Analisis Faktor Pelayanan Antenatal Terpadu Di Wilayah Kerja Puskesmas Tembilahan Hulu

Abstract

ABSTRAKKesehatan ibu hamil masih menjadi masalah kesehatan nasional. Pelayanan Ante Natal Care (ANC) terpadu dengan 10 standar dapat meningkatkan kesehatan ibu dan janin. Namun, beberapa tahun terakhir komplikasi kehamilan dan persalinan semakin meningkat yang seharusnya dapat diidentifikasi secara dini dengan ANC yang tepat. Penelitian ini bertujuan untuk menggali pelaksanaan ANC 10 standar dan hambatan dalam pelaksanaannya. Penelitian ini menggunakan rancangan kualitatif dengan pendekatan fenomenologis. Penelitian dimulai dengan pengumpulan data kualitatif melalui focus group discussion (FGD) dan wawancara mendalam serta pengumpulan data kuantitatif melalui pengisian kuesioner pada bulan Oktober-November 2018 di wilayah kerja Puskesmas Tembilahan Hulu. Sampel penelitian ini adalah seluruh bidan puskesmas Tembilahan Hulu dan ibu hamil yang diambil secara acak sebanyak 138 orang. Temuan penelitian ini diketahui 35 dari 138 (25,4%) ibu hamil mendapat pelayanan ANC 10 standar secara lengkap. Timbang BB dan ukur TB (86,23%), ukur tekanan darah (100%), nilai status gizi (88,41%), ukur TFU (85,51%), nilai presentasi janin (81,88%), srining T (81,16%), tablet Fe (71,01%), pemeriksaan labor (81,88%), tatalaksana kasus (82,61%), dan temu wicara (69,57%). Hambatan bidan adalah sarana dan prasarana tidak memadai serta lemahnya ketermpilan bidan dalam melaksanakan standar. Perlunya monitoring dan evaluasi pemegang program KIA serta bimbingan dan pelatihan pelayanna ANC terpadu bagi seluruh bidan. ABSTRACT (The health of pregnant women is still a national health problem. Ante Natal Care (ANC) services integrated with 10 standards can improve maternal and fetal health. However, in recent years complications of pregnancy and childbirth have increased which should be identified early with the right ANC. This study aims to explore the implementation of ANC 10 standards and obstacles in their implementation. This study uses a qualitative design with a phenomenological approach. The study began with qualitative data collection through focus group discussion (FGD) and indepth interviews and quantitative data collection through filling out questionnaires in October-November 2018 in the working area of the Upper Tembilahan Health Center. The sample of this study was all midwives at the Tembilahan Hulu health center and pregnant women were randomly taken as many as 138 people. The findings of this study note 35 out of 138 (25.4%) pregnant women received standard ANC 10 services in full. Weigh BB and measure TB (86.23%), measure blood pressure (100%), nutritional status (88.41%), measure TFU (85.51%), value of fetal presentation (81.88%), srining T (81.16%), Fe tablets (71.01%), labor checks (81.88%), case management (82.61%), and speech meetings (69.57%). The obstacle of midwives is inadequate facilities and infrastructure and the weak skills of midwives in implementing standards. The need for monitoring and evaluation of KIA program holders and guidance and training for integrated ANC servants for all midwives.

Discrepancy Evaluation of 10 Antenatal Care Services (10T) at the Dinoyo Health Center, Malang City

“…At every antenatal visit, the midwife will measure hthe fundal height (TFU) of pregnant women to monitor fetal development. The fundal height (TFU) can be perfomed from 24 weeks of gestational age using measuring tape (Harianis et al, 2020). This study found that the fundal height (TFU) measurement had been carried out by the midwives.…”

Integrated Antenatal Care At Public Health Care

“…In integrated antenatal services, health workers should be able to ensure that the pregnancy proceeds normally, detect problems and diseases experienced by pregnant women early, intervene adequately so that pregnant women are ready to undergo normal delivery. To identify whether the pregnancy is proceeding normally or with complications, health workers, especially midwives, must carry out standard antenatal care (Harianis et al, 2020;Nuraisya, 2018). If it is not well-treated, pregnant women's anxiety may influence both physica; and psychological conditions of mother and fetus (Hariyati et al, 2019).…”