scholarly journals STUDI KASUS TENTANG HUBUNGAN STATUS BIDAN PRAKTEK SWASTA DENGAN PELAYANAN ANTENATAL CARE DI WILAYAH PUSKESMAS BUMIJAWA KABUPATEN TEGAL TAHUN 2016

2020 ◽  
Vol 7 (2) ◽  
pp. 857-863
Author(s):  
Baeti Rizki ◽  
Lilis Banowati

Banyak faktor yang mempengaruhi terpenuhinya cakupan K4, diantaranya kesadaran masyarakat tentang pentingnya pemeriksaan kehamilan serta kualitas tenaga kesehatan. Berdasarkan data dari Ikatan Bidan Indonesia cabang Kabupaten Tegal, bahwa jumlah bidan yang telah mempunyai izin praktik di wilayah Kabupaten Tegal adalah 513 bidan, sedangkan yang sudah bersertifikat sebagai bidan delima sebanyak 105  orang bidan. Tujuan penelitian untuk mengetahui hubungan status bidan praktek swasta dengan pelayanan antenatal care di wilayah puskesmas Bumijawa Kabupaten Tegal tahun 2016. Jenis penelitian adalah survei analitik, desain penelitian yang digunakan observasi dengan pendekatan cross sectional. Populasi dalam penelitian ini bidan yang membuka praktik mandiri di wilayah Puskesmas Bumijawa sejumlah 24 bidan. Teknik sampelnya menggunakan metode total sample yaitu 24 responden. Karakteristik bidan yang bekerja di wilayah Kecamatan Bumijawa Kabupaten Tegal bahwa rata-rata umur responden 36,29 tahun, sebagian besar responden berpendidikan D-III (91,7%), sebagian besar lama mengabdi responden 5-10 tahun (54,2%). Status bidan sebagian besar dengan status bidan praktek swasta bukan delima (58,3%). Pelayanan Antenatal Care sebagian besar bermutu (58,3%). Ada hubungan yang signifikan antara status bidan praktek swasta dengan pelayanan antenatal care di wilayah kecamatan Bumijawa Kabupaten Tegal tahun 2016 (X2 hitung 5,531 dan p value=0,024). Hal ini berarti bahwa bidan dengan status bidan delima lebih profesional dalam pelayanan ANC dibandingkan dengan bidan praktek swasta yang bukan delima, dengan menjadi bidan delima secara tidak langsung fasilitas pelayanan akan tersedia, sehingga akan meningkatkan  mutu pelayanan.Diharapkan bidan praktek swasta yang belum delima agar dapat mengikuti program bidan delima, sehingga dalam melakukan pelayanan ANC sesuai dengan standar pelayanan, serta dengan memasang famplet acuan pelayanan ANC sesuai dengan petunjuk dari Departemen Kesehatan.Kata Kunci  : Status bidan, antenatal care  ABSTRACTMany factors affect the fulfillment of K4 coverage, including public awareness about the importance of prenatal care and the quality of health workers. Based on data from the Indonesian Midwives Association branch Tegal regency, that the number of midwives who already have a license in the district of Tegal is 513 midwives, while that has been certified as a midwife pomegranate were 105 midwives. The aim of research to determine the relationship status private midwife with antenatal care in the health centers Bumijawa Tegal 2016.This type of research is an analytical survey, design research used observational with cross sectional approach. The population in this study independent midwife who practices in the area at Puskesmas Bumijawa some 24 midwives. Mechanical sample using a method that is on the total sample of 24 respondents.Characteristics of midwives who work in the District of Tegal Bumijawa that the average age of 36.29 years old respondents, the majority of respondents educated D-III (91.7%), the majority of respondents serve 5-10 years old (54.2%) , Status midwives mostly with private midwife status instead of pomegranate (58.3%). Antenatal Care qualified majority (58.3%). There was a significant correlation between the status of private midwives with antenatal care in districts of Bumijawa Tegal 2016 (X2 count 5.531 and p value=0.019). This means that the midwife with midwife status pomegranate professionals in ANC compared with private midwife is not a pomegranate, with a midwife indirectly pomegranate service facilities will be available, so that will increase the quality of care.Expected private midwives who have to follow our pomegranate midwife program, so that in conducting ANC in accordance with service standards, and by installing a reference pamphlet ANC in accordance with the instructions of the Ministry of Health.Keywords   : Status midwife, antenatal care

2021 ◽  
Vol 10 (2) ◽  
pp. 321-329
Author(s):  
Andi Syamsul Bachri Jamal ◽  
Desak Nyoman Suartini ◽  
Anas Budi

Background: In emergency care, the most important thing to note is the speed of nurses in responding or acting on the first patient who enters the emergency room. This speed is often referred to as response time. Nurse response time is always a measure of the service quality of a hospital or health center. Response times depend on the speed available as well as the quality of assistance to save lives/prevent disability. Objectives: The study aimed to determine the factors related to the response time of nurses in the handling of emergency patients at Lagaligo I Hospital, East Luwu. Methods: Carrying out the research is from June to August 2020. Analytical survey design with a cross-sectional approach. The research subjects were 24 nurses. measuring tools, namely questionnaires. analysis used bivariate analysis used the Chi-Square Test. Results: This shows that there is a relationship between education and response time with a value of p-value = .013, knowledge and response time with a value of p-value = .001, the length of work and response time with a value of p-value = .000, and training and response time with p-value = .006. Conclusion: The education level of health workers is getting higher. Of course, knowledge and experience also increase, on average they are in their work longer so they are more productive and nurses have attended several pieces of training to improve their competencies.


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


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.


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 6 (4) ◽  
pp. 237-244
Author(s):  
Kristin Mariyana ◽  
Sutopo Patria Jati ◽  
Cahya Tri Purnami

ABSTRAK Preeklamsia dapat dicegah apabila didukung oleh kesadaran ibu hamil untuk patuh dalam pemanfaatan layanan ANC. ANC berkualitas yang dilakukan tenaga kesehatan dan kesadaran masyarakat tentang kesehatan ibu hamil, bersalin dan nifas. Penelitian ini untuk menganalisa faktor yang paling berpengaruh dari ibu hamil preeklamsia supaya patuh dalam pemanfaatan layanan ANC di wilayah kecamatan Pemalang. Penelitian kuantitatif dengan pendekatan cross sectional bersifat explanatory research. Sebanyak 66 responden dipilih secara purposive, menggunakan quesioner, dan data diolah secara distribusi. Variabel yang berpengaruh : riwayat keturunan hipertensi dan atau DM (0,037), pengetahuan (p-value 0,021), akseptabilitas (p-value 0,018), dukungan dan sikap tenaga kesehatan (p value 0,041), dan dukungan suami (p-value 0,045). Variabel yang tidak berpengaruh : umur (p-value 0,239), paritas (p-value 0,714), tingkat pendidikan (p-value 0,394), pekerjaan (p-value 0,316), sikap (p-value 0,714), persepsi kerentanan (p-value 0,665), persepsi kegawatan (p-value 0,233), persepsi manfaat (p value 0,066) dan dukungan keluarga (p-value 0,067). Variabel paling dominan berpengaruh adalah variabel pengetahuan (p-value 0,015) dengan OR (Exp B) 5,527. Kata Kunci : Kepatuhan, ibu hamil preeklamsia, ANC   ABSTRACT Preeclampsia can prevented if supported by the awareness of pregnant women to obey the service ANC. ANC performed by qualified health personnel and public awareness about the health of pregnant women, maternity and childbirth. The aim is to analyze the most influential factors of maternal preeclampsia to obey the ANC service utilization. Quantitative research with cross sectional on pregnant women with preeclampsia in Pemalang district. A 66 respondents taken with purposive, using quessionaire, data analyse with distribution. Related variables : hypertension or DM (0,037), knowledge (p-value 0.021), acceptability (p-value 0.018), support-attitude of health workers (p-value 0.041), and the support of her husband (p-value 0.045). Not related variable: age (p-value 0.239), parity (p-value 0.714), educational level (p-value 0.394), occupation (p-value 0.316), attitude (p-value 0.714), perception of vulnerability (p-value 0.665), perception of severity (p-value 0.233), perceived benefits (p-value 0.066), family support (p-value 0.067). Dominant variable is knowledge (p-value 0.015) OR (Exp B) 5.527. Keywords : Compliance, preeclampsia pregnant women, ANC


2019 ◽  
Vol 3 (3S) ◽  
pp. 84-89
Author(s):  
Dian Furqani ◽  
Nuraerni Semagga

This study aims to see the factors that influence the quality of Antenatal Care in the City of Palopo; the type of design used is analytical descriptive with the Cross-Sectional Study approach. Samples from this study were all pregnant women based on 1, 2 and 3th-trimester pregnancy age, and 3 who were lived at the research location as many as 154 people who conducted inspection visits from January to March 2018. The results showed that the average age of the mother was 20 years. In the research statisticallly interconnected variables are maternal knowledge showed p-value (0.000). There are several variables have statistical significance, but there are differences in the percentage between the classification of each variabels as for the quality of Antenatal care associated with parity, maternal characteristics (age, education and occupation), antenatal care in each of the 1.2 trimester, and 3. Service access and economic welfare status, where each variable has a p-value> 0.005. The study expects that a health program should not look the quantity of maternal pregnancy visits, but pay attention to the examination checks received at each gestational age. We hope to encourage mothers to be more active in paying attention to the examinations that will be accepted based on their gestational age so that good health services and of recipients of services occur.


2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Collins Ejakhianghe Maximilian Okoror ◽  
Ehigha Jude Enabudoso ◽  
Maryjane Ifeyinwa Okoroh

Despite the vital role and availability of antenatal care, only a small proportion of Nigerian women utilise it. Women’s perception and satisfaction with antenatal care is believed to improve health outcomes, continuity of care, adherence to treatment, and the relationship with the provider. The aim is to ascertain the women’s perception and satisfaction with the quality of ANC services in mission hospitals in Benin City, Nigeria. This cross-sectional descriptive study was carried out among 405 pregnant women in their third trimester. Data collection was with a pretested interviewer-administered questionnaire and analysis with IBM SPSS Statistics version 21.0. Statistical significance was taken as P value <0.05. The women’s perception of doctors and nurses was good for all domains assessed. Their satisfaction was highest for cleanliness of the facility 336 (83.0%) and lowest for amount paid for delivery services 168 (41.5%). The overall satisfaction for services received was high 337 (83.2%). The religion of the respondents, gestational age at ANC booking, payment for booking, the delivery fee and availability of requisite resources to cater for the women showed statistically significance with the overall satisfaction. However, only religion (AOR = 17.450, 95% CI = 3.364-90.508) and availability of requisite resources (AOR = 4.629, 95% CI = 2.426-8.832) independently influenced their satisfaction. This study showed a high level of satisfaction with the services rendered. However, making services more affordable as well as improving their quality through investment in both human and material resources to deliver essential care to all clients will drive better satisfaction among them.


2018 ◽  
Vol 6 (1) ◽  
pp. 72-81
Author(s):  
Sri Purnama ◽  
Anang Wahyudi ◽  
Jumiyati Jumiyati

Diabetes mellitus is a metabolic disease group with hiperglikemi characteristics that occur due to abnormalities of insulin secretion, insulin work or both.Food play an important role in providing nutrition for diabetics.Intake of foods containing carbs, protein and fat is an important nutrient, extra food for diabetics in the form of low-calorie sugar, milk, biscuits, yogurt, whole wheat bread, oats are sold commercially. Objectives: To know the difference in intake of Nutrients Macro Against Diabetes mellitus type II Sufferers consume such foods because commercial foods providing nutrients according to needs, and deliver practical benefits. Method: This is an observational cross sectional design research. It was carried out in April-May 2018. Samples gathered at the RSUD Dr. M Yunus Bengkulu and selected by purposive sampling in accordance to inclusion and exclusion criteria. Total sample were 33 respondents. This research used the FFQ for intake data.The data were tested using the Kolmogorov-Smirnov test, independent t-test. Results: The majority of respondents were women. Respondents who choose to consume commercial foods were 63.6%, the rest (36.4%) chose not to consume commercial food. The results of this research obtained no difference between macro-nutrients intake in diabetes mellitus type II patient that consumes commercial and non commercial food (p value: 0.32), energy intake (p value: 0.67), protein intake (p value: 0.94) and fat intake (p value: 0.11) carbohydrates intake. Conclusion : Diabetics mellitus patients can consume commercial foods recommended for diabetes mellitus diet.


2020 ◽  
Vol 15 (3) ◽  
pp. 390-398
Author(s):  
Herbert Wau ◽  
Nidya Razella

Antenatal care services have an influence on fetal growth or during pregnancy, one effort to reduce maternal mortality due to complications is through the use of antenatal care. Based on data from the Health Profile of Kebun Lada Public Health Center, it is known that the scope of ANC services (K1 and K4) in 2017 is K1 96% AND K4 84%. In 2018 that is K1 82.7% and K4 81%. Where there is a difference in the percentage of coverage of K1 and K4 visits. The research was an analytical survey using Cross Sectional with a sample of 76 people. This research uses chi-square data analysis method with accidental sampling technique to find out the significant influence between, Knowledge, Attitude, ANC Service Facilities, Husband / Family Support and Health Staff Support. This research shows there is influence of Knowledge (p = 0,000), Attitude (p = 0,000), Service Facilities (p = 0,000), Husband / family Support (p = 0,000), Officer Support with (p = 0,001) with Utilization of Antenatal Care Services where p-value <0.05. This study, showed that all factors affect the Antenatal Care service. Health workers, especially midwives, are expected to maintain health education and promotion and motivation on a regular basis about the importance of regular antenatal care.


Background: Antenatal care and effective services are the hallmarks of effective pregnancy outcome. Thus, practices by community care providers throughout labor and childbirth might affect health outcomes of newborns. There is a need for proper antenatal checkups in hospital and domiciliary care by community health workers and importance of antenatal care on pregnancy outcomes. Since, every woman has a right to safe delivery that must include proper labor management protocols. Therefore, the purpose of this study was to compare and assess the antenatal care of hospital based and domiciliary services on the outcome of delivery. Methods: This cross-sectional study was conducted from November 2018-April 2019. A sample size of about 300 married females was selected from different towns of Peshawar through non-probability convenient sampling technique. Data was collected using semi structured questionnaire after taking informed consent from the women. Data were analyzed by using SPSS. Chi square test was applied for associations between hospital and domiciliary services and antenatal outcomes in both setups. p-value < 0.05 was considered significant. Results: The comparison of hospital and domiciliary services on the outcome of newborn and mother, showed better services of hospital. Domiciliary care services showed increased number of complications in females during delivery (p-value<0.05) and in newborn (p-value< 0.05) compared to hospital services. Conclusion: Hospital services provide antenatal care by trained person majority of deliveries were normal, while in cases of domiciliary-based services majority faced complications during pregnancy and delivery. Awareness of community is important step to improve mother and child health. Keywords: Antenatal Care; Domiciliary Service; Hospital Services.


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