HUBUNGAN KOMPONEN PELAYANAN ANTENATAL CARE (10 T) DENGAN KEJADIAN BAYI BERAT LAHIR RENDAH DI INDONESIA (ANALISA DATA SEKUNDER SDKI 2017)

2020 ◽  
Vol 6 (1) ◽  
pp. 13-19
Author(s):  
Aryandi Darwis ◽  
Asnawi Abdullah ◽  
Maidar Maidar ◽  
Aulina Adamy ◽  
Nurjannah Nurjannah

Latar Belakang: Dari data SDKI (2017) didapat bahwa cakupan pelayanan antenatal (pernah mendapat pelayanan antenatal) yang diperiksa oleh tenaga kesehatan yang kompeten (K1) telah cukup tinggi yaitu 97.5% dan pelayanan ANC (K4) yaitu 77.4%, namun ternyata angka Bayi Berat Lahir Rendah (BBLR) masih cukup tinggi yaitu 7.1% berdasarkan catatan pada kartu menuju sehat (KMS) atau laporan ibu. Metode: Penelitian ini merupakan analisis terhadap data sekunder hasil SDKI 2017 penelitian ini bersifat deskriptif analitik dilakukan dengan menggunakan desain Cross-sectional dengan pendekatan kuantitatif. Lokasi penelitian di 34 Provinsi di seluruh Indonesia, dilakukan pada tanggal 24 Juli sampai 30 September 2017. Hasil: Responden yang melakukan kunjungan kehamilan tidak penuh sebesar 22.51%, responden yang tidak ditimbang berat badan 13.50%, responden yang tidak diukur tinggi badan 30.29%, responden yang tidak diukur tekanan darah 57.12%, responden yang tidak diperiksa urin sebesar 65.00%, responden yang tidak diuji labolatorium sampel darah sebesar 57.12%. Analisis bivariat menunjukkan bahwa komponen pelayanan antenatal care dengan kejadian BBLR, dari komponen yang diajukan ada komponen yang berhubungan dengan BBLR adalah ANC: Diukur timbang badan diperoleh p value 0.0001 dan nilai OR = 0.643 artinya ibu hamil yang ditimbang berat badan berpotensi memproteksi BBLR sebesar 64% dibandingkan dengan ibu hamil yang tidak ditimbang. Kesimpulan: Kualitas pelayanan antenatal care menjadi variabel independen utama yang menyebabkan BBLR, tetapi variabel lain juga mempunyai hubungan dengan BBLR. Selain itu responden tidak melakukan kunjungan antenatal dengan baik maka akan berisiko terjadinya BBLR.

Author(s):  
Rubiyati Rubiyati

ABSTRACT Antenatal Care is the care given to pregnant woman to monitor, support maternal health and maternal detect, whether normal or troubled pregnant women. Aki in Indonesia amounted to 359 in 100.000 live births. The purpose of the study was to determine the relationship between age and education in the clinic Budi Mulia Medika 2014. This study used a survey method whit cross sectional analytic. This is the overall study population of women with gestational age ≥36 weeks who come to visit the clinic Budi Mulia Medika Palembang on February 10 to 18. The study sample was taken in non-random with the technique of “accidental smapling “ with respondents who happens to be there or variable. The obtained using univariate and bivariate analysis using Chi-Square test statistic. The results of the univariate analysis showed that 83,3% of respondents did according to the standard prenatal care, high risk age 40,0 %, 60,0% lower risk of age, higher education 70,0%, 30,0% low education. Bivariate analysis showed that there was no significant relationship betwee age and pregnancy tests wit p value= 0,622, and significant relationship between education and prenatal care with p value= 0,019. From the results of this study are expected to need to increase outreach activities to the community about the importance of examination of pregnancy according to gestational age in an effort to reduse maternal mortality.   ABSTRAK Antenatal Care merupakan pelayanan  yang di berikan pada ibu hamil untuk memonitor, mendukung kesehatan ibu dan mendeteksi ibu, apakah ibu hamil normal atau bermasalah. Di Indonesia AKI berjumlah 359 per 100.000 kelahiran hidup. Tujuan penelitian adalah untuk mengetahui hubungan antara usia dan pendidikan dengan pemeriksaan kehamilan di klinik budi mulia medika tahun 2014. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi penelitian ini adalahseluruh ibu dengan usia kehamilan ≥ 36 minggu yang dating berkunjung ke Klinik Budi Mulia Medika pada tanggal 10-18 Februari. Sampel penelitian ini di ambil secara non random dengan tekhnik ‘’ Accidental Sampling’’ dengan responden yang kebetulan ada atau tersedia. Data yang di peroleh menggunakan analisis univariat dan bivariat menggunakan uji statistik Chi-Square. Hasil analisis univariat ini menunjukan bahwa 83,8% responden melakukan pemeriksaan kehamilan sesuai standar, 16,7% tidak melakukan pemeriksaan kehamilan sesuai standar, usia resiko tinggi 40,0%, usia resiko rendah 60,0%, pendidikan tinggi 70,0 %, pendidikan rendah 30,0 %. Analisis bivariat menunjukan bahwa tidak ada hubungan bermakna antara usia dengan pemeriksaan kehamilan dengan p value =0,622, ada hubunngan bermakana antara pendidikan dengan pemeriksaan kehamilan dengan p value = 0,019. Dari hasil penelitian ini di harapkan perlu meningkatkan kegiatan penyuluhan kepada masyarakat tentang pentingnya dilakukan pemeriksaan kehamilan sesuai dengan umur kehamilan sebagai upaya menurunkan angka kematian ibu.    


2021 ◽  
Vol 9 (2) ◽  
pp. 11-22
Author(s):  
Taofeek Adedayo Sanni

Maternal Mortality Remains A Leading Cause Of Death Among Women Of Reproductive Age Group. This Study Determined The Cost Of Antenatal Care Among Health Insurance (HI) Enrollees And Out-Of-Pocket (OOP) Payers Accessing Maternal Healthcare Services In A Tertiary Health Institution In Southwest Nigeria. A Comparative Cross-Sectional Study Was Carried Out Among 380 Women (190 HI Enrollees And 190 OOP Payers) Attending Antenatal Care Services In A Tertiary Health Institution In Southwest Nigeria Using A Systematic Random Sampling Technique. Data Was Gathered Using An Interviewer-Administered Semi-Structured Questionnaire And Analyzed Using IBM SPSS Version 23. Chi-Square And Binary Logistic Regression Were Used To Assess The Association Between Dependent And Independent Variables And A P-Value Of <0.05 Was Taken As Significant. The Overall Mean Age Of Respondents In This Study Was 33.8 ± 5.0 Years (HI Group: 34.1 ± 4.9 Years And OOP Group: 33.6 ± 5.0 Years). The Mean Total Cost Of Antenatal Care (ANC) Is Lesser For HI Enrollees (₦5,095.2 ± 1,753.1 Equivalent To $13.3 ± 4.6) As Compared With OOP Payers (₦15,050.6 ± 5,548.9 Equivalent To $39.6 ± 14.6). Predictors And Enablers For HI Uptake Are Marital Status, Family Size, Level Of Education, Occupation, Appropriate And Quality HI Package, And Trust In The HI Scheme. It Was Concluded That The Total Cost Of Antenatal Care Is Lower Among The Health Insurance Enrollees Than The Out-Of-Pocket Payers. Therefore, Interventions To Increase Awareness And Designing More Enticing HI Packages Are Recommended.


2020 ◽  
Vol 4 (3) ◽  
pp. 100-111
Author(s):  
Vita Camelia ◽  

Stunting is a children growth problem that occurs a result of chronic malnutrition in the first 1000 days of life. The indicator of stunting is using the height measurement according to age HFA (Height for Age) under -2 SD based on the WHO growth standard curve according to sex. The impacts of stunting are the occurrence of growth disorders, barriers to development and the risk of metabolic disorders in adulthood. One of the risk factors for stunting is history of quality and quantity Antenatal Care (ANC). This study aimed to determine the relationship between quality and quantity history of ANC visits and stunting in toddlers aged 24-59 years in Pujon District Malang Regency. The method used in this research was observational analytic by using cross-sectional design. The population of this study was all mothers who have children aged 24-59 months that were conducted in January 2020. Ninety eight respondents taken by purposive sampling as the sample of the research. The data was obtained by filling out questionnaires and KIA books, then analyzed with chi-square test (α = 0.05). The results showed that there was a significant relationship in quality (p-value = 0.004) and quantity (p-value = 0.003) toward stunting.


2020 ◽  
Vol 9 (1) ◽  
pp. 20
Author(s):  
Berhanu Abebaw Mekonnen ◽  
Yadeta Dessie ◽  
Negga Baraki ◽  
Abdu Oumer ◽  
Mehari Gebru

<p>Iron and folic acid supplementation is the key approach for anemia prevention and control during pregnancy. In Ethiopia only &lt;1% of pregnant mothers ingest the ideal number of tablets. Although, adherence is the most important challenge, literature is dearth and the predictors are undoubtedly recognized. Institution based quantitative cross sectional study design triangulated with qualitative methods was employed among 395 systematically selected pregnant mothers attending antenatal care in Debre Markos town, Ethiopia. Data were collected using interviewer administered structured questionnaire. Data were entered into Epi data and exported to SPSS software. Bivariate and multivariable Logistic regression with the 95% confidence interval was computed. P-value &lt; 0.05 was declared as statistically significant. Eight in-depth interviews were conducted. The data were entered and analyzed using open code software. Adherence rate was 55.5% (95%CI, 50.5%-60.4%). Pregnant mothers who had; history of anemia during current pregnancy [AOR:7.9, 95%CI (4.44-14.01)], primary education (AOR:4.0, 95%CI (1.88-8.54)], secondary education and above (AOR:3.6, 95%CI (1.20-6.94)], good knowledge of iron and folic acid supplementation [AOR:2.1, 95%CI (1.24-3.56)], and early registration for antenatal care (AOR:1.8, 95%CI (1.06-3.11)] were predictors of iron and folic acid supplementation adherence. The rate of adherence was low. Getting medical advice and fear of illness if missed were the primary reasons that enforce mothers to take the tablets. Hence, improving mothers’ knowledge regarding overall aspects of the tablet through better advice, community teaching and the mass media at large, would improve adherence.</p>


2019 ◽  
Vol 19 (3) ◽  
pp. 661
Author(s):  
Desi Andriani ◽  
Husna Yetti ◽  
Roza Sriyanti

Antenatal care or antenatal care is a planned program that is observation, education and medical treatment for pregnant women, to obtain a safe and satisfying pregnancy and childbirth process. The indicator used to assess the access of pregnant women to antenatal care is K1 direction (first visit) is the contact of pregnant women to health workers and K4 (perspective visit) is 4 or more times contact with health workers. From the data of the Padang City Health Office, it was found that the Air Tawar Puskesmas with this low level was caused by various factors. The purpose of this study was to determine factors related to the use of antenatal services. This type of research is a quantitative study with cross sectional study design with 110 respondents of third trimester pregnant women with purposive sampling technique. Data analysis was performed univariate, bivariate with Chi squre test. From the research results obtained from the five factors studied, it was found that the factors related to the use of antenatal services in freshwater health centers were access or distance with pvalue 0.009 = OR 21.676), service availability factors with a p value of 0.001 = OR 9.293, the role factor midwives with a p value of 0.001 = OR 12.302, while the family income factor, disease complaints obtained results have nothing to do with the use of antenatal services. The author's suggestion is that there is a need for good coordination with the Independent Practice Midwife (BPM), revitalize puskesmas to more strategic places and improve better facilities, improve accessibility that can be minimized, strive to reach pregnant women, especially for accessibility that is less affordable.


2017 ◽  
Vol 10 (1) ◽  
pp. 94
Author(s):  
Aliah Dwi Kurnia Haji Abu ◽  
Yuli Kusumawati ◽  
Kusuma Estu Werdani

Cakupan kunjungan K1 dan K4 di Puskesmas Mantingan masih rendah, salah satu penyebabnya adalah bidan dalam pelayanan antenatal care tidak sesuai standar operasional prosedur.Tujuan penelitian ini adalah untuk menganalisis hubungan karakteristik bidan dengan mutu pelayanan antenatal care berdasarkan standar operasional prosedur di wilayah kerja Puskesmas Mantingan Kabupaten Ngawi. Metode penelitian ini menggunakan rancangan survei observasional dengan pendekatan cross sectional. Populasi penelitian ini seluruh bidan sebanyak 30 orang. Pemilihan sampel dengan total sampling sebanyak 30 orang. Uji statistik menggunakan korelasi Pearson Product Moment dan uji Anova. Hasil penelitian menunjukkan variabel yang berhubungan dengan mutu pelayanan antenatal care yaitu umur (r=0,445) p value (0,014), masa kerja (r=0,401) p value (0,028) dan pengetahuan (r=0,437) p value (0,016) sedangkan yang tidak berhubungan yaitu status pegawai (F=0,768) p value (0,474). Diharapkan pemerintah akan meningkatkan pengawasan dan pengendalian terhadap proses pelayanan antenatal-care oleh bidan di puskesmas.Kata Kunci: Karakteristik, Standar Operasional Prosedur, Antenatal care


2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Haile Zewdu Tsegaw ◽  
Endeshaw Admassu Cherkos ◽  
Marta Berta Badi ◽  
Muhabaw Shumye Mihret

Background. Maternal mortality remains unacceptably high in developing countries. One key strategy to reduce such mortality is utilization of birth preparedness and complication readiness (BP/CR) and creating awareness of BP/CR is an important step for pregnant women, their families, and the community. However, there was limited to no evidence regarding the community’s awareness on BP/CR in the study area. Therefore, this study aimed to assess knowledge on BP/CR and associated factors among pregnant women in Debremarkos town, Northwest Ethiopia, 2017. Methods. A Community based cross-sectional study was conducted from July 1 to 30/2017. A total of 441 pregnant women were included in the study. Structured and pretested questionnaire was administered through face to face interview to collect the data. Simple random sampling technique was used to select the study participants. The data were entered in to Epinfo version 7.0 and then exported to SPSS version 20.0 for analysis. Both bivariate and multivariable logistic regression model were fitted. Crude and adjusted odds ratio with 95 % confidence interval have been computed and variables with p-value < 0.05 were considered statistically significance. Results. The proportion of pregnant women having good knowledge on birth preparedness and complication readiness was found to be 45.2 with 95%CI (40.4, 50.0). In the multivariable analysis, having history of childbirth (AOR=2.17;95%CI:1.18,4.00), having intended pregnancy (AOR=2.13;95%CI: 1.16, 3.90), being governmental employee ( AOR=6.50; 95%CI: 2.50, 16.87), and having Antenatal care visits (AOR=5.50; 95%CI:2.2,13.70) were factors which were independently and significantly associated with good knowledge on birth preparedness and complication readiness. Conclusion. Proportion of pregnant women having good knowledge on birth preparedness and complication readiness was low. Putting emphasis on intended pregnancy and antenatal care visit was recommended.


Author(s):  
Fithriany Fithriany ◽  
Cut Yuniwati

Latar Belakang : Salah satu usaha yang dapat dilakukan untuk memantau kemajuan kehamilan sehingga dapat dipastikan kesehatan ibu dan janin dengan melakukan pemeriksaan kehamilan (antenatal care). Hasil studi pendahuluan di wilayah kerja Puskesmas Pekan Bada Kabupaten Aceh Besar data tahun 2014 cakupan K4 sebesar 43,5% dan data 2015 cakupan K4 hanya 78% (masih jauh dari data cakupan yang diharapkan oleh Departemen Kesehatan yaitu 90%). Dari beberapa orang bidan di desa yang cakupan K4 nya masih kurang menyatakan bahwa ibu-ibu hamil tersebut tidak mau datang ke Puskesmas atau Polindes untuk memeriksakan kehamilannya.Sebagian besar dari ibu hamil yang diperiksa di Puskesmas dan Polindes hanya datang sendiri tanpa ditemani oleh suami atau anggota keluarga lainnya. Penelitian ini bertujuan untuk menganalisis pengaruh pengetahuan ibu dan dukungan suami terhadap pemeriksaan kehamilan. Jenis penelitian adalah penelitian cross-sectional. Penelitian ini dilakukan di wilayah kerja  Puskesmas  Pekan Bada Kabupaten Aceh Besar. Sampel dalam penelitian ini adalah seluruh ibu hamil di wilayah kerja Puskesmas Pekan Bada yang memiliki buku KIA. Jumlah sampel97 ibu hamil, dengan tehnik pengambilan sampel total sampling. Analisa data menggunakan uji Chi-quare pada taraf kepercayaan 95% (α<0,05).Hasil Penelitian : Dari hasil penelitian menunjukkan bahwa ibu yang melakukan pemeriksaan ANC lengkap persentasenya lebih banyak dijumpai ibu yang berpengetahuan baik, yaitu 76% (p value 0,01). Dukungan keluarga bahwa ibu yang memeriksa ANC lengkap persentasenya lebih banyak dijumpai ibu yang mendapat dukungan keluarga yaitu 75,9%  (p value = 0,011).Kesimpulan dan Saran :Terdapat pengaruh Pengetahuan  dan dukungan suami terhadap kelengkapan pemeriksaan ANC pada ibu hamil. Disarankan agar  bekerja sama secara lintas sektor untuk peningkatan sosialisasi dan penyuluhan rutin tentang pemeriksaan kehamilan dengan mengikut sertakan suami


Author(s):  
Puji Astuti Wiratmo ◽  
Lisnadiyanti ◽  
Nurkamilia Sopianah

Introduction: Antenatal Care (ANC) is an effort to detect the occurrence of high risk in pregnant women. However, ANC non-compliance was still found due to several factors. Aim of study: This study aims to determine factors that influence ANC visits to ANC behavior at Puskesmas Pasar Rebo East Jakarta. Method: This study used a descriptive correlation design with a cross-sectional survey. Data analysis used Spearman's rho with 117 respondents. Results and Discussion: The results showed that there are some factors that influence ANC visits to ANC behavior, including age with a correlation value (r = 0.419), a p-value of 0.000; education with a correlation value (r = 0.425), p-value of 0.000; jobs with a correlation value (r = 0.279), p-value of 0.002; income with a correlation value (r = 0.407), p-value of 0.000; knowledge with a correlation value (r = 0.409), p-value of 0.000; husband / family support with a correlation value (r = 0.417), p-value of 0.000; attitude with a correlation value (r = 0.597), p-value of 0.000 (<0.05). Irregularity in carrying out ANC has a bad impact on pregnant women because they are not aware of the risk factors that may occur to the mother and her fetus and can not be detected early on the disease suffered by pregnant women. Conclusion: The conclusion of this study is nurses as health workers need to increase their role as educators and health care provider to pregnant women and their families about the importance of ANC to reduce maternal mortality and monitor the state of the fetus.


2017 ◽  
Vol 8 (2) ◽  
pp. 8
Author(s):  
Darmayanti Wulandatika

Kebijakan Departemen Kesehatan dalam upaya mempercepat penurunan Angka Kematian Ibu (AKI), adalah dengan cara mendekatkan pelayanan ibu dan anak di tingkat dasar dan rujukan yang pada dasarnya mengacu kepada intervensi strategis “empat pilar safe mother hood”, pada pilar kedua adalah asuhan Antenatal yang sangat penting karena dapat memantau perkembangan kehamilan dan mendeteksi kelainan atau komplikasi yang menyertai kehamilan secara dini dapat ditangani secara cepat dan benar, sehingga dapat mengurangi risiko kesakitan bahkan kematian. Tujuan penelitian ini adalah untuk Mengetahui Faktor-Faktor Yang Berhubungan Dengan Kepatuhan  Ibu Dalam Melakukan Antenatal Care di Wilayah Kerja Puskesmas Gambut Tahun 2013.Jenis penelitian kuantitatif dengan cross sectional. Jumlah populasi 192 dan  sampel menggunakan total populasi yaitu sebanyak 192 responden,. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner. Data dianalisis secara kuantitatif  dengan menggunakan uji statistik Chi Square. Hasil uji statistiK diperoleh p-value masing-masing variable independent yaitu paritas ( p-value=0.017) ada hubungan antara paritas dengan kepatuhan ANC, umur ( p value = 0.409) tidak ada hubungan antara umur bidan dengan kepatuhan ANC, pengetahuan (p-value=0.032) ada hubungan antara pengetahuan dengan kepatuhan ANC, pendidikan (p-value=0.04) ada hubungan antara pendidikan dengan kepatuhan ANC, sikap (p-value=0.016) ada hubungan antara sikap dengan kepatuhan ANC, pekerjaan (p-value=0.578) tidak ada hubungan antara pekerjaan dengan kepatuhan ANC, keterjangkauan waktu (p-value=0.506) tidak ada hubungan yang bermakna antara keterjangkauan waktu dengan kepatuhan ANC, dorongan petugas  (p-value =0.032) ada hubungan antara dorongan petugas dengan kepatuhan ANC, dorongan keluarga (p-value =0.035) ada hubungan antara dorongan keluarga dengan kepatuhan ANC, pelayanan ANC (p-value=0.039) ada hubungan antara pelayanan ANC dengan kepatuhan ANC, ketersediaan transportasi (p-value=0.377) tidak ada hubungan antara ketersediaan transportasi dengan kepatuhan ANC, keterjangkauan jarak (p-value=0.570) tidak ada hubungan antara keterjangkauan jarak dengan kepatuhan ANC.Variabel dominan dalam penelitian ini adalah pendidikan setelah dikontrol variabel paritas, dorongan petugas, dorongan keluarga, dan pelayanan ANC dengan p-value = 0.001 dan OR 11.814 (95%CI : 3.994-34.946) yang berarti responden dengan pendidikan tinggi 11.814 kali lebih patuh dibandingkan dengan responden dengan pendidikan rendah.


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