scholarly journals Quality of Antenatal Care at Urban and Rural Puskesmas (Public Health Center) in Jeneponto Regency

2020 ◽  
Vol 8 (T2) ◽  
pp. 177-182
Author(s):  
Nurul Fauziah ◽  
Ansariadi Ansariadi ◽  
Darmawansyah Darmawansyah ◽  
Wahidin M. Wahidin ◽  
Reski Amaliah ◽  
...  

BACKGROUND: Increased coverage antenatal care (ANC) occurring in developing countries do not guarantee the success of the ANC, it is because a high rate of maternal and neonatal mortality associated with inadequate and poor quality of maternal care, including ANC. AIM: This study aimed to find out the differences in the quality of ANC in rural and urban primary health centers in Jeneponto Regency. METHODS: This research aims to determine the different quality of ANC at urban and rural puskesmas (public health center), Jeneponto regency. The type of the research was observational analysis with cross-sectional design. There were 139 fixed samples of rural and urban pregnant women visiting the puskesmas, from October 2015 to May 2016. The samples were selected using stratified random sampling method from two puskesmas of each area. RESULTS: The results indicate that 52.6% of ANC quality is categorized bad. There is different ANC quality based on body weight, the height of fundus uteri, and administration of Fe tablet (0.038, 0.029, and 0.006). There is no difference of antenatal quality based on body height, LILA, fetus’ heartbeat, fetus presentation, blood type and Hb, and immunization of TT (0.068, 0.501, 1.000, 1.000, 0.133, 0263, and 0530). Blood pressure is not analyzed. CONCLUSION: There are three components that show differences in rural and urban health centers, namely, weight measurement, fundal height measurement, and FE tablet administration. As for the components of height measurement, assessment of nutritional status (MUAC), fetal presentation, examination of fetal heart rate, administration of TT immunization, and examination of blood type and hemoglobin. The component of blood pressure measurement was not included in the statistical test because all respondents received the examination.

2019 ◽  
Vol 5 (1) ◽  
pp. 30-38
Author(s):  
Pinasti Utami

Hypertension is one of ten degenerative diseases that decline the patient’s quality of life. Controlling hypertension through the role of pharmacists as a care giver in home pharmacy care activities can reduce the morbidity of the disease. The purpose of this study was to examine the effect of home pharmacy care education on the quality of life of hypertensive patients hospitalized at the Gamping II Public Health Center. This research design was quasi-experimental with a pre post control group. Respondents of this study were 28 hypertensive patients of the Gamping II Public Health Center. They were taken by simple random sampling and then divided into 2 groups, control and intervention. In the intervention group, respondents were given a pre-test and then educated with Home Pharmacy Care as many as 4 times. Data on blood pressure changes were measured using tensimeter, while quality of life assessment was SF-36 questionnaires. Data were analyzed by using student t-test. The results of this study showed that hypertensive patients are home pharmacy care services at Gamping II Public Health Center had significantly decreased blood pressures both systolic and diastolic (p <0.05), while the quality of life showed a significant increase (p <0.05). It was concluded that the application of home pharmacy care education to hypertensive patients in GampingPublic Health Center could reduce blood pressure and can statistically improve quality of life.


Author(s):  
Ajeng Dyah Pythaloka ◽  
Darmawansyah . ◽  
Muhammad Asdar

Background: Customer (patient) satisfaction in health services is very important to note because it can describe the quality of services in the health service. This study aims to determine the level of performance assesment of public health centers relating to the quality of public health centers service, management of public health centers and health services based on patient satisfaction in the public health center in Parepare, South Sulawesi.Methods: The research method is quantitative with survey research to determine the level of reseach results on public health centers about patient satisfaction.Results: The results of the study indicate that performance assessment is in the form of the quality of service possessed by the public health center obtained an average performance value of 8.8 with a good performance category. Management of the public health center obtained an average performance value of 8.9 with a good performance category. Health services obtained an average performance value of 90.7% with sufficient performance categories. Customer satisfaction obtained an average value of 71.1% in the good category.Conclusions: Service quality of public health center has a good performance, health center management has good performance, health services have sufficient performance, customer satisfaction has a good category. So that the average performance of the public health center has results comparable to the results of customer satisfaction, which is a good category.


2018 ◽  
Vol 46 (2) ◽  
pp. 97-108
Author(s):  
Harimat Hendarwan

Abstract The maternal mortality rate in Indonesia is still high and still far from the established target of SDG's, which is 305 compared to 102 maternal deaths per 100,000 live births. Adequate pregnancy screening services are needed to reduce maternal mortality. This study aims to determine the quality of antenatal care (ANC) services at public health centers (midwives competence and support facilities and service infrastructure). Data collection was conducted in 212 health centers and the sample size is 224 midwives in the health centers. Midwives were observed at the time of antenatal care. The observed ANC components were 5T, 7T, and 9T. In addition, it was observed also the availability of facilities, infrastructure, and medicines related to ANC in health centers. The midwives who performed the ANC correctly and well for the 9T, 7T, and 5T components were 18.8%, 23.2%, and 31.7%. Only 20.4% of health center have all equipment, medicines, and supporting media of ANC 9T service. Only one-fifth of midwives perform complete and correct ANC services for the 9T service components. Midwife knowledge in doing ANC 9T is better for those who have profession less than 20 years old and hold at least diploma degree midwifery. Keywords : Antenatal Care, Midwives, Health Center Abstrak Angka kematian ibu di Indonesia masih tinggi dan masih jauh dari target SDG’s yang telah ditetapkan, yaitu 305 dibandingkan dengan 102 kematian ibu per 100.000 kelahiran hidup. Pelayanan pemeriksaan kehamilan yang adekuat sangat dibutuhkan untuk menurunkan angka kematian ibu. Penelitian ini bertujuan mengetahui kualitas pelayanan pemeriksaan kehamilan atau antenatal care (ANC) di puskesmas (kompetensi bidan serta dukungan sarana dan prasarana pelayanan). Pengumpulan data dilakukan di 212 puskesmas dengan jumlah sampel 224 orang bidan. Bidan diamati pada saat melakukan pelayanan ANC. Komponen ANC yang diamati adalah 5T, 7T, dan 9T. Selain itu diamati juga ketersediaan sarana, prasarana, dan obat-obatan terkait dengan ANC di puskesmas. Bidan yang melakukan ANC dengan benar dan baik untuk komponen 9T, 7T, dan 5T secara berturut – turut adalah 18,8%, 23,2%, dan 31,7%. Hanya 20,4% puskesmas telah memiliki seluruh peralatan, obat, dan media penunjang pelayanan ANC 9T. Hanya seperlima bidan melakukan pelayanan ANC secara lengkap dan benar untuk komponen pelayanan 9T. Pengetahuan bidan dalam melakukan ANC 9T lebih baik pada mereka yang menjalani profesinya kurang dari 20 tahun dan berpendidikan minimal D3 kebidanan. Kata kunci : ANC, Bidan, Puskesmas


2018 ◽  
Vol 5 (2) ◽  
pp. 119-125
Author(s):  
Azizatul Hamidiyah ◽  
Nur Hidayati

One of the efforts to improve health of pregnant women is ensure that pregnant women routinely carry out antenatal care. The motivation of pregnant women to carry out routine pregnancy checks needs to be balanced with quality Antenatal Care (ANC) so that pregnant women are satisfied and motivated to make the next visit. The results of Banyuputih Public Health Center reported  for the past three years showed that K4 visits have decreased. Especially in 2016 to 2017, from 106% to 68%. So it is important to do research quality of ANC with satisfaction. The purpose of this study was to determine the relationship between the quality of ANC services and the satisfaction of pregnant women in Banyuputih Public Health Center in Situbondo District in 2018. This research method was quantitative with cross sectional design. The population in this study were pregnant women who had performed ANC services at Banyuputih Health Center during 2018. The sample in this study were 61 people. Data collection was done using primary and secondary data. This research instrument was a questionnaire using a Likert scale. Data analysis was performed using chi square test. The results showed that there was a relationship between service quality, dimensions of Reliability (0,000), Responsiveness (0,007), Assurance (0,016), Emphaty (0,001) and Tangible (0,016) with patient satisfaction  Keywords : Quality, Antenatal Care, Satisfaction ABSTRAK Salah satu upaya peningkatan derajat kesehatan ibu hamil adalah dengan memastikan ibu hamil rutin melakukan pemeriksaan kehamilan. Motivasi ibu hamil untuk melakukan pemeriksaan kehamilan secara rutin perlu diimbangi dengan pelayanan Antenatal Care (ANC) yang berkualitas agar ibu hamil puas dan termotivasi untuk melakukan kunjungan berikutnya. Hasil laporan Puskesmas Banyuputih selama tiga tahun terakhir menunjukkan kunjungan K4 mengalami penurunan. Khususnya pada tahun 2016 ke 2017 yaitu dari 106% menjadi 68%. Sehingga penting dilakukan penelitian tentang kualitas pelayanan ANC dengan kepuasan.Tujuan penelitian ini adalah untuk mengetahui hubungan kualitas pelayanan ANC dengan kepuasan ibu hamil di Puskesmas Banyuputih Kabupaten Situbondo Tahun 2018. Metode penelitian ini adalah kuantitatif dengan desain crosssectional. Populasi dalam penelitian ini adalah ibu hamil yang telah melakukan pelayanan ANC di Puskesmas Banyuputih selama tahun 2018. Sampel dalam penelitian ini sebanyak 61 orang. Pengumpulan data dilakukan menggunakan data primer dan sekunder. Instrumen penelitian ini adalah kuesioner menggunakan skala likert. Analisi data dilakukan menggunakan uji chi square.  Hasil penelitian menunjukkan ada hubungan antara kualitas pelayanan yaitu dimensi Reliability (0,000), Responsiveness (0,007), asssurance (0,016), Emphaty (0,001) dan Tangible (0,016) dengan kepuasan pasien.  Kata kunci : Kualitas, Antenatal Care, Kepuasan        


2021 ◽  
Vol 2 (1) ◽  
pp. 121
Author(s):  
Baiq Leny Nopitasari ◽  
Cyntiya Rahmawati ◽  
Baiq Mitasari

ABSTRAKHipertensi merupakan kondisi peningkatan tekanan darah sistolik lebih dari 140 mmHg dan tekanan darah diastolik lebih dari 90 mmHg. Status kesehatan yang buruk menunjukan kualitas hidup yang buruk. Penelitian ini bertujuan untuk mengetahui kualitas hidup penderita hipertensi di Puskesmas Gunungsari Kabupaten Lombok Barat. Desain penelitian ini adalah penelitian observasional dengan pendekatan cross-sectional. Responden dalam penelitian ini adalah penduduk usia 40-75 tahun. Pengambilan sampel dilakukan di Puskesmas Gunungsari Kabupaten Lombok Barat. Teknik sampling yang digunakanadalahpurposive samplingpada 69 responden yang menderita hipertensi di Puskesmas Gunungsari. Teknik pengumpulandata menggunakan kuesioner SF-36. Data hasil penelitian dianalisa secara deskriptif dengan menentukan persentase sempurna, tinggi, sedang, dan rendah. Domain fungsi fisik berada pada kategori sempurna yaitu 26 orang (37.68%), keterbatasan fisik berada pada kategori sempurna yaitu 64 orang (92.75%), nyeri tubuh berada pada kategori sedang yaitu 38 orang (55.07%), kesehatan secara umum berada pada kategori sedang yaitu 46 orang (66.66%), vitalitas/energi berada pada kategori tinggi yaitu 39 orang (56.52%), fungsi sosial berada pada kategori tinggi yaitu 51 orang (73.91%), keterbatasan emosional berada  pada kategori rendah yaitu 53 orang (76.81%), kesehatan mental berada pada kategori sempurna yaitu 28 orang (40.57%). Rata-rata nilai kualitas hidup dari 69 responden adalah 73.73 dengan kategori kualitas hidup sedang.Kata kunci : Kualitas hidup; Hipertensi; SF-36; Puskesmas.ABSTRACTHypertension is a condition of increased systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg. Poor health status indicates poor quality of life. This study aims to determine the quality of life of hypertensi on sufferers in Gunungsari Public Health Center, West Lombok Regency. The design of this study was an observational study with a cross-sectional approach. Respondents in this study were residents aged 40-75 years. Sampling was conducted at the Gunungsari Public Health Center in West Lombok Regency. The sampling technique used was purposive sampling of 69 respondents suffering from hypertension at the Gunungsari Community Health Center. Data collection technique susing the SF-36 questionnaire. The research data were analyzed descriptively by determining the percentage of perfect, high, medium, and low. Domains of physical function are in the perfect category that is 26 people (37.68%), physical limitations are in the perfect category that is 64 people (92.75%), body pain is in the moderate category thatis 38 people (55.07%), general health is in the moderate category namely 46 people (66.66%), vitality / energy are in the high category that is 39 people (56.52%), social functions are in the high category thatis 51 people (73.91%), emotional limitations are in the low category that is 53 people (76.81%) , mental health is in the perfect categoryof 28 people (40.57%). The average quality of live value of 69 respondents was 73.73 with the category of medium quality of life.Keywords : Quality of life; Hypertension; SF-36; Public health center.


Author(s):  
Dwi Jata ◽  
Nyoman Adi Putra ◽  
I.B.G. Pujaastawa

Dengue hemorrhagic fever (DHF) is one of diseases that causes health problems in Indonesia and oftenly creates extraordinary events with great death. The purpose of this research is to discover relationship community behavior in mosquito nesting eradication and environmental factors with DHF incidence in 1st Public Health Center Denpasar Selatan and 1st Public Health Center Denpasar Timur. The research design used is observational, cross-sectional. Total sample of 82 households. Sampling was done in proportion sampling method. Results of the analysis of environmental variables associated with DHF incidence in 1st Public Health Center Denpasar Selatan: occupant density (p = 0.02), mobility (p = 0.01), the habit of hanging clothes (p = 0.04). 1st Public Health Center Denpasar Timur: mobility (p = 0.00), clogged water ditches (p = 0.00), containers water existance (p = 0.03), the habit of hanging clothes (p = 0.00). Knowledge, attitude and actions in 1st Public Health Center Denpasar Selatan and 1st Public Health Center Denpasar Timur statistically correlated with DHF incidence. As conclusion of the research results, in 1st Public Health Center Denpasar Selatan and 1st Public Health Center Denpasar Timur, that is mobility, the habit of hanging clothes, knowledge, attitude and actions strongly related with DHF incidence, while that is clogged water ditches, containers water existance and occupant density has no relation with DHF incidence. Public Health Center need to intensify health promotion, improves the quality of MNE (PSN), and the Provincial Health Service need to support Public Health Center on setting policies which necessary.


2020 ◽  
Vol 2020 ◽  
Author(s):  
Agussalim

Hypertension is a disease that usually occurs in the circulatory system which can cause an increase in blood pressure above the normal value, which exceeds 140/90 mmHg. The intention of this study aims to understand the relationship between lifestyle and the incidence of hypertension in Antang Makassar Public Health Center in 2018. This research method uses quantitative analytic motives using a cross sectional approach with a population of 46 people and a sample of 36 respondents. This research was conducted on July 14-16 June. The method used is simple random sampling and the tool used to obtain data is a questionnaire. The scale used is Liker and Guttmann scale with univariate, bivariate analysis and chi-square test with significant a = 0, 05. The results of this study indicate there is a relationship between lifestyle and the incidence of hypertension in the Makassar Antang Health Center with P = 0, 01 smaller than the value of a = 0.05. Suggestions are for hypertensive patients, namely the need to check their health routinely to health workers in order to know the development of blood pressure and obtain information from health workers.


2019 ◽  
Vol 3 (1) ◽  
pp. 30
Author(s):  
Ajeng Dyah Pythaloka ◽  
Muhammad Yusri Abadi ◽  
Darmawansyah Darmawansyah

Implement health efforts both public health efforts are first rate and first rate individual health efforts are needed health center management be integrated and continuous in order to produce the performance of Public Health Center effective and efficient. This study aims to find out about the picture of the level of achievement of performance results pertaining to quality health center health center services, management of health centers and health care Public Health Center Madising Na Mario Pare-pare. This research method is quantitative descriptive method, whereby it purports to describe the level of achievement of the performance results of health centers. From the research achievement of quality performance owned health center services obtained an average value of 9,7 performance with good performance categories. Public Health Center management obtained an average performance score of 10 with a good performance categories. Health services obtained the value of the average performance of 70,9% with less performance categories. Therefore, efforts to improve the performance of health centers needed professional human resources and improvement of health facilities, especially the budget required.


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