Kepatuhan bidan Puskesmas dalam penerapan antenatal care terpadu berkualitas, deteksi penyakit dan komplikasi pada ibu hamil

https://doi.org/10.22146/bkm.7314

Siti Sholikhah(1*), Heru Pradjatmo(2), Mohammad Hakimi(3)

(1) Dinas Kesehatan Kabupaten Kulon Progo, D.I. Yogyakarta
(2) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Universitas Gadjah Mada
(3) Departemen Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Compliance of midwife primary health center in implementation of the antenatal care integrated quality, disease detection and complications in pregnant women

Purpose This research aimed to determine the relationship of midwife’s compliance in the implementation of the antenatal care (ANC) integrated quality with disease detection and complications in pregnant women.

Methods

This research was an observational study with a retrospective cohort design. The sample was midwives who serve pregnant women in a primary health center, involving 125 midwives. The place of research was in 21 health centers throughout Kulon Progo. Research instruments used a questionnaire, with total sampling. Data analysis used: univariable analysis to determine the distribution of the data, bivariable with chi-square tests, multivariable with linear regression tests with 95% CI and significance of p=0.05, and a qualitative analysis.

Results

Midwives' compliance to the standard operating procedure has a 35% greater chance of detecting complications and illness in pregnant women than the midwife who did not follow standard operating procedure. Not all midwives in primary health care comply with ANC integrated quality.

Conclusion

This study contributes to an understanding that compliance of midwives to ANC integrated quality is important as an effort to detect complications in pregnant women. The health office should establish a team for socialization, supervision, and assistance in the implementation of ANC integrated quality.


Keywords


compliance; midwives; integrated ANC; detection of complication; pregnant woman



References

  1. Say L, Chou D, Gemmill A, Tunçalp Ö, Moller A-B, Daniels J, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Heal. 2014 Jun;2(6).
  2. BPS, BKKBN. Indonesia Demographic and Health Survey 2012 Statistics Indonesia National Population and Family Planning Board Ministry of Health MEASURE DHS ICF International. Jakarta; 2013.
  3. Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM, et al. Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5. Lancet. World Health Organization, Geneva; 2010 May 8;375(9726):1609–23.
  4. Dinkes Prov. DIY. Profil Kesehatan Provinsi Daerah Istimewa Yogyakarta Tahun 2012. Yogyakarta; 2013.
  5. WHO, UNICEF. Revised 1990 Estimated of Maternal Mortality: New Approach. Geneva; 1996.
  6. Progo/ DKKK. Profil Kesehatan Kabupaten Kulon Progo Tahun 2014 (Data 2013). 2014.
  7. Moller B, Lushino O, Meirik O, Gebre-Medhin M, Lindmark G. A study of antenatal care at village level in rural Tanzania. Int J Gynecol Obstet. 1989 Oct;30(2):123–31.
  8. Kementerian Kesehatan. Pedoman Pelayanan Antenatal Terpadu. Jakarta; 2012.
  9. Sastroasmoro S, Ismael S. Dasar-dasar Metodologi Penelitian Klinis. Edisi ke-4. Jakarta: Sagung seto; 2011.
  10. Simarmata OS, Armagustini Y, Bisara D. Determinan Kejadian Komplikasi Persalinan di Indonesia (Analisis Data Sekunder Survei Demografi dan Kesehatan Indonesia Tahun 2007). J Ekol Kesehat. 2012;11(1).
  11. Sistiarani C. aktor Maternal dan Kualitas Pelayanan Antenatal yang Berisiko terhadap Kejadian Berat Badan Lahir Rendah (BBLR) Studi Pada Ibu Yang Periksa Hamil Ke Tenaga Kesehatan dan Melahirkan di RSUD Banyumas Tahun 2008. Unversitas Diponegoro; 2008.
  12. Frost JJ, Benson Gold R, Frohwirth L, Blades N. Variation in Service Delivery Practices Among Clinics Providing Publicly Funded Family Planning Services in 2010. New York; 2012.
  13. Ng TWH, Feldman DC. How Broadly Does Education Contribute to Job Performance? Pers Psychol. 2009;62:89–134.
  14. Kuncel NR, Hezlett SA, Ones DS. Academic Performance, Career Potential, Creativity, and Job Performance: Can One Construct Predict Them All? J Pers Soc Psychol. 2004 Jan;86(1):148–61.
  15. Palutturi S. Determinan Kinerja Bidan di Puskesmas Tahun 2006. J Manaj Pelayanan Kesehat. 2007;10(4).
  16. Mudayana AA. Hubungan Beban Kerja dengan Kinerja Karyawan di Rumah Sakit Nur Hidayah Bantul. J Kesehat Masy (Journal Public Heal. 2013 Apr 13;6(1).
  17. Trisianawati D. Pengaruh Motivasi Kerja, Disiplin Kerja Dan Beban Kerja Terhadap Kinerja Bidan Di Instalasi Rawat Inap Ruang Obstetri Rsup Dr. Kariadi Semarang. Fakultas Ekonomika dan Bisnis; 2014.
  18. Zahroh L, Wulandari A. Faktor-faktor yang mempengaruhi kepatuhan antenatal caree (ANC) Pada ibu hamil trimester iii di wilayah kerja UPTD Puskesmas Tunggangri Kecamatan Kalidawir Kabupaten Tulungagung. J Str [Internet]. 2014;3(1). Available from: http://publikasi.stikesstrada.ac.id/ffaktor-faktor-yang-mempengaruhi-kepatuhan-antenatal-caree-anc-pada-ibu-hamil-trimester-iii-di-wilayah-kerja-uptd-puskesmas-tunggangri-kecamatan-kalidawir-kabupaten-tulungagung/
  19. Retnaningsih E. Determinan motivasi bidan dalam mematuhi sop pertolongan persalinan Di Kabupaten Banyuasin dan Kota Palembang Provinsi Sumatera Selatan tahun 2010. J Pembang Mns. 2012;6(1).
  20. Kotur BR, Anbazhagan S. Education and Work-Experience -Influence on the Performance. IOSR J Bus Manag Ver III. 2014;16(5):104–10.



DOI: https://doi.org/10.22146/bkm.7314

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