ANALISIS PELAKSANAAN PELAYANAN ANC TERPADU DI PUSKESMAS TEMBILAHAN HULU

implementation of ante natal care 10 standards and obstacles in their implementation

  • sandra harianis Akademi Kebidanan Husada Gemilang
  • Mia Rita Sari
  • Dewi Erlina Asrita Sari
  • Madinah Madinah

Abstract

Abstract 

The health of pregnant women is still a national health problem. Ante Natal Care (ANC) services integrated with 10 standards can improve maternal and fetal health. However, in recent years complications of pregnancy and childbirth have increased which should be identified early with the right ANC.

This study aims to explore the implementation of ANC 10 standards and obstacles in their implementation. This study uses a qualitative design with a phenomenological approach. The study began with qualitative data collection through focus group discussion (FGD) and in-depth interviews and quantitative data collection through filling out questionnaires in October-November 2018 in the working area of ​​the Upper Tembilahan Health Center. The sample of this study was all midwives at the Tembilahan Hulu health center and pregnant women were randomly taken as many as 138 people.

The findings of this study note 35 out of 138 (25.4%) pregnant women received standard ANC 10 services in full. Weigh BB and measure TB (86.23%), measure blood pressure (100%), nutritional status (88.41%), measure TFU (85.51%), value of fetal presentation (81.88%), srining T (81.16%), Fe tablets (71.01%), labor checks (81.88%), case management (82.61%), and speech meetings (69.57%). The obstacle of midwives is inadequate facilities and infrastructure and the weak skills of midwives in implementing standards.

The need for monitoring and evaluation of KIA program holders and guidance and training for integrated ANC servants for all midwives

References

Arman, Niken (2016) ‘Analisis Pelaksanaan Program Antenatal Terpadu di Puskesmas Bandarharjo Kota Semarang’, Skripsi, Jurusan Ilmu Kesehatan Masyarakat: Fakultas Ilmu Keolahragaan Universitas Negeri Semarang

Azwar A (2008) 'Pengantar Administrasi Kesehatan Masyarakat', Semarang: Universitas Diponegoro

Dinkes Inhil (2017) ‘Profil Kesehatan Kabupatem Imdragiri Hilir tahun 2016’ Tembilahan: Dinas Kesehatan Kabupaten Indragiri Hilir

__________ (2018) ‘Profil Kesehatan Kabupatem Imdragiri Hilir tahun 2017’ Tembilahan: Dinas Kesehatan Kabupaten Indragiri Hilir

Kemenkes (2015) ‘Peraturan Menteri Kesehatan Republik Indonesia nomor 97 tahun 2014 tentang pelayanan kesehatan masa sebelum hamil, masa hamil, persalinan, dan masa sesudah melahirkan, penyelenggaraan pelayanan kontrasepsi, serta pelayanan kesehatan seksual’, Jakarta: Kemeterian Kesehatan Republik Indonesia

__________ (2016) ‘Rencana Strategis Program Direktorat Jenderal Bina Gizi dan KIA tahun 2015-2019’, Jakarta: Direktorat Bina Gizi dan KIA, Kementerian Kesehatan Republik Indonesia

__________ (2016) ‘Peraturan Menteri Kesehatan Republik Indonesia nomor 43 tahun 2016 tentang Standar Pelayanan Minima, Bidang Kesehatan’

__________(2017) ‘ Rencana Kerja Tahunan (RKT) tahun 2017)’, Direktorat Kesehatan Keluarga: Kementerian Kesehatan Republik Indonesia

Sugiono (2008) ‘Metode Penelitian Kuantitatif, Kualitatif dan R&D’, Bandung: Alfabet

Satrianegara F, Saleha S (2009) ‘Organisasi dan Manajemen Pelayanan Kesehatan Serta Kebidanan’ Jakarta: Penerbit Salemba Medika

WHO (2016) ‘WHO Recommendation on Antenatal care for positive pregnancy experience’, WHO Recommendation on Antenatal care for positive pregnancy experience, p. 152. doi: ISBN 978 92 4 154991 2.
Published
29-12-2019