Evaluation Of Integrated Antenatal Care Implementation With Cipp Model In The Work Area
DOI:
https://doi.org/10.51601/ijhp.v3i1.109Keywords:
10t evaluation, model CIPP, ANC services standardsAbstract
Antenatal care is health services which is given by professional health workers to
increase the health status of pregnant women and their fetus that doing according to
the standard of antenatal care which can detect earlier the deviation and the risk which
might be occured in pregnancy in order that could be overcomed fast and
appropriately. Puskesmas Bagan Batu is not appropriate with standard of antenatal
care lack of the knowledge and obedience of midwives, instruments and infrastructure.
The purpose of the research was to evaluate the implementation of integrated antenatal
care by CIPP model in the work area of Puskesmas Bagan Batu. The research used
qualitative method, by in-depth interviews, conducting observation, and document
study with 8 informan that consisted of Head of Puskesmas, doctor of program holder
KIA, coordinator midwive, 3 midwives in poli KIA, 3rd trimester pregnant women with
complete inspection in Puskesmas Bagan Batu, and 3rd trimester pregnant woman with
incomplete inspection in Puskesmas Bagan Batu. The result of the research showed
that only 2 of the midwives got antenatal care training, instrument and infrastructure
can improve more better, midwives had not knowledge and obedience to use the new
standard of antenatal care services optimally. So, the process which include the
implementation of antenatal care was not according by the standard. The coverage of
antenatal care has decreased in the last three years. While coverage of tablet Fe has
increased significantly, and the coverage of tetanus toxoid imunization has not
increased at all and very far below the standard. It was recommended that public
regional of Puskesmas Bagan Batu increase some aspects of input iclude of personal
quality, midwives obedience, instrument and infrastructure. And then the aspect of
process for the implementation of antenatal care according to the standard to achieve
the best result for the quality of antenatal care.
References
Aisyah, R. D., Suparni, & Susiatmi, S. A. (2017). Evaluasi Pelaksanaan Standar 10t Dalam Pelayanan Antenatal Terpadu. Jurnal Kebidanan, 9(01 SE-Articles), 74–81. https://doi.org/10.35872/jurkeb.v9i01.310
Ali, N., Elbarazi, I., Alabboud, S., Al-Maskari, F., Loney, T., & Ahmed, L. A. (2020). Antenatal Care Initiation Among Pregnant Women in the United Arab Emirates: The Mutaba’ah Study . In Frontiers in Public Health (Vol. 8). https://www.frontiersin.org/article/10.3389/fpubh.2020.00211
Ariyanti, L., Nugroho P, P., & Kartasurya, M. I. (2019). Hubungan Pengetahuan dan Sikap Ibu serta Dukungan Keluarga Terhadap Pemanfaatan Pelayanan Antenatal. Jurnal Farmasi (Journal of Pharmacy), 6(1, Oktober), 28–31. https://doi.org/10.37013/jf.v6i1.43
Arunda, M., Emmelin, A., & Asamoah, B. O. (2017). Effectiveness of antenatal care services in reducing neonatal mortality in Kenya: analysis of national survey data. Global Health Action, 10(1), 1328796. https://doi.org/10.1080/16549716.2017.1328796
Astuti, S., Susanti, A. I., Nurparidah, R., Mandiri, A., Dewi, E. K., & Astikawati, R. (2017). Asuhan Ibu dalam Masa Kehamilan. Erlangga.
Badan Pusat Statistik. (2015). Survei Penduduk Antar Sensus.
Dinas Kesehatan Propinsi Riau. (2020). Profil Kesehatan Propinsi Riau Tahun 2020.
Febriawati, H., & Yandrizal. (2019). Manajemen dan Peran Puskesmas Sebagai Gatekeeper. Gosyen Publishing.
Geltore, T., & Anore, D. (2021). The Impact of Antenatal Care in Maternal and Perinatal Health. In Empowering Midwives and Obstetric Nurses. https://doi.org/10.5772/intechopen.98668
Jaya, P. R. P., & Ndeot, F. (2018). Penerapan Model Evaluasi CIPP Dalam Mengevaluasi Program Layanan PAUD Holistik Integratif. PERNIK Jurnal PAUD, 1(1), 10–25.
Kabuhung, E. I., & Basuki, S. P. (2012). Evaluasi Pelaksanaan Pelayanan 10T Pada Ibu Hamil di Puskesmas Alalak Selatan Banjarmasin. Universitas Sari Mulia.
Kaparang, M. J., Widjanarko, B., & Purnami, C. T. (2015). Mutu Pelayanan Asuhan Antenatal Care oleh Bidan Pasca Pelatihan ANC Terpadu di Propinsi Sulawesi Tengah Quality of Antenatal Care Services by Midwives After Training of Integrated Antenatal Care to Pregnant Women in Province of Central Sulawesi. Jurnal Manajemen Kesehatan Indonesia, 03(02), 114–121.
Kementerian Kesehatan. (2016). Peraturan Menteri Kesehatan Nomor 4 Tahun 2019 Tentang Standar Teknis Pemenuhan Mutu Pelayanan Dasar Pada Standar Pelayanan Minimal Bidang Kesehatan.
Kementerian Kesehatan. (2018). Profil Kesehatan Indonesia Tahun 2017.
Kurniasih, N. I. D., Marwati, T. A., Hidayat, A., & Makiyah, S. N. (2020). The Evaluation of Standard Implementation of 10T Antenatal Care (ANC) Services. Jurnal Riset Kesehatan Poltekkes Depkes Bandung, 12(2), 429–444. https://doi.org/10.34011/juriskesbdg.v12i2.1795
Kurniawati, E., Sjaaf, A. C., Hassan, A., & Hermansyah. (2012). Evaluasi Pelaksanaan 11T dalam pelayanan antenatal oleh Bidan di Puskesmas Singkawang Tengah Kota Singkawang. Universitas Indonesia.
Kusmiyati, & Wahyuningsih, H. (2019). Perawatan Ibu Hamil (Asuhan Ibu Hamil) (2nd ed.). Fitramaya.
Libingi, L. M., Ngoma, C. M., & Banda, Y. (2019). Antenatal care: assessing Zambian midwives’ knowledge and skills. African Journal of Midwifery and Women’s Health, 13(2), 1–7. https://doi.org/10.12968/AJMW.2017.0040
Marniyati, L., Saleh, I., & Soebyakto, B. B. (2016). Pelayanan Antenatal Berkualitas dalam Meningkatkan Deteksi Risiko Tinggi pada Ibu Hamil oleh Tenaga Kesehatan di Puskesmas Sako, Sosial, Sei Baung dan Sei Selincah di Kota Palembang. Jurnal Kedokteran Dan Kesehatan, 3(1), 355–362.
Maulina, I., Sriatmi, A., & Jati, S. P. (2018). Perbandingan Kualitas Input dan Proses Pelayanan Antenatal Yang Berkualitas Oleh Bidan di Puskesmas Kota Semarang Berdasrkan Status Akreditasi. Jurnal Kesehatan Masyarakat, 6(1). https://doi.org/10.14710/jkm.v6i1.19829
Miltenburg, A. S., van der Eem, L., Nyanza, E. C., van Pelt, S., Ndaki, P., Basinda, N., & Sundby, J. (2017). Antenatal care and opportunities for quality improvement of service provision in resource limited settings: A mixed methods study. PLOS ONE, 12(12), e0188279. https://doi.org/10.1371/journal.pone.0188279
Ngoma, T., Asiimwe, A. R., Mukasa, J., Binzen, S., Serbanescu, F., Henry, E. G., Hamer, D. H., Lori, J. R., Schmitz, M. M., Marum, L., Picho, B., Naggayi, A., Musonda, G., Conlon, C. M., Komakech, P., Kamara, V., & Scott, N. A. (2019). Addressing the Second Delay in Saving Mothers, Giving Life Districts in Uganda and Zambia: Reaching Appropriate Maternal Care in a Timely Manner. Global Health: Science and Practice, 7(Supplement 1), S68 LP-S84. https://doi.org/10.9745/GHSP-D-18-00367
Purnama, W. J. (2015). Analisis Pelaksanaan Program Antenatal Care di Puskesmas Ciputat Timur. Universitas Islam Negeri Syarif Hidayatullah.
Ruwayda. (2016). Pelaksanaan Standar Pelayanan Antenatal oleh Bidan di Puskesmas Kota Jambi “Implementation of Antenatal Care Standards in Community Health Centers in Jambi City.” Jurnal Media Kesehatan Masyarakat Indonesia, 12(2), 91–97.
Simbolong, D., Jumiyati, & Rahmadi, A. (2018). Pencegahan dan penanggulangan kurang energi kronik (KEK) dan anemia pada ibu hamil. Deepublish.
Sumiaty, & Restu, S. (2016). Kurang Energi Kronis (KEK) Ibu Hamil Dengan Bayi Berat Lahir Rendah. Journal Husada Mahakam, IV(3), 162–170.
Tafere, T. E., Afework, M. F., & Yalew, A. W. (2018). Antenatal care service quality increases the odds of utilizing institutional delivery in Bahir Dar city administration, North Western Ethiopia: A prospective follow up study. PLOS ONE, 13(2), e0192428. https://doi.org/10.1371/journal.pone.0192428
Villadsen, S. F., Negussie, D., GebreMariam, A., Tilahun, A., Friis, H., & Rasch, V. (2015). Antenatal care strengthening for improved quality of care in Jimma, Ethiopia: an effectiveness study. BMC Public Health, 15(1), 360. https://doi.org/10.1186/s12889-015-1708-3
Widyani, R., Suparwati, A., & Wigati, P. (2016). Analisis Faktor Yang Mempengaruhi Kinerja Bidan Dalam Pelayanan Antenatal Care Di Puskesmas Kagok Kota Semarang. Jurnal Kesehatan Masyarakat Universitas Diponegoro, 4(4), 129–134.
Wondemagegn, A. T., Alebel, A., Tesema, C., & Abie, W. (2018). The effect of antenatal care follow-up on neonatal health outcomes: a systematic review and meta-analysis. Public Health Reviews, 39(1), 33. https://doi.org/10.1186/s40985-018-0110-y
World Health Organization. (2019). Trends in maternal mortality: 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division.
Yaya, S., Kota, K., Buh, A., & Bishwajit, G. (2020). Prevalence and predictors of taking tetanus toxoid vaccine in pregnancy: a cross-sectional study of 8,722 women in Sierra Leone. BMC Public Health, 20(1), 855. https://doi.org/10.1186/s12889-020-08985-y.
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