Analisis Sistem Pelaksanaan Kelas Ibu Hamil di Puskesmas Malalak dan Biaro Kabupaten Agam

Abstract

AbstrakKelas ibu hamil merupakan sarana belajar bersama bagi ibu hamil agar memperoleh pengetahuan yang cukup untuk mencegah komplikasi, meningkatkan cakupan kunjungan ibu hamil dan melakukan persalinan pada tenaga kesehatan. Tujuan penelitian ini adalah untuk menganalisis sistem pelaksanaan kelas ibu hamil di Puskesmas Malalak dan Biaro Kabupaten Agam. Ini adalah suatu penelitian deskriptif kualitatif dengan melakukan wawancara terhadapa informan penelitian yang terdiri dari kepala dan kasie KIA (Kesehatan ibu dan Anak) dinas kesehatan kabupaten, kepala, fasilitator dan kader puskesmas, serta ibu hamil peserta kelas ibu hamil. Analisis input pelaksanaan kelas ibu hamil yaitu masih kurangnya pemahaman dari kebijakan yang sudah ada, tenaga yang belum cukup dan belum dilatih, sarana dan prasarana yang belum memadai. Analisis proses menunjukkan belum ada sosialisasi dengan stakeholder terkait, tahapan persiapan yang kurang matang karena kurangnya pertimbangan latar belakang budaya di Malalak, sehingga ditemukan berbagai kendala dalam hal pelaksanaan. Analisis output yaitu belum ada monitoring dan evaluasi khusus yang dilakukan oleh dinas kesehatan Kabupaten Agam dan kepala puskesmas Malalak. Secara keseluruhan kurangnya peran bidan dalam menjalankan tugas dan fungsinya sebagai pelaksana pelayanan kebidanan di komunitas dan belum adanya kolaborasi antar profesi dalam menjalankan program KIH. Sistem pelaksanaan kelas ibu hamil belum sesuai dengan pedoman pelaksanaan kelas ibu hamil. Perlu berbagai upaya yang dilakukan untuk mengoptimalkan dan mengembangkan pelaksanaan kelas ibu hamil. Kata kunci: puskesmas, analisis sistem, kelas ibu hamil AbstractAntenatal class is a learning tool for pregnant women to obtain sufficient knowledge to prevent complication, increase coverage of antenatal visits and having child delivery at the health care practitioner. The objective of this study was to analyze the system of antenatal class in Malalak and Biaro in Agam District. This is a descriptive qualitative study conducted interviews Informants as chief and section chief of maternal and child health department, head clinics, facilitator, cadre clinics and pregnant women who attend antenatal class. Analysis of input were lack of understanding of policy about antenatal class, lack of human resources and have not been trained for antenatal class, and inadequate infrastructure. Analysis of process showed the absence of socialization with relevant stakeholders, poor preparation which cause by lack of concern in culture in Malalak that make many barriers in implementation.Analysis of output showed the absence of specific monitoring and evaluation by ministry of health department and head of Malalak HC. In the whole system there is a lack of active role of midwife as a midwivery care practitioner in community in performing her duties and functions and there is none of interprofessional collaboration in implementation of this program. System of antenatal classes is not accordance with the guideline of antenatal class.Necessary effort to op...

Effectiveness of Participation in Pregnancy Classes to Reduce the Incidence of Obstetric Labor Complications and Cesarean Section

“…In contrast with our findings, a retrospective study involving one term of childbirth education classes to manage the risk of labor difficulty reported that the classes were significantly effective in lowering the risk of vacuum extraction, but did not have the same effect on reducing the cesarean rate.21 A study evaluating prenatal education stated 232 Putri, Mahindra, Sampurna et al Indones J Obstet Gynecol that the program could not be carried out to maximize the benefits because there would be many considerations, such as the cultural and community background of the women and the healthcare providers' method of encouraging pregnant women to join. 25 Therefore, pregnancy classes conducted according to the guidelines is aiming for the detection, prevention, and elimination of abnormalities in pregnancy, which can be complicating factors during the delivery process. The implementation of the program has its weaknesses the role of the Health Service has not been optimal in encouraging the implementation of this program, including a lack of operational support facilities and intensive facilitator training, which can be burdensome for primary healthcare (PHC) services.…”

Relationship of Continuity of Midwifery Care During Antenal With Birth Preparedness in Working Area of Seberang Padang Public Health Center 2017

“…A Research by A Nurdiyan, YY Yulizawati, LE Bustami, D Iryani in 2014 conclude that Antenatal class is a way for pregnant women to study together to obtain proper knowledge, for preventing from complication, increasing coverage of antenatal visits, and having child delivery at the health care practitioner and also prepare women for delivery. In every visit of antenatal class Women and father fasilitate to increase their understanding about what happen during labor and delivery, so that by followong antenatal class regularly Women and family will be more prepare to do normal delivery (Nurdiyan, A et al 2014) Associated with the income, according to the NCO et al (2015) husband who works is known to also have an effect on the readiness of the birthing woman. Women with low incomes husbands would feel less need to birth preparedness plans carried out and could not be implemented due to financial constraints.…”

Correlation Between Midwife Knowledge And Attitude, And District Health Service’s Support In The Administration Of Vitamin A Supplementation For Postpartum Women In Working Area Of Puskesmas Seberang Padang And Puskesmas Pemancungan Kota Padang

“…Based on research by A Research by A Nurdiyan, YY Yulizawati, LE Bustami, D Iryani in 2014 stated that support of health service department in many health programme is important to run the programm throughly, without the support, monitoring and supervision by health service department the programme will not run properly. But they also said that the competency of Midwives to run the programme is also important because it is the responsibility of midwives to make sure that the programme is effective and efficient (A Nurdiyan, YY Yulizawati, LE Bustami, D Iryani, 2014) Health Service's support is one of the strengthening factors for a health worker, especially midwife in giving vitamin A to postpartum mother. This support can be an explanation of the time and place of vitamin A division by the Health Service or the Head of the Puskesmas, providing postpartum vitamin A capsules for the midwife, a coordination meeting to monitor the coverage of vitamin A coverage in the postpartum monthly, midwives in carrying out vitamin A delivery to postpartum and attention to the success of nutrition and health programs conducted by midwives.…”