scholarly journals Evaluation of HIV screening at antenatal care settings in Denpasar City

2017 ◽  
Vol 5 (1) ◽  
pp. 33
Author(s):  
Putu Cintya Denny Yuliyatni ◽  
Wayan Pujana ◽  
Citra Indriani

Background and purpose: National strategy to increase the coverage of prevention of mother to child transmission (PMTCT) program in Indonesia is integrating the service into public health centres (puskesmas). In Bali, the integration has been started since 2014. After one year of program implementation, an evaluation was conducted in order to provide input and feedback for program improvement.Methods: Secondary data analysis and indepth interview with 13 key informants in Denpasar City were conducted to assess input, process and output of the integration implementation. Results: Of the 11,719 pregnant women targeted within the program, 43% were offered to undergo HIV testing and 98% of these agreed to have HIV test with 17 were found HIV positive. Interviews with key informants found that there were adequate resources both in terms of manpower, funds and equipment. Obstacles found in the implementation include different site of ANC and HIV testing facility. The other barrier was high number of pregnant mother who conducted ANC at private obstetrician which not yet included in the program.Conclusions: Integration of PMTCT into ANC services at public health centre (PHC) is an effective way to improve the uptake of HIV screening among pregnant women. However, there is a need of effective of referral systems from private midwives and PHC satellite services. The expansion of networks into private midwives and obstetrician will be instrumental in improving performance outcomes.

Author(s):  
P. Cintya Denny Yuliyatni ◽  
W. Pujana ◽  
C. Indriani

Background and purpose: National strategy to increase the coverage of prevention of mother to child transmission (PMTCT) program in Indonesia is integrating the service into public health centres (puskesmas). In Bali, the integration has been started since 2014. After one year of program implementation, an evaluation was conducted in order to provide input and feedback for program improvement.Methods: Secondary data analysis and in depth interview with 13 key informants in Denpasar City were conducted to assess input, process and output of integration implementation.Results: Of the 11,719 pregnant women targeted within the program, 43% were offered to undergo HIV testing and 98% of these agreed to have HIV test with 17 were found HIV positive. Interviews with key informants found that there were adequate resources both in terms of manpower, funds and equipment. Obstacles found in the implementation includes different site of ANC and HIV testing facility. The other barrier was high number of pregnant mother who conducted ANC at private obstetrician which not yet included in the program.Conclusions: Integration of PMTCT into ANC services at public health centre (PHC) is an effective way to improve the uptake of HIV screening among pregnant women. However, there is a need for effective of referral systems from private midwives and PHC satellite services. The expansion of networks into private midwives and obstetrician will be instrumental in improving performance outcomes.


2017 ◽  
Vol 5 (1) ◽  
pp. 67
Author(s):  
Ketut Espana Giri ◽  
Ni Made Sri Nopiyani ◽  
Ketut Tuti Parwati Merati

Background and purpose: HIV testing among pregnant women can reduce the risk of mother to child HIV transmission. The implementation of prevention of mother to child transmission (PMTCT) program in Bangli District is suboptimal. This study aims to explore challenges and opportunities for implementing PMTCT program from both user and provider perspectives.Methods: A qualitative approach was conducted in Bangli District between April and May 2016. Data were collected using in-depth interviews with 18 informants. All informants were purposively selected and covered of 10 pregnant women, two counsellors, two laboratory analysts, two head of community health centres, one disease control officer from Bangli District Health Office and one officer from Bangli District AIDS Commission. Data were analysed using thematic method.Results: Pregnant women chose to have ANC service at private midwife and obstetrician instead of  public health centre. From health providers’ perspectives barrier of PMTCT implementation included lack of health human resources and a high level of stigma and discrimination related to HIV/AIDS in the community. This study revealed that there was an opportunity for PMTCT implementation in Bangli District due to positive attitudes and supports from husband and health provider toward HIV testing. Another opportunity is to involve village health cadres and community leaders in promoting HIV testing among pregnant women.Conclusions: Implementation of PMTCT program in health centre should include network of private practitioner and enhance village health cadres’ and community leaders’ participation.


2021 ◽  
Vol 2 (2) ◽  
pp. 69
Author(s):  
Azip Hasbi Asidik ◽  
Rokhmayanti Rokhmayanti ◽  
Sri Supraptiningsih ◽  
Yudha Puratmaja

Background: Dengue disease is found in tropical and sub-tropical climates worldwide, especially in urban and semi-urban areas. Of 70% of actual cases exist in Asia. The incidence of DHF in Indonesia during 2018 amounted to 24.73 per 100,000 inhabitants. Yogyakarta City is one of the dengue susceptible areas that receive serious attention from the health authorities. Jetis Public Health Centres is one of the PHC in Yogyakarta with high dengue incidence with one mortality. The purpose of this study was to describe the epidemiology of dengue cases based on time, place, people, observe dengue trend, and assess the larva free rate target’s achievement.Methods: This research was descriptive quantitative using secondary data obtained from Jetis Primary Health Centre's health information system, Yogyakarta. Dengue data year 2013-2016 was analysed using descriptive epidemiology (time, place, and people) to show the dengue trend. Last, the larva free rate was compared between targets and achievements.Results: In 2016, the dengue case increased from 81 to 104 in 2014 with one mortality. Out of 104 cases, 37 cases occurred in the Bumijo village, 33 cases in Cokrodiningratan village, 34 cases in Gowongan village. 85.58% of DHF cases occur at age ≥ five years, and 57.69% happen in women. The achievement of larvae free rate was 67.73% and had not reached the determined target. There was a tendency for an increase in dengue cases from May to June during the observed year.Conclusions: 2016 was the peak of dengue cases during 2013-2016. Women and people aged more-equal to five years were the most infected group. Most of the cases were found in Bumijo village. Larva's free rate in Jetis was not achieving the target. June was the peak of the case in 2016.


2018 ◽  
Vol 5 (1) ◽  
pp. 17-24
Author(s):  
Eva Putriningrum ◽  
Nurul Khasanah

The exclusive breast milk is feed baby only with the breast milk until the age of six months without any additional liquid or food. The scope of exclusive breast milk in Yogyakarta does not reach the expected rate amount 80%,  one of them was in Public Health Centre of Kota Gede I. Low rate success of exclusive breast milk feeding was affected by many factors, such as lack of information regarding breast milk and misunderstanding of information about breast milk.  This research aims to analyze the correlation between education and age, with knowledge of pregnant women at third trimester about exclusive breast milk in Public Health Centre of Kota Gede I, Yogyakarta. The design of this research used analytic survey with a Cross-Sectional design and 30 pregnant women at third trimester as samples, with the saturated sampling technique. The statistical test used Chi-Square Test. This research showed that there is a correlation between education and knowledge with p-value of 0,019 and odd ratio value of 9,33; there is a correlation between age and knowledge with p-value of 0,004 and odd ratio value of 20,0. It can be concluded that there is a correlation between education and age, with knowledge about exclusive breast milk.  Keywords: Education, Age, Knowledge, Exclusive Breast Milk ABSTRAK  ASI eksklusif merupakan pemberian ASI saja pada bayi sampai usia enam bulan tanpa tambahan cairan ataupun makanan lainnya. Cakupan ASI eksklusif di Kota Yogyakarta belum mencapai angka yang diharapkan yaitu 80%, salah satunya adalah di Puskesmas Kotagede I. Rendahnya cakupan keberhasilan pemberian ASI eksklusif dipengaruhi banyak hal, salah satunya adalah kurangnya informasi mengenai ASI atau salah dalam memahami informasi mengenai ASI. Tujuan penelitian ini adalah untuk menganalisis korelasi antara pendidikan dan umur, dengan pengetahuan ibu hamil trimester III tentang ASI eksklusif di Puskesmas Kota Gede I Yogyakarta. Desain penelitian ini menggunakan survey analitik dengan rancangan Cross Sectional, dengan sampel 30 ibu hamil Trimester III dan menggunakan teknik sampling jenuh. Uji statistik yang digunakan adalah Chi Square. Hasil penelitian menunjukkan terdapat korelasi antara pendidikan dengan pengetahuan dengan nilai p sebesar 0,019 dan nilai odd ratio sebesar 9,33, dan terdapat korelasi antara umur dengan pengetahuan dengan nilai p sebesar 0,004 dan nilai odd ratio sebesar 20,0. Dapat disimpulkan bahwa terdapat korelasi antara pendidikan dan umur, dengan pengetahuan tentang ASI eksklusif.  Kata Kunci : Pendidikan, Umur, Pengetahuan, ASI Eksklusif.


2021 ◽  
Vol 3 (3) ◽  
pp. 265
Author(s):  
Lilik Anggraini ◽  
Sunarsih Sunarsih ◽  
Baksono Winardi

Abstrak Latar Belakang : Kelas Ibu Hamil (KIH) adalah kelompok belajar ibu-ibu hamil dengan anggota maksimal 10 orang yang merupakan sarana untuk belajar bersama. Puskesmas Menur merupakan puskesmas yang terendah cakupan K4 66,93% dari target 90%. Jumlah peserta dari kelas ibu hamil sendiri 3,4%. Tujuan dari penelitian ini adalah menganalisis pengaruh partisipasi ibu dalam kelas ibu terhadap cakupan K4. Metode dan Bahan Penelitian : Jenis penelitian ini observasional analitik dengan pendekatan cross sectional. Besar sampel sebanyak 44 orang, dengan teknik pengambilan sampel accidental sampling. Variabel Independent yang diukur adalah partisipasi ibu dalam kelas ibu hamil sedangkan variabel dependent adalah cakupan K4. Pengambilan data dengan menggunakan kuisioner untuk mengukur partisipasi ibu dalam kelas ibu hamil dan cakupan K4 dengan mengobservasi dari buku KIA dan kohort. Analisis data menggunakan uji statistik Spearman Rho’ dengan α= 0,05. Hasil : Sebagian besar ibu hamil (65,9%) memiliki partisipasi baik, ibu hamil yang berpartisipasi baik sebagian besar (61,4%) cakupan K4 lengkap, dan ibu hamil yang berpartisipasi kurang sebagian kecil (13,6%) cakupan K4 tidak lengkap. Pada analisis data didapatkan p value = 0,004 (p<0,05) artinya ada pengaruh partisipasi ibu dalam kelas ibu hamil terhadap cakupan K4. koefisien korelasi 0,421 yang berada pada rentang 0,40 – 0,599 bermakna kekuatan korelasi antar variable sedang. Sedangkan angka koefisien korelasi pada hasil diatas bernilai positif,, sehingga pengaruh kedua variable tersebut bersifat positif yang kuat. Kesimpulan : ada pengaruh partisipasi ibu dalam kelas ibu hamil terhadap cakupan K4 di Puskesmas Menur Kecamatan Kota SurabayaAbstract Background: Maternal Class is a study group pregnant mothers with members a maximum of 10  to learn together. Menur Public Health Centre is the lowest completeness (K4) ANC of maternal 66,93% from target 90%. Total of participants from the maternal class just 3,4%. This research aims to analyze the influence of maternal class participant to completeness (K4) Antenatal care. Methods and Material: the research was conducted using quantitative observational analytic with cross sectional study approach.. The number of research is 44 pregnant women. The Accidental sampling method is apllied in taking the sample in this research. Data collected by quistionaire to determine participation in maternal class and completeness seen by observing MCH books and cohort. Data analyzed by Spearman Rho’statistic test at significance level α=0,05. Results: Most (65,9%) have a good participation in maternal class, most pregnant women who have good participation (61,4%) have K4 antenatal care scope completely, and a small proportional (13,6%) of pregnant women with lack participation did not have completeness (K4) Antenatal care. Data analize was obtained p value = 0,004 (p<0,05) which means there was influence of maternal class participant to completeness (K4) Antenatal care . Correlation coefficients value’s 4,21 in the range of 0,40 – 0,599 which means the strength between variables is medium. While the correlation coefficient number in results are positively strong. Conclusion : there was influence of maternal class participant to completeness (K4) Antenatal care at working area Menur Public Health Centre in Sukolilo Municipality Surabaya City.


2014 ◽  
Vol 21 (1) ◽  
pp. 20
Author(s):  
Applonia Applonia ◽  
Bambang Priyono ◽  
Niken Widyanti

Pada masa kehamilan, rongga mulut mudah mengalami peradangan karena adanya perubahan hormonal yang menyebabkan gingiva menjadi sensitif bila kesehatan mulut tidak terjaga. Penelitian ini bertujuan untuk mengetahui faktor – faktor yang mempengaruhi perilaku pemeliharaan kebersihan gigi dan mulut ibu hamil di Puskesmas Kabupaten Kupang. Penelitian observasional analitik dengan rancangan cross sectional dilakukan dengan mengambil subyek penelitian 97 ibu hamil. Variabel bebas terdiri dari pengetahuan, sikap, dan kebiasaan menginang sedangkan variabel terikat terdiri dari perilaku pemeliharaan kebersihan gigi dan mulut ibu hamil. Alat ukur penelitian ini menggunakan kuesioner yang disusun dengan metode Likert untuk mengukur variabel sikap dan perilaku pemeliharaan kebersihan gigi dan mulut ibu hamil. Kuesioner dengan dua pilihan (benar atau tidak benar) untuk mengukur variabel pengetahuan serta kuesioner pilihan ganda untuk mengukur variabel kebiasaan menginang. Kuesioner tersebut telah diuji validitas dan reliabilitas. Analisis data menggunakan uji korelasi product moment dan regresi berganda pada tingkat signifikan α< 0,05. Hasil analisis regresi berganda menunjukkan variabel pengetahuan, sikap, dan kebiasaan menginang, berkolerasi secara signifikan dengan perilaku pemeliharaan kebersihan gigi dan mulut (F = 21,890, p= 0,000). Ketiga variabel tersebut secara bersama – sama memberikan kontribusi sebesar 41,6%. Pengetahuan memberikan pengaruh paling besar terhadap perilaku pemeliharaan kebersihan gigi dan mulut. Semakin baik pengetahuan dan sikap terhadap pemeliharaan kebersihan gigi dan mulut, dan semakin kurang frekuensi menginang, semakin baik frekuensi kebersihan gigi dan mulut ibu hamil.Factors Affecting Oral And Dental Hygiene Maintaining Behaviour Of The Pregnant Women In Public Health Centre Of Kupang Regency. During pregnancy, woman’s oral cavity becomes inflamed easily due to hormonal changes so that gingiva becomes sensitive if the oral hygiene is not well maintained. The purpose of this study is to examine factors that influence the oral and dental hygiene maintaining behavior of pregnant women at Public Health Centre of Kupang Regency. An observational analytical study with cross sectional design was conducted on 97 pregnant women as the subject research. Independent variables were knowledge, attitude and betel chewing habit, and dependant variables were oral and dental hygiene maintaining behavior of pregnant women. Variables of attitude, oral and dental hygiene maintaining behavior of the pregnant women was assed using questionnaire with Likert Scale method. Questionnaire with two options (true and false) was used to measure knowledge variable, and multiple choice questionnaires were used to measure betel chewing habitvariable. Questionnaire was tested its validity and reliability. The data were analyzed using the multiple regression analysis at the significant rate α< 0,05. The result of multiple regression analysis showed that knowledge, attitude and betel chewing habit correlated very significantly on oral and dental hygiene maintaining behavior (F = 22.052, p = 0.000.), and those three variables gave collectively contributionof 41.6% on oral and dental hygiene maintaining behavior, while betel chewing habit correlated negatively on oral and dental hygiene maintaining behavior. Knowledge variable gave the greatest contribution on the oral and dental hygiene maintaining behavior. The better knowledge and attitude on oral and dental hygiene maintaining behavior and the less frequent betel chewing habit were, the better the oral and dental hygiene maintaining behavior will be.


2020 ◽  
Vol 5 (1) ◽  
pp. 46
Author(s):  
Hamidatul Yuni ◽  
Melia Andika

<p><em>Women are a population prone to contracting and transmitting, the number of women suffering from HIV as much as 36.4%. In 2017 as many as 73 new cases of HIV positive women in the city of Padang, almost half were women of reproductive age, including 2 cases of HIV positive pregnant women. Integrated antenal service for pregnant women, one of which is by carrying out laboratory tests of HIV testing that are required for all pregnant women. Padang City has 20 HIV counseling and testing services and 18 of them are Public Health Care. The purpose of this study was to determine of HIV test behavior in pregnant women viewed from the level of knowledge, patients' perceptions of HIV, social and psychological support of patients. Research with a quantitative approach with cross sectional design, conducted in several Padang city health centers with the lowest coverage of HIV testing in pregnant women in the city of Padang. The sample of the study was 100 pregnant women who visited the Public Health Care in May 2019. The research instrument by the questionnaire method. Data analysis used univariate, bivariate and multivariate. The results showed there was social support is the most dominant variable influencing HIV testing in pregnant women.</em></p><p><em><br /></em></p><p><em>Perempuan merupakan populasi rawan tertular dan menularkan, </em><em>j</em><em>umlah perempuan yang menderita HIV sebanyak</em><em> 36,4</em><em>% . </em><em>Tahun 2017 sebanyak 73 kasus baru wanita positif HIV di Kota Padang, hampir separoh merupakan wanita usia reproduksi, diantaranya 2 kasus ibu hamil positif HIV. </em><em>Layanan antenal terpadu pada ibu hamil salah satunya dengan melaksanakan pemeriksaan laboratorium tes HIV</em><em> yang </em><em>diwajibkan bagi seluruh Ibu hamil. </em><em>Kota Padang memiliki layanan konseling dan tes HIV sebanyak 20 dan 18 diantaranya adalah puskesmas</em><em>. </em><em>Tujuan penelitian ini Untuk mengetahui determinan perilaku tes HIV pada Ibu hamil di</em><em>lihat dari tingkat pengetahuan, persepsi pasien terhadap HIV, dukungan sosial dan psikologis pasien</em><em>.</em><em> </em><em>Penelitian</em><em> </em><em>dengan</em><em> </em><em>p</em><em>e</em><em>ndekatan kuantitatif </em><em>dengan desain </em><em>cross sectional, yang dilakukan di beberapa puskesmas kota Padang dengan cakupan pemeriksaan HIV terendah pada Ibu hamil  di Kota Padang. Sampel penelitian adalah Ibu hamil yang berkunjung ke puskesmas pada bulan Mei 2019 sebanyak 100 orang. Instrumen penelitian dikumpulkan dengan metode angket. Analisis data menggunakan univariat, bivariat dan multivariat. Hasil penelitian menunjukkan Dukungan sosial merupakan variabel yang paling dominan mempengaruhi pemeriksaan HIV pada Ibu hamil.</em></p>


Author(s):  
K. Espana Giri ◽  
N.M. Sri Nopiyani ◽  
Tuti Parwati Merati

Background and purpose: HIV testing among pregnant women can reduce the risk of mother to child HIV transmission. The implementation of prevention from mother to child transmission (PMTCT) program in Bangli District is suboptimal. This study aims to explore challenges and opportunities for implementing PMTCT program from both user and provider perspectives.Methods: A qualitative approach was conducted in Bangli District between April and May 2016. Data were collected using in-depth interviews with 18 informants. All informants were purposively selected and covered of 10 pregnant women, two counsellors, two laboratory analysts, two head of community health centres, one disease control officer from Bangli District Health Office and one officer from Bangli District AIDS Commission. Data were analysed using thematic method.Results: Pregnant women choosed to have ANC service at private midwife and obstetrician instead of public health centre. From health providers’ perspectives barrier of PMTCT implementation included lack of health human resources and a high level of stigma and discrimination related to HIV/AIDS in the community. This study revealed that there was an opportunity for PMTCT implementation in Bangli District due to positive attitudes and supports from husband and health provider toward HIV testing. Another opportunity is to involve village health cadres and community leaders in promoting HIV testing among pregnant women.Conclusions: Implementation of PMTCT program in health centre should includes network of private practitioner and enhance village health cadres and community leaders’ participation.


2019 ◽  
Vol 14 (5) ◽  
pp. 217-220
Author(s):  
Nur Rakhmah ◽  
Hedar Akib ◽  
Jasruddin . ◽  
A. Armyn Nurdin

2019 ◽  
Vol 4 (2) ◽  
pp. 235
Author(s):  
Dian Sari

<p><em>Pulmonary Tuberculosis is one of the infectious diseases that become the main problem of Indonesian society. Based on a survey conducted at Andalas Public Health Centre obtained PMO (supervisor taking medicine) TB Lungless provide support to the patient of Pulmonary TB.. This study aims to determine the relationship of knowledge and attitude with the support of family as the PMO of Pulmonary TB patients. The study was conducted at the Andalas Public Health Centre Padang in 2017. The type of descriptive analytic research using a cross-sectional approach with a sample of 59 people taken from a population of 145 people PMO using simple random sampling systematic techniques. The results showed that 27.1% of PMO was not good at providing support, 32.2% knowledge was low, and 37.3% had a negative attitude. Chi-square test concluded that there is a significant correlation between knowledge (p = 0,036), and attitude (p = 0,000), with family support as PMO in Public health centre working area Andalas Padang of the year 2017. The result of this research can be used as a reference in improving TB program Lung so it can reduce the incidence of Pulmonary TB in Public health centre working area Andalas Padang.</em><em></em></p><p> </p><p><em>Tuberkulosis Paru merupakan salah satu penyakit menular yang menjadi masalah utama masyarakat Indonesia. Berdasarkan survei yang dilakukan di Puskesmas Andalas Kota Padang didapatkan sebahagian PMO (pengawas minum obat) TB Paru kurang memberikan dukungan kepada penderita TB Paru. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan sikap dengan dukungan keluarga sebagai PMO penderita TB Paru.Penelitian dilakukan di Wilayah Kerja Puskesmas Andalas Padang Tahun 2017. Jenis penelitian deskriptif analitik dengan menggunakan pendekatan cross sectionaldengan sampel sebanyak 59 orang yang diambil dari populasi 145 orang PMO menggunakan teknik sistematik simple random sampling. Hasil penelitian menunjukkan 27,1% PMO kurang baik dalam memberikan dukungan, 32,2% pengetahuan rendah, dan 37,3% mempunyai sikap negatif. Uji chi-square disimpulkan bahwa terdapat hubungan yang signifikan antara pengetahuan (p= 0,036), dan sikap (p=0,000), dengan dukungan keluarga sebagai PMO di Wilayah kerja Puskesmas Andalas Padang Tahun 2017. Hasil penelitian ini dapat dijadikan referensi dalam meningkatkan program TB Paru sehingga dapat menurunkan angka kejadian TB Paru di Wilayah Kerja Puskesmas Andalas Padang</em></p>


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