daftar hadir, evaluasi setelah kegiatan, dan melaporkan kepada fasilitator yaitu bidan. Kendala dan hambatan pelaksanaan kelas ibu hamil adalah ibu hamil tidak bisa datang sesuai jadwal yang sudah ditentukan, karena sebagian ibu hamil bekerja. Penyelesaian kendala atau hambatannya yaitu me-reschedule jadwal kegiatan, dengan berkoordinasi antara bidan pelaksana, kader, dan gasurkes. Saran : Kader kesehatan hendaknya melakukan pendekatan kepada ibu-bu hamil di wilayahnya, guna mendiskusikan kapan waktu bisa mengikuti kegiatan kelas ibu hamil, untuk selanjutnya dikoordinasikan kepada tim fasilitator. Kata Kunci: Peran kader kesehatan; kelas ibu hamil HEALTH CADRE ROLE IN THE SUCCESS OF CLASS PROGRAM OF PREGNANT WOMEN IN THE WORKING AREA OF PRIMER HEALTH CARE KEDUNGMUNDU IN 2016 AbstractBackground : Class of pregnant women is a means to learn together about the health of pregnant womens is facilitated by midwives or health professionals. The result of the initial survey with the coordinator of midwives in Maternal and Child Health (MCH) room, the class of pregnant women in the work area of the Primary Healt Care (PHC) in Kedungmundu has not gone up. The data from poly MCH on 2015 recorded 2449 pregnant women, who participated in class is 70 pregnant women or (3.498%). The success of this program depends on the support of the cadres. Purpose : The purpose of this research was to explore the role of. For the success of the program’s in PHC Kedungmundu. Method of The Research : This research a qualitative method, fenomenologi descriptive,  the techniques for collecting data in depth interview,s participant 3 cadres on, 21-28 April 2016. Result : The role of health cadres in preparation for the class of pregrant women has been good, such as coordination with the midwife, collecting the respondents, motivating the pregnant womens to attend the class, and preparing place and tools. The role of health cadres in the class of pregnant has been good such as assisting the pregnant women during activites. Keep records on the attendance list, evaluating after activities, and reported to the midwife, the obstacles and barriers in the class of pregnant women were pregnant women can not come accordance with a fixed schedule, because most pregnant women who are working. the completion of obstacles or barriers, is re-schedule and coordinating between midwifery, carders and gasurkes. Suggestion : Health cadres should approach with pregnant womens in the region to discuss the time when the pregnant women can participant in class, and then cordineting with the facilitator team.  Key words: The Role of Health Cadre;, Class Of Pregnant Women

Author(s):  
Kanda Sihombing ◽  
BJ. Istiti Kandarina ◽  
Sumarni Sumarni

<p><strong>ABSTRACT</strong></p><p><em><strong>Background</strong>: IHP (Integrated health post) is a form of UKBM (Community Resources Based-Health Effort) that is managed and administered from, by for and together with community in health development IHP administration involved many parties such as cadres, health staff and village head. Rawasari Primary</em><br /><em>Health Care had the lowest coverage level of D/S (33.2%), while Olak Kemang Primary Health Care had the highest D/S coverage (81.98%).</em></p><p><em><strong>Objectives</strong>: To study thoroughly the role of village head, health staff, and cadres in increasing the participation of underfive’s mothers to visit IHP.</em></p><p><em><strong>Methods</strong>: This was descriptive study used qualitative method by phonological approach. Informants were selected by purposive sampling. Data collection was performed by 2 methods, in-depth interview to 16 informants and focus group discussion (FGD) to 28 informants. Data validity was performed by source</em><br /><em>and method of triangulation.</em></p><p><em><strong>Results</strong>: Village head, nutrition staffs, health cadres, PKK woman and community figures from the highest D/S coverage area took a role in increasing participation of the mother of underfive, but they who were from the lowest D/S coverage did not. They contributed in different way in increasing their participation. Head villages gave the motivation and direction, nutrition staffs attended the IHP, cadres took a role by arrange arisan and ballon provision, and PKK’S woman delegated their member to attend IHP monthly (highest D/S) but they whom from the lowest D/S coverage area did not.</em></p><p><em><strong>Conclusion</strong>: Village head, nutrition staffs, health cadres, PKK woman, and community figures in highest D/S coverage area took a role in increasing participation of underfive’s mothers to visit IHP, but they who where from the lowest D/S coverage did not. The Innovation a creativity encourage the mothers to visit IHP.</em></p><p><strong>KEYWORDS</strong><em>: village head, health staff, cadre, PKK woman, community figure, woman who had underfive</em></p><p><strong>A</strong><strong>BSTRAK</strong></p><p><em><strong></strong></em><em><strong>Latar belakang</strong>: Posyandu merupakan bentuk upaya kesehatan bersumber daya masyarakat (UKBM) yang dikelola dan diselenggarakan dari, oleh, untuk dan bersama masyarakat dalam pembangunan kesehatan. Terselenggaranya posyandu melibatkan banyak pihak di antaranya kader, petugas kesehatan dan Lurah. Puskesmas Rawasari dengan tingkat cakupan D/S terendah yaitu 33,2%, dan Puskesmas Olak Kemang dengan cakupan D/S tertinggi yaitu 81,98%.</em></p><p><em><strong>Tujuan</strong>: Mengkaji secara mendalam peran lurah, petugas kesehatan, dan kader dalam meningkatkan partisipasi ibu balita ke posyandu. </em></p><p><em><strong>Metode</strong>: Penelitian deskriptif menggunakan metode kualitatif dengan pendekatan fenomenologi. Informan dipilih secara purposive sampling. Pengumpulan data dilakukan dengan 2 metode, wawancara mendalam terhadap 16 orang informan dan diskusi kelompok terfokus (DKT) terhadap 28 orang informan. Keabsahan data dengan melakukan triangulasi sumber dan metode.</em></p><p><em><strong>Hasil</strong>: Lurah, petugas gizi, kader, ibu PKK, dan tokoh masyarakat dari wilayah cakupan D/S tertinggi berperan dalam meningkatkan partisipasi ibu balita namun di wilayah D/S terendah tidak. Masing-masing berkontiribusi dengan cara yang berbeda misalnya lurah memberikan motivasi dan arahan, petugas gizi datang ke posyandu, kader membuat arisan dan membagikan balon saat posyandu, dan ibu PKK mendelegasikan salah satu anggota untuk datang ke posyandu setiap bulan (D/S tertinggi). Sementara kegiatan-kegiatan tersebut tidak dilakukan di wilayah D/S terendah.</em></p><p><em><strong>Kesimpulan</strong>: Lurah, petugas gizi, kader, ibu PKK dan tokoh masyarakat (D/S terendah) tidak berperan dan lurah, petugas gizi, kader, ibu PKK dan tokoh masyarakat (D/S tertinggi) berperan. Adanya inovasi dan kreativitas dari kader di Puskesmas Olak Kemang (D/S tertinggi) dapat mendorong ibu balita untuk</em><br /><em>hadir ke posyandu.</em></p><p><strong>KATA KUNCI</strong><em>: partisipasi ibu, posyandu, kader, petugas kesehatan, tokoh masyarakat</em></p>


2021 ◽  
Vol 1 (02) ◽  
pp. 128-130
Author(s):  
Efri Leny Rauf ◽  
Dwi Nur Octaviani Katili ◽  
Siskawati Umar

   Knowledge of mothers about the use of Maternal and Child Health (MCH) books, which is still considered only as a health record book for health workers, is an obstacle in shaping the health behavior of pregnant women about the importance of routine pregnancy check-ups, understanding the danger signs of early pregnancy, the importance of taking Fe tablets regularly, as well as daily health care. According to the initial survey of the service team, we see that knowledge and understanding have an impact on the awareness of pregnant women about the contents of the MCH book, especially now that the MCH book has been revised so that the importance of health education on MCH books needs to be explained again in the independent practice of the midwife of the love of Gorontalo. The method of service is through lectures/counseling, discussion and question and answer. As a result of our dedication, we get the enthusiasm of pregnant women in listening to our explanations and asking important things they want to know 


2020 ◽  
Vol 1 (2) ◽  
pp. 63
Author(s):  
Umi Kalsum ◽  
Febri Yeni

<em>KIA Book is a tool to detect early the presence of maternal and child health problems or problems. An initial survey conducted in the work area of the Tigo Baleh health center in Bukittinggi, researchers asked several questions regarding the use of MCH books on 10 pregnant women. 4 pregnant women utilize and 6 pregnant women only save, the KIA book is used only when they want to do a checkup at the midwife's home. This study aims to determine the factors associated with the use of MCH books in the work area of Tigo Baleh Health Center in Bukittinggi City in 2018. Population of all pregnant women in 2018, a sample of an average monthly visit at the Tigo Baleh health center in Bukittinggi city in 2018 was 60 people, purposive sampling technique was taken. Implemented in the work area of Tigo Baleh Health Center, Bukittinggi City. Data analysis in this research uses univariate and bivariate. The results of this study showed that 31 respondents (52%) had a large number of respondents with poor knowledge, 35 respondents (58%) had a low motivation level, 33 respondents (55%) had the most role as health workers, most of them Primigravida parity respondents were 43 respondents (72%), most respondents did not use 27 KIA books (45%). There is a meaningful relationship to knowledge, motivation, the role of health workers and parity in the use of MCH books The conclusion in this study there is a relationship between knowledge, motivation, the role of health workers and parity on the use of MCH books on pregnant women in the work area of Tigo Baleh Health Center in Bukittinggi City in 2018. understand, bring the KIA Book so that the mother knows very much the benefits that exist in the KIA Book from pregnancy to 5 years old child.</em>


2012 ◽  
Vol 25 (6) ◽  
pp. 914-920 ◽  
Author(s):  
Joaquín Jesús Blanca Gutiérrez ◽  
María del Rosario Ábalos Pérez ◽  
Maria Victoria Montes Aguilera ◽  
Soledad González Moreno

OBJECTIVE: This study aimed at investigating the significance of the skin-to-skin contact method with fathers, looking at their own experiences with their newborns. METHODS: The information was collected through in-depth interviews with 14 fathers who had used the skin-to-skin contact method with their newborns, after a cesarean delivery. The technique utilized for data analysis was the qualitative method of content analysis. RESULTS: Four principal themes emerged from the data: the preparation for the skin-to-skin method, the experiences of the fathers, the father's role, and effects of the method on the baby. CONCLUSIONS: The investigations performed highlighted the importance of the involvement of health professionals in the use of this method, which leads to a series of positive results for the organization related to satisfaction. We conclude that the skin-to-skin method is a simple technique, recommended for positive results for fathers and their babies.


2020 ◽  
Vol 86 ◽  
pp. 01034
Author(s):  
Iriani Ismail

The aim of this study is to explain the role of remuneration in improving the performance of library employees. This study uses the qualitative method which the population is all employees numbering 17 people. Based on interactive analysis methods and ethnographic techniques, its took In-depth interview and observations. Using this analysis, the result showed that the remuneration has an important role in improving employees performance. Some internal and external factors influence it so that optimal performance is obtained. Generally, employees expect that the remuneration has been high to be accepted like as expected. Most employees demands such remuneration to meet their daily needs. External factors also has a strong role so the employees demand high, but not balanced with high performance.


Author(s):  
O. Orjingene ◽  
N. L. Akondeng ◽  
A. Kone-Coulibaly ◽  
T. Ogojah ◽  
M. Ganama

Background/Aim: The world has witnessed several disease outbreaks both in the past and in recent times. Apart from loss of lives as a result of such outbreaks, there are also disruptions in health care provision and utilization due to certain measures aimed at curtailing the spread of such outbreaks. This study aimed to seek evidence from existing literature on the effects of disease outbreaks on maternal, newborn and child health care in Global South. Methods: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was used and 14 literatures met the inclusion criteria. Results: HIV/AIDS pandemic affected the Maternal Newborn and Child Health since increased cases of anaemia, hospital admissions, still births in HIV positive pregnant and cases of foetal anaemia reported in infants born from HIV positive pregnant women were reported. No COVID-19 pandemic related-effects on MNCH observed since no maternal deaths and transmission from infected pregnant women to their newborns reported. Indirect effects of pandemics on MNHC include reduced service delivery and demand/utilization as well as inaccessibility due to diverse reasons. Discussion: The Government should put in place palliative measures for low-income citizens; engage and sensitize women, pregnant women and their children on available health care services and mitigation measures in place to access with minimal or no risk of being infected in a secure environment.


Author(s):  
Fatmini Fatmini ◽  
Heru Santoso ◽  
Kesaktian Manurung ◽  
Rosdiana Rosdiana

Anemia is still a problem in the world, especially in developing countries. This condition can have a detrimental impact on every age group including pregnant women. In pregnant women, anemia can cause complications for the mother and the baby she is carrying, such as life-threatening bleeding, miscarriage, low birth weight and premature birth. The purpose of this study was to determine the relationship between parity, anemia, ANC visits, nutritional status and the role of health workers with the consumption of blood-added tablets in post-partum mothers in the work area of the Mutiara Barat Health Center in 2019. This type of research is a correlation analytic study with cross-sectional method. The population in this study were all pregnant women in the third trimester who were recorded at the Mutiara Barat Health Center in January 2019 as many as 139 people and the sample was the total population of 139 respondents. Data were analyzed using the chi square statistical test which includes univariate, bivariate and multivariate analysis. The results obtained: there is a relationship between parity (p = 0.000), anemia (p = 0.016), ANC visits (p = 0.015), nutritional status (p = 0.021) and the role of officers (p = 0.000) with the consumption of tablets with blood added at postpartum mother. The dominant factor related to the consumption of blood-added tablets is the role of the officer. From the research results obtained, it is hoped that the Puskesmas can increase the knowledge of mothers about blood supplemented tablets through counseling so that it can influence the attitude of pregnant women to consume blood supplemented tablets. Keywords: ANC visit; anemia; consumption of blood added tablets; nutritional status; parity; role of officers ABSTRAKAnemia masih menjadi permasalahan di dunia terutama di negara-negara berkembang. Kondisi ini dapat memberikan dampak merugikan di setiap kelompok umur termasuk ibu hamil. Pada ibu hamil, kejadian anemia dapat menyebabkan penyulit pada ibu maupun bayi yang dikandungnya seperti perdarahan yang mengancam jiwa, keguguran, berat badan bayi lahir rendah dan kelahiran prematur. Tujuan dari penelitian ini adalah untuk mengetahui hubungan faktor paritas, anemia, kunjugan ANC, status gizi dan peran petugas kesehatan dengankonsumsi tablet tambah darah pada ibu nifas di wilayah kerja Puskesmas Mutiara Barat tahun 2019. Jenis penelitian ini adalah penelitian analitik korelasi dengan metode cross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester III yang terdata di Puskesmas Mutiara Barat pada bulan Januari 2019 sebanyak 139 orang dan sampel merupakan total populasi yaitu 139 responden. Data dianalisis menggunakan uji statistik chi square yang meliputi analisis univariat, bivariat dan multivariat. Hasil penelitian diperoleh: ada hubungan antara paritas (p=0,000), anemia (p=0,016), kunjungan ANC (p=0,015), status gizi (p=0,021) dan peran petugas(p=0,000) dengan konsumsi tablet tambah darah pada ibu nifas. Faktor yang dominan berhubungan dengan konsumsi tablet tambah darah adalah peran petugas. Dari hasil penelitian yang diperoleh diharapkan Puskesmas dapat meningkatkan pengetahuan ibu tentang tablet tambah darah melalui penyuluhan sehingga dapat mempengaruhi sikap para ibu hamil untuk berperilaku mengkonsumsi tablet tambah darah. 


2019 ◽  
Vol 51 (1) ◽  
pp. 22-30 ◽  
Author(s):  
Diana Wu ◽  
Lamercie Saint-Hilaire ◽  
Andrew Pineda ◽  
Danielle Hessler ◽  
George W. Saba ◽  
...  

Background and Objectives: Health professionals increasingly recognize the role that social determinants play in health disparities. However, little focus is placed on how health care professionals themselves contribute to disparities through biased care. We have developed a curriculum based on an antioppression framework which encourages health professionals to evaluate their biases and combat health care disparities through an active process of allyship. Methods: Teaching methods emphasize skill building and include lectures, guided reflections, and facilitated discussions. Pre- and postsurveys were administered to assess participants’ confidence level to recognize unconscious bias and to be an ally to colleagues, patients, and staff. In total, we conducted 20 workshops with a total of 468 participants across multiple disciplines. Results: The survey response rate was 80%. Using a paired t-test, the mean difference in the pre- and postsurveys revealed a statistically significant improvement across all measures. Participants showed the greatest improvements (large effect size d&gt;0.8) in their understanding of the process of allyship, their ability to describe strategies to address, assess, and recognize unconscious bias, and their knowledge of managing situations in which prejudice, power, and privilege are involved. Conclusions: Results show that an antioppression curriculum can enhance health professionals’ confidence in addressing bias in health care through allyship. For those who value social justice and equity, moving from the role of bystander to a place of awareness and solidarity allows for one’s behaviors to mirror these values. Allyship is an accessible tool that all health professionals can use in order to facilitate this process.


2019 ◽  
Vol 19 (1) ◽  
pp. 53
Author(s):  
Khairan Nisa ◽  
Joserizal Serudji ◽  
Delmi Sulastri

Quality antenatal care has a major role in reducing maternal mortality. Every effort to improve quality must also be accompanied by efforts to pay attention to factors that contribute to improving the performance of midwives in providing services. The study used a combination of quantitative approaches in 67 midwives in the Bukittinggi and qualitatively in 15 informants, of which 9 people included in-depth interview informants to coordinator midwives, head of the Public health center and staffing and 6 FGD informants to midwives on duty at the health center.The results of quantitative data analysis, factors related to the performance of midwives are incentives, motivation and workload. Motivation is the most dominant factor related to the performance of midwives. The results of qualitative data analysis, the leadership plays an important role in increasing motivation to work midwives and optimizing the role of midwives in overcoming problems related to overlapping workloads. Midwives also need to increase their participation efforts and empower pregnant women so that programs can run well and provide positive feedback for improving the health status of pregnant women. Basically antenatal services provided by midwives are in accordance with standards, but the paradigm of antenatal care for pregnant women must shift from achieving quantity to focus on quality. To improve the performance of midwives in providing antenatal care, several efforts are needed: monitoring and evaluation of the quality of antenatal care by midwives, leadership involvement in efforts to increase midwife motivation both from supervision and reward management in non-material forms. Providing equal opportunities for midwives to improve competence through training, especially training related to quality antenatal care. In addition, the provision of infrastructure at the polindes needs attention. 


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