ANALISIS PELAYANAN ANTENATAL PADA IBU HAMIL RESIKO TINGGI ANEMIA OLEH BIDAN DESA
Abstract
Background: Klaten District Health Department policy as an effort to reduce maternal deaths due tobleeding is done through training of Normal Childbirth in collaboration with Primary Clinical Training Centre (P2KP) Klaten Regency and midwifery procurement of facilities for handling high-risk antenatal maternal anemia. The purpose of this study is to describe the implementation of aspects of earlydetection, management, counseling, monitoring, recording and reporting on the handling of high riskpregnant women antenatal anemia in Klaten district.
Methods: The research is qualitative by using in-depth interviews and direct observation by crosssectional approach. Key informants in this study were six midwives who are dealing with pregnant womenat high risk of anemia and working in Klaten district. Informant triangulation midwife six patients, four headof health center and a head section Klaten District Health Office. The data analysis technique with content analysis includes in-depth interviews with informants processed as analysis of data.
Results: The implementation of the antenatal management of pregnant women at high risk of anemia interms of aspects of early detection has met the standard but still there is not yet implemented the measures laboratory hemoglobin and blood type. View from the aspect of management is in conformity with the standard of midwifery. View from the aspect of counseling has not met the standard type of education provided, is not complete, for counseling, child birth preparation anemic pregnant women has not been prepared according to standard P4K and how to deliver the content has not been up to standard. View from the aspect of monitoring not meet the standards re-examination of hemoglobin and Fe tablet compliance with drinking mother has not been implemented according to standards. View from the aspect of recording has complied with the procedures but there are still unfilled column constraints in small-format recording, reporting has not carried out according to the procedure.
Conclusion: Suggestion that the Klaten district health offices to increase co-operation with IBI professional organizations to jointly uphold the application of Standard Operating Procedures, conductrefres her antenatal treatment of anemia of pregnant women, improving the format of recording andreporting of pregnant women at high risk of anemia.
Key words: Antenatal care of pregnant women at high risk of anemia, the village midwife
References
Depkes RI. (1996) Panduan Bidan di Tingkat Desa. Jakarta
Depkes RI.(1996) Pedoman Pelayanan Antenatal di Tingkat Pelayanan Dasar. Jakarta.
Azwar A. (1996) Menjaga Mutu Pela-yanan Kesehatan. Jakarta: Pustaka Sinar Harapan
Azwar A.(1996) Pengantar Administrasi Kesehatan. 3 ed. Jakarta: Binarupa Aksara
Pohan IS. (2007) Jaminan Mutu Layanan Kesehatan, Dasar-dasar Pengertian dan Penerapan. Jakarta: EGSC.
Moleong LJ. (2006) Metodologi Penelitian Kualitatif. Bandung: PT.Remaja Rosdakarya
Notoatmojo. S. (2002) Metodologi Studi Penelitian Kesehatan. Jakarta: Rhineka Cipta
Depkes RI.(1995) Panduan Pemberian Tablet Besi oleh Petugas: Depkes RI
Rochjati. P AD, Wijono.S.B, Santoso, Sugito.T. (2009) Pemantauan Kematian Ibu dan Kematian Bayi Baru Lahir Melalui Sistim Rujukan Terencana di Kabupaten Nganjuk, Probolinggo, dan Trenggalek Jawa Timur
NHS. (2008) Antenatal Care : routinecare for the healty pregnant woman. National Intitute for Health and Clinical Excellence.
Articles received and published by the Media Ilmu Kesehatan are by the publication, the copyright of the article is fully transferred to the Media Ilmu Kesehatan. All operational forms such as printing, publication, and distribution of hard file journals are carried out by the Media Ilmu Kesehatan. Articles that have finished the review process and have been declared accepted by the journal manager or editor will be asked to fill out a statement of submission of copyright by the journal secretary to the main author or correspondent author. The statement of transfer of copyright is signed with a seal and sent via email to journalmik2018@gmail.com and contacted the admin of the journal to be followed up on archiving. Journal managers and editors have the right to edit the manuscript according to the provisions of the writing rules in the Media Ilmu Kesehatan.
Articles that have been declared accepted either online through the author's account on the OJS website https://ejournal.unjaya.ac.id/index.php/mik or a letter of receipt of the article (LOA), as well as those that have been published on OJS are not allowed to be published in other journals, or proceedings. The number of authors with more than one and as the main author or designated as the correspondent writer must have coordinated with members of the research team. The order of the authors submitted in the article as the author of one, two, three and so on cannot be changed when the article is published unless an error occurs in the technical operation of the journal.
