scholarly journals Pendidikan Kesehatan (Buku KIA 2020) Khusus Ibu di Masa Pandemi Covid-19 di PMB Bumi Cinta Gorontalo

2021 ◽  
Vol 1 (02) ◽  
pp. 128-130
Author(s):  
Efri Leny Rauf ◽  
Dwi Nur Octaviani Katili ◽  
Siskawati Umar

   Knowledge of mothers about the use of Maternal and Child Health (MCH) books, which is still considered only as a health record book for health workers, is an obstacle in shaping the health behavior of pregnant women about the importance of routine pregnancy check-ups, understanding the danger signs of early pregnancy, the importance of taking Fe tablets regularly, as well as daily health care. According to the initial survey of the service team, we see that knowledge and understanding have an impact on the awareness of pregnant women about the contents of the MCH book, especially now that the MCH book has been revised so that the importance of health education on MCH books needs to be explained again in the independent practice of the midwife of the love of Gorontalo. The method of service is through lectures/counseling, discussion and question and answer. As a result of our dedication, we get the enthusiasm of pregnant women in listening to our explanations and asking important things they want to know 

Author(s):  
O. Orjingene ◽  
N. L. Akondeng ◽  
A. Kone-Coulibaly ◽  
T. Ogojah ◽  
M. Ganama

Background/Aim: The world has witnessed several disease outbreaks both in the past and in recent times. Apart from loss of lives as a result of such outbreaks, there are also disruptions in health care provision and utilization due to certain measures aimed at curtailing the spread of such outbreaks. This study aimed to seek evidence from existing literature on the effects of disease outbreaks on maternal, newborn and child health care in Global South. Methods: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was used and 14 literatures met the inclusion criteria. Results: HIV/AIDS pandemic affected the Maternal Newborn and Child Health since increased cases of anaemia, hospital admissions, still births in HIV positive pregnant and cases of foetal anaemia reported in infants born from HIV positive pregnant women were reported. No COVID-19 pandemic related-effects on MNCH observed since no maternal deaths and transmission from infected pregnant women to their newborns reported. Indirect effects of pandemics on MNHC include reduced service delivery and demand/utilization as well as inaccessibility due to diverse reasons. Discussion: The Government should put in place palliative measures for low-income citizens; engage and sensitize women, pregnant women and their children on available health care services and mitigation measures in place to access with minimal or no risk of being infected in a secure environment.


2017 ◽  
Vol 3 (1) ◽  
pp. 52
Author(s):  
Siti Nur Umariyah Febriyanti

Latar Belakang : Kelas ibu hamil adalah sarana belajar bersama tentang kesehatan bagi ibu hamil difasilitasi oleh bidan atau tenaga kesehatan. Hasil survey awal kepada bidan koordinator ruang KIA, kegiatan kelas ibu hamil di wilayah kerja Puskesmas Kedungmundu belum berjalan dengan maksimal, data dari poli KIA tahun 2015 tercatat 2449 ibu hamil, yang mengikuti kegiatan kelas ibu hamil sebanyak 70 ibu atau (3,498%). Keberhasilan program kelas ibu hamil sangat bergantung pada dukungan peran serta masyarakat atau kader kesehatan. Tujuan : Mengeksplorasi peran kader kesehatan dalam mensukseskan program kelas ibu hamil di wilayah kerja Puskesmas Kedungmundu. Metode Penelitian : Penelitian ini dengan metode kualitatif, pendekatan deskriptif fenomenologi, teknik pengumpulan data wawancara mendalam, partisipan 3 kader kesehatan, pada tanggal 21–28 April 2016. Hasil : Peran kader kesehatan dalam persiapan kelas ibu hamil sudah baik, meliputi koordinasi dengan fasilitator yaitu bidan, melakukan penjaringan peserta, memotifasi ibu-ibu  hamil untuk hadir dalam kelas ibu hamil, serta mempersiapkan tempat dan alat. Peran kader kesehatan dalam pelaksanaan  kelas ibu hamil sudah baik, yaitu mendampingi ibu hamil selama kegiatan, melakukan pencatatan dalam daftar hadir, evaluasi setelah kegiatan, dan melaporkan kepada fasilitator yaitu bidan. Kendala dan hambatan pelaksanaan kelas ibu hamil adalah ibu hamil tidak bisa datang sesuai jadwal yang sudah ditentukan, karena sebagian ibu hamil bekerja. Penyelesaian kendala atau hambatannya yaitu me-reschedule jadwal kegiatan, dengan berkoordinasi antara bidan pelaksana, kader, dan gasurkes. Saran : Kader kesehatan hendaknya melakukan pendekatan kepada ibu-bu hamil di wilayahnya, guna mendiskusikan kapan waktu bisa mengikuti kegiatan kelas ibu hamil, untuk selanjutnya dikoordinasikan kepada tim fasilitator. Kata Kunci: Peran kader kesehatan; kelas ibu hamil HEALTH CADRE ROLE IN THE SUCCESS OF CLASS PROGRAM OF PREGNANT WOMEN IN THE WORKING AREA OF PRIMER HEALTH CARE KEDUNGMUNDU IN 2016 AbstractBackground : Class of pregnant women is a means to learn together about the health of pregnant womens is facilitated by midwives or health professionals. The result of the initial survey with the coordinator of midwives in Maternal and Child Health (MCH) room, the class of pregnant women in the work area of the Primary Healt Care (PHC) in Kedungmundu has not gone up. The data from poly MCH on 2015 recorded 2449 pregnant women, who participated in class is 70 pregnant women or (3.498%). The success of this program depends on the support of the cadres. Purpose : The purpose of this research was to explore the role of. For the success of the program’s in PHC Kedungmundu. Method of The Research : This research a qualitative method, fenomenologi descriptive,  the techniques for collecting data in depth interview,s participant 3 cadres on, 21-28 April 2016. Result : The role of health cadres in preparation for the class of pregrant women has been good, such as coordination with the midwife, collecting the respondents, motivating the pregnant womens to attend the class, and preparing place and tools. The role of health cadres in the class of pregnant has been good such as assisting the pregnant women during activites. Keep records on the attendance list, evaluating after activities, and reported to the midwife, the obstacles and barriers in the class of pregnant women were pregnant women can not come accordance with a fixed schedule, because most pregnant women who are working. the completion of obstacles or barriers, is re-schedule and coordinating between midwifery, carders and gasurkes. Suggestion : Health cadres should approach with pregnant womens in the region to discuss the time when the pregnant women can participant in class, and then cordineting with the facilitator team.  Key words: The Role of Health Cadre;, Class Of Pregnant Women


2019 ◽  
Author(s):  
Eveline Muika Kabongo ◽  
Ferdinand Mukumbang ◽  
Peter N/A Delobelle ◽  
Edward N/A Nicol

Abstract Introduction Despite the growing global application of mobile health (mHealth) technology in maternal and child health, the contextual factors and mechanisms by which interventional outcomes are generated have not been subjected to extensive review. In this study, we sought to identify context, mechanisms and outcome elements from implementation and evaluation studies of mHealth interventions to formulate theories or models explicating how mHealth interventions work (or not) both for health care providers and for pregnant women and new mothers.Method An electronic search of six online databases (Medline, Pubmed, Google Scholar, Scopus, Academic Search Premier and Health Systems Evidence) was performed. Using appropriate MeSH terms and selection procedure, 32 articles were considered for analysis. A theory-driven approach, narrative synthesis, was applied to synthesise the data. Thematic content analysis was used to delineate the elements of the intervention, including its context, actors, mechanism and outcomes. Retroduction was applied to link these elements using a realist evaluation heuristic to form generative theories.Results Mechanisms that promote the implementation of mHealth by community health workers/health care providers include motivation, perceived skill and knowledge improvement, improved self-efficacy, improved confidence, improved relationship between community health workers and clients, perceived support of community health workers, perceived ease of use and usefulness of mHealth, For pregnant women and new mothers, mechanisms that trigger the uptake of mHealth and use of maternal and child health services included: perceived service satisfaction, perceived knowledge acquisition, support and confidence, improved self-efficacy, encouragement, empowerment and motivation. Information overload was identified as a potential negative mechanism for the uptake of maternal and child health services.Conclusion The models developed in this study provide a detailed understanding of the implementation and uptake of mHealth interventions and how they improve maternal and child health services in low and middle income countries. These models provide a foundation for the ‘white box’ or theory-driven evaluation of mHealth intervention and can improve the rollout and implementation where required.


2020 ◽  
Vol 1 (1) ◽  
pp. 23-28
Author(s):  
Lisda Widianti Longgupa ◽  
Nurfatimah Nurfatimah ◽  
Nilda Yulita Siregar

The efforts to reduce maternal and infant mortality can be done by increasing the coverage and quality of maternal and child health services. One effort is made to bring health services closer to the community through the pregnant mothers class program. Pregnant woman class is a study group of pregnant women with gestational age between 4 weeks to 36 weeks with a maximum number of 10 participants. In this class, pregnant women will learn together, discuss and exchange experiences on overal maternal and child health, facilitated by midwives or health workers by using the class package for pregnant women, namely flip chart, guidelines for implementing classes of pregnant women,  class facilitator’s handbook pregnant women, exercise books for pregnant women  and books on maternal and child health (MCH). Based on the results of community service activities with participants of 40 pregnant women there was an increase in correct answers to all participants after participating in class activities for snakes ladderss of pregnant women. From the pre-test result it turns out that most of the results obtained were less than 60. This shows that the knowledge ability of pregnant women is still lacking. However, after holding the snakes ladder pregnant class, there was an increase in the knowledge of pregnant women with an increase in the post-test score point in the range between 21-30 (47.5%).


Author(s):  
Jilda Cheishvili ◽  
Irene Zarnadze ◽  
Shalva Zarnadze

<div><p><em>Children’s generation of Georgia recovers parent’s generations only for 70-80%. According to same data, there are only 14 countries with the similar low indicators. The increase of C-section can cause the decrease of birthdates.</em></p><p><em>WHO recommended The Partnership for Maternal, Newborn, and Child Health - </em><em>through the creation of an <strong>Advocacy Team.</strong></em><em> (WHO, 2005).</em><em> This model ensures the relaxed environment where the mothers can receive information delivered by qualified health workers, who teach pregnant women and family members about health and well-being.  </em><em>Advocacy Team comprises - nurses, medical students, and volunteer.</em><em></em></p><p><em>Project benefit will be </em><em>increased antenatal and postnatal care services through  the country, in the lead the better attitude and knowledge about health and well-being  across all Social levels .  Further families will save money because they couldn't pay for C-section  </em><em></em></p><p><em>Evaluation of the project –</em><em>annual statistical analysis by </em><em>NCDC (National Center for Disease Control and Public Health) </em><em>decrease C-section rate for mother request.</em><em></em></p><p><em>Project outcome</em><em> will be increased maternal and Child health and well-being,</em><em> </em><em>Increase right participation from the community, Support of pregnant women and her family economically.</em><em></em></p></div>


1993 ◽  
Vol 23 (2) ◽  
pp. 79-81 ◽  
Author(s):  
Gülbin Gökçay ◽  
Ayşen Bulut ◽  
Olcay Neyzi

The aim of the study was to compare the performance of midwives with that of lady home visitors (LHV; paraprofessionals). The project area was divided into six according to the population map. One midwife or one LHV was assigned to each visiting area. Home visits were carried out to identify and offer guidance on family planning (FP), antenatal care, well-child control, immunizations and other mother and child health related issues to those at high risk. Criteria taken for evaluation were the numbers of pregnant women identified in the last trimester; pregnant women receiving antenatal care; deliveries attended by a health care provider; modern FP users; continuation rate of the new users; pregnancy rate in new users; immunization status of children; well-child visits of the children. No significant differences were found in these health measurements between areas visited by LHV and areas visited by midwives. Response rates to the invitation was also similar in both areas. An important observation was the good performance of the LHV in communicating with the families. Women with limited school attainment from the community can be used effectively and efficiently in community health services.


2021 ◽  
Vol 9 ◽  
Author(s):  
Uchenna Ezenwaka ◽  
Ana Manzano ◽  
Chioma Onyedinma ◽  
Pamela Ogbozor ◽  
Uju Agbawodikeizu ◽  
...  

Background: Increasing access to maternal and child health (MCH) services is crucial to achieving universal health coverage (UHC) among pregnant women and children under-five (CU5). The Nigerian government between 2012 and 2015 implemented an innovative MCH programme to reduce maternal and CU5 mortality by reducing financial barriers of access to essential health services. The study explores how the implementation of a financial incentive through conditional cash transfer (CCT) influenced the uptake of MCH services in the programme.Methods: The study used a descriptive exploratory approach in Anambra state, southeast Nigeria. Data was collected through qualitative [in-depth interviews (IDIs), focus group discussions (FGDs)] and quantitative (service utilization data pre- and post-programme) methods. Twenty-six IDIs were conducted with respondents who were purposively selected to include frontline health workers (n = 13), National and State policymakers and programme managers (n = 13). A total of sixteen FGDs were conducted with service users and their family members, village health workers, and ward development committee members from four rural communities. We drew majorly upon Skinner's reinforcement theory which focuses on human behavior in our interpretation of the influence of CCT in the uptake of MCH services. Manual content analysis was used in data analysis to pull together core themes running through the entire data set.Results: The CCTs contributed to increasing facility attendance and utilization of MCH services by reducing the financial barrier to accessing healthcare among pregnant women. However, there were unintended consequences of CCT which included a reduction in birth spacing intervals, and a reduction of trust in the health system when the CCT was suddenly withdrawn by the government.Conclusion: CCT improved the utilization of MCH, but the sudden withdrawal of the CCT led to the opposite effect because people were discouraged due to lack of trust in government to keep using the MCH services. Understanding the intended and unintended outcomes of CCT will help to build sustainable structures in policy designs to mitigate sudden programme withdrawal and its subsequent effects on target beneficiaries and the health system at large.


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