Determinan Perilaku Perawatan Kehamilan

Peningkatan status derajat kesehatan. Indikator derajat kesehatan masyara- kat terkait erat dengan Angka Kematian Ibu (AKI). Kabupaten Banyumas memiliki AKI di bawah standar pelayanan minimal (SPM), salah satunya adalah wilayah kerja Puskesmas I Ajibarang. Peningkatan status kesehatan ibu pada saat kehamilan merupakan salah satu langkah yang dapat dilakukan untuk menurunkan kasus kematian ibu. Status kesehatan ibu hamil dipengaruhi oleh perawatan kehamilan yang baik oleh ibu hamil untuk mencegah terjadinya komplikasi dan kematian ketika persalinan, di samping itu juga untuk pertumbuhan dan kesehatan janin. Penelitian ini bertujuan untuk mengetahui faktor-faktor apakah yang dominan mempengaruhi perilaku perawatan kehamilan. Penelitian ini adalah potong lintang. Populasi adalah seluruh ibu hamil di Puskesmas I Ajibarang. Metode sampel yang di- gunakan adalah metode proportional random sampling dengan jumlah sampel 81 ibu hamil. Analisis data yang digunakan adalah analisis univariat dengan statistik deskriptif, analisis bivariat dengan kai kuadrat, serta analisis multivariat dengan regresi logistik. Hasil penelitian menunjukkan pendidikan, jenis pekerjaan, pendapatan, paritas, pengetahuan, sikap, dan peran bidan tidak berpengaruh terhadap perilaku perawatan kehamilan. Sedangkan, usia kehamilan, waktu tempuh pelayanan kesehatan, dan peran suami berpengaruh terhadap perilaku perawatan kehamilan. Peran suami merupakan variabel yang paling dominan memengaruhi ibu hamil dalam melakukan perawatan kehamilan.National health strategy is to realize the increasing level of health status. Public health status indicators closely related to Maternal Mortality Rate (MMR). Banyumas have MMR that is still below the minimum service standards. One that contributes to that number is Puskesmas I Ajibarang. Improving the health status of the mother during pregnancy is one of steps taken to reduce maternal deaths. Health status of pregnant women are affected by good prenatal care, preventing the occurrence of complications, death when delivery, the growth and health of the fetus. This study aims to determine the dominant factors influence to behavior of prenatal care in Ajibarang I Primary Health Center, Banyumas District. It was a cross sectional survey. Data was taken by interviews, involved 81 pregnant women in Ajibarang I primary health care. Data analysis used univariate analysis with descriptive statistic, bivariate with chi square and multivariate with logistic regression. The results showed that age, education, family income, occupation, knowledge, attitude, parity, and role of midwives did not influence to prenatal care behaviour. Otherwise, age of pregnancy, time of access to heatlh care, and role of husbands influenced pregnant women in prenatal care behaviour. Study also found that role of husband was the most dominant factor influenced to mother's prenatal care behaviour

Multilevel Intervention Model to Improve Nutrition of Mother and Children in Banyumas Regency

The community nutrition improvement with main focus on pregnant women and children up to the age of 2 years old need to be done by a cooperation across sectors. Multilevel promotion is a comprehensive intervention and modify the determinant factors. We used multilevel promotion with MATCH (Multilevel Approach to Community Health) to modify determinant factors in various levels i.e. mother, family, community, and policy that related to nutritional status of children. This research was conducted in Banyumas and Kembaran II Community Health Center working area because the nutritional problems in this area were complex, such as low exclusive breastfeeding coverage, low birth weight, and underweight children problems. This study used a quantitative analytic design with cross sectional approach. The population used for this research were pregnant women, toddler\u27s mother, and their family. The number of sample in this research was 100 people of each population. The data was analyzed by univariate analysis to determine the intervention model of children nutrition improvement in mother\u27s level. The effectiveness of intervention model was tested by bivariate analysis using dependent t-test. The result of this research were formulated into nutrition improvement model for mother and children through facility identification, approach, media, and information needed. There was a significant difference in knowledge of mother before and after intervention

Early Detection of High Risk Pregnancy

There are 30.939 pregnant women in Banyumas, with 6.206 cases referred due to high-risk pregnancies. Petahunan village in Pekuncen has the the highest incidence of high-risk pregnancies compared with other villages. The purpose of this study is to describe the implementation of early detection of high-risk pregnancies in Petahunan village, Pekuncen. This study used qualitative research methods with case study approach. Research instruments used in-depth interviews and focus group disscussion toward early detection of high-risk pregnancy issue. The informants were 7 people include pregnant women, health workers, midwives, head of village and village health forum chairman. The result showed only antenatal care implemented to detect high-risk pregnancy and no programs and community empowerment efforts in early detection of high-risk pregnancies

Faktor yang Mempengaruhi Peran Kader dalam Penggunaan Buku Kesehatan Ibu dan Anak

Kader posyandu dalam pelaksanaan program KIA memegang peranan penting untuk menggerakkan keaktifan ibu dalam peningkatan kesehatan ibu dan anak. Masalah penelitian adalah faktor-faktor apakah yang berhubungan dengan peran kader dalam penggunaan buku KIA. Tujuan penelitian untuk mengetahui faktor-faktor yang berhubungan dengan peran kader dalam penggunaan buku KIA di Kecamatan Kalibagor. Metode penelitian adalah studi analitik dengan pendekatan cross sectional. Populasi adalah kader posyandu aktif yang ada di wilayah kerja Puskesmas Kalibagor. Proportional random sampling digunakan untuk mendapatkan sampel sebanyak 67 responden. Hasil penelitian diperoleh sebanyak 59,7% responden memiliki tingkat pengetahuan yang baik, 56,7% responden memiliki motivasi yang kurang baik, 55,2% responden memiliki masa kerja baru (<15 tahun), 53,7% responden memilki peran yang baik dalam penggunaan buku KIA. Pengetahuan terbukti berhubungan dengan peran kader dalam penggunaan buku KIA (nilai p=0,013), sedangkan motivasi dan masa kerja tidak berhubungan dengan peran kader dalam penggunaan buku KIA (nilai p=0,140). Simpulan penelitian adalah pengetahuan berhubungan dengan peran kader dalam penggunaan buku KIA. In maternal and child health (KIA) program, Posyandu cadres needed to increase maternal and child health. Research problem was whether factors related to role of cadres in the use of KIA book. Research purpose was to determine the factors related to the role of cadres in use of KIA book in Kalibagor District area. The research method was analytic study with cross sectional approach. Population was existing cadres which active in Kalibagor public health center area. Proportional random sampling was used to obtain 67 samples. The results were 59.7% of respondents had a good knowledge level, 56.7% of respondents have poor motivation, 55.2% of respondents have a new working period (<15 years), 53.7% of respondents have a good role in use KIA book. There was associated between knowledge and cadres role in use KIA book (p=0.013), there were no association between motivation and working period to cadres role in use KIA book (p=0.140). Conclusion, knowledge related to cadre\u27s role in use KIA book