Kepatuhan antenatal care dan pemilihan penolong persalinan di Natuna

https://doi.org/10.22146/bkm.7239

Sri Juana(1*), Detty Siti Nurdiati(2), Atik Triratnawati(3)

(1) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi, Fakultas Kedokteran, Universitas Gadjah Mada
(2) Departemen Obsgyn dan Obstetri, Fakultas Kedokteran, Universitas Gadjah Mada
(3) Departemen Antropologi, Fakultas Ilmu Budaya, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Compliance of antenatal care and election of birth helpers in Natuna

Purpose

This study aimed to determine the association of ANC (Antenatal care) compliance with birth attendant choice in Natuna.

Methods

This study used a cross-sectional method. The subjects of the research were mothers in Natuna regency 2014. The variables were: independent variable (ANC compliance), the dependent variable (the birth attendant choice), and the control variables (age, maternal education, distance to the health facilities, parity). Data collection used questionnaires and interviews. The data analysis used descriptive and inferential analysis. The bivariable analysis used the chi-square test and multivariable analysis used logistic regression test with 95% of confidence interval (CI) and a significance level of p <0.05.

Results

Bivariable and multivariable analysis showed significant correlations between ANC compliance with birth attendant choice. Pregnant women who did not comply doing ANC according to the standard that has been set at least four times had a chance two times more likely to give birth with the traditional birth attendant (TBA) than the pregnant women who complied to implement the ANC during pregnancy. Mothers with low education had a chance two times greater of choosing the TBA as birth attendant than women who are highly educated. Mothers with parity of >2 had a chance 1.9 times greater of choosing the TBA as birth attendant than women with parity ≤2.

Conclusions

There needs to be a control program from the health department working with community health workers to socialize awareness of the importance of the ANC. There needs to be the addition of TBA who are trained and partnered especially in remote areas because it cannot be denied there are still many people who choose TBA as a birth helper. 


Keywords


compliance; ANC; birth helpers



References

  1. Departemen Kesehatan RI. Kebijakan Kementrian Kesehatan Dalam Akselerasi Penurunan Angka Kematian Ibu. Jakarta; 2011.
  2. Murray CJL, Laakso T, Shibuya K, Hill K, Lopez AD. Can we achieve Millennium Development Goal 4? New analysis of country trends and forecasts of under-5 mortality to 2015. Lancet (London, England). UNICEF, New York; 2007 Sep 22;370(9592):1040–54.
  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. Prawirohardjo S. Ilmu Kebidanan. Jakarta: PT. Bina Pustaka Sarwono Prawirohardjo; 2010.
  5. Kementerian Kesehatan. Pedoman Pelayanan Antenatal Terpadu. Jakarta; 2012.
  6. Dinkes Kabupaten Natuna. Profil Dinas Kesehatan Kabupaten Natuna. Natuna; 2013.
  7. Jekti RP, Mutiatikum D. Hubungan Antara Kepatuhan Ante Natal Care Dengan Pemilihan Penolong Persalinan. J Kesehat Reproduksi. 2011;1.
  8. Besral. Pengaruh Pemeriksaan Kehamilan Terhadap Pemilihan Penolong Persalinan. Kesmas Natl Public Heal J. 2006 Oct 1;1(2):88.
  9. Pandey S, Lama G, Lee H. Effect of women?s empowerment on their utilization of health services: A case of Nepal. Int Soc Work. SAGE PublicationsSage UK: London, England; 2012 Jul 18;55(4):554–73.
  10. Gabrysch S, Campbell OM. Still too far to walk: Literature review of the determinants of delivery service use. BMC Pregnancy Childbirth. BioMed Central; 2009 Jan 2;9(34).
  11. Titaley CR, Hunter CL, Heywood P, Dibley Michael J. Why don’t some women attend antenatal and postnatal care services?: a qualitative study of community members’ perspectives in Garut, Sukabumi and Ciamis districts of West Java Province, Indonesia. BMC Pregnancy Childbirth. BioMed Central; 2010 Oct 12;10(61).
  12. Pell C, Meñaca A, Were F, Afrah NA, Chatio S, Manda-Taylor L, et al. Factors Affecting Antenatal Care Attendance: Results from Qualitative Studies in Ghana, Kenya and Malawi. Moormann AM, editor. PLoS One. Public Library of Science; 2013 Jan 15;8(1).
  13. Agus Y, Horiuchi S. Factors influencing the use of antenatal care in rural West Sumatra, Indonesia. BMC Pregnancy Childbirth. BioMed Central; 2012 Feb 21;12(9).
  14. Eryando T. Alasan pemeriksaan kehamilan dan pemilihan penolong persalinan. J Univ Airlangga [Internet]. Available from: http://journal.unair.ac.id/download-fullpapers-8.Tris Eryando.pdf
  15. Masita HN, Puspita E. Pemilihan Penolong Persalinan. Journal Health Quality. Jurusan Kebidanan Poltekkes Kemenkes I. Jakarta. 2014;5(1):1-66.
  16. Yenita S. Faktor Determinan Pemilihan Tenaga Penolong Persalinan di Wilayah Kerja Puskesmas Desa Baru Kabupaten Pasaman Barat Tahun 2011. Universitas Andalas; 2010.
  17. Asundep NN, Carson AP, Turpin CA, Tameru B, Agidi AT, Zhang K, et al. Determinants of access to antenatal care and birth outcomes in Kumasi, Ghana. J Epidemiol Glob Health. 2013 Dec;3(4):279–88.
  18. Pongsibidang, Sura G, Zulkifli A, Ansariadi. Faktor yang berhubungan dengan keteraturan kunjungan antenatal di wilayah kerja Puskesmas Kapala Pitu Kabupaten Toraja Utara. 2008 Mar.
  19. Sohag A, Memon S, Bhatti M, Azeem MA. Factors affecting utilization of antenatal care: The opinion of pregnant women. Pak J Physiol. 2013;9(1).



DOI: https://doi.org/10.22146/bkm.7239

Article Metrics

Abstract views : 1704 | views : 2477

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2016 Berita Kedokteran Masyarakat



Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).

Indexed by:

 

Web Analytics Visitor Counter