Knowledge enhancement about pregnancy complications: Optimizing the role of high risk pregnancy prepared cadres

https://doi.org/10.22146/jcoemph.47317

Ika Parmawati(1*), Ayyu Sandhi(2), Wenny Artanty Nisman(3), Wiwin Lismidiati(4), Anik Rustiyaningsih(5), Itsna Luthfi Kholisa(6)

(1) Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(4) Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(5) Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(6) Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Maternal death rate is one of the important health development indicators. Indonesian maternal mortality is still high due to both direct and indirect causes that occur during pregnancy and childbirth. High-risk pregnancy can present complications for both the mother and fetus, and demands early detection. Early detection requires involvement of the community, health cadre, medical officers, and government. There is a need to increase the community health cadre competency in the detection of pregnancy complications, especially high-risk pregnancy knowledge. This study used a quasi-experimental design without control group to determine the effect of training regarding pregnancy complications on community health worker’s knowledge in Wijimulyo, Nanggulan, Kulon Progo, Yogyakarta in October 2018. The research subjects were community health cadre workers chosen by purposive random sampling. There were 43 research subjects who were given pretests, training about complications of pregnancy, and posttests. The instrument used was a knowledge questionnaire about complications during pregnancy that consisted of 23 items with reliability of 0.865. There was significant difference between community health cadre’s knowledge about complications of pregnancy at pretest and posttest. These results indicate that training about pregnancy complications increases the knowledge of community health cadre workers concerning complications of pregnancy. Further research is needed to assess community health cadre’s skills in making early detection of pregnancy complications.

Keywords


community health workers; early detection; health cadre training; high risk

Full Text:

PDF


References

  1. Direktur Kesehatan Keluarga. Laporan Tahunan Direktorat Kesehatan Keluarga TA 2016. Jakarta: Direktur Kesehatan Keluarga; 2017 [cited 2018 April 12]. Available from: http://kesga.kemkes.go.id/images/pedoman/Laptah%20TA%202016%20Dit%20Kesga.pdf.
  2. Kementrian Kesehatan Republik Indonesia. Data dan Informasi: Profil Kesehatan Indonesia Tahun 2016. Jakarta: Pusat Data dan Informasi Kementrian Kesehatan Republik Indonesia; 2017 [cited 2018 February 24]. Available from: https://www.kemkes.go.id/resources/download/pusdatin/lain-lain/Data%20dan%20Informasi%20Kesehatan%20Profil%20Kesehatan%20Indonesia%202016%20-%20%20smaller%20size%20-%20web.pdf.
  3. Kementrian Kesehatan Republik Indonesia. Infodatin. Jakarta: Pusat Data dan Informasi Kementrian Kesehatan Republik Indonesia; 2014 [cited 2018 February 24]. Available from: http://www.depkes.go.id/resources/download/pusdatin/infodatin/infodatin-ibu.pdf.
  4. Dinas Kesehatan Provinsi Daerah Istimewa Yogyakarta. Profil Kesehatan Provinsi D.I.Yogyakarta Tahun 2011. Yogyakarta: Dinas Kesehatan Provinsi Daerah Istimewa Yogyakarta; 2012 [cited 2018 February 24]. Available from: http://www.depkes.go.id/resources/download/profil/PROFIL_KES_PROV_2011/P.Prov.DIY_11.pdf.
  5. Dinas Kesehatan Kabupaten Bantul. Profil Kesehatan Tahun 2018. Bantul: Pemerintah Kabupaten Bantul; 2018 [cited 2018 February 24]. Available from: https://dinkes.bantulkab.go.id/filestorage/dokumen/2018/05/Profil%20Kesehatan%202018.pdf.
  6. Mindarsih E. Karakteristik Suami Yang Berhubungan Dengan Sikap Dalam Menangani Kegawatdaruratan Maternal Dan Neonatal. Jurnal Keperawatan Respati Yogyakarta. 2018; 5 (1): 287-294.
  7. Dinas Kesehatan Kabupaten Kulon Progo. Profil Kesehatan Kabupaten Kulon Progo tahun 2016 (Data 2015); 2016 [cited 2018 February 24]. Available from: http://dinkes.kulonprogokab.go.id/index.php?pilih=hal&id=64.
  8. Parmawati I, Emilia O, Nisman WA. Pengaruh Pendidikan Kesehatan Reproduksi Berbasis Kesetaraan Gender Dalam Meningkatkan Pengetahuan, Sikap, Dan Efikasi Diri Remaja Putri Di Wilayah Kerja Puskesmas Temon 1 Kulon Progo Yogyakarta [master’s thesis]. Yogyakarta: Universitas Gadjah Mada, 2016.
  9. WHO. Fact sheet Adolescent pregnancy; 2018 [cited 2018 February 24]. Available from: http://www.who.int/mediacentre/factsheets/fs364/en/.
  10. Dinas Sosial Pemberdayaan Perempuan Dan Perlindungan Anak Kabupaten Kulon Progo. Data Pilah Tahun 2017 Bidang Kesehatan; 2017 [cited 2018 February 24]. Available from: http://dinsos.kulonprogokab.go.id/files/II%20%20Bidang%20%20Kesehatan%20%202017.pdf.
  11. Beegom AA. A Prospective Descriptive Study Of The Clinical Outcomes Of High Risk Pregnancies At A Public Sector Tertiary Care Centre, Kerala [Dissertation]. Achutha Menon Centre For Health Science Studies: Sree Chitratirunal Institute For Medical Sciences And Technology Thiruvananthapuram, Kerala, India, 1998.
  12. Handayani F. Hubungan Pengetahuan Ibu Hamil Tentang Komplikasi Kehamilan Dengan Sikap Ibu Hamil Terhadap Komplikasi Kehamilan Dan Deteksi Dininya Di Puskesmas Seyegan Sleman Yogyakarta [bachelor’s thesis]. Yogyakarta: Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, 2010
  13. Manuaba. Ilmu Kebidanan, Penyakit Kandungan dan Keluarga berencana Untuk Pendidikan Bidan. Jakarta: EGC, 2012.
  14. Ambarwati MR, Yuliana R, Wisnu NT. Gambaran Faktor Penyebab Ibu Hamil Resiko Tinggi Tahun 2005-2010 (Di Polindes Sambikerep Kecamatan Rejoso Kabupaten Nganjuk). Jurnal Penelitian Suara Forikes. 2011; 2: 1-8.
  15. Kurniawan A, Sistiarani C, Hariyadi B. Early detection of high risk pregnancy. KEMAS. 2017; 12(2): xx-xx.
  16. Liabsuetrakul T, Oumudee N, Armeeroh M, Nima N, Duerahing N. Improvement of early antenatal care initiation: the effects of training local health volunteers in the community. Health Services Research and Managerial Epidemiology. 2018; 5: 1.
  17. Parast SM, Allaii B. The role of social work in health care system. Journal of Social Science for Policy Implications. 2014; 2 (2): 59-68.
  18. Andersen K, Singh A, Shrestha MK, Shah M, Pearson E, Hessini L. Early pregnancy detection by female community health volunteers in Nepal facilitated referral for appropriate reproductive health services. Global Health: Science and Practice. 2013: 1(3).
  19. Wagner AL, Xia L, Ghosh A, Datta S, Pandey P, et al. Using community health workers to refer pregnant women and young children to health care facilities in rural West Bengal, India: A prospective cohort study. PLoS ONE. 2018; 13(6): e0199607.
  20. Tumbelaka P, Limato R, Nasir S, Syafruddin D, Ormel H, Ahmed R. Analysis of Indonesia’s community health volunteers (kader) as maternal health promoters in the community integrated health service (Posyandu) following health promotion training. Int J Community Med Public Health. 2018; 5(3):856-863.
  21. Nursalam, Efendy F. Pendidikan dalam Keperawatan. Jakarta: Salemba Medika, 2012.
  22. Herijulianti E, Indriani TS, Artini S. Pendidikan Kesehatan Gigi. Jakarta:EGC, 2001.
  23. Simamora RH. Buku Ajar Pendidikan dalam Keperawatan. Jakarta: EGC, 2009.
  24. Mubarak et al. Promosi Kesehatan Sebuah Pengantar Proses Belajar Mengajar Dalam Pendidikan. Yogyakarta: Graha Ilmu, 2007.
  25. Amenu G, Mulaw Z, Seyoum T, Bayu H. Knowledge about danger signs of obstetric complications and associated factors among postnatal mothers of Mechekel District Health Centers, East Gojjam Zone, Northwest Ethiopia. Scientifica. 2016: 3495416.
  26. Srimiyati. Pengaruh Pendidikan Kesehatan Menggunakan BOOKLET Terhadap Pengetahuan Dan Gejala Kecemasan Wanita Premenopause [master’s thesis]. Yogyakarta: Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, 2014
  27. Notoatmodjo S. Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: Rineka Cipta, 2014.
  28. Budiman, Riyanto A. Kapita Selekta Kuesioner: Pengetahuan dan Sikap dalam Penelitian Kesehatan. Jakarta: Salemba Medika, 2013.
  29. Santi SM, Sabrian F, Karim D. Efektifitas pendidikan kesehatan menggunakan media audiovisual terhadap perilaku pencegahan filariasis. JOM PSIK. 2014; 1(2):1–8.
  30. Soliha SF. Tingkat Ketergantungan Pengguna Media Sosial dan Kecemasan Sosial. Jurnal Interaksi, 2015; 4(1): 1 – 10.
  31. Gafar G. Pengaruh pemberian promosi kesehatan melalui media sosial facebook terhadap pengetahuan tentang bahaya merokok pada mahasiswa PSIK semester 8 di Universitas Muhammadiyah Yogyakarta [master’s thesis]. Yogyakarta: Universitas Muhammadiyah Yogyakarta, 2014.



DOI: https://doi.org/10.22146/jcoemph.47317

Article Metrics

Abstract views : 2539 | views : 2574

Refbacks

  • There are currently no refbacks.


Copyright (c) 2020 Ika Parmawati

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.