scholarly journals Analisis Faktor-faktor yang Mempengaruhi Perilaku Ibu untuk Melakukan Kunjungan ANC (K4) di Wilayah Kerja Centro Saúade Comunitaria Letefoho Posto Administrativo Letefoho Municipio Ermera Timor Leste

2019 ◽  
Vol 1 (1) ◽  
pp. 21-30
Author(s):  
Felisbela A. O. Oliveira

Antenatal Care (ANC) visit is a visit by pregnant women to health professional in order to receive ANC services. ANC visits are very important for a pregnant woman, to ensure the quality of ANCservices, there needs to be an indicator stating the visit of pregnant women with coverage of K1 and K4, where K1 is the first contact of pregnant women with health workers and K4 is the fourth contact of pregnant women or more with health workers. The purpose of this study was to determine the factors influencing maternal behavior to conduct ANC (K4) visits at Centro Saúde Comunitaria Letefoho. This research method was observational analytic with cross-sectional approach. The sample in this study consisted of 136 mothers and determined by using systematic random sampling techniques. Data were collected by using questionnaires and were analyzed by applying descriptive and bivariate using SPSS version 21. The results showed suggested that maternal education (p = 0.956), mother's knowledge (p = 0.420), mother's attitude (p = 0.817) and social culture (p = 0.618) had no association with ANC visit while the husband support (p = 0.032) and distance to health services (p = 0,000) were found to be correlated to ANC visits.

2017 ◽  
Vol 1 (2) ◽  
pp. 97
Author(s):  
Rizki Rahmawati Lestari

Exclusive Breastfeeding coverage in various regions of Indonesia is still far from the National target. This study aims to determine the factors associated with exclusive breastfeeding in the Work Area Puskesmas Tapung Treatment District Kampar Riau Province with a cross-sectional design. The research was conducted on June 12-29, 2015. The variables in this study include the support of health workers, mother's knowledge, husband support, mother's work, mother's education, mother's age and maternal age of the pregnancy. Sampling by systematic random sampling (n = 120). Data were analyzed using Logistic Regression Test. The results of this study indicate that the variables associated with exclusive breastfeeding are husband support (POR: 8,219 95% CI = 2,848-23,719), maternal occupations (POR: 5.188 95% CI = 1,264-21,301), and maternal education (POR: 3.785 95% CI = 1,110-12,904). Suggestions for the Puskesmas to provide communication, information, education about exclusive breastfeeding to married couples.


2020 ◽  
Vol 15 (2) ◽  
pp. 158
Author(s):  
Ulfah Ilyas ◽  
Maria Sonda ◽  
Hidayati Hidayati

Results of a preliminary study conducted by the author on 28 November 2018 in Kassi-Kassi Health Center Public City of Makassar were interviews with 11 third trimester pregnant women who visited antenatal check, 8 (70%) of pregnant women have not planned where labor, labor companion, potential blood donors and the sticker affixed on the door P4K yet home mom for not knowing the importance of the decal and never be explained by health workers at the first checkups. While 7 (60%) of pregnant mother's husband has not determined the place of labor, labor companion, potential blood donors and did not accompany the mother when the checkups. This study aims to determine the relationship of husband support, knowledge of third trimester pregnant women at health centers with the implementation P4K-Kassi Kassi Makassar.This research uses analytic survey with cross sectional approach, the population in this study is the third trimester pregnant women, using the formula Lameshow obtained sample 85 subjects with a sampling technique is purposive sampling.Statistical analysis showed the Chi-square test obtained significant value p value 0,000 (p<0,05) husband's support with coefficient value (Phi= 0,493), knowledge of third trimester pregnant women p value of 0,001 (p <0,05) with coefficient value (Phi= 0,357). So it can be concluded that there is a relationship of husband support, knowledge of third trimester pregnant women with P4K implementation. Therefore, the husband is expected to support the implementation of the plan P4K safe delivery and is able to prevent pregnancy complications. And for health workers can improve IEC counseling and evaluation of the execution P4K, in particular blood donor candidates planning and sticking stickers P4K at home pregnant women.


2019 ◽  
Vol 61 (3) ◽  
pp. 77
Author(s):  
Graham Bresick ◽  
Klaus B. Von Pressentin ◽  
Robert Mash

Introduction: In 2018 governments reaffirmed their commitment to implementing primary health care (PHC) in the Astana Declaration. South Africa has introduced a number of health reforms to strengthen PHC and enable universal health coverage (UHC). UHC requires access to quality primary care and progress needs to be measured. This study aimed to evaluate the quality of South African primary care using the Primary Care Assessment Tool (PCAT).Methods: A descriptive cross-sectional survey used data derived from a previous analytical observational study. Data from 413 patients, 136 health workers and 55 managers were analysed from 30 community health centres across four provinces of South Africa. Scores were obtained for 10 key domains and an overall primary care score. Scores were compared in terms of respondents, provinces and monthly headcount.Results: Patients rated first contact accessibility, ongoing care and community orientation as the poorest performing elements ( 50% scoring as ‘acceptable to good’); first contact utilisation, informational coordination and family-centredness as weaker elements ( 66% scoring as ‘acceptable to good’); and comprehensiveness, coordination, cultural competency and availability of the PHC team as stronger aspects of primary care (≥ 66% or more scoring as ‘acceptable or good’). Managers and providers were generally much more positive about the performance of PHC.Conclusion: Gaps exist between PHC users’ experience of care and what PHC staff believe they provide. Priorities to strengthen South African primary care include improving access, informational and relational continuity of care, and ensuring the implementation of community-orientated primary care. The PCAT is a useful tool to measure quality of primary care and progress with UHC.


2021 ◽  
Vol 3 (2) ◽  
pp. 1-12
Author(s):  
Manggiasih Dwiayu Larasati Tidak ada

Angka Kematian Ibu (AKI) di Indonesia masih cukup tinggi dan masih dibawah dari target pencapaian Sustainable Development Goals (SDGs). Penyebab AKI dapat diturunkan dan dicegah melalui pemberian asuhan kehamilan yang rutin dan berkualitas untuk mendeteksi dini adanya kelainan dan komplikasi. Selain itu ibu hamil juga harus mengetahui tentang tanda bahaya kehamilan. Apabila ibu mengetahui tentang tanda bahaya kehamilan, ibu akan selalu waspada dan berhati-hati dengan cara selalu rutin memeriksakan kehamilannya. Tujuan penelitian untuk menganalisis tindakan deteksi dini tanda-tanda bahaya kehamilan berdasarkan karakteristik responden yaitu usia, pendidikan dan pekerjaan. Selain itu, akan diamati juga dari faktor pengetahuan, sikap dan sumber informasi. Desain penelitian observasional analitik menggunakan pendekatan cross sectional, dengan jumlah sampel 42 ibu hamil. Hasil penelitian menunjukkan responden yang tidak melakukan deteksi dini tanda bahaya kehamilan paling banyak adalah usia ibu berisiko (< 20 tahun atau > 35 tahun), berpendidikan rendah (tamat SD, SMP), ibu hamil yang tidak bekerja, berpengetahuan kurang, bersikap negatif dan hanya mendapatkan informasi dari tenaga kesehatan. Ada hubungan antara usia ibu (p 0,028 OR 4,267); pendidikan ibu (p 0,03 OR 5,939); pengetahuan (p 0,003 OR 4,413); dan sikap ibu hamil (p 0,012 OR 13,091) dengan tindakan deteksi dini tanda bahaya kehamilan. Maternal Mortality Rate (MMR) in Indonesia is still quite high and still below the achievement target of Sustainable Development Goals (SDGs). The causes of MMR can be reduced and prevented through the provision of qualified pregnancy routine upbringings to detect the early presence of abnormalities and complications. Besides, pregnant women also should be aware of the threat signs of pregnancy. If mothers know about these risk signs of pregnancy, mothers will always be on the alert and be cautious by doing regular checkups on their pregnancies. The purpose of the research was to analyse the actions of early detection on the danger signs of pregnancy based on the characteristics of respondents, such as age, education and work. Also, other factors of knowledge, attitude and sources of information were observed. The study design of an analytic observational used a cross-sectional approach, with a sample of 42 pregnant women. The results of the current study showed that the most respondents who did not perform early detection of danger signs of pregnancy were mothers at the risked age (< 20 years or > 35 years) and from low education (finished elementary and junior high school), pregnant women who are not working, mentally negative and less knowledgeable, and whose information only from health workers.  The correlation of the age of mothers (p 0,028 OR 4,267), maternal education (p 0.03 OR 5,939), knowledge (p 0,003 OR 4,413), and attitude of pregnant women (p 0,012 OR 13,091) positively resulted in the early detection actions of pregnancy danger signs.    


2021 ◽  
Vol 14 (3) ◽  
pp. 222-226
Author(s):  
Nanik Handayani ◽  
Fritria Dwi Anggraini

The period of the Covid 19 pandemic is a difficult time for all people, including pregnant women. In undergoing pregnancy, pregnant women must have self-efficacy, and husband support is needed. This paper determines the correlation between husband support and self-efficacy in pregnant women. This study was an analytical research design with a cross-sectional approach. The population was 52 pregnant women checked at Independent Midwifery Practice (IMP) Nanik Cholid, Sidoarjo, from May to November 2020. Meanwhile, the sample size was 46 respondents by purposive sampling. The independent variable was husband support, and the dependent variable was self-efficacy in pregnant women. The instrument to evaluate husband support was Family Support Questionnaire (FSQ), and to assess self-efficacy was a questionnaire with a Likert scale. Then, data were analyzed with the Spearmen Rank test with a significance (α) of 0.05. The results showed that most respondents had good self-efficacy (91.3%) and received high husband support (65.2%), particularly emotional support (28%). The statistical tests result using the Rank Spearmen test obtained p=0.016 indicating a correlation between husband support and self-efficacy in pregnant women. In conclusion, Husband support increases self-efficacy in pregnant women during the COVID 19 Pandemic. Health workers should educate husbands to provide support to pregnant women during pregnancy.   


2017 ◽  
Vol 5 (3) ◽  
pp. 325
Author(s):  
Diah Triratnasari

Tetanus problems are still the cause of neonatal death in Indonesia. Maternal and Neonatal Tetanus Elimination Program is a program to improve maternal and child health and evenly to be free from Tetanus disease by Immunization of Tetanus Diphtheria during pregnancy, its aims to build immunity in the mother and baby to avoid Tetanus infection. Tetanus Neonatorum case in 2014 in Indonesia amounted to 54 cases with the non-immunization status of Tetanus Diphtheria. The number of pregnant women targeted by Tetanus Diphtheria immunization in the work area of Burneh Sub-District Health Center of Bangkalan District is 1073 pregnant women in 2016, but it just covered 585 pregnant women. This research was conducted with a cross sectional design with the number of samples taken by 93 mothers who became the target of Tetanus Diphtheria Immunization and had given birth in 2016 by using simple random sampling. The purpose of this study was to analyze factors related to the participation of pregnant women in the implementation of Tetanus Diphtheria immunization in the work area of Burneh Sub-District Health Center 2016. The results of this study indicate that the age of the respondents is mostly aged 20 years to 30 years, with the number of children owned by respondents mostly amounted to 1. Lower knowledge possessed by respondents about tetanus disease and Tetanus Diphtheria immunization, so that health workers and family roles have an important role to encourage respondents to have awareness to immunize Tetanus Diphtheria during pregnancy.Keywords: husband support, Tetanus Diphtheria Immunization, knowledge, officer attitude


2019 ◽  
Vol 26 (2) ◽  
pp. 61-69
Author(s):  
Metha Fahriani ◽  
Yuni Ramadhaniati ◽  
Aulia Oktarina

The Relationship between the Age of Pregnant Women and Parity with         The Incomplete Abortion in Dr. Sobirin Hospital Musi Rawas District ABSTRAKAbortus inkompletus adalah pengeluaran sebagian janin pada kehamilan sebelum 20 minggu dengan masih ada sisa tertinggal dalam uterus. Tujuan penelitian ini adalah untuk mempelajari hubungan usia ibu hamil dan paritas dengan kejadian abortus inkompletus di RS Dr. Sobirin Kabupaten Musi Rawas. Penelitian ini menggunakan desain Cross Sectional. Populasi dalam penelitian ini seluruh ibu hamil usia kehamilan 20 minggu sebanyak 232 ibu. Pengambilan sampel menggunakan Systematic Random Sampling, yaitu sebanyak 76 ibu. Jenis data yang digunakan adalah data sekunder. Teknik analisis data dilakukan dengan analisa univariat dan bivariat menggunakan uji statistik Chi-Square (c2). Hasil analisis didapatkan 48 ibu (63,2%) tidak mengalami abortus inkompletus, 43 ibu (56,4%) berusia 20-35 tahun, dan 4 ibu (63,2%) dengan paritas primipara atau grandemultipara. Tidak terdapat hubungan yang signifikan antara umur dengan kejadian abortus inkompletus dan tidak terdapat hubungan yang signifikan antara paritas dengan kejadian abortus inkompletus. Diharapkan tenaga kesehatan dapat memberikan konseling, informasi, edukasi mengenai kontrasepsi bagi ibu dengan umur 35 tahun dan kesehatan reproduksi pada remaja 20 tahun untuk mencegah terjadinya kejadian abortus inkomplit Kata Kunci`: abortus inkompletus, paritas, usia ibu hamil ABSTRACTIncomplete abortion is the expenditure of a portion of the fetus in pregnancy before 20 weeks with still remaining left in the uterus. The purpose of this study was to study the relationship between the age of pregnant women and parity with the incidence of incomplete abortion in Dr. Hospital Sobirin Musi Rawas Regency. This study used a Cross Sectional design. The population in this study was all pregnant women aged 20 weeks gestation as many as 232 mothers. Sampling using Systematic Random Sampling, as many as 76 mothers. The type of data used was secondary data. Data analysis techniques were performed by univariate and bivariate analysis using the Chi-Square statistical test (c2). The analysis found 48 mothers (63.2%) did not experience incomplete abortion, 43 mothers (56.4%) aged 20-35 years, and 4 mothers (63.2%) with primipara or grandemultipara parity. There was no significant relationship between age and the incidence of incomplete abortion and there was no significant relationship between parity and the incidence of incomplete abortion. It was expected that health workers can provide counseling, information, education about contraception for women 35 years old and reproductive health in adolescents 20 years to prevent the occurrence of incomplete abortion.Keywords: age of pregnant women, incomplete abortion, parity


Author(s):  
Monali Kar ◽  
Nivedita Karmee ◽  
Durga M. Satapathy

Background: Globally approximately 830 women die from pregnancy and child birth every day. Most of deaths can be prevented by proper planning like birth preparedness and complication readiness (BPCR). The aim of study was to assess awareness and practice regarding BPCR among pregnant women and recently delivered women and to identify socio-demographic factors affecting it.Methods: A community based cross sectional study was conducted from September to December 2018 in villages of Chhatrapur block of Ganjam District among pregnant women (completed 24 weeks) and recently delivered women (12 months) regardless of newborn outcome. Sample size was calculated to be 96. Multi stage random sampling was adopted and PPS (Probability proportional to size) method was used. A questionnaire was used which contained socio-demographic information and set of 11 indicators to determine BPCR index. All data were analysed in SPSS.Results: BPCR index was 44.6% and it was higher (61%) in recently delivered women. 26% can be said to be well prepared and 45.8%, 27%, 32.3%, 37.5% knew at least one key danger sign in pregnancy, delivery, post partum and about new born respectively. A significant association was found between maternal education, age and pregnancy with awareness regarding BPCR.Conclusions: BPCR index in study area was low and a low proportion of participants were well prepared. Awareness about danger signs was quite low. So health workers at grassroots level should be encouraged to explain BPCR components to women and educational activities should be carried out to promote women to make plan a priori.


2016 ◽  
Vol 32 (12) ◽  
pp. 467
Author(s):  
Sri Juana ◽  
Detty Siti Nurdiati ◽  
Atik Triratnawati

Compliance of antenatal care and election of birth helpers in NatunaPurposeThis study aimed to determine the association of ANC (Antenatal care) compliance with birth attendant choice in Natuna.MethodsThis study used a cross-sectional method. The subjects of the research were mothers in Natuna regency 2014. The variables were: independent variable (ANC compliance), the dependent variable (the birth attendant choice), and the control variables (age, maternal education, distance to the health facilities, parity). Data collection used questionnaires and interviews. The data analysis used descriptive and inferential analysis. The bivariable analysis used the chi-square test and multivariable analysis used logistic regression test with 95% of confidence interval (CI) and a significance level of p <0.05.ResultsBivariable and multivariable analysis showed significant correlations between ANC compliance with birth attendant choice. Pregnant women who did not comply doing ANC according to the standard that has been set at least four times had a chance two times more likely to give birth with the traditional birth attendant (TBA) than the pregnant women who complied to implement the ANC during pregnancy. Mothers with low education had a chance two times greater of choosing the TBA as birth attendant than women who are highly educated. Mothers with parity of >2 had a chance 1.9 times greater of choosing the TBA as birth attendant than women with parity ≤2.ConclusionsThere needs to be a control program from the health department working with community health workers to socialize awareness of the importance of the ANC. There needs to be the addition of TBA who are trained and partnered especially in remote areas because it cannot be denied there are still many people who choose TBA as a birth helper. 


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


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