scholarly journals Pengaruh Faktor Bauran Pemasaran Dan Karakteristik Pasien Antenatal Care (ANC) Terhadap Minat Melahirkan Di RSAU Dr. Esnawan Antariksa Pada Masa Pandemi Covid-19 Tahun 2021

2021 ◽  
Vol 5 (2) ◽  
pp. 156-163
Author(s):  
Githa Ayu Astarika ◽  
Yuli Prapanca Satar ◽  
Ahdun Trigono

Perawatan yang berkualitas tinggi sangat penting bagi ibu hamil dan bayinya di masa-masa kehamilan maupun saat persalinan. Meskipun akses rumah sakit, bidan, dan klinik bersalin telah tersebar luas, namun angka kematian ibu hamil masih belum turun secara signifikan. Tren penurunan jumlah pasien di RSAU dr. Esnawan Antariksa tidak lepas dari pengaruh masa pandemi Covid-19 sampai saat ini masih belum berakhir. Bauran pemasaran meliputi 7P yaitu produk, harga, tempat, promosi, orang, proses dan bangunan fisik. Tujuan penelitian ini untuk mengetahui bagaimana pengaruh bauran pemasaran dan karakteristik pasien terhadap minat untuk menggunakan jasa persalinan di RSAU dr. Esnawan Antariksa pada pasien Antenatal Care (ANC). Penelitian ini merupakan studi kuantitatif dengan design cross sectional. Penelitian ini dilakukan di RSAU dr. Esnawan Antariksa pada bulan Juli - Agustus 2021. Instrumen dipergunakan yaitu berupa kuisioner yang meliputi pertanyaan tertutup dan pertanyaan skala respon dengan pasien memilih jawaban yang disediakan (memberi checklist). Pada penelitian ini didapatkan 93% subyek penelitian berusia 20-35 tahun dimana 56,1% dari subyek penelitian merupakan lulusan pendidikan tinggi. Selain itu, 56,1% subyek penelitian tidak memiliki penghasilan dengan 56,1% subyek penelitian mengaku tidak memiliki pekerjaan. Berdasarkan paritas, subyek penelitian didominasi primigravida (45,6%). Selain itu, dari penelitian ini juga didapatkan proporsi terbesar bauran yang kurang baik dari bauran pemasaran produk (56,1%), harga (54,4%), promosi (59,6%), tempat (57,9%), orang (54,4%), proses (61,4%), dan bukti fisik (52,6%) dengan 54,4% subyek tidak berminat melahirkan di RSAU dr. Esnawan Antariksa. Dari analisis bivariat didapatkan hasil tidak didapatkan hubungan yang signifikan antara karakteristik subyek dengan minat melahirkan, namun didapatkan hubungan yang signifikan antara bauran pemasaran produk, harga, orang, tempat, proses, promosi, dan bukti fisik terhadap minat melahirkan. Berdasarkan analisis multivariat dengan pemodelan regresi logistik terlihat bahwa variabel yang secara signifikan berhubungan dengan minat melahirkan adalah faktor bauran pemasaran orang. Pada penelitian ini dapat disimpulkan terdapat hubungan yang signifikan antara bauran pemasaran produk, harga, orang, tempat, proses, promosi, dan bukti fisik terhadap minat melahirkan dengan faktor bauran pemasaran orang sebagai faktor yang paling berpengaruh terhadap minat melahirkan di RSAU dr. Esnawan Antariksa. Kata kunci : Bauran Pemasaran, Karakteristik pasien, Minat Melahirkan

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.


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.    


2019 ◽  
Vol 2 (1) ◽  
pp. 27-33
Author(s):  
Megawati Sinambela ◽  
Evi Erianty Hasibuan

Antenatal care is a service provided to pregnant women to monitor, support maternal health and detect mothers whether normal or problematic pregnant women. According to the WHO, globally more than 70% of maternal deaths are caused by complications of pregnancy and childbirth such as hemorrhage, hypertension, sepsis, and abortion. Based on data obtained from the profile of the North Sumatra provincial health office in 2017, in the city of Padangsidimpuan in 2017 the coverage of ANC visits reached (76.58%) and had not reached the target in accordance with the 2017 Provincial Health Office strategy plan (95%). This type of research was an observational analytic study with a cross sectional design. The population in this study were independent practice midwives who were in the Padangsidimpuan, the sample in this study amounted to 102 respondents. The technique of collecting data used questionnaires and data analysis used univariate, bivariate and multivariate analysis with logistic regression analysis. Based on bivariate analysis showed that there was a relationship between facilities, knowledge and attitudes of independent midwives with compliance with the standards of antenatal care services with a value of p <0.05. The results of the study with multivariate logistic regression analysis showed that the factors associated with the compliance of independent midwives in carrying out antenatal care service standards were attitudes with values (p = 0.026).


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jaffar H. Saffarini ◽  
Qais T. Ahmad ◽  
Ahmad M. Samara ◽  
Dima S. Jabri ◽  
Zaina H. Safarini ◽  
...  

Abstract Background Women frequently complain of lower urinary tract symptoms (LUTS) during pregnancy due to multiple physiological and potentially pathological changes. Still, there is limited data on the characteristics of LUTS for pregnant women in Palestine. Therefore, this study was designed to assess LUTS among pregnant women in Palestine, in addition to identifying factors that exacerbate LUTS during pregnancy. Methods We devised a cross-sectional, questionnaire-based study that used the Urinary Distress Inventory (UDI) and the Incontinence Impact Questionnaire (IIQ) tools to assess LUTS during pregnancy in an antenatal care clinic setting. Multiple linear regressions were conducted to determine variables that significantly related to LUTS (UDI-6 and IIQ-7 scores as dependent variables). Results The study recruited 306 pregnant women. Regarding LUTS findings, the participants scored a mean of 31.9 ± 24.9 out of 100 points (6.7 ± 5.2 out of 21) for the IIQ-7 scale and a mean of 31.2 ± 19.2 out of 100 points (5.6 ± 3.4 out of 18) for the UDI-6 scale. Regression analysis showed that older women (p = 0.031), women with a higher body mass index (p < 0.001), and women in the third trimester of pregnancy (p = 0.023), were independently associated with high UDI score. Multiple linear regression analysis showed that obese and overweight patients (p = 0.006) and multiparity (p = 0.026) were independently associated with high IIQ score. Conclusions High body mass index is independently associated with both UDI and IIQ scores for LUTS. Several strategies should be arranged to raise the awareness of females of childbearing age in Palestine regarding LUTS during pregnancy and factors which may exacerbate LUTS, such as obesity and multiparity. Thus, preventive measures should be implemented, such as serial assessment of LUTS during antenatal care to respond timely to this frequent problem.


Author(s):  
Clara Pons-Duran ◽  
Mireia Llach ◽  
Charfudin Sacoor ◽  
Sergi Sanz ◽  
Eusebio Macete ◽  
...  

Abstract Background Intermittent preventive treatment in pregnancy (IPTp) with sulphadoxine-pyrimethamine (SP) is a key malaria prevention strategy in areas with moderate to high transmission. As part of the TIPTOP (Transforming IPT for Optimal Pregnancy) project, baseline information about IPTp coverage was collected in eight districts from four sub-Saharan countries: Democratic Republic of Congo (DRC), Madagascar, Mozambique and Nigeria. Methods Cross-sectional household surveys were conducted using a multistage cluster sampling design to estimate the coverage of IPTp and antenatal care attendance. Eligible participants were women of reproductive age who had ended a pregnancy in the 12 months preceding the interview and who had resided in the selected household during at least the past 4 months of pregnancy. Coverage was calculated using percentages and 95% confidence intervals. Results A total of 3911 women were interviewed from March to October 2018. Coverage of at least three doses of IPTp (IPTp3+) was 22% and 24% in DRC project districts; 23% and 12% in Madagascar districts; 11% and 16% in Nigeria local government areas; and 63% and 34% in Mozambique districts. In DRC, Madagascar and Nigeria, more than two-thirds of women attending at least four antenatal care visits during pregnancy received less than three doses of IPTp. Conclusions The IPTp3+ uptake in the survey districts was far from the universal coverage. However, one of the study districts in Mozambique showed a much higher coverage of IPTp3+ than the other areas, which was also higher than the 2018 average national coverage of 41%. The reasons for the high IPTp3+ coverage in this Mozambican district are unclear and require further study.


2017 ◽  
Vol 3 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Tin Tin Aye ◽  
Datuk Muhammad Yusolf Ibrahim ◽  
Daw Khin Saw Naing ◽  
Than Myint ◽  
Muhammad Hj Jical

Women have been fulfilling their reproductive responsibility of propagating human race, many have died and many more faced death in the process of delivering babies, but this can be prevented by taking appropriated antenatal care, clean and safe delivery and essential obstetric care. Antenatal care is the first phase to be encountered once a woman has conceived. The objective of the study was to assess the antenatal (AN) care practice and pregnancy outcome of ever-married women aged 18 to 49 years old having at least one pregnancy experience, residing in kampongs of Kudat area, Sabah, East Malaysia, Northern Borneo from December 2015 to October 2016. Cross–sectional analytical study, non-probability convenient sampling method was used and 300 eligible participants were interviewed face to face by trained interviewer using pretested questionnaire. 99.3% of all the women received AN care, and 97% of the women received AN care practice (AN visit of 4 times and above). Mean AN visit was 9 times. The study revealed that overall knowledge amongst the women with good knowledge was 47.2% and low knowledge was 52.8%. Additionally, there was significant association between education and knowledge, income and knowledge, AN care practices and knowledge. But there was no significant association between AN practice and complication. Despite these results, outcomes were good and all complications were properly and successfully addressed. This may reflect the effectiveness of current national maternal health programs.Asian J. Med. Biol. Res. March 2017, 3(1): 31-37


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Justine B. Daly ◽  
Sarah Dowe ◽  
Belinda Tully ◽  
Flora Tzelepis ◽  
Christophe Lecathelinais ◽  
...  

Abstract Background Acceptance of smoking cessation support during antenatal care and associated quitting behaviours of pregnant Aboriginal women or women having an Aboriginal baby has not been investigated. This study aimed to determine, among pregnant women who smoke and attended AMIHS for their antenatal care: The acceptance of smoking cessation support, factors associated with acceptance and barriers to acceptance; The prevalence of quitting behaviours and factors associated with quitting behaviours. Methods A cross-sectional telephone survey of women who attended 11 AMIHSs for their antenatal care during a 12 month period in the Hunter New England Local Health District of New South Wales. Results One hundred women contacted consented to complete the survey (76%). Of those offered cessation support, 68% accepted NRT, 56% accepted follow-up support and 35% accepted a Quitline referral. Participants accepting NRT had greater odds of quitting smoking at least twice during the antenatal period [OR = 6.90 (CI: 1.59–29.7)] and those reporting using NRT for greater than eight weeks had six times the odds of quitting smoking for one day or more [OR = 6.07 (CI: 1.14–32.4)]. Conclusions Aboriginal women or women having an Aboriginal baby who smoke make multiple attempts to quit during pregnancy and most women accept smoking cessation support when offered by their antenatal care providers. Acceptance of care and quitting success may be improved with increased focus on culturally appropriate care and enhanced training of antenatal care providers to increase skills in treating nicotine addiction and supporting women to use NRT as recommended by treatment guidelines.


2020 ◽  
Vol 6 (4) ◽  
pp. 104-112
Author(s):  
Sintayehu Assefa ◽  
Dubale Dulla

Background: Voluntary counseling and testing (VCT) is an entry point for the prevention of HIV transmission from mother to child and accessing VCT benefit from PMTCT services. Even though, some pregnant women clearly know the benefits /advantages of PMTCT services, they are not willing to test and access the services. Hence, this study was aimed to assess the willingness of pregnant women attending antenatal care towards VCT/PMTCT at Adare general hospital in southern Ethiopia. Method: An institution-based cross-sectional study was conducted at Hawassa Adare hospital, southern Ethiopia from February to April/2018. A total of 338 randomly selected pregnant women who were attending antenatal care clinic were included. Data was collected using structured and pretested questionnaire; entered and analyzed using SPSS version 20 computer software. Important descriptive and logistic models were used for data analysis assuming statistical significance at p < 0.05. Result: A total of 338 mothers were interviewed with a response rate of 100%. The willingness towards voluntary HIV counseling and testing among study participants was 82.2%. Participants who attended primary and High school and above were 3.9 (AOR= 3.87, 95% CI- 1.705, 8.782) and 9.5 times (AOR 9.53 at 95% CI- 3.155, 28.76); those who had good knowledge about VCT/PMTCT were 3.47 times (AOR=3.47, 95% CI-1.721, 7.003); women who followed two to three ANC visit, were 5.1 times more likely have willingness towards VCT/PMTCT (AOR 5.11 at 95% CI -1.095, 23.81) more likely willing to be tested than their counterparts respectively. Conclusion: Willingness towards voluntary HIV counseling was encouraging however it needs advancement. Since boosted knowledge and awareness promote willingness to VCT/PMTCT uptakes, initiation of community-based information dissemination, increased quality of ANC service, and empowering women to be educated could be effective in order to promote high VCT and PMTCT program uptakes


2020 ◽  
Vol 10 (2) ◽  
pp. 51-55
Author(s):  
Nurhikmah ◽  
Tahir Abdullah ◽  
Stang ◽  
Suriah ◽  
Andi Imam Arundhana ◽  
...  

Objective: This study was to examine the effects of counselling delivered during antenatal care on the knowledge and attitudes of pregnant women about danger signs in pregnancy.Methods: This was a pre-experimental design using one group pre- and post-test only. This study was conducted in Takalar, specifically within Sanrobone Community Health Service working area. Takalar is located in South Sulawesi Province Indonesia and this area is coastal with the majority of people working as a fisherman. Participants of this study were pregnant women living in the villages which are included in the working area of Sanrobone Community Health Service.Results: The study shows that counselling improved knowledge and attitude of pregnant women about danger signs in pregnancy (p=0.011 and p=0.025, respectively). The number of pregnant women with good knowledge and positive attitude increased after the intervention (43.8% vs 93.8%, 62.5% vs 93.8%, respectively).Conclusions: In can be concluded that intervention by means of counselling can improve the knowledge and attitude of pregnant women about danger signs in pregnancy. Therefore, it is important to implement the counselling program delivered by health workers in Community Health Service in order to mitigate the risk of maternal mortality.


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.


Sign in / Sign up

Export Citation Format

Share Document