scholarly journals ASSESSMENT OF HEALTH CADRES’ KNOWLEDGE ON DANGER SIGNS OF PREGNANCY

Author(s):  
Restuning Widiasih ◽  
Ida Maryati ◽  
Yanti Hermayanti ◽  
Tetti Solehati

Maternal mortality rates (MMR) in Indonesia have not reached the target of Sustainable Development Goals (SDGs). The Indonesian government has established a Delivery Planning and Complication Prevention program (P4K) that focuses on community empowerment including health cadres. Health cadres have a significant role in preventing of maternal mortality in the maternal periods (pregnancy, childbirth, and postpartum), including early detection of danger signs of pregnancy. However, there is limited research in Indonesia that examines cadre’s knowledge about the danger signs of pregnancy in detail. This study aimed to assess cadres’ knowledge of danger signs in the maternal period especially in pregnancy. This research is a quantitative descriptive study. The study was conducted in Tempuran sub-district, Karawang regency, West Java. 48 cadres were involved in this study. Respondents filled in questionnaires about the danger signs of pregnancy. The results showed that the majority of cadres understood danger signs in pregnancy. Premature rupture of membranes (91.6%) and convulsions (91.6%) were danger signs that best known by cadres. While the signs of vaginal discharge (8%), heartburn (8%), and prolonged labor (4%) were little known by cadres as part of danger signs of pregnancy. The level of cadre knowledge about danger signs of pregnancy is varied. This research is the baselines information that may useful for program developments in relation to increase cadre capacity in preventing maternal mortality in the maternal periods.Keywords: Cadres, knowledge, danger signs of pregnancy

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.


2020 ◽  
Vol 17 (3) ◽  
pp. 153-164
Author(s):  
Muhammad Reza Hudaya ◽  
Eka Zuni Lusi Astuti

Blitar Regency has a potential terrestrial ecosystem to improve community welfare. However, the government's low commitment to manage terrestrial ecosystem can cause environmental damage. For example, damage to the terrestrial ecosystem in Pandanarum Village due to deforestation has caused natural disasters such as floods, landslides, and air temperature rise. Not only in Pandanarum village, but also the surrounding villages were also affected by the disaster. This condition led to establish an environmental-loving community called Sahabat Menanam in year 2015. Sahabat Menanam is doing some efforts to overcome the terrestrial ecosystem damage in Pandanarum through community empowerment approach. This study aims to describe the efforts of Sahabat Menanam in empowering Pandanarum community, by using qualitative methods. Data was collected through participant observation, in-depth interviews, and documentation. The study shows that Sahabat Menanam has succeeded in empowering the Pandanarum community, which is demonstrated by an independent community through increasing knowledge and capacity to conserve terrestrial ecosystems. After the community becomes an independent society, efforts to conserve terrestrial ecosystems can be carried out in a sustainable manner by community elements themselves with or without intervention from Sahabat Menanam.


2021 ◽  
Vol 4 (1) ◽  
pp. 25
Author(s):  
Happy Novriyanti Purwadi ◽  
Hanny Desmiati ◽  
Nuntarsih Nuntarsih

Based on data from the SDKI, the Maternal Mortality Rate (MMR) in Indonesia is still quite high, namely 359 per 100,000 live births1, and the results of the Inter-Census Population Survey show a decrease to 305 per 100,0002, this result is still quite far considering the Sustainable Development Goals (SDGs) target, namely reduce maternal mortality to below 70 per 100,000 target by 20303. The diversity of causes of maternal mortality and differences in regional characteristics make it necessary to make policies and plans to reduce MMR. AKI is an indicator of maternal health status. McCharty and Maine suggest 3 factors that influence maternal mortality, namely the near determinant, the intermediate determinant and the distant determinant.This research uses analytical research method, using secondary data, this method was chosen because in the first stage research will be conducted on the determinants of maternal mortality, then in the second stage an analysis will be carried out (analytic) to determine the determinants that have the most influence on maternal mortality in Tangerang Regency.There is a relationship between parity and maternal mortality with a p value of 0.025; OR = 5.667, which means that parity has 5.6 times the maternal mortality. There is a relationship between Ante Natal Care (ANC) examination and maternal mortality with a p value of 0.004; OR = 8,889 which means that ANC examination has 8.8 times of maternal mortality. There is a relationship between complications and maternal death with a p value of 0.019; OR = 7.5, which means that complications have 7.5 times the death rate and husband's work with maternal mortality p value 0.035; OR = 0.117. Thus parity, ANC examination, complications and husband's occupation have an effect on the determinants of maternal mortality. 


2021 ◽  
Vol 8 (12) ◽  
pp. 548-556
Author(s):  
Tomshon Manapar Purba ◽  
R. Hamdani Harahap ◽  
Heri Kusmanto

The limitations of the village in management in various sectors, both in the economic, health, education and infrastructure sectors make the village the main focus of the government in implementing development. Based on Law Number 6 of 2014 concerning villages, making villages have an important role in the implementation of development and empowerment. One of the implementations of the village law is by issuing village fund programs that are prioritized in achieving sustainable development goals (SDGs). To assist the government in accelerating the achievement of the SDGs, the Minister of Villages, Development of Disadvantaged Regions and Transmigration Regulations Number 19 of 2020 concerning Amendments to the Regulation of the Minister of Villages, Development of Disadvantaged Regions and Transmigration Number 18 of 2019 concerning General Guidelines for Assisting Village Communities has been presented. Medan Estate Village is located in Percut Sei Tuan District, Deli Serdang Regency. Community empowerment can be carried out by local village assistants who assist in facilitating the achievement of SDGs data collection starting from socialization to inputting data on applications. The purpose of this study was to determine the role of local village facilitators in assisting empowerment activities in Medan Estate Village. This research method is descriptive qualitative research. The results of this study indicate that the role of local village assistants in facilitating the village government runs according to its duties but in empowering the community it has not run optimally. The supporting factor in mentoring is the openness of the village government in establishing cooperation and the obstacle in mentoring is the lack of village community participation in village meetings. Keywords: Local Village Facilitators, Empowerment, Sustainable Development Goals.


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 17 ◽  
pp. 174550652110670
Author(s):  
Asnakew Achaw Ayele ◽  
Yonas Getaye Tefera ◽  
Leah East

Maternal mortality reduction has been recognized as a key healthcare problem that requires prioritizing in addressing. In 2015, the United Nations has set Sustainable Development Goals to reduce global maternal mortality ratio to 70 per 100,000 live births by 2030. Ethiopia as a member country has been working to achieve this Sustainable Development Goals target for the last decades. In this article, we discussed Ethiopia’s commitment towards achieving Sustainable Development Goals in maternal mortality. Furthermore, the trends of maternal mortality rate in Ethiopia during Millennium Development Goals and Sustainable Development Goals are also highlighted. Although maternal mortality has been declining in Ethiopia from 2000 to 2016, the rate of death is still unacceptably high. This requires many efforts now and in future to achieve the Sustainable Development Goals target by 2030.


2020 ◽  
Vol 9 (2) ◽  
pp. 1370-1379
Author(s):  
Hartinah Hartinah ◽  
Innama Sakinah ◽  
Tita Husnitawati Madjid ◽  
Hadi Susiarno ◽  
Sukandar Hadyana ◽  
...  

The results showed that the factors associated with maternal mortality based on the analysis were history of ANC (OR = 37.4; 95% CI: 9.5 - 313.6; p = 0.012), place of death (OR = 21.5; 95% CI: 2.5 - 188.5; p = 0.001), Health Facility (OR = 21.5; 95% CI: 2.5 - 188.5; p = 0.001), Non-referral case (OR = 91.2; 95% CI: 11.1 - 750; p = 0.001), delay in referral (OR = 122.1; 95% CI: 14.7 - 1010.2; p = 0.001). The results of the qualitative study showed that maternal mortality was affected by several factors, such as the low level of understanding of danger signs in pregnancy, labor and childbirth, low levels of late referral by overdue family decisions. 


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