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Kata Kunci : BBLR, ibu hamil, layanan antenatal
For two consecutive years Jasinga District has the high prevalence of LBW in Bogor Regency and become the only district that has number of cases exceeded 100 in 2015. This study aims to know the description and the relationship of determinants with LBW in Jasinga District of Bogor Regency Years 2014-2015. This study uses case-control design with 97 cases and 97 controls. The source data of this study is register cohorts of women in all primary health care in Jasinga District Years 2014-2015. The independent variables are maternal factors such as age, parity, pregnancy spacing and health service factors include gestational age at K1 and the number of antenatal visits. The proportion of LBW found to be higher in risk group of all independent variables. Parity and pregnancy spacing have p value < 0.05 and OR respectively 2.476 [95% CI: 1.377 to 4.452] and 2.031 [95% CI: 1.147 to 3.599]. While maternal age, gestational age at K1 and the number of antenatal visits have p value > 0.05 and OR respectively 1.162 [95% CI: 0.544 to 2.843]; 1.249 [95% CI: 0.696 to 2.243]; and 1.444 [95% CI: 0.678 to 3.077]. In conclusion, parity and pregnancy spacing have a relationship with LBW in Jasinga District Years 2014-2015.
Keywords : LBW, pregnant mother, antenatal care
Minimum Standard Services (MSS) can be used as an indicator to cover citizen’s rights of essential health service. Furthermore, MSS in women’s labour is expected to be in a certain quality and quantity standards to reduce MMR. Rawamerta Public Health centre reported in 2019, 77.9% and 68.95% achievement in K1 and K4, respectively. These figures are well below the acceptance target of 100%. This study aims to analyze the quality of SPM implementation in Antenatal services at Rawamerta Public Health Center with qualitative methods in concordance with Donabedian’s quality evaluation theory. Research informants were determined by purposive and snowballing sampling. Data collection performed with in-depth interviews, observations, and document reviews. Data analysis was performed descriptively and converted to a narrative. Rawamerta’s structure, process, and outcome to achieve MSS were evaluated. It is found that Rawamerta Public Health Center quality is still below the MSS standards.
ABSTRAK Nama : Restu Octasila Program Studi : Ilmu Kesehatan Masyarakat Judul : Risiko kelahiran BBLR berdasarkan Kualitas Layanan Antenatal dan Status Gizi di RSU Tangerang Tahun 2015. Berat lahir merupakan indikator penting perkiraan maturitas dan kemampuan neonatus untuk bisa bertahan, bayi dengan BBLR meningkatkan resiko kematian. Prevalensi BBLR RSU Kabupaten Tangerang mengalami peningkatan secara signifikan setiap tahunya, tahun 2013 mencapai 14%. Penelitian ini bertujuan untuk mengetahui Hubungan Kualitas Layanan Antenatal, Status Gizi Dan Pengetahuan Dengan Kelahiran BBLR Di RSU Tangerang Tahun 2015 Desain penelitian yang digunakan kasus kontrol dengan jumlah sampel 73 kasus dan 156 kontrol. Kualitas Layanan Antenatal kurang, meningkatkan kelahiran BBLR 3.7 kali (p=0.02, CI=1,3–10.6) serta kualitas layanan cukup sebesar 2.0 kali (p=0.17, CI= 0.7–5.3) dibandingkan dengan ibu yang mendapatkan kualitas layanan baik. Status gizi 4.6 kali (p=0.01,CI= 2.7 - 11.1) dibandingkan ibu dengan status gizi baik, setelah dikontrol oleh usia ibu, komplikasi kehamilan, status ekonomi, status anemia, pekerjaan dan riwayat BBLR. Dengan demikian petugas diminta memotivasi ibu untuk melakukan kunjungan minimal 4 kali selama kehamilannya dan memberikan pelayanan standar minimal “10T”, mampu mendeteksi kelainan tumbuh kembang janin, dengan cara skrining dan manajemen tatalaksana kasus pada ibu dengan status gizi kurang. Kata Kunci: kasus control, bayi berat lahir rendah, kualitas layanan antenatal dan status gizi
ABSTRAC Nama : Restu Octasila Program Study : Public Health Science Judul : Risk of low brith weight by prenatal care quality and nutritional status in rsu tangerang in 2015. Brith weight is an important indicator to estimate maturity and ability of neonatal to survive. Low brith weight increases the risk of death. Prevalence of LBW in RSU Tangerang has Increased significantly each year, in 2013 reach 14%. This studi examine risk LBW by quality of prenatal care and nutritional status in RSU Tangerang in 2015. This is a case-control study with a sample of 73 cases and 156 controls. Women with less prenatal care quality, increasing the LBW baby 3.7 times (p=0.02, CI=1,3–10.6) and twice among women with enoght prenatal care quality (p=0.17, CI= 0.7–5.3), compare to women who get good prenatal care quality. The nutritional status 4.6 times (p=0.01,CI= 2.7 - 11.1) compare women who have good nutritional status, after controlled by maternal age, complications of pregnancy, economic status, anemia status, jobs, and history of LBW. Thus, health workers need to motivate a mother to visit at least 4 times during pregnancy and provide a minimum standard care “10T”, able to detect abnormalities in fetal development by screening and management cases in women with poor nutritional status. Key Word : a case-control, low birh weight, service quality of prenatal care and nutritional status.