scholarly journals Program Keluarga Harapan dan Penurunan Angka Kematian Ibu (Studi di Provinsi Jambi dan Provinsi Kalimantan Selatan)

2019 ◽  
Vol 10 (1) ◽  
pp. 19-31
Author(s):  
Sali Susiana

The study was conducted with a qualitative approach to see how the Family Hope Program (PKH) played a role in decreasing Maternal Mortality Rate (MMR) in Jambi and South Kalimantan Provinces. Data were obtained from interviews with PKH management officials, PKH assistants and PKH recipients who were pregnant. It was found that there was no direct connection between PKH and the decline in MMR, because there was no detailed provision regarding the percentage of cash received from PKH that had to be spent to improve the nutritional quality of PKH recipients, thus influencing the quality of maternal health and reducing MMR. In addition, not all pregnant women check themselves at a minimum of 4 times during pregnancy. The two provinces do not hold special programs for pregnant women receiving PKH. Nevertheless, there were several efforts to improve the quality of health and nutrition of pregnant women from the Ministry of Health, namely through the provision of blood tablets and biscuits, as well as the implementation of the Class for Pregnant Women. To increase the effectiveness of PKH in reducing MMR, it is necessary to periodically provide assistance and monitoring to PKH recipients who were pregnant.AbtrakPenelitian dilakukan dengan pendekatan kualitatif untuk melihat bagaimana peran Program Keluarga Harapan (PKH) dalam penurunan Angka Kematian Ibu (AKI) di  Provinsi Jambi dan Kalimantan Selatan. Data diperoleh dari wawancara kepada pejabat pengelola PKH, pendamping PKH dan ibu hamil penerima PKH. Ditemukan bahwa tidak terdapat kaitan secara langsung antara PKH dan penurunan AKI, karena tidak ada ketentuan yang rinci mengenai persentase uang tunai yang diterima dari PKH yang harus dibelanjakan untuk meningkatkan kualitas gizi ibu hamil penerima PKH, sehingga berpengaruh pada kualitas kesehatan ibu hamil dan penurunan AKI. Selain itu, tidak semua ibu hamil  memeriksakan diri minimal 4 kali selama kehamilan. Kedua provinsi tidak menyelenggarakan  program khusus bagi ibu hamil penerima PKH. Meskipun demikian,  ada beberapa upaya untuk meningkatkan kualitas kesehatan dan gizi ibu hamil yang menjadi program Kementerian Kesehatan, yaitu melalui pemberian tablet tambah darah dan biskuit, serta penyelenggaraan Kelas Ibu Hamil. Untuk meningkatkan efektivitas PKH dalam menurunkan AKI, perlu dilakukan pendampingan dan monitoring secara berkala kepada ibu hamil penerima PKH.

2019 ◽  
Vol 10 (1) ◽  
pp. 19-31
Author(s):  
Sali Susiana

The study was conducted with a qualitative approach to see how the Family Hope Program (PKH) played a role in decreasing Maternal Mortality Rate (MMR) in Jambi and South Kalimantan Provinces. Data were obtained from interviews with PKH management officials, PKH assistants and PKH recipients who were pregnant. It was found that there was no direct connection between PKH and the decline in MMR, because there was no detailed provision regarding the percentage of cash received from PKH that had to be spent to improve the nutritional quality of PKH recipients, thus influencing the quality of maternal health and reducing MMR. In addition, not all pregnant women check themselves at a minimum of 4 times during pregnancy. The two provinces do not hold special programs for pregnant women receiving PKH. Nevertheless, there were several efforts to improve the quality of health and nutrition of pregnant women from the Ministry of Health, namely through the provision of blood tablets and biscuits, as well as the implementation of the Class for Pregnant Women. To increase the effectiveness of PKH in reducing MMR, it is necessary to periodically provide assistance and monitoring to PKH recipients who were pregnant.Penelitian dilakukan dengan pendekatan kualitatif untuk melihat bagaimana peran Program Keluarga Harapan (PKH) dalam penurunan Angka Kematian Ibu (AKI) di  Provinsi Jambi dan Kalimantan Selatan. Data diperoleh dari wawancara kepada pejabat pengelola PKH, pendamping PKH dan ibu hamil penerima PKH. Ditemukan bahwa tidak terdapat kaitan secara langsung antara PKH dan penurunan AKI, karena tidak ada ketentuan yang rinci mengenai persentase uang tunai yang diterima dari PKH yang harus dibelanjakan untuk meningkatkan kualitas gizi ibu hamil penerima PKH, sehingga berpengaruh pada kualitas kesehatan ibu hamil dan penurunan AKI. Selain itu, tidak semua ibu hamil  memeriksakan diri minimal 4 kali selama kehamilan. Kedua provinsi tidak menyelenggarakan  program khusus bagi ibu hamil penerima PKH. Meskipun demikian,  ada beberapa upaya untuk meningkatkan kualitas kesehatan dan gizi ibu hamil yang menjadi program Kementerian Kesehatan, yaitu melalui pemberian tablet tambah darah dan biskuit, serta penyelenggaraan Kelas Ibu Hamil. Untuk meningkatkan efektivitas PKH dalam menurunkan AKI, perlu dilakukan pendampingan dan monitoring secara berkala kepada ibu hamil penerima PKH.


2018 ◽  
Vol 30 (3) ◽  
pp. 263
Author(s):  
Atik Triratnawati ◽  
Anis Izdiha

In 2015, the maternal mortality rate in Bima was recorded as 3 cases per 1,000 births, equivalent to 300 maternal deaths per 100,000 births. Although this number is low, it is much higher than the zero mortality rate set by the Sustainable Development Goals. This study discusses the family and community aspects of the maternal health framework, reading the gendered symbolic violence that affect maternal health in Jatibaru Village, Asakota, Bima, West Nusa Tenggara. Data was collected using an ethnographic approach, with techniques including Focus Group Discussions, participatory observation, interviews, and document study. The existence of gender inequities in the family can cause problems when women attempt to access healthcare. Furthermore, families and communities exert control over pregnant women, directing their behavior and attempts to access healthcare according to local customs and traditions. As such attitudes and behaviors are part of the digestive process of knowledge and experience, women often accept and do what is recommended by their families and communities. This social reality of maternal health thus becomes part of gender inequality in society. 


2019 ◽  
Vol 6 (1) ◽  
pp. 1-8
Author(s):  
Sri Mumpuni Yuniarsih ◽  
Anik Indriono ◽  
Siwi Sri Widhowati

Background: Maternal Mortality Rate (MMR) in Indonesia is still one of the highest in Southeast Asia (ASEAN). World Health Organization (WHO) as the international organization is targeting a decrease in the (MMR) as one of the targets in the achievement of the Millennium Development Goals (MDGs). However, based on the evaluation of part-time Development Plan 2010-2014, the target of reducing maternal mortality rate in Indonesia is still very difficult to achieve. One of the government's efforts to accelerate the decline of maternal mortality rate is a mother class program. Objective: This study aimed to analyze the achievement of the indicators of maternal health program in comparison with the class of pregnant women who do not attend pregnant women class. Methods: This research was a quantitative research with cross sectional design that compared the achievement of the nine indicators of the health of pregnant women in the two groups of pregnant women. The variable in this study was a comparison of weight gain, blood pressure, upper arm circumference (MUAC), high fundus, fetal heart rate (FHR), the consumption of iron tablets, hemoglobin levels, antenatal visits, and knowledge about healthy pregnancies. The number of samples in this study were 209 respondents which were divided into groups of 86 respondents in a class of pregnant women and 123 respondents in the non-class group of pregnant women. Chi square and t test was used to analyze the comparison of maternal health indicators achievement advance of two groups of respondents. Results and Discussion: The results showed that there were significant difference in knowledge about a healthy pregnancy, the consumption of iron tablet and number of antenatal visits. Pregnant women who attended classes had a better knowledge, more Fe tablet consumption and ANC visit. While indicators of weight gain, MUAC, TFU and DJJ of all respondents were within the normal range according to gestational age when the data retrieval. The other indicators such as hemoglobin level, systolic and diastolic blood pressure did not reveal any significant differences between the two groups of respondents. Keywords: Mother class program; maternal health indicators


2019 ◽  
Vol 104 (6) ◽  
pp. 541-546 ◽  
Author(s):  
Ada L García ◽  
Gabriela Morillo-Santander ◽  
Alison Parrett ◽  
Antonina N Mutoro

ObjectivesTo investigate the nutritional quality of foods marketed to children in the UK and to explore the use of health and nutrition claims.DesignThis cross-sectional study was carried out in a wide range of UK food retailers. Products marketed to children above the age of 1 year containing any of a range of child friendly themes (i.e. cartoons, toys and promotions), and terms suggesting a nutritious or healthy attribute such as ‘one of 5-a-day’, on product packaging were identified both in stores and online. Information on sugar, salt and fat content, as well as health and nutrition claims, was recorded. The Ofcom nutrient profiling model (NPM) was used to assess if products were healthy.ResultsThree hundred and thirty-two products, including breakfast cereals, fruit snacks, fruit-based drinks, dairy products and ready meals, were sampled. The use of cartoon characters (91.6%), nutrition claims (41.6%) and health claims (19.6%) was a common marketing technique. The one of 5-a-day claim was also common (41.6%), but 75.4% (103) of products which made this claim were made up of less than 80 g of fruit and vegetables. Sugar content (mean±SD per 100 g) was high in fruit snacks (48.4±16.2 g), cereal bars (28.9±7.5 g) and cereals (22.9±8.0 g). Overall, 41.0% of the products were classified as less healthy according to the Ofcom NPM.ConclusionA large proportion of products marketed to children through product packaging are less healthy, and claims used on product packaging are confusing. Uniform guidance would avoid confusion on nutritional quality of many popular foods.


2017 ◽  
Vol 70 (2) ◽  
pp. 235-241 ◽  
Author(s):  
Marcelo Geovane Perseguino ◽  
Ana Lucia de Moraes Horta ◽  
Circéa Amalia Ribeiro

ABSTRACT Objective: to understand the family dynamics in face of the reality of the elderly living alone. Method: study of qualitative approach with theoretical reference of symbolic interactionism that involved interviews with families. Data were analyzed by thematic analysis. Results: six families participated in the study. The discourse analysis originated the following categories: The family respecting their decision making; The family organizing itself to the process of living alone after the age of 80 years; The family experiencing the freedom of living alone. Conclusion: in this study, it was possible to identify the facilitation of the possibility of living alone with preparation and agreements between the family during the family life cycle, leading to the feeling of freedom and quality of life of all members. Nursing, as a science responsible for elaborating care strategies, should work together with families to assist in the planning of care plans based on the individual social reality of the family.


2014 ◽  
Vol 2 (1) ◽  
pp. 34
Author(s):  
Ika Arma Rani ◽  
Arief Hargono

ABSTRACTMaternal Mortality Rate (MMR) in East Java Province tends to increase every year. In fact, Jember has the highest number of maternal deaths during the period 2009-2011, and placed in 2nd position during 2012. Puskesmas Kaliwates for 3 consecutive years has the highest number of maternal deaths in the Jember. This research aimed to to describe the activities of recording and reporting the maternal health monitoring in PWS KIA system at Puskesmas Kaliwates, Jember regency, in 2012 by using attributes surveillance.The Research design is descriptive. Assessment in attributes of maternal health monitoring on PWS KIA system at Puskesmas Kaliwates in 2012 showed that the system is quite complicated, lack of flexibility, low quality of data, high acceptability, low sensitivity, low NPP, low representativeness, uncertain timelines, and low stability of data.The alternative solutions given are familiarizing midwife to analyze and compose a follow-up planning, improving the quality of the completeness and data’s accuracy, standardizing the entire form on KIA PWS systems to avoid duplication and increase forms simplicity,completing PWS KIA guidelines in Puskesmas, making guidelines on how to fill the form, taking records on register cohort of mother by dividing the sheet into 12 sections by month for pregnant women by gestational age group to facilitate the monitoring of pregnant women and childbirth, developing other surveillance system, forming KIA surveillance team, improving attendance format, and using a computerized system.Keywords: Monitoring maternal health, PWS KIA, Attributes surveillance.


2018 ◽  
Vol 30 (3) ◽  
pp. 263
Author(s):  
Atik Triratnawati ◽  
Anis Izdiha

In 2015, the maternal mortality rate in Bima was recorded as 3 cases per 1,000 births, equivalent to 300 maternal deaths per 100,000 births. Although this number is low, it is much higher than the zero mortality rate set by the Sustainable Development Goals. This study discusses the family and community aspects of the maternal health framework, reading the gendered symbolic violence that affect maternal health in Jatibaru Village, Asakota, Bima, West Nusa Tenggara. Data was collected using an ethnographic approach, with techniques including Focus Group Discussions, participatory observation, interviews, and document study. The existence of gender inequities in the family can cause problems when women attempt to access healthcare. Furthermore, families and communities exert control over pregnant women, directing their behavior and attempts to access healthcare according to local customs and traditions. As such attitudes and behaviors are part of the digestive process of knowledge and experience, women often accept and do what is recommended by their families and communities. This social reality of maternal health thus becomes part of gender inequality in society. 


Author(s):  
Adi Gunawan ◽  
Sarjon Defit ◽  
S Sumijan

Maternal Mortality Rate (MMR) in Indonesia is very high, so that maternal health problems are a national problem. This problem needs to get top priority. The health of pregnant women is crucial for the growth of the fetus they contain. Pregnancy can cause a decrease in maternal resistance. This decrease will trigger the arrival of various diseases. For that we need a system that can identify uterine diseases quickly and accurately. This study aims to identify uterine diseases in pregnant women based on symptoms experienced. This identification is the initial information that is useful to support the decision to take preventative action. Data processed in this study were 20 patients. This data is sourced from the Sungai Melati City Clinic which goes to an obstetrician, Dr. Yandi Zulkarnaen, SpOG. The method used in processing data is Android-based Forward Chaining. The results of this study include the name of the disease, description of the disease, and treatment solutions. After testing and calculating the level of system accuracy, a good degree of accuracy is obtained from the system calculation results with an expert decision of 90% of the 20 test data. Based on the level of accuracy, the expert system is very precise in identifying uterine diseases quickly.


Author(s):  
Roni Gunawan ◽  
Lagut Sutandra

Posyandu cadres are an important part of the program journey in Indonesia which has long been integrated into various programs. Including in the health program, cadres are the spearhead of community health activities based on community empowerment through Integrated Service Posts (Posyandu). The problem of Posyandu operational costs and economic cadres often become obstacles for developing Posyandu, so that the Posyandu productivity decreases. Therefore, it is necessary to strengthen entrepreneurship for Posyandu cadres to increase Posyandu funding while increasing the family economy. This study uses a qualitative approach to portray efforts to strengthen Posyandu through entrepreneurship in Posyandu cadres. Posyandu cadres are the main informants whose information is obtained through in-depth interviews, after which in-depth interviews with stakeholders will be conducted. The results showed that Posyandu cadres who have entrepreneurship are still active in running Posyandu and have good performance, and are classified as active cadres. Entrepreneurs that are being carried out by cadres are still individual and do not affect their performance as cadres, in fact entrepreneurs who are run a lot help posyandu activities, cadres can help household financing while helping Posyandu operations. Cadre business is going well because the government is strengthening cadres in training to improve the quality of entrepreneurship, then supported by licenses issued by the district. Business incubation also impacts cadre business.


2020 ◽  
Vol 2 (1) ◽  
pp. 15-23
Author(s):  
Adi Gunawan ◽  
Sarjon Defit ◽  
Sumijan Sumijan

Maternal Mortality Rate (MMR) in Indonesia is very high, so that maternal health problems are a national problem. This problem needs to get top priority. The health of pregnant women is crucial for the growth of the fetus they contain. Pregnancy can cause a decrease in maternal resistance. This decrease will trigger the arrival of various diseases. For that we need a system that can identify uterine diseases quickly and accurately. This study aims to identify uterine diseases in pregnant women based on symptoms experienced. This identification is the initial information that is useful to support the decision to take preventative action. Data processed in this study were 20 patients. This data is sourced from the Sungai Melati City Clinic which goes to an obstetrician, Dr. Yandi Zulkarnaen, SpOG. The method used in processing data is Android-based Forward Chaining. The results of this study include the name of the disease, description of the disease, and treatment solutions. After testing and calculating the level of system accuracy, a good degree of accuracy is obtained from the system calculation results with an expert decision of 90% of the 20 test data. Based on the level of accuracy, the expert system is very precise in identifying uterine diseases quickly and accurately.


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