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Antenatal anxiety and depression is one of public health problems that we do not often realize. That has impact on fetus and maternal. Research on prevalence and determine of antenatal anxiety and depression has not been done in Pasar Minggu Primary Health Care in 2013.
Kabupaten Lampung Utara menjadi salah satu kabupaten penyumbang AKI tertinggi di Provinsi Lampung. Laporan profil kesehatan Lampung Utara menyebutkan bahwa terjadi trend kenaikan AKI pada 5 tahun terakhir yaitu dari tahun 2017-2021. Kementerian Kesehatan telah mengeluarkan Permenkes Nomor 21 Tahun 2021 sebagai upaya penguatan dalam pelayanan kesehatan ibu guna mencegah kematian ibu maupun bayi, termasuk didalamnya mengatur terkait pelayanan kesehatan masa hamil (antenatal). Disisi lain, Puskesmas sebagai layanan primer diharapkan mampu melaksanakan pelayanan antenatal tersebut sesuai standar sebagai penguatan upaya preventif. Dinas Kesehatan Lampung Utara telah mendistribusikan alat USG kepada Puskesmas di Kabupaten Lampung Utara, guna mendukung pelakanaan pelayanan antenatal di Puskesmas. Tujuan penelitian ini untuk mengetahui implementasi kebijakan pelayanan antenatal di Puskesmas Negara Ratu dan Puskesmas Cempaka. Penelitian ini merupakan penelitian kualitatif. Pengambilan data dilakukan melalui wawancara mendalam, observasi dan telaah dokumen. Hasil penelitian menunjukkan bahwa implementasi kebijakan pelayanan antenatal sudah berjalan, namun pelayanan antenatal terpadu dengan program kesehatan jiwa serta pencatatan dan pelaporan belum optimal dilaksanakan. Komunikasi sudah dilakukan dengan baik. SDM dan fasilitas masih kurang. Para pelaksana kebijakan bersikap mendukung namun belum terdapat mekanisme pemberian reward yang diberikan. Sudah terdapat SOP terkait pelayanan antenatal dan koordinasi antar Puskesmas dengan BPM sudah berjalan dengan baik. Mayoritas ibu hamil mendukung dan ikut berpartisipasi dalam melakukan pelayanan antenatal, namun masih ditemukan kendala dan tantangan dalam mendorong partisipasi ibu hamil dalam melakukan pelayanan antenatal. Kesimpulannya, implementasi kebijakan pelayanan antenatal sudah berjalan, namun belum optimal. Diperlukan upaya optimaliasi pada implementasi kebijakan pelayanan antenatal dan juga peningkatan pada sumber daya dan dukungan masyarakat guna mendukung proses impelementasi. Kata Kunci: Implementasi, Kebijakan, Antenatal, Puskesmas.
Perinatal Mortality Rate (PMR) is one of the indicators that can be used inassessing health status of a nation. This is because perinatal mortality is quite high contributed to Infant Mortality Rate (IMR). In Indonesia, there is no deriving of PMR in last ten years (2002-2012). The design used in this research was crosssectional study. This research used secondary data of IDHS 2012 with three stagecluster sampling technique. Samples taken were 15.340 respondents with 1.420 respondents experiencing perinatal death and 14.010 respondents were born aliveand did not experience early neonatal death. The results showed that there isassociation between maternal education, age, parity, pregnancy complication,delivery complication, premature, birth weight, early initiation of breastfeeding,and frequency of antenatal visits with perinatal mortality. Delivery complicationis the highest risk factor in affecting perinatal mortality.Key words:Perinatal, stillbirth, complication, antenatal
There is an increase in maternal mortality in Indonesia. In 2023, only 57.8% of pregnant women received standardized antenatal care (ANC). In 2022, there were 5 maternal deaths in Pematangsiantar City. The coverage of ANC K6 reached 81.6%, but there were still 230 cases of complications in pregnancy and public health centers (PHC) whose coverage was still below the target. The following study aims to determine the factors that contribute to the low coverage of ANC in several PHCs in Pematangsiantar City. This study used a non-experimental design with a comparative descriptive study. Research informants were selected using purposive sampling and exit poll techniques. Research informants consisted of heads of PHCs, midwives, doctors and pregnant women. The variables are structure (human resources, facilities, disposable medical materials, funding, guidelines) and processes (planning, organizing, implementing, supervising). Data collection through in-depth interviews, observations and document reviews. The results of the study indicate that there is sampling bias. Factors that contribute are planning and implementation of ANC. Cooperation with the Population and Civil Registration Agency (Dukcapil) is needed to access the latest pregnant women data. Also, socialization of the importance of routine ANC visits to increase ANC participation of pregnant women.
