Hubungan Persepsi Ibu Tentang Sarana Pelayanan KIA dengan Kun- Jungan Pemeriksaan Kehamilan (K4) (Studi di Wilayah Kerja Puskesmas Tegal Barat II Kota Tegal Tahun 2006)

Background: Maternal and Child Care is one of factors to reduce Maternal Mortality Rate. This service needs sufficient supports, i.e. antenatal care guideline, health personnel, and its facilities. A pregnant mother is required to have a minimum of 4 times of Antenatal Care within her pregnancy, i.e. 3rd month, 6th month, 7th and 9th month. Compared to other health centers, Tegal Barat II Health Center recorded lower rate on Antenatal Visitors Rate or about 60%. Meanwhile, the national standard requires 90% of Antenatal Visitors Rate. This research aimed to explain the association between maternal perception on maternal and child carefacilities and antenatal care (K4).Method: This research was an explanatory research, utilizing cross sectional approach. Forty five respondents were taken from mothers who have babies less than 3 months old and visited the health centers. Questionnaires were utilized to gather the data, and the analysis wasconducted based on descriptive as well as analytic.Result: Result showed that out of 45 respondents: 53.3% had perception that antenatal guideline book was not interesting, 17.8% said that health personnel had to examine fundus height metrically, and 93.3% said that all pregnant women had to obtain Fe tablets from health center. Variables that significantly associated with antenatal care (K4) were maternal perception on antenatal care guideline (at p-value: 0.012) and maternal perception on antenatal care facilities (at p-value: 0.0001). Meanwhile, maternal perception on health personnel (at p-value: 0.161) was not associated with antenatal care. It was concluded and recommendedthat the performance of Antenatal Care Guideline and Antenatal Care Facilities must be improved.Keywords: Antenatal care, service quality

Factors Related to Work Performance of Village Midwives in Applying Informed Choice and Informed Consent in Contraception Service in North Minahasa District

Application of informed choice and informed consent constituted an effort to increasecoverage and quality of family planning (KB) service. Application of informed choice andinformed consent in North Minahasa district was not optimum. It could be seen from the factsthat coverage of active KB participants decreased in the last four years, and the number ofpeople who dropped out from using contraceptive device increased. Objective of the studywas to analyze factors related to work performance of village midwives in applying informed choice and informed consent in contraception service in North Minahasa district. This was anobservational-analytical study with cross sectional approach. Data were collected throughinterview guided by questionnaire. Study population was 100 village midwives in NorthMinahasa. Fifty respondents were selected randomly from all primary healthcare centersvillage midwives who fulfilled inclusion and exclusion criteria. Chi-square test and logisticregression were applied in the data analysis. Results of the study showed that mean ofrespondents' age was 34 years, mean of respondents' duration of work was 11 years, andmost of respondents' education was D III Kebidanan. Motivation, facilities, perception onworkload, and work performance were good. However, knowledge was still insufficientspecifically on understanding term for counseling step ‘SATUTUJU' and on the method to fillinformed consent form. Supervision was still inadequate due to no routine supervisionactivity. Factors related to work performance were motivation (ρ= 0.048), facility (ρ= 0.001),and perception on supervision (ρ= 0.001). Factor that, in common, influenced workperformance were perception on supervision (ρ= 0.001). Motivation, facility, and perceptionon supervision were related with work performance of village midwives in applying informedchoice and informed consent in the contraception service. The strongest factor affecting workperformance was perception on supervision

Development of Blood Stock Decision Supporting System in the Blood Transfusion Unit of PMI Banjar District Branch, South Kalimantan, to Support Blood Stock Planning

Blood transfusion unit of Indonesian Red Cross (PMI) Banjar district branch provided service Togovernment and private hospitals and also health clinics in the district of Banjar and severalsurrounding districts/cities. Transfusion unit of PMI Banjar district branch had not utilized computerbase information system. Data input was still done by filling the forms, data was written in theregistration books, data management process was done by counting manually using calculator,Data storage was still mixed with other data, data searching required longer time (> 5 minutes),prediction/estimation had not been done in the blood requirement planning.The objective of this study was to develop blood stock decision supporting system in the bloodtransfusion unit of PMI Banjar district branch, South Kalimantan, to support blood stock planning.Development of the system was based on FAST (Framework for the Application of System Thinking)steps. This study was a qualitative research. Study variables were the ease of access, validity,completeness and appropriateness. The study object was a blood stock decision supporting systemin the transfusion unit of PMI Banjar district branch to support blood stock planning and users.The study subject was the researcher herself/himself. Study instrument used in this study was interviewguideline and observation forms. Content analysis was used to analyze the data.The result of the study found a system problem on the performance, economic, control efficiencyand service. The user needs for data input, data management process and output was known. Basicdata system design was obtained, blood requirement prediction model was available, and textmessaging (SMS) gateway model for output of blood stock information for external user wasavailable. The quality of information was improving such as improvement in the ease of obtaininginformation; the produced information was more complete, more appropriate and more accurate.Suggestions for blood transfusion unit of PMI Banjar district branch are it is better to apply thesystem and conducting socialization to the community to use SMS in order to obtain information onthe blood stock through both leaflet and printing or electronic media. It is important to develop anapplication to manage the donors via SMS alert to remind their next giving blood donation schedule,to give thank you and awards to the donors

Evaluation on the Implementation of Ten Steps to Successful Breast Feeding by Midwives at Doctor Ramelan Naval Hospital Surabaya

Establishment of the 10 steps to be success in breastfeeding (LMKM) was a government effort toimprove exclusive breastfeeding program. Ten LMKM information had been displayed in dr. Ramelannavy hospital (RSAL) Surabaya; however, there was no special policy regarding exclusivebreastfeeding. Therefore, midwives were still giving formula milk (PASI) to infants in the integratedcare room. In general, the objective of this study was to evaluate the implementation of 10 steps tobe success in breastfeeding (LMKM) by midwives in RSAL dr. Ramelan Surabaya.This was a qualitative study with descriptive explorative approach. Main informants were 7 midwivesin the pregnancy policlinic, delivery room, and integrated care room. Triangulation informantswere 3 midwives as chief of the room, one supervisor midwives, and 3 patients. Data were collectedthrough in-depth interview and documentation study. Interactive model was applied in the data analysis. Steps on the interactive model included data collection, data reduction, data display, andconclusion drawing.Results of the study showed that ten LMKM had not been implemented properly. Not all midwivesexplained correctly breastfeeding benefits and breastfeeding technique; midwives still gave formulamilk to infants in the integrated care room; breastfeeding support group (KP-ASI) had not beenformed yet. Only a small portion of midwives who had attended lactation management training;and it caused an insufficient self-motivation among midwives.Written policy regarding exclusive breastfeeding is needed. All midwives are expected to attend inlactation management training; it will optimize the implementation of 10 LMKM. Strong policyregarding the existence of formula milk is needed