PENINGKATAN KUNJUNGAN IBU HAMIL DI PUSKESMAS SEBAGAI EFEK DIGUNAKANNYA ULTRASOUND PADA PEMERIKSAAN KEHAMILAN
Abstract
Abstract
Background: Maternal and neonatal mortality rates are still a problem in Indonesia. Various efforts have been made, such as training and placing midwives in villages, increasing the number of deliveries performed in health facilities. There is a consensus that an important intervention is to provide appropriate health facilities managed by trained health workers who assist in childbirth, including midwives and doctors. One of the means of infrastructure that needs to be considered available at the community health center (puskesmas) is an ultrasound device to detect pregnancy complications.
Objective: The purpose of this study was to determine the effect of the use of ultrasound devices to increase antenatal care (ANC) to health centers.
Method: the study design was a quasi-experiment conducted at 20 puskesmas in Bogor district. Analyses was conducted in descriptive, the total sample participating in the study was 4,049 cases, but only 3,314 cases were analysed.
Result: The results of the study prove that the availability of USG at the puskesmas increases ANC visits to the puskesmas. The availability of ultrasound and the use of ultrasound affect the number of ANC visits to health facilities, especially to puskesmas. As an attraction for screening and ANC during pregnancy, the government needs to provide an ultrasound device at puskesmas.
Key words: Ultrasoundgraphic, antenatal care, Puskesmas, midwives, pregnancy complication
Abstrak
Latar belakang: Angka kematian ibu dan neonatal masih merupakan masalah di Indonesia. Berbagai upaya telah dilakukan, seperti melatih dan menempatkan bidan di desa, meningkatkan jumlah persalinan yang dilakukan di fasilitas kesehatan. Ada konsensus yang menyatakan bahwa intervensi yang penting dilakukan adalah memberikan fasilitas kesehatan yang layak dikelola oleh tenaga kesehatan terlatih yang menolong persalinan, antara lain bidan dan dokter. Salah satu sarana prasarana yang perlu dipertimbangkan tersedia di puskesmas adalah alat ultrasound untuk mendeteksi komplikasi kehamilan.
Tujuan: mengetahui pengaruh penggunaan alat USG terhadap peningkatan antenatal care (ANC) ke puskesmas.
Metode: disain penelitian adalah quasi eksperimen yang dilakukan pada 20 puskesmas di kabupaten Bogor. Analisis dilakukan secara deskriptif, total sampel yang berpatisipasi dalam penelitian 4.049 kasus, namun yang di analisis hanya 3.314 kasus.
Hasil: Ketersedian USG di puskesmas meningkatkan kunjungan ANC ke puskesmas.
Ketersediaan USG dan penggunaan USG mempengaruhi jumlah kunjungan ANC ke fasilitas kesehatan, khususnya ke puskesmas.
Sebagai daya Tarik untuk melakukanskrining dan ANC pada saat kehamilan, maka pemerintah perlu menyediakan alat USG di puskesmas.
Kata kunci: Ultrasound, Antenatal Care, Puskesmas, Bidan, Komplikasi Kehamilan
References
2. Statistics Indonesia, Ministry of Health of the Republic of Indonesia, Macro International. Indonesia Demographic and Health Survey 2007. 2008;1–515.
3. United Nations Population Fund (UNFPA) Indonesia. Ninth Country Programme 2016-2020 Annual Report 2016. 2016;
4. Kemenkes RI. Kesehatan Dalam Kerangka Sustainable Development Goals (SDGs). 2015;(97):85.
5. Tunçalp, Pena-Rosas JP, Lawrie T, Bucagu M, Oladapo OT, Portela A, et al. WHO recommendations on antenatal care for a positive pregnancy experience—going beyond survival. BJOG An Int J Obstet Gynaecol [Internet]. 2017;124(6):860–2. Available from: https://doi.org/10.1111/1471-0528.14599
6. Garcia J, Bricker L, Henderson J, Martin M-A, Mugford M, Nielson J, et al. Women’s Views of Pregnancy Ultrasound: A Systematic Review. Birth [Internet]. 2002 Dec 1;29(4):225–50. Available from: https://doi.org/10.1046/j.1523-536X.2002.00198.x
7. Shah SP, Epino H, Bukhman G, Umulisa I, Dushimiyimana JM V, Reichman A, et al. Impact of the introduction of ultrasound services in a limited resource setting: rural Rwanda 2008. BMC Int Health Hum Rights [Internet]. 2009;9:4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19327157%5Cnhttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC2667437
8. Kimberly HH, Murray A, Mennicke M, Liteplo A, Lew J, Bohan JS, et al. Focused maternal ultrasound by midwives in rural zambia. Ultrasound Med Biol. 2010;36(8):1267–72.
9. WHO. Experience : Ultrasound Examination Highlights and Key Messages from the World Health Organization ’ s 2016 Global Recommendations. 2018;1(January):2013–6. Available from: https://apps.who.int/iris/bitstream/handle/10665/259946/WHO-RHR-18.01-eng.pdf?sequence=1
10. Center for Community Empowerment Health Policy and Humanities, NIHRD Ministry of Health I 2013. Study on Physician and Midwife Screening Ultrasound for Pregnancy Complications in Bogor District, West Java, Indonesia. 2013.
11. Tarigan IU. Potensi pencegahan kesakitan dan kematian perinatal melalui pemeriksaan oleh bidan dengan menggunakan ultrasound di Kabupaten Bogor tahun 2011-2013.
12. Whitworth M, Bricker L, Neilson JP, Dowswell T. Ultrasound for fetal assessment in early pregnancy. Cochrane database Syst Rev [Internet]. 2010 Apr 14;(4):CD007058–CD007058. Available from: https://www.ncbi.nlm.nih.gov/pubmed/20393955
13. Torloni MR, Vedmedovska N, Merialdi M, Betrán AP, Allen T, González R, et al. Safety of ultrasonography in pregnancy: WHO systematic review of the literature and meta-analysis. Ultrasound Obstet Gynecol. 2009;33(5):599–608.
14. Swanson JO, Kawooya MG, Swanson DL, Hippe DS, Dungu-Matovu P, Nathan R. The diagnostic impact of limited, screening obstetric ultrasound when performed by midwives in rural Uganda. J Perinatol [Internet]. 2014;34(7):508–12. Available from: https://doi.org/10.1038/jp.2014.54
15. National Institute Health Research and Development I. Basic Health Research Report of Indonesia Year 2018 (Laporan Nasional Riskesdas 2018). Riskesdas 2018. 2018. p. 182–3.
16. Gupta S, Yamada G, Mpembeni R, Frumence G, Callaghan-Koru JA, Stevenson R, et al. Factors Associated with Four or More Antenatal Care Visits and Its Decline among Pregnant Women in Tanzania between 1999 and 2010. PLoS One [Internet]. 2014 Jul 18;9(7):e101893. Available from: https://doi.org/10.1371/journal.pone.0101893
17. Molander E, Alehagen S, Berterö CM. Routine ultrasound examination during pregnancy: a world of possibilities. Midwifery [Internet]. 2010 Feb 1;26(1):18–26. Available from: https://doi.org/10.1016/j.midw.2008.04.008
18. Mbuyita S, Tillya R, Godfrey R, Kinyonge I, Shaban J, Mbaruku G. Effects of introducing routinely ultrasound scanning during Ante Natal Care (ANC) clinics on number of visits of ANC and facility delivery: a cohort study. Arch Public Health [Internet]. 2015 Sep 7;73(1):36. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26347809
19. Ross AB, DeStigter KK, Rielly M, Souza S, Morey GE, Nelson M, et al. A low-cost ultrasound program leads to increased antenatal clinic visits and attended deliveries at a health care clinic in rural uganda. PLoS One [Internet]. 2013;8(10). Available from: https://doi.org/10.1371/journal.pone.0078450
20. Chukwuma A, Wosu AC, Mbachu C, Weze K. Quality of antenatal care predicts retention in skilled birth attendance: a multilevel analysis of 28 African countries. BMC Pregnancy Childbirth [Internet]. 2017;17(1):152. Available from: https://doi.org/10.1186/s12884-017-1337-1
21. Afulani PA, Buback L, Essandoh F, Kinyua J, Kirumbi L, Cohen CR. Quality of antenatal care and associated factors in a rural county in Kenya: an assessment of service provision and experience dimensions. BMC Health Serv Res [Internet]. 2019;19(1):684. Available from: https://doi.org/10.1186/s12913-019-4476-4
22. Holmlund S, Ntaganira J, Edvardsson K, Lan PT, Semasaka Sengoma JP, Åhman A, et al. Improved maternity care if midwives learn to perform ultrasound: a qualitative study of Rwandan midwives’ experiences and views of obstetric ultrasound. Glob Health Action [Internet]. 2017;10(1):1350451. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28764602
23. Gammeltoft T, Nguyên HTT. The Commodification of Obstetric Ultrasound Scanning in Hanoi, Viet Nam. Reprod Health Matters [Internet]. 2007 Jan 1;15(29):163–71. Available from: https://doi.org/10.1016/S0968-8080(06)29280-2
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