Coverage Of K1 Research Articles

Analysis of the influence of pregnant women satisfaction on the motivation in compliance to antenatal care visits In Panti Community Health Centers, Jember Regency

<p><em>Examination of Antenatal Care (ANC) is an examination of pregnancy to optimize the physical and mental health of pregnant women so they can face the birth, post-partum period, breastfeeding preparation, and restore the health of reproductive system naturally. Family planning, antenatal care, clean and safe vaginal delivery, and obstetric care should be applied to all women of reproductive age as stated in the Safe Motherhood with its concept of the four pillars. Utilization of health facilities needs to be improved to reduce morbidity and maternal mortality. As for the achievement of K1 and K4 coverage at Puskesmas Panti in the last two years remain below the target, namely K1 by 117%, while the K4 as much as 67.84%. In 2016, K1 coverage is equal to 414 (70.29%) of 589 pregnant women, K4 is as much as 38.54% of 227 pregnant women. These data indicate a considerable gap between the coverage of K1 and K4. The gap between K1 and K4 in Puskesmas Panti in 2016 is quite large, 31.75% of the target gap which should not exceed 10% (Data of PWS Puskesmas Panti, 2016). This study aimed to analyze the relationship between motivation and satisfaction levels of pregnant women in antenatal care at the Puskesmas Panti, Jember Regency. This research is quantitative research using path analysis method. This study design was cross-sectional with a sample of 50 pregnant women taken with the technique of consecutive sampling. Data were collected in August-November 2017. Data were analyzed using data processing software. The results showed that there was a positive relationship between satisfaction with patient motivation in conducting ANC with a value of CR 2.78, there was a significant effect between satisfaction with safety in conducting ANC with a CR value of 0.34, and there was satisfaction with non-support that increased the meeting patients in performing ANC with a CR value of 0.39.Furthermore, the results of the analysis and conclusions of the study will be the basis for solving health problems. The recommendation is provided based on results of the study as an attempt to improve the performance of K1 and K4.</em></p><p> </p><p><strong>Keywords:</strong> Motivation , Satisfaction, Antenatal Care</p>

Does Health Center Have Contextual Effect on Midwife Performance? Multilevel Analysis Evidence from East Kalimantan, Indonesia

Background: The maternal mortality rate (MMR) which is still high has now become the priority in order to find its solution. Midwives play a very significant role in making efforts to reduce MMR through antenatal care (ANC) services. The performance of midwives directly influences the quality of service and health outcomes in the public health centers. The performance of midwives in ANC can be seen based on the coverage of K1 and K4. This study aimed to determine the contextual effect of public health centers and other factors that influence the performance of midwives in antenatal care services. Subjects and Method: This study was conducted using observational analytic with cross sectional approach. It was done in 25 health centers in Samarinda, East Kalimantan in April-May 2019. The number of samples was 180 midwives selected using the total sampling technique. The dependent variable is the performance of the midwife. The independent variables include age, knowledge, tenure, training, workload, incentive, supervision, and motivation. The data were collected by questionnaire and analyzed by multilevel multiple logistic regression. Results: Midwife performance was influenced by age >45 years (b = -2.48; 95% CI = -4.53 to -4.34; p = 0.018), good knowledge (b = 1.35; 95% CI = 0.38 to 2.31; p = 0.006), tenure ≥13 years (b = 1.89; 95% CI = -0.07 to 3.86; p = 0.059), training ≥2 (b = 1.30; 95% CI = 0.29 to 2.30; p = 0.011), heavy workload (b = -1.30; 95% CI = -2.27 to -0.34; p = 0.008), incentive (b = 1.74; 95% CI = 0.30 to 3.18; p = 0.018), supervision (b = 1.12; 95% CI = 0.19 to 2.05; p = 0.017), and high motivation (b = 1.42; 95% CI = 0.45 to 2.38; p = 0.004). There was no contextual influence of public health center on the performance of midwives in antenatal care services (ICC = <1%). Conclusion: Age, knowledge, tenure, training, workload, incentives, supervision, and motivation are associated with midwives performance. There is no contextual influence of public health centers on the performance of midwives. Keywords : work performance, midwife, contextual effect, antenatal care Correspondence : Latifah Nur Rahmadani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Jawa Tengah. Email: latifahnr8@gmail.com. Mobile: 085250118907. Journal of Health Policy and Management (2019), 4(3): 150-160 https://doi.org/10.26911/thejhpm.2019.04.03.02

MHealth Development for Village Midwives to Improve the Performance of the Maternal Health Program in the Babakan Madang Sub-District, Bogor, Indonesia

Maternal mortality rate is still high in Indonesia, supported by a decrease in K1 coverage. This incident often involves pregnant women who have not received services from the village midwife. An electronic application has been developed to improve the midwives’ performance; however, since their workload is extremely high, many field activities, outreach, and mapping of pregnant women have not been well carried out. Village midwives will be equipped with an electronic application (mHealth) that will also be used by health cadres so that all pregnant women in the village can be mapped. With a better data collection mechanism for pregnant women, a map could be produced in all villages and the data could produce more accurate program objectives, such as identifying pregnant women in high-risk condition and preparing a better work plan. Moreover, maternal health performance can also be known immediately in real time by stakeholders, especially by the head of the sub-district and the public health center.

HUBUNGAN PARITAS DENGAN SIKAP IBU HAMIL TENTANG KUNJUNGAN KEHAMILAN K1 MURNI DI DESA TANAMERAH KECAMATAN SARONGGI KABUPATEN SUMENEP

Pure K1 coverage is an indicator to know the reach of ANC services to achieve the optimum degree of health especially in pregnancy examination in order to recognize early complications. In fact, there are still many pregnant women who do not do Pure K1, such as coverage of K1 Murni in Tanamerah Village Working Area of ​​UPT Puskesmas Saronggi 53% from target 87% until November. The purpose of this research is to know the relation of parity with attitude of pregnant mother about visit of Antenatal care K1 Murni.
 The research design was correlational analitic with cross sectional study approach. The population is 46 pregnant women in Tanamerah Saronggi Village from April to May 2014.Total population is 46 respondents. Variable independent is parity and variable dependent is the attitude of pregnant mother in doing visit of pregnancy of K1 Murni. Methods of collecting data in the form of questionnaires and cohorts and then analyzed by statistical test Rank Rank Wilcoxone with α = 0.05.
 Most of pregnant women had more than 1 (Multipara), 34 respondents (73,9%) and most pregnant women were negative about Pure K1 pregnancy, 33 respondents (71,7%). With significance test (p) 0.002 which means p <α.
 Based on the research results can be concluded there is a parity relationship with the attitude of pregnant women to visit pregnancy K1 Murni in Tanamerah Village Work Area UPT Puskesmas Saronggi District Saronggi Sumenep Regency.
 Pregnant women and families should increase their willingness and awareness to check their pregnancy according to ANC standard.

Analisis Pelaksanaan Program Kemitraan Bidan dan Dukun Ditinjau Dari Aspek Input, Proses dan Output di Wilayah Dinas Kesehatan Kabupaten Fakfak Provinsi Papua Barat

Number of midwives in Fakfak District in 2012 was 108 persons. Number of Traditional Birth Attendants (TBAs) was 191 persons consisted of 79 (41%) trained TBAs and 112 (59%) untrained TBAs. The TBAs had an important role in delivery process because number of them was higher than number of midwives. Therefore, coverage of delivery process helped by health workers had not achieved the target. This research aimed to analyze the implementation of the partnership program between midwives and TBAs viewed from the aspects of input, process, and output at Fakfak District Health Office. This was qualitative research with descriptive-explorative approach by conducting indepth interview. Subjects were midwives and TBAs who had been partnering. Data were analysed using a content analysis. The input aspect showed that: 1) Implementers, midwives and TBAs only knew partnership in helping delivery; 2) Specific allocation funds for the program was not available. The funds was from Operational Support for Health but it was still not sufficient; 3) Specific means for the program was not available. The current means is from health center and village polyclinic but it is still limited. Furthermore, the process aspect revealed that: 1) Program planning, midwives and TBAs collected data of pregnant women, maternal, postpartum women, and number of TBAs; 2) The implementation was not good because midwives were not available when needed by TBAs and there was difficult to access. Socialization for cross-program (community leaders and religious leaders) and internship for TBAs had not been done yet due to insufficient fund; 3) Recording and reporting especially about partnership activities had not been done yet and only used a form on a Maternal and Child Health report. Regarding the output aspect, as many as 195 (89%) from 219 TBAs had not been partnered. Coverage of K1, K4, and delivery process helped by health workers from 2011 to 2012 decreased gradually. As a suggestion, District Health Office and Health Center need to maintain partnership by recruiting midwives, providing means, allocating fund, socializing to community leaders, and funding TBAs’ daughter or grandchild to study midwifery.