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The number of women who is infected by HIV is 16.0 million. Moreover, 3.2million from 36.7 million number who infected by HIV are children (<15 yearsold) (WHO, 2015). Prevention of mother-child transmission is one of HIV-infected. From 2000 until 2015 the decreased number of people who are infectedby HIV down to 35% resulting from HIV prevention. One of the gold standards inprevention programs is HIV examination for pregnant women. West JavaProvince included in three largest provinces of HIV cases, primary health carecenter in Cicalengka and Rancaekek are providing HIV test service. The aims ofthis study are related to HIV test behavior in pregnant women. A cross-sectionaldesign with questionnaire measurement was used in this study. The result ofregretion logistic shows that benefit perception (P = 0.021, OR = 0.299),information (P = 0.021, OR = 0.299), and health care provider support (P =0.021, OR = 0.299) are factors determinant in this study. Information factorresulting as most influencing factors in this study. Recommended to thedepartment of health and public health center is to improve the promotion of HIVusing electronic media to help the community.Keywords: Pregnant women, HIV, PMTCT, and Test.
Penelitian ini menganalisa peran kepuasan, pengetahuan, dan akses ibu hamil terhadap layanan asuhan kehamilan dengan kunjungan K4 di Kecamatan Anyer, Kabupaten Serang. Perumusan masalah penelitian berawal dari tidak tercapainya target kunjungan K4 mulai dari tingkat nasional sampai desa, walaupun pemerintah telah meluncurkan program jampersal yang mengatasi masalah pembiayaan kesehatan ibu pada saat hamil, bersalin dan nifas.
Didasarkan pada penelitian sebelumnya, dua hipotesa telah dirumuskan untuk menjawab permasalahan dalam penelitian ini. Teknik pengambilan sampel dengan menggunakan simple random sampling dilanjutkan dengan proporsional random sampling. Responden dari penelitian ini berjumlah 90 responden, dimana respondena adalah ibu yang telah melahirkan 0-6 bulan dan pernah melakukan asuhan kehamilan di bidan di Kecamatan Anyer.
Hasil dari analisis data menunjukkan ibu hamil yang memiliki pengetahuan baik mempunyai peluang kunjungan K4 3,6 kali lebih tinggi (SK 95%: 1,15 ? 11,28) bila dibandingkan dengan ibu hamil yang memiliki pengetahuan kurang, setelah dikontrol variabel umur, tempat layanan, akses dan kepuasan.
This study analyzes the role of satisfaction, knowledge and access of pregnant women to antenatal care with a visit K4 in Kecamatan Anyer, Serang Distric. The Formula for this research problems originated from non-fulfillment of K4 visit from national scale to village scale, although the government has launched a program called ?Jampersal? that take care the problems of financing maternal health during pregnancy, childbirth and postpartum.
Based on previous research, two hypotheses were formulated to address the problems in this study. Sampling techniques using simple random sampling followed by a proportional random sampling. Respondents in this study were 90 respondents, who respondent is the mother who has given birth in period of 0-6 months and ever visited to midwives during pregnancy in Kecamatan Anyer.
The results of the analysis of the data showed that the pregnant women who is have a good knowledge will have the opportunity to have K4 visits 3.6 times higher (95% SK: 1.15 to 11.28) compared with women who have less knowledge, after controlling the age, location services, access, and, satisfaction variables.
Bogor District is still a contributor to the highest maternal mortality in West Java. According to the profile of Bogor District Health Department, 2018 Jasinga Sub District is an area that contributes to the highest number of maternal mortality while the lowest Kemang Sub District. Posyandu is an important tool in the community to support the government's efforts to reduce maternal and newborn mortality rates. The success of the posyandu is influenced by the performance of the cadres in carrying out their roles and functions. The purpose of this study was to determine the factors that influence the performance of posyandu cadres in monitoring pregnant women in Jasinga Health Center and Kemang Health Center in Bogor Regency in 2020. This research uses quantitative analytic with cross sectional approach. The population is all cadres in the Jasinga Health Center and the Kemang Health Center. A sample of 157 respondents consisted of 80 respondents from Jasinga Community Health Center cadres and 77 respondents from Kemang Health Center cadres who were taken using purposive sampling technique with inclusion and exclusion criteria. Data collection tool in this study is an online questionnaire using Google Form. Analysis of the data used is univariate, bivariate using chie square and multivariate with multiple logistic regression. The results showed that the performance of Posyandu cadres in monitoring the health of expectant mothers is 59.2% good category, where the cadre performance in Puskesmas Kemang has higher score than Jasinga Puskesmas cadres (54.9% versus 45.1%). Bivariate analysis shows that knowledge, training, last training time, supervision, motivation, and attitude of cadres have significant effect on the performance of Posyandu cadres in monitoring the health of pregnant women. Multivariate analysis showed that training variables are the most dominant variables affecting cadre performance in monitoring the health of pregnant women with the value P = 0,000 and OR = 8.37. Researchers suggest that the Puskesmas continue to conduct training and supervision routinely, periodically and thoroughly. Need to strengthen cross-sectoral coordination, especially with village officials related to increasing human resources. In addition to further motivating cadres to work, recognition and appreciation must be given, for example in the form of cadre certificates