scholarly journals GAMBARAN PERSALINAN PADA PROGRAM JAMPERSAL DI RSU PROF. DR. R. D KANDOU MANADO

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Priscillia Tondolambung ◽  
Hermie Tendean ◽  
Juneke J. Kaeng

Abstract: Jampersal stand for financing service childbirth is covering to examine the pregnancy, birth aid, the parturition, including family planning service post delivery and newborn service performed by health professionals in health facilities. The purpose of this study was to know description of childbirth on Jampersal program at Prof. Dr. R. D Kandou. This research used retrospective descriptive methods. The sample in this study were all of the birthing mother who used Jampersal at Prof. Dr. R. D Kandou general hospital Manado from April to December 2011. This study has shown indicate that there are 2800 delivery cases was found using the Jampersal program from 3561 total of childbirth. Most childbirth which used Jampersal program is followed by multigravida (55,18%) at the age of 20 to 25 years (29,00%). Most woman came directly to the hospital (71,82%) and treated in hospital for more than 3 days (39,11%). Most labors using the Jampersal program were commonly aided spontaneously (66,93%). Conclusion: Description of childbirth on Jampersal program at Prof. Dr. R. D Kandou General Hospital most was followed by multigravida, at the age of 20-25 years, came directly to the hospital, treated for more than 3 days, and aided spontaneously. Keywords: Jampersal, Childbirth.     Abstrak: Jampersal adalah jaminan pembiayaan pelayanan persalinan yang meliputi pemeriksaan kehamilan, pertolongan persalinan, pelayanan nifas termasuk pelayanan Keluarga Berencana (KB) paska persalinan dan pelayanan bayi baru lahir yang dilakukan oleh tenaga kesehatan di fasilitas kesehatan.Tujuan penelitian ini untuk mengetahui gambaran persalinan pada program Jampersal di RSU Prof. Dr. R. D Kandou. Penelitian ini menggunakan metode retrospektif deskriptif. Sampel penelitian yaitu semua ibu bersalin dengan program Jampersal di RSU Prof. Dr. R. D Kandou periode April - Desember 2011. Hasil penelitian menunjukkan bahwa terdapat 2800 kasus persalinan menggunakan program Jampersal dari 3561 total persalinan. Kebanyakan persalinan dengan menggunakan program Jampersal diikuti oleh ibu yang multigravida (55,18%) dengan usia 20-25 tahun (29,00%). Ibu yang bersalin paling banyak langsung datang sendiri ke rumah sakit (71,82%) dan kebanyakan dirawat di rumah sakit selama lebih dari 3 hari (39,11%). Persalinan menggunakan program Jampersal paling sering ditolong secara spontan (66,93%). Simpulan: Gambaran persalinan pada program Jampersal di RSU Prof. Dr. R. D Kandou kebanyakan diikuti oleh ibu yang multigravida, usia 20-25 tahun, langsung datang sendiri ke rumah sakit, dirawat selama lebih dari 3 hari dan ditolong secara spontan. Kata kunci: Jampersal, Persalinan.

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Arya P. Astoguno ◽  
Joice J. Kaeng ◽  
Maya Mewengkang

Abstract: JKN-BPJS stand for financing health service include childbirth is covering to examine the pregnancy, birth aid, the parturition, including family planning service post delivery and newborn service performed by health professional in health facilities. The purpose of this study was to know description of childbirth in JKN-BPJS program at Prof. Dr. R. D. Kandou. This was a retrospective descriptive study. Samples in this study were all of the mothers who used JKN-BPJS at Prof. Dr. R. D. Kandou Hospital Manado from January 1st to June 30th 2016. The results showed that of 570 total labours, there were 422 delivery cases using JKN-BPJS program. Most mothers that used JKN-BPJS program were multigravida (58%) at the age of 20 to 35 years (68.25%). Most of them came directly to the hospital (44.5%) and treated in the hospital for 4-6 days (55.7%). Most labours handled by the JKN-BPJS program were caesarean section (50.2%). Conclusion: Related to labours handled by the JKN-BPJS program at Prof. Dr. R. D. Kandou Hospital, most motherswere multigravida, at the age 20-35 years, came directly to the hospital, stayed in the hospital for 4-6 days, and treated with caesarean section.Keywords: JKN-BPJS, Childbirth Abstrak: JKN-BPJS merupakan jaminan pembiayaan pelayanan kesehatan termasuk biaya persalinan yang meliputi pemeriksaan kehamilan, pertolongan persalinan, pelayan nifas termasuk pelayanan Keluarga Berencana (KB) paska persalinan dan pelayanan bayi baru lahir yang dilakukan oleh tenaga kesehatan di fasilitas kesehatan. Penelitian ini bertujuan untuk mengetahui profil persalinan pada era JKN-BPJS di RSUP Prof Dr. R. D. Kandou. Jenis penelitian ialah retrospektif deskriptif. Sampel penelitian yaitu semua ibu bersalin dengan program JKN-BPJS di RSUP Prof Dr. R. D. Kandou periode 1 Januari – 30 Juni 2016. Hasil penelitian menunjukkan bahwa terdapat 422 kasus persalinan menggunakan program JKN-BPJS dari total 570 persalinan. Kebanyakan persalinan dengan program JKN-BPJS diikuti oleh ibu yang multigravida (58%) dengan usia 20-35 tahun (68,2%). Ibu yang bersalin paling banyak langsung datang sendiri ke rumah sakit (44,5%) dan kebanyakan dirawat di rumah sakit selama 4-6 hari (55,7%). Persalinan dengan program JKN-BPJS paling banyak ditolong dengan cara seksio sesarea (50,2%). Simpulan: Profil Persalinan pada era JKN-BPJS di Rsup Prof Dr. R. D. Kandou kebanyakan diikuti oleh ibu multigravida, usia 20-35 tahun, langsung datang sendiri ke rumah sakit, dirawat selama 4-6 hari, dan ditolong dengan cara seksio sesarea. Kata kunci: JKN-BPJS, persalinan.


2019 ◽  
Author(s):  
Melese Siyoum ◽  
Ayalew Astatkie ◽  
Teshome Melese ◽  
Zelalem Tenaw ◽  
Abebaw Abeje ◽  
...  

Abstract Introduction Disrespect and abusive care is a violation of women’s basic human rights and it is serious global problem that needs urgent intervention. In Ethiopia disrespect and abusive care is very common (21-78%) across health facilities. Objective To assess the status of respectful family planning service in Sidama zone, south Ethiopia. Methodology Health facility-based cross-sectional study was conducted from June to August 2018. Data were collected from 920 family planning clients’ recruited from 40 randomly selected health facilities. The Mother on Respect index (MORi) questionnaire was used to collect the data through client exit interview. Partial proportional odds ordinal regression was employed to identify determinants of respectful family planning service. Result The level of respectful family planning service was found to be: Zero (0%) in the very low respect category, 75(18.5%) low respect, 382(41.52%) moderate respect and 463(50.33%) high respect. Being a short acting method client (AOR=0.3, 95%CI [0.12, 0.72]), participants’ level of education (uneducated (AOR=0.39, 95%CI [0.25, 0.61), elementary (AOR=0.41, 95%CI [0.23, 0.73]), low income(AOR=0.75, 95%CI [0.56, 0.99]), long waiting time (AOR=0.46, 95%CI [0.30, 0.69]), were negatively associated with moderate and high respect compared to low respect. Preference of male service providers (AOR=2, 95%CI [1.1, 3.8]), service providers’ work satisfaction (AOR=1.55, 95%CI [1.13, 2.14]) and health workers’ prior training on respectful care (AOR=8.75, 95%CI [4.61, 16.61]) were positively associated. Being a client of short acting contraceptives (AOR=2.1, 95%CI [1.42, 3.12]), preference of male service providers (AOR=0.55, 95%CI [0.4, 0.76]) and health workers’ prior training on respectful care (AOR=3.03, 95%CI [2.24, 4.1]) had significant association with high respect compared to low and moderate respect. Conclusion Considering the current strategy of zero tolerance for disrespect in Ethiopia, the level of respectful care in this study is sub-optimal. We recommend community awareness and short term training for service providers.


Author(s):  
Ann K. Blanc ◽  
Katharine J. McCarthy ◽  
Charlotte Warren ◽  
Ashish Bajracharya ◽  
Benjamin Bellows

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Lemessa Assefa ◽  
Zemenu Shasho ◽  
Habtamu Kebebe Kasaye ◽  
Edao Tesa ◽  
Ebisa Turi ◽  
...  

Abstract Background Men involvement is one of the important factors in family planning (FP) service utilization. Their limitation in the family planning program causes a decrease in service utilization as well as the discontinuation of the method which eventually leads to failure of the program. Family planning uptake is low but there is no enough study conducted on the parameters of husband involvement in Ethiopia. Hence, this study focused to assess men’s involvement in family planning service utilization in Kondala district, western Ethiopia. Methods Community based comparative cross-sectional study design was employed in urban and rural kebeles of kondala district using quantitative and qualitative data collection tools. The multi-stage sampling method was employed to select 370 participants from each of the four urban and eight rural kebeles. Logistic regression analysis was used to identify variables that affect husbands’ involvement in FP service utilization. Statistical significance was declared at p-value of < 0.05 with 95% confidence interval (CI) and strength of association was reported by odds ratio (OR). Results The study showed that 203(55.6%) men from urban and 178(48.8%) from rural were involved in FP service utilization. The median age of the respondents was 36+ 8.5 years (IQR: 27.5–44.5) in urban and 35 years (IQR: 25–45) in rural parts. Respondents who had four and above current children (AOR = 3.25, 95%CI = 1.51–7.02) in urban and (AOR = 4.20, 95%CI = 1.80–9.79) in rural were positively associated with men’s involvement in FP service utilization. In the urban setting, being government employee (AOR = 2.58, 95%CI = 1.25–5.33), wishing less than two children (AOR = 3.08, 95%CI = 1.80–5.24) and having a better attitude towards FP methods (AOR = 1.86, 95%CI = 1.16–2.99) were positively associated with FP service utilization. While good educational background (AOR = 2.13, 95%CI = 1.02–4.44), short distance from home to health facility (AOR = 2.29, 95%CI = 1.24–4.19) and having better knowledge (AOR = 4.49, 95%CI = 2.72–7.38) were positively associated with men involvement in FP service utilization in the rural area. Conclusion Low involvement of men in family planning service utilization was reported in both settings. Factors associated with husbands’ involvement were varied between the two setups, except for the current number of children. Future FP program should incorporate infrastructure associated with the health facility, knowledge, and attitudinal factors.


2015 ◽  
Vol 2015 ◽  
pp. 1-17 ◽  
Author(s):  
Jembere Gizachew Balew ◽  
Yongtae Cho ◽  
Clara Tammy Kim ◽  
Woorim Ko

Family planning coverage has improved in Ethiopia in the last decade, though fertility is still about 5.8 in the rural setup. In this paper, the major structural determinants of family planning service were analyzed using a multilevel model from 8906 individual women observation in the 2011 EDHS data. The results show that there is a big variation in family planning use both at the individual and between group levels. More than 39% of the variation in FP use is explained by contextual cluster level differences. Most of the socioeconomic predictors; respondent’s education, ethnicity, and partners’ education as well as employment status and urbanization were found to be significant factors that affect FP use. Similarly health extension visit and media access were found to be strong factors that affect FP service at both individual and cluster levels. This evidence concludes that addressing these contextual factors is very crucial to strengthen FP use and fertility reduction in the nation, beyond individual behavioral changes.


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