scholarly journals Kajian Pelaksanaan Pelayanan Cakupan K4 Di Puskesmas Baumata Tahun 2018

2019 ◽  
Vol 1 (3) ◽  
pp. 124-133
Author(s):  
Neneng N. K . Manu ◽  
Tadeus A. L. Regaletha ◽  
Erny E Pua Upa
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
First Trimester ◽  
Child Health Services ◽  
Annual Reports ◽  
District Health Office ◽  
District Health

 K4 pregnant women services are complete antenatal services with a time of examination, namely one visit in the first trimester, one visit in the second trimester, and two visits in the third trimester. The Baumata Community Health Center experienced a decline in K4 coverage based on the Kupang District Health Office profile data and annual reports where in 2016 K4 coverage reached 60.7%, in 2017 it reached 51.8% and in 2018 it only reached 44.2%. This research is a combination of qualitative and quantitative research (mix method) with descriptive research. The purpose of this study is to examine the implementation of K4 coverage services at the Baumata community health center in 2018 which includes description of inputs (human resources, facilities, sources of funds, policies and Standard Operating Procedures), process descriptions (planning and organizing) as well as output descriptions (K4 coverage ). Informants in this study amounted to 13 people and respondents numbered 66 people consisting of the Head of the Family Health and Nutrition Section of the Kupang District Health Office, the Head of the Baumata community health center, the Midwife who provided K4 services and the mother who had a pregnancy (K4) at the community health center Baumata in 2018. The results showed that in terms of input at the Baumata community health center as a whole it was good but there was no Ultrasonography facility at the community health center and the limited space where there was no special room for maternal and child health services/ family planning/immunization, in terms of the process is good related to planning, organizing and forms of services received by pregnant women are in accordance with 10T standards, it's just a long time in the process of providing services due to poor management time and lack of awareness of pregnant women to check pregnancy to the facility. The nearest health bag is due to the lack of knowledge of pregnant women about the importance of antenatal care, while in terms of output based on document review it can be seen that in the past three years there has been a decline in achievement of the K4 target at the Baumata community health center. It is recommended that the Baumata community health center procure supporting facilities in the form of Ultrasonography and additional rooms, make time management so that pregnant women do not wait too long for the service process, and conduct socialization to the public about the importance of antenatal care.

scholarly journals Kinerja Sanitarian Puskesmas

2009 ◽  
Vol 3 (5) ◽  
pp. 212
Author(s):  
Ardinal Ardinal
Keyword(s):  
Community Health ◽  
Health Center ◽  
Group Discussion ◽  
Community Health Center ◽  
Low Frequency ◽  
Public Access ◽  
District Health Office ◽  
District Health ◽  
Budget Policy ◽  
Low Performance

Program penyehatan air bersih dilaksanakan untuk pemenuhan akses masyarakat terhadap air bersih yang mencakup aspek jumlah dan kualitas. Untuk itu, perlu kerja keras pemegang program penyehatan air, khususnya sanitarian puskesmas yang merupakan ujung tombak pelaksanaan program di puskesmas. Tujuan penelitian ini mendapatkan gambaran kinerja petugas sanitasi Puskesmas dan faktor-faktor yang berperan di Kabupaten Solok Tahun 2007. Penelitian ini menggunakan pendekatan kualitatif melalui wawancara mendalam, Diskusi Kelompok Terarah dan observasi, dengan informan sanitarian puskesmas dilanjutkan triangulasi sumber dengan Kepala Puskesmas dan Kepala Bidang PL & PKM Dinas Kesehatan Kabupaten Solok. Kinerja sanitarian puskesmas dalam pelaksanaan program penyehatan air bersih yang rendah terlihat pada cakupan rendah, penyuluhan kurang, pembinaan pokmair kurang, pengawasan air kurang, sistem informasi program tidak jalan. Faktor yang berperan dalam kinerja sanitarian meliputi; kemampuan dan keterampilan kurang, supervisi dari Kabupaten dan Puskesmas kurang; pelatihan sanitarian yg kurang dan tidak sesuai kebutuhan, motivasi sanitarian rendah, imbalan dan dana operasional kurang, beban kerja tambahan, sarana dan prasarana tidak memadai, prioritas program kurang, akses wilayah kecamatan terisolir tidak lancar, serta prog-ram air bersih yang belum prioritas. Kata kunci : Program penyehatan air bersih, petugas sanitasi, air bersihAbstractHealthy and hygienic water program is implemented to fulfill public access to hygienic water, not only in quantity but also the quality of hygienic water consumed by public. This study aim is to describe performance of sanitation officer in community health center and factors related in Solok District in 2007. This study used qualitative method by in-depth interview, focus group discussion and observation; informant is sanitation officer in community health center, which was source triangulated with the head of community health center and head of PL and PKM of District Health Office. Low performance of sanitation officer was reflected in low coverage, low frequency of counseling, low frequency of community training, low frequency of water monitoring, information system program was not functioned well. Factors which are important on sanitation officer performance include: less ability and skill of sanitation officer, less supervision of district and community health center head, less training frequency of sanitation officer and the need is not matched, low motivation of sanitation officer, less reward and operational fund, many extra jobs, facility and basic facility are not adequate, less program priority by head of community health center, access to several working areas is not good especially in the isolated subdistrict, and budget policy of District Health Office which is not prioritizing sufficient budget for health and hygienic water program.Keywords: Healthy and hygienic water program, sanitation officer, hygienic water

scholarly journals The Role Of Partnership Of Integrated Service Post Cadre In The Continuity Of Pregnancy Visit Based On Perception Of Pregnant Women In The Working Area Of Sendang Community Health Center Cirebon District

2018 ◽  
Vol 5 (2) ◽  
pp. 1-6
Author(s):  
Dwiyanti Purbasari
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Community Health ◽  
Health Center ◽  
Health Research ◽  
Community Health Center ◽  
Secondary Data ◽  
Work Area ◽  
Integrated Service

Background: The Maternal and Child Health Program  is a priority part in efforts to improve health status in Indonesia. The 4th pregnancy visit coverage  is one of the evaluation indicators in the fifth Millennium Development Goal (MDGs). In the scope of the MDGs it was stated that the target in 2015 was 95% (Basic Health Research, 2013). The frequency of antenatal care at least 4 times during the pregnancy period is 83.5% (Basic Health Research, 2013). Meanwhile, the Sendang Community Health Center has 155 integrated service post cadres the frequency of 1-1-2 or fourth antenatal visits at Sendang Community Health Care Cirebon Regency in January - March 2015 by 23%. Purpose: This study aims to analyze the role of integrated service post cadre partnerships in the continuity of pregnancy visit based on perception of pregnant mother at the Sendang Community Health Center in Cirebon Regency. Method: The type of research used is correlational with a prospective approach. The study population was all pregnant women who performed first pregnancy visit at the Sendang Community Health Center. The total sample is 76 people with total sampling technique. Primary data was obtained using a questionnaire, while secondary data was obtained from the ANC cohort register. Secondary data is entered into the checklist. Data was collected during the period from March to August 2015 in the work area of ​​Sendang Community Health Center, Cirebon district. Statistical tests use Spearman's Rho Correlation with a significance level of 95% or 0.05 and two tailed. Result: The results showed that most (81.6%) respondents played active partnerships in pregnant women both before, during and after integrated service post days in antenatal care based on perceptions of pregnant women, more than half of respondents (55.2%) made continuous pregnancy visits according to the schedule from first to fourth pregnancy visit, there is a weak positive correlation between the role of partnerships of integrated service post cadres in the continuity of fourth pregnancy visits based on the perception of pregnant women in the work area of ​​Sendang Community Health Center in Cirebon District (ρ value = 0.003; α = 0.05). Conclusion: The role partnerships of integrated service post cadres is one of the supporters in the fourth pregnancy visit of pregnant women to carry out pregnancy examinations. Therefore, there is an increase in the management of integrated service post cadres through coaching, giving motivation and appreciation, as well as evaluating their participation in ANC services by health workers and local health center leaders. In addition, home visits and counseling are needed for pregnant women and their families since the beginning of pregnancy in an effort to increase fourth visits during pregnancy.

scholarly journals Analysis of the Planning Process at the Health Center Level at the Poso Regency Health Office

2021 ◽  
Vol 2 (3) ◽  
pp. 58-68
Author(s):  
Heindra Baithard Rantung ◽  
Darmawansyah Darmawansyah ◽  
Muhammad Asdar
Keyword(s):  
Community Health ◽  
Health Center ◽  
Planning Process ◽  
Community Health Center ◽  
Problem Formulation ◽  
Problem Analysis ◽  
District Health Office ◽  
District Health ◽  
Analysis Process ◽  
Community Health Status

One of the activities required by every puskesmas (Community Health Center) in overcoming the problems faced in each area is planning at the puskesmas level. To accommodate the need to increase the ability and coverage of health services in an integrated and integrated manner with the problems that exist in the work environment of the Puskesmas. The purpose of this study was to analyze the planning process at the Puskesmas level at the Poso District Health Office. This type of research is qualitative and the unit of analysis from the implementation of this research is carried out on 2 (two) Puskesmas in the Poso District Health Office. Meanwhile, the research informants were employees/staff of the related puskesmas and the key informant was the Head of the Poso District Health Office as a triangulation check for the validity of the data. The results of the research based on the preparation stage, a planning team was formed by the Head of the Puskesmas, in the situation analysis stage the problem analysis process was carried out through Encuesta Mawas Diri (SMD), the problem formulation stage using the USG method (Uraaatanga metoaaa) problems, the last stage was the preparation of the RUK (Proposed Activity Plan) which are prepared at the puskesmas still refer to the applicable government policies. Suggestions in this study are expected that the puskesmas in the Poso District Health Office can arrange their annual activity plans optimally, while still fostering community participation in improving community health status.

Perbedaan Kadar Brain Derived Neurotropic Factor Neonatus Dari Ibu Hamil Normal Dan Anemia Defisiensi Besi

2018 ◽  
Vol 3 (3) ◽  
pp. 568
Author(s):  
Ainal Mardiah ◽  
Arni Amir ◽  
Andi Friadi ◽  
Ellyza Nasrul
Keyword(s):  
Iron Deficiency ◽  
Pregnant Women ◽  
Community Health ◽  
Health Center ◽  
Iron Deficiency Anemia ◽  
Community Health Center ◽  
Deficiency Anemia ◽  
Cross Sectional ◽  
Consecutive Sampling ◽  
Neurotropic Factor

<p><em>Iron deficiency anemia is anemia caused by iron deficiency in the blood. Maternal iron deficiency affects the low iron reserves in neonates </em><em>and it also influences on </em><em>Brain Derived Neurotropic Factor (BDNF) </em><em> which affects cognitive function.</em><em> </em><em>The purpose of this study was to determine the difference mean of BDNF in neonates from normal pregnant women and pregnant women with iron deficiency. </em><em>The design of this research was Cross Sectional</em><em> </em><em>design. This research was conducted in Community Health Center of Lubuk  Buaya, Ambacang Community Health Center, Community Health Center of Ikur Koto Health Center and Biomedical Laboratory of Andalas University on February 2017 to April 2018. There were 42 pregnant women was selected as sample e of this research. The samples were chosen by Consecutive Sampling. Then, the sample is divided into two groups: normal pregnant women and pregnant women with iron deficiency anemia. BDNF are examined by the ELISA. Next, the data were analyzed by using T test. The levels of BDNF neonates in normal pregnant group was 3.65(ng/ml) and the anemia pregnant group was 1.74(ng/ml) (p &lt;0.05). There was significant difference of BDNF levels in neonates from normal pregnant women and pregnant women with iron deficiency anemia. </em><em>The conclusion of this study is there is a difference of average BDNF in neonates from normal pregnant women and pregnant women with iron deficiency.</em></p><p> </p><p>Anemia defisiensi besi adalah anemia yang disebabkan karena kekurangan zat besi dalam darah. Defisiensi besi  maternal berdampak pada rendahnya cadangan besi pada neonatus dan berdampak terhadap ekspresi Brain Derived Neurotropic Factor (BDNF) yang berpengaruh pada fungsi kognitif. Tujuan penelitian ini adalah untuk mengetahui perbedaan rerata kadar BDNF pada neonatus dari ibu hamil normal dan ibu hamil defisiensi besi. Desain penelitian ini adalah Cross Sectional. Penelitian dilakukan di Puskesmas Lubuk Buaya, Puskesmas Ambacang, Puskesmas Ikur Koto dan Laboratorium Biomedik Universitas Andalas pada bulan Februari 2017 – Juli 2018. Sampel Penelitian adalah ibu hamil sebanyak 42 orang yang dipilih secara Consecutive Sampling, sampel dibagi menjadi dua kelompok yaitu ibu hamil normal dan ibu hamil anemia defisiensi besi. BDNF diperiksa dengan metode ELISA. Data dianalisa menggunakan uji T test. Kadar BDNF neonatus pada ibu kelompok normal adalah 3,65(ng/ml) dan kelompok ibu anemia adalah 1,74(ng/ml) (p&lt;0,05). Terdapat perbedaan bermakna kadar BDNF pada neonatus dari ibu hamil normal dan ibu anemia defisiensi besi. <em></em></p>

scholarly journals Current status of antenatal care of pregnant women—8 provinces in China, 2018

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wenling Hu ◽  
Huanqing Hu ◽  
Wei Zhao ◽  
Aiqun Huang ◽  
Qi Yang ◽  
...  
Keyword(s):  
Health Services ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Community Health ◽  
First Trimester ◽  
Community Health Services ◽  
Current Status ◽  
Categorical Variables ◽  
Chi Square ◽  
Prenatal Care Visit

Abstract Background Antenatal care (ANC) played a crucial role in ensuring maternal and child safety and reducing the risk of complications, disability, and death in mothers and their infants. The objective of this study was to evaluate the current status of ANC emphasizing the number, timing, and content of examinations on a national scale. Methods The data was collected from maternal and newborn’s health monitoring system at 8 provinces in China. After ethical approval, all pregnant women registered in the system at their first prenatal care visit, we included 49,084 pregnant women who had delivered between January 1, 2018 and December 31, 2018. Descriptive statistics of all study variables were calculated proportions and chi-square for categorical variables. Results Of the 49,084 women included in this study, the mean number of ANC visits was 6.95 ± 3.45. By percentage, 78.79% women received ANC examinations at least five times, 39.93% of the women received ANC examinations at least eight times and 16.66% of the women received ANC examinations at least 11 times. The proportion of first ANC examination in first trimester was 61.87%. The percentage of normative ANC examinations and the percentage of qualified ANC examinations were 30.98 and 8.03% respectively. Only 49.40% of the total women received all six kinds of examination items in first ANC examination: 91.47% received a blood test, 91.62% received a urine test, 81.56% received a liver function examination, 80.52% received a renal function examination, 79.07% received a blood glucose test, and 86.66% received a HIV/HBV/syphilis tests. 50.85% women received the first ANC examination in maternal and child health care (MCH) institutions, 14.07% in a general hospital, 18.83% in a township hospital, 13.15% in a community health services center, and 3.08% in an unspecified place. The proportion of women who received each of the ANC examination items in community health services center was the highest, but that in the MCH institutions was the lowest. Conclusions There is a big difference between the results of this study and the data in official reports, this study found the current status of antenatal care is not optimal in China, findings from this study suggest that the systematization, continuity and quality of ANC examinations need to be improved.

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