scholarly journals Utilization of HIV Voluntary Counseling and Testing (VCT) Services for Pregnant Women in the Working Area of ​​Langsat Health Center Pekanbaru in 2018

2019 ◽  
Vol 9 (2) ◽  
pp. 48-59
Author(s):  
Ifni Wilda

For more than 20 years VCT services have been provided, global coverage of PLWHA who use VCT services is still low. UNAIDS reports that 80% of people living with HIV in the world do not know that they are infected with HIV because they have not used VCT services to check their health status related to HIV. VCT is voluntary HIV testing and counseling which is the entry point to help everyone get access to all HIV services. Langsat Health Center is a health center with the percentage of pregnant women utilizing the lowest VCT service, which is 21.6%. The purpose of this study was to determine the factors related to the use of HIV Voluntary Counseling and Testing Services in Pregnant Women in the Work Area of ​​Langsat Pekanbaru Public Health Center in 2018. The research method was quantitative observational analytic with cross sectional studies. Study population numbered 571 pregnant women with a sample of 180 mothers. Data analysis was carried out by univariate, bivariate with chi square test, and multivariate by multiple logistic regression test. Based on the results of multivariate analysis, the variables most related to VCT Service Utilization in pregnant women in the Langsat Health Center Work Area in 2018 are variables of Husband / Family Support (POR: 2,002) and support from Health Workers (POR: 2,571). Conclusion The mother who received husband / family support 2 times using VCT services, the mother who received the support of health workers 2.5 times made use of VCT services. Expected to health workers to increase the socialization of VCT programs, especially to pregnant women who are at risk, husbands / families through mass media, print and electronic and improve screening by conducting VCT for all pregnant women who come to ANC to health facilities

2018 ◽  
Vol 1 (2) ◽  
pp. 81-86
Author(s):  
Elfa Rahmawati Fitri ◽  
Herlin Fitriana Kurniawati

HIV/AIDS cases in Indonesia are still high including the infection from mothers to the babies. Infection cases from mothers to babies in Yogyakarta Special Province is also found on babies. The preliminary study also obtained the result that in 2015 not all of the pregnant women who were willing to have VCT (Voluntary Counseling and Testing) in Sleman Regency working area. The data of VCT  in Prambanan Primary Health Center also shows that the prevalence rate of VCT check as a preventive effort was still low. The research is aimed at investigating the correlation between midwife’s support and VCT on pregnant women in Prambanan Primary Health Center in 2016. The study employed observational analytic with a cross-sectional approach. The population of the study was all mothers who did pregnancy examination and got counseling VCT service. The samples used accidental sampling technique. Data analysis used chi-square with the trustworthy rate 95%. The result of the study showed that there was no correlation between midwife and VCT on pregnant women. It can happen because of the midwife as a professional attendant could not attend the pregnant women full time. It can be concluded that there was no correlation between midwife’s support and VCT on pregnant women in Prambanan Primary Health Center in 2016. It is expected that midwives can identify the problem in VCT on pregnant women by giving emotional and respect support to the patients as well as the families.


Author(s):  
Fatmini Fatmini ◽  
Heru Santoso ◽  
Kesaktian Manurung ◽  
Rosdiana Rosdiana

Anemia is still a problem in the world, especially in developing countries. This condition can have a detrimental impact on every age group including pregnant women. In pregnant women, anemia can cause complications for the mother and the baby she is carrying, such as life-threatening bleeding, miscarriage, low birth weight and premature birth. The purpose of this study was to determine the relationship between parity, anemia, ANC visits, nutritional status and the role of health workers with the consumption of blood-added tablets in post-partum mothers in the work area of the Mutiara Barat Health Center in 2019. This type of research is a correlation analytic study with cross-sectional method. The population in this study were all pregnant women in the third trimester who were recorded at the Mutiara Barat Health Center in January 2019 as many as 139 people and the sample was the total population of 139 respondents. Data were analyzed using the chi square statistical test which includes univariate, bivariate and multivariate analysis. The results obtained: there is a relationship between parity (p = 0.000), anemia (p = 0.016), ANC visits (p = 0.015), nutritional status (p = 0.021) and the role of officers (p = 0.000) with the consumption of tablets with blood added at postpartum mother. The dominant factor related to the consumption of blood-added tablets is the role of the officer. From the research results obtained, it is hoped that the Puskesmas can increase the knowledge of mothers about blood supplemented tablets through counseling so that it can influence the attitude of pregnant women to consume blood supplemented tablets. Keywords: ANC visit; anemia; consumption of blood added tablets; nutritional status; parity; role of officers ABSTRAKAnemia masih menjadi permasalahan di dunia terutama di negara-negara berkembang. Kondisi ini dapat memberikan dampak merugikan di setiap kelompok umur termasuk ibu hamil. Pada ibu hamil, kejadian anemia dapat menyebabkan penyulit pada ibu maupun bayi yang dikandungnya seperti perdarahan yang mengancam jiwa, keguguran, berat badan bayi lahir rendah dan kelahiran prematur. Tujuan dari penelitian ini adalah untuk mengetahui hubungan faktor paritas, anemia, kunjugan ANC, status gizi dan peran petugas kesehatan dengankonsumsi tablet tambah darah pada ibu nifas di wilayah kerja Puskesmas Mutiara Barat tahun 2019. Jenis penelitian ini adalah penelitian analitik korelasi dengan metode cross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester III yang terdata di Puskesmas Mutiara Barat pada bulan Januari 2019 sebanyak 139 orang dan sampel merupakan total populasi yaitu 139 responden. Data dianalisis menggunakan uji statistik chi square yang meliputi analisis univariat, bivariat dan multivariat. Hasil penelitian diperoleh: ada hubungan antara paritas (p=0,000), anemia (p=0,016), kunjungan ANC (p=0,015), status gizi (p=0,021) dan peran petugas(p=0,000) dengan konsumsi tablet tambah darah pada ibu nifas. Faktor yang dominan berhubungan dengan konsumsi tablet tambah darah adalah peran petugas. Dari hasil penelitian yang diperoleh diharapkan Puskesmas dapat meningkatkan pengetahuan ibu tentang tablet tambah darah melalui penyuluhan sehingga dapat mempengaruhi sikap para ibu hamil untuk berperilaku mengkonsumsi tablet tambah darah. 


NSC Nursing ◽  
2021 ◽  
pp. 20-33
Author(s):  
Lia Artika Sari ◽  
Yuli Suryanti ◽  
Enny Susilawati

Introduction: The low number of deliveries assisted by midwives or health workers is an indicator of the low utilization of health facilities by mothers in labor. This study analyzes the factors related to the utilization of childbirth in health facilities in the Sungai Lokan Community Health Center Work Area, Tanjung Jabung Timur Regency. Materials and Methods: This research is an analytic observational using a cross-sectional approach involving 74 participants. The research was conducted from January to July 2019 in the Sungai Lokan Health Center Work Area, Tanjung Jabung Timur Regency. Results: The results showed that the factor of the utilization of childbirth in health facilities was related to family culture (p = 0.0001) and family support (p = 0.003), while the service access factor was not related (p = 0.364). Conclusion: The role of health workers in socializing the importance of utilizing health facilities as a place of delivery is significant in reducing maternal mortality Keywords: Health Facilities; Family Culture; Family Support; Access To Services


2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Madinah Munawaroh ◽  
Pinna PN Situmorang

Introduction: Anemia is one of the most common nutritional disorders during pregnancy, this anemia can be achieved with iron supplementation. Pregnant women who suffer from severe anemia can increase the risk of maternal and infant morbidity and mortality, the possibility of giving birth to babies with low birth weight. Objectives: The purpose of the study was to determine the relationship between health promotion, the role of health workers, and family support with the prevention of anemia in pregnant women in the working area of ​​the Bondongan Health Center, Bogor City in 2019. Method: This type of research, quantitative and analytical descriptive approach using the cross-sectional method. The study population was all pregnant women as many as 128 people and a sample of 56 respondents. The sampling technique is purposive sampling. The measuring instrument uses a questionnaire. Data analysis using chi-square with 0.05. Result: The results showed that the prevention of anemia in pregnant women was in the poor category (57%), the role of health workers was not good (55%), health promotion was not good (63%), low family support (54%) in preventing anemia in pregnant women working area of ​​Bondongan Health Center, Bogor City in 2019. Conclution: There is a significant relationship between the role of health workers (P-value 0.04), Health Promotion (P-value 0.012), and Family Support (P-value 0.02) on the prevention of anemia in pregnant mothers.


2017 ◽  
Vol 5 (3) ◽  
pp. 325
Author(s):  
Diah Triratnasari

Tetanus problems are still the cause of neonatal death in Indonesia. Maternal and Neonatal Tetanus Elimination Program is a program to improve maternal and child health and evenly to be free from Tetanus disease by Immunization of Tetanus Diphtheria during pregnancy, its aims to build immunity in the mother and baby to avoid Tetanus infection. Tetanus Neonatorum case in 2014 in Indonesia amounted to 54 cases with the non-immunization status of Tetanus Diphtheria. The number of pregnant women targeted by Tetanus Diphtheria immunization in the work area of Burneh Sub-District Health Center of Bangkalan District is 1073 pregnant women in 2016, but it just covered 585 pregnant women. This research was conducted with a cross sectional design with the number of samples taken by 93 mothers who became the target of Tetanus Diphtheria Immunization and had given birth in 2016 by using simple random sampling. The purpose of this study was to analyze factors related to the participation of pregnant women in the implementation of Tetanus Diphtheria immunization in the work area of Burneh Sub-District Health Center 2016. The results of this study indicate that the age of the respondents is mostly aged 20 years to 30 years, with the number of children owned by respondents mostly amounted to 1. Lower knowledge possessed by respondents about tetanus disease and Tetanus Diphtheria immunization, so that health workers and family roles have an important role to encourage respondents to have awareness to immunize Tetanus Diphtheria during pregnancy.Keywords: husband support, Tetanus Diphtheria Immunization, knowledge, officer attitude


2021 ◽  
Vol 1 (2) ◽  
pp. 192-214
Author(s):  
Nurhayati Nur ◽  
Risa Amalia ◽  
Alhidayati Alhidayati

Based on data from the Pekanbaru City Health Office in 2019, the number of pregnant women was 170,366 people, of which 21 Pekanbaru City Puskesmas who had implemented classes for pregnant women were 92.41%. Data from the Pekanbaru City Health Office from 3 Puskesmas with the lowest in the implementation of the class of pregnant women that have not been going well are at Langsat Puskesmas, namely 7.7% with 3 classes of pregnant women. This study aims to determine the determinants of pregnant women behavior in following classes of pregnant women in the Langsat Pekanbaru Public Health Center in 2020. This type of research is quantitative with a cross sectional design. The study population was all pregnant women in the Langsat Pekanbaru Health Center with a total of 580 people and the research sample was 86 people. The sampling technique was purposive sampling. Data analysis was performed univariate and bivariate with the chi-square test (? = 0.05). The results of the bivariate analysis showed that there was a significant relationship between perception (? = 0.017 ?? = 0.05), education (? = 0.018 ?? = 0.05), knowledge (? = 0.024 ?? = 0.05), attitude ( ? = 0.006 ?? = 0.05), parity (? = 0.030 ?? = 0.05), information media (? = 0.012 ?? = 0.05), family support (? = 0.012 ?? = 0.05) ), and the role of health workers (? = 0.002 <? = 0.05) with the behavior of pregnant women. Based on the results of the research, the conclusion is that there is a relationship between perception, education, knowledge, attitudes, parity, information media, family support, the role of health workers and the behavior of pregnant women in attending classes for pregnant women. So suggestions for high-risk pregnant women to be more active in participating in the class program for pregnant women and for health workers need to increase outreach to mothers about the importance of joining pregnant women classes. In addition, support from husbands is needed to increase maternal visits in the class of pregnant women.


2019 ◽  
Vol 2 (1) ◽  
pp. 74-79
Author(s):  
Sri Melda Br Bangun ◽  
BASYARIAH LUBIS ◽  
Raisha Octavariny ◽  
Surio Retno

Currently in Indonesia there is an increase in the prevalence of HIV / AIDS in housewives, followed by a high prevalence of HIV in children. This study used a cross sectional study design with a sample of 50 pregnant women using the stratified random sampling method with the chi-square test. The results showed that there was a relationship between age, work status, knowledge, attitude, and distance of pregnant women in utilizing voluntary counseling and test services


2019 ◽  
Vol 2 (2) ◽  
pp. 34-36
Author(s):  
Fina Sancaya Rini

Voluntary Counseling and Testing (VCT) is an effort to reduce the incidence of HIV in pregnant women. The author conducted research on VCT with characteristics of maternal age, gestational age, parity, education, and occupation. The purpose of this study was to determine the characteristics of pregnant women undergoing a VCT examination. This research was conducted in November-December 2018, the population in this study were all pregnant women who did VCT examination as many as 130. The number of mothers who did VCT based on age 20 years-35 years was 102 (78.5%). The number of mothers who did VCT based on the age of trimester 1 pregnancy was 122 people (93.8%). The number of mothers doing VCT based on primipara/grande multiparity was 80 people (61.5%). The number of mothers undergoing VCT was based on higher education 100 people (76.9%). The number of mothers who do VCT based on work does not work as many as 130 people (100%). Judging from the results of research based on the theory that many are appropriate and some are not appropriate both from age, gestational age, parity, education, and employment. Thus, the most variable is jobs as many as 130 people (100%). All health workers, especially midwives, should further improve counseling services on VCT testing for pregnant women and especially in matters relating to HIV disease in pregnant women and to reduce maternal mortality and infant mortality rates, especially in West Java.


Author(s):  
Nurbaiti Nurbaiti ◽  
Donal Nababan ◽  
Asima Sirait

During pregnancy routine monitoring can be done using K1 and K4 coverage. In 2017 K4 coverage was 96.7%. Whereas in 2018, K4 coverage for pregnant women amounted to 356 (68.5%) of the target pregnant women amounted to 519 (100%). From these data it can be seen that in 2018 the coverage of K4 in pregnant women decreased compared to the K4 coverage in 2017. The aim of the study was to determine the relationship of knowledge, parity, family support, availability of pregnancy check-ups, coverage of health services, support of health workers and other factors. most dominant on K4 visits for pregnant women in the Work Area of Kualasimpang City Health Center, Aceh Tamiang Regency. This type of research is analytic with cross-sectional design methods. The population of this study was the third trimester pregnant women who examined their pregnancies in the Work Area of Kualasimpang City Health Center in Aceh Tamiang Regency with a total of 356 samples using a Slovin formula of 78 people. The sampling technique uses accidental sampling technique. From the results of multiple logistic regression tests with a value of value = 0.25, it was found that there was a significant relationship of knowledge (p = 0.000, PR = 0.075), parity (p = 0.001, PR = 15,863), the availability of a pregnancy checkup (p = 0.011, PR = 0.132), range of health services (p = 0.006, PR = 0.112), support (p = 0.007, PR = 0.084), the most dominant variable is parity (p = 0.001; PR = 15,863; 95% CI: 3,221- 78,114) which means that respondents with multigravida parity have a risk of not doing K4 visits 15,863 times greater than primigravida parity. It is expected that pregnant women will be more active and active in conducting K4 visits in order to detect all possibilities that can occur so as to avoid danger during pregnancy or before delivery.ABSTRAKSelama kehamilan dapat dilakukan pemantauan rutin dengan menggunakan cakupan K1 dan K4. Tahun 2017 cakupan K4 berjumlah 96,7%. Sedangkan pada tahun 2018, cakupan K4 pada ibu hamil berjumlah 356 (68,5%) dari sasaran ibu hamil berjumlah 519 (100%). Dari data tersebut dapat diketahui bahwa pada Tahun 2018 cakupan K4 pada ibu hamil menurun dibandingkan dengan cakupan K4 di Tahun 2017.Tujuan penelitian untuk mengetahui hubungan pengetahuan, paritas, dukungan keluarga, ketersediaan alatpemeriksaan kehamilan, jangkauan ketempat pelayanan kesehatan, dukungan petugas kesehatan serta faktor yang paling dominan terhadap kunjungan K4 pada ibu hamil di Wilayah Kerja Puskesmas Kota Kualasimpang Kabupaten Aceh Tamiang. Jenis penelitian adalah analitik dengan metode rancangan crossectional. Populasi penelitian ini adalah ibu hamil trimester III yang memeriksakan kehamilannya di Wilayah Kerja Puskesmas Kota Kualasimpang Kabupaten Aceh Tamiang berjumlah 356 dengan sampel menggunakan rumus Slovin sebanyak 78 orang. Teknik pengambilan sampel menggunakan teknik accidental sampling. Dari hasil uj iregresi logistic berganda dengan nilaip value = 0.25, diperoleh bahwa ada hubungan yang signifikan pengetahuan (p=0.000, PR=0.075), paritas (p=0.001, PR=15.863), ketersediaan alat pemeriksaan kehamilan (p=0.011, PR=0.132), jangkauan ketempat pelayanan kesehatan (p=0.006, PR=0.112), dukungan (p=0.007, PR=0.084), variabel yang paling dominan adalah paritas (p=0.001; PR=15.863; 95%CI:3.221-78.114)yang berarti bahwa responden dengan Paritas multigravida mempunyai risiko tidak melakukan kunjungan K4 15.863 kali lebih besar dibandingkan paritas primigravida. Diharapkan kepada ibu hamil agar lebih aktif dan giat dalam melakukan kunjungan K4 agar terdeksi segala kemungkinan yang dapat terjadi sehingga terhindar dari bahaya selama kehamilan maupun menjelang persalinan.


2021 ◽  
Vol 9 (3) ◽  
pp. 275
Author(s):  
Ni Putu Wiwik Oktaviani ◽  
Ni Luh Putu Devhy ◽  
I Made Sudarma Adiputra ◽  
Ni Wayan Trisnadewi

Background: The transmission of the Human Immunodeficiency Virus (HIV) from mother to baby is now increasing along with the growing number of HIV-infected women. Approximately 15% of pregnant women living with HIV have accessed antiretroviral (ARV) medicine to prevent transmission of the virus to their babies. Purpose: This study aimed to identify the support and healthcare functions available to pregnant women in using the voluntary counseling test (VCT). Methods: This research was conducted in the working area of Gianyar District health center. The independent variables in this study are family support and family healthcare functions. The dependent variable is the utilization of VCT health service facilities. This study employed a cross-sectional research design. The samples were 108 respondents recruited using a probability sampling technique, namely multi-stage sampling. Bivariate and multivariate analysis were conducted using the chi-square test and logistic regression test. Results: The research variable related to the use of VCT health services with family support showed an odds ratio (OR) = 122, while family healthcare function had an OR = 465. Conclusion: Pregnant women with good family support, good healthcare function, increased maternal age, and early gestational age were more likely to use VCT than when they were in opposite situations.


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