Penerapan Model Antenatal Care (ANC) Model WHO 2016 Di Kabupaten Poso Dan Parigi Mautong Provinsi Sulawesi Tengah | lisnawati | Jurnal Kesehatan Prima

Penerapan Model Antenatal Care (ANC) Model WHO 2016 Di Kabupaten Poso Dan Parigi Mautong Provinsi Sulawesi Tengah

Lisnawati - lisnawati(1*), Gusman - Arsyad(2), Fahmi - Hafid(3), Zainul - zainul(4)
(1) Poltekkes Kemenkes Palu
(2) Poltekkes Kemenkes Palu
(3) Poltekkes Kemenkes Palu
(4) Poltekkes Kemenkes Palu
(*) Corresponding Author
DOI : 10.32807/jkp.v13i2.237

Abstract

Antenatal Care (ANC) adalah perawatan oleh profesional kesehatan kepada wanita hamil untuk memastikan kondisi kesehatan terbaik bagi ibu dan bayi selama kehamilan. Belum diterapkannya model ANC WHO 2016 dan bagaimana manfaatnya terhadap pencegahan kematian ibu hamil mendasari penelitian ini dilaksanakan. Desain penelitian prospektif rancangan case control dilaksanakan 12 Juli-26 Nopember 2018, Populasi adalah ibu hamil di Kabupaten Poso dan Parigi Moutong. Sampel sebanyak 36 orang, yang terdiri dari 18 ibu ANC biasa dan 18 Model ANC WHO 2016. Metode simple random sampling, Wawancara dengan kuesioner, Informasi sekunder dari Buku KIA dan audit kematian maternal. Hasil penelitian menunjukkan ANC WHO 2016 lebih dapat diterima oleh ibu hamil yang memiliki umur 25-35 (p-value=0,034). Pengukuran berat dan tinggi badan (p-value=0,003), pengukuran tekanan darah (p-value=0,003), pengukuran lingkar lengan atas (p-value=0,026), pengukuran tinggi puncak rahim (p-value=0,016), asupan Tablet Fe minimal 90 tablet selama kehamilan (p-value=0,003), penentuan letak janin dan denyut jantung janin (p-value=0,003) dan tatalaksana kasus (p-value=0,007). Indikator penting dalam mencegah faktor risiko kematian ibu hamil di Sulawesi Tengah adalah kontak ≥8 kali dan Hb ≥10gr% (p-Value=0,035). Kesimpulan; ANC WHO 2016 lebih dapat diterima oleh ibu hamil yang memiliki umur 25-35 dengan kegiatan sesuai hasil penelitian. Diharapkan agar penelitian ini dapat menjadi pilihan percepatan penurunan angka kematian ibu secara terpadu (Gertak Penkina Menuju Sulteng Akino) agar kepercayaan publik masyarakat tentang pentingnya ANC meningkat

Keywords


WHO 2016 Model; Antenatal Care

References


Abegaz, K. H. (2018). Exploring trend and barriers of antenatal care utilization using data mining: evidence from EDHS of 2000 to 2016. Cold Spring Harbor: Cold Spring Harbor Laboratory Press. Ethiopia. https://doi.org/doi:http://e-resources.perpusnas.go.id:2130/10.1101/351858

Alkema, L., Chou, D., Hogan, D., Zhang, S., AB, M., Gemmill, A., … Temmerman, M. (2016). National, regional, global levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the. The Lancet, 387(10017), 462–474. https://doi.org/10.1016/S0140-6736(15)00838-7.National

Asiah, M., Haya, N., Pakasi, T. A., Bahar, N. A., & Basuki, B. (2014). Antenatal care practice and the chance of having nurse / midwife birth attendant : a study in Central Mountain of Papua. Health Science Journal of Indonesia, 5(2), 60–66. Retrieved from http://ejournal.litbang.depkes.go.id/index.php/HSJI/article/view/3591

Carroli, G., Rooney, C., Viila, J., & Villar, J. (2001). How effective is antenatal care in preventing maternal mortality and serious morbidity? An overview of the evidence. Paediatric and Perinatal Epidemiology, 15(SUPPL 1.), 1–42. https://doi.org/10.1046/j.1365-3016.2001.00001.x

Dinas Kesehatan Prop. Sulawesi Tengah, & Dinkes Provinsi Sulteng. (2015). Profil Kesehatan Provinsi Sulawesi Tengah Tahun 2015. Palu.

Guspianto. (2012). Determinants of Village Midwives Compliance towards Antenatal Care. Jurnal Kesehatan Masyarakat Nasional, 7(2), 69–75. Retrieved from http://download.portalgaruda.org/article.php?article=269718&val=7113&title=Determinan Kepatuhan Bidan di Desa terhadap Standar Antenatal Care

Haddrill, R., Jones, G. L., Mitchell, C. A., & Anumba, D. O. C. (2014). Understanding delayed access to antenatal care : a qualitative interview study, 14(1), 1–14. https://doi.org/10.1186/1471-2393-14-207

Id, J. E. A. (2018). A reassessment of global antenatal care coverage for improving maternal health using sub-Saharan Africa as a case study, 1–17.

Islam, M. M., Shahed, M., & Id, M. (2018). Determinants of frequency and contents of antenatal care visits in Bangladesh : Assessing the extent of compliance with the WHO recommendations, 1–23. https://doi.org/10.1371/journal.pone.0204752

Malouf, R., & Redshaw, M. (2017). Specialist antenatal clinics for women at high risk of preterm birth : a systematic review of qualitative and quantitative. BMC Pregnancy and Childbirth, 17(51), 1–17. https://doi.org/10.1186/s12884-017-1232-9

Noh, J., Kim, Y., Lee, L. J., Akram, N., Shahid, F., Id, D. K., & Stekelenburg, J. (2019). Factors associated with the use of antenatal care in Sindh province , Pakistan : A population- based study, 1–12. https://doi.org/10.1371/journal.pone.0213987

Oyerinde, K. (2013). Community Medicine & Health Education Can Antenatal Care Result in Significant Maternal Mortality Reduction in Developing Countries ? Community Medical Health Education, 3(2), 2–3. https://doi.org/10.4172/2161-0711.1000e116

Patience, N. T. S., Sibiya, M. N., & Gwele, N. S. (2016). Evidence of application of the Basic Antenatal Care principles of good care and guidelines in pregnant women ’ s antenatal care records. African Journal of Primary Health Care & Family Medicine, 8(2), 1–6.

Siddique, A. B., Perkins, J., Mazumder, T., Rifat, M., Id, H., & Id, E. R. (2018). Antenatal care in rural Bangladesh : Gaps in adequate coverage and content, 1–21. https://doi.org/10.1371/journal.pone.0205149

Tejayanti, T., Bisara, D., & Pangaribuan, L. (2015). Penyebab kematian maternal di Kabupaten Malang Provinsi Jawa Timur tahun 2010. Jurnal Kesehatan Reproduksi, 6(1), 1–9. https://doi.org/10.22435/kespro.v6i1.4758.57-65

WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. Geneva, Switzerland. Retrieved from http://apps.who.int/iris/bitstream/10665/250796/1/9789241549912-eng.pdf?ua=1

Zahtamal, Restuastuti, T., & Chandra, F. (2011). Analisis Faktor Determinan Permasalahan Pelayanan Kesehatan Ibu dan Anak. Jurnal Kesehatan Masyarakat Nasional, 6(1), 9–16. https://doi.org/10.21109/kesmas.v6i1.113


Article Statistic

Abstract view : 1188 times
PDF views : 634 times

Dimensions Metrics

How To Cite This :

Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 Jurnal Kesehatan Prima

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