Keterlibatan Tenaga Kesehatan Dalam Pemberian Layanan Konseling Saat Perawatan Antenatal Kepada Ibu Hamil
DOI:
https://doi.org/10.5281/zenodo.15875685Keywords:
Antenatal Terpadu , Konseling , Tenaga KesehatanAbstract
Angka kematian ibu di Indonesia masih menjadi yang tertinggi di Asia Tenggara, meskipun secara umum terjadi penurunan kematian ibu selama periode 1991-2020 dari 390 menjadi 189 per 100.000 kelahiran hidup. Sedangkan Angka Kematian Ibu (AKI) Kabupaten Kulon Progo Tahun 2022 belum dapat mencapai target yang ditetapkan. Target Angka Kematian Ibu sebesar 54,55 per 100.000 KH namun realisasi sebesar 194,69 per 100.000 KH dengan jumlah absolut kematian sebanyak 8 orang. Salah satu pelayanan strategis yang dapat dilakukan untuk menurunkan angka kematian ibu adalah pelayanan antenatal. Dalam pelayanan Antenatal Terpadu tenaga kesehatan yang memiliki tanggung jawab untuk melaksanakan program ini terdiri dari dokter, perawat, bidan, dokter gigi, dan ahli gizi. Penelitian ini merupakan penelitian kualitatif dengan rancangan studi kasus yang dilakukan pada 12 partisipan dengan wawancara mendalam dan studi dokumen, yang dipilih dengan teknik purposive sampling. Penelitian ini dilakukan pada bulan Februari-Maret 2017, yang dianalisa dengan analisa kualitatif. Berdasarkan hasil penelitian, didapatkan bahwa keterlibatan tenaga kesehatan masih kurang maksimal. Ditemukan bahwa dalam pelaksanaan pelayanan konseling antenatal ini terdapat kendala dalam keterlibatan dokter umum dan gizi. Kurangnya keterlibatan dokter umum terjadi karena banyaknya pasien di Balai Pengobatan yang terkadang menyebabkan ketidakmauan ibu hamil untuk menunggu ataupun mengantri ke BP. Sedangkan kurangnya keterlibatan ahli gizi dalam pemberian layanan konseling disebabkan oleh jumlah ahli gizi yang hanya ada satu orang dan terkadang tidak ada di tempat karena sedang melaksanakan tugas dari Unit Kesehatan Masyarakat. Pentingnya keterlibatan tenaga kesehatan secara maksimal dalam proses pemberian layanan antenatal terpadu. Untuk penelitian selanjutnya perlu ada pendalaman mengenai dampak dari kolaborasi diantara tenaga kesehatan.
References
Aborigo, R., Moyer, Cheryl A. Gupta, Mira., Adongo, Philip B., Williams, John., Hodgson, Abraham., Allote, Pascale., Engmann, C.M. (2014). Obstetric Danger Signs And Factors Affecting Health Seeking Behaviour Among The Kassena-Nankani Of Northern Ghana : A Qualitative Study. 18(September), Pp.78–86.
Ahrne, M., Schytt, E., Andersson, E., Small, R., Adan, A., Essén, B., & Byrskog, U. (2019). Antenatal Care For Somali-Born Women In Sweden: Perspectives From Mothers, Fathers And Midwives. Midwifery, 74, 107–115. Https://Doi.Org/10.1016/J.Midw.2019.03.022
Alijahan R, Nemati A, Moshiri M, Hazrati S. (2016). Nutrition Education and Counseling Provided by Nutritionist and Midwife and its Effects on Maternal Weight Gain in Pregnancy and Child Growth. j.health, 7 (1) :58-70
Arrish, J., Yeatman, H., & Williamson, M. (2014). Midwives and nutrition education during pregnancy: a literature review. Women and birth : journal of the Australian College of Midwives, 27(1), 2–8. https://doi.org/10.1016/j.wombi.2013.02.003
____________________________________________. (2017). Midwives’ Role In Providing Nutrition Advice During Pregnancy: Meeting The Challenges? A Qualitative Study. Nurs Res Pract;: 7698510.
Bailey, R. L., West, K. P., Jr, & Black, R. E. (2015). The epidemiology of global micronutrient deficiencies. Annals of nutrition & metabolism, 66 Suppl 2, 22–33. https://doi.org/10.1159/000371618
Bianchi, C.M., Huneau, J., Le Goff, G., Verger, E.O., Mariotti, F., & Gurviez, P. (2016). Concerns, Attitudes, Beliefs And Information Seeking Practices With Respect To Nutrition-Related Issues: A Qualitative Study In French Pregnant Women. BMC Pregnancy And Childbirth, 16.
Bookari, K., Yeatman, H., & Williamson, M. (2017). Informing Nutrition Care In The Antenatal Period: Pregnant Women’s Experiences And Need For Support. Biomed Research International.
Cetin, I., Bühling, K., Demir, C., Kortam, A., Prescott, S. L., Yamashiro, Y., Yarmolinskaya, M., & Koletzko, B. (2019). Impact Of Micronutrient Status During Pregnancy On Early Nutrition Programming. Annals Of Nutrition & Metabolism, 74(4), 269–278.)
Ferrari, R. M., Siega-Riz, A. M., Evenson, K. R., Moos, M. K., & Carrier, K. S. (2013). A qualitative study of women's perceptions of provider advice about diet and physical activity during pregnancy. Patient education and counseling, 91(3), 372–377. https://doi.org/10.1016/j.pec.2013.01.011
Fowles, E. R., & Fowles, S. L. (2008). Healthy Eating During Pregnancy: Determinants And Supportive Strategies. Journal Of Community Health Nursing, 25(3), 138–152.)
Harianis, Sandra & Ritasari, Mia & Sari, Dewi & Madinah, Madinah. (2020). Analisis Faktor Pelayanan Antenatal Terpadu Di Wilayah Kerja Puskesmas Tembilahan Hulu. Jomis (Journal Of Midwifery Science). 4. 34-45. 10.36341/Jomis.V4i1.1078.
Hatta, M Lucky., Trisnantoro, Laksono., Emilia O. (2014). Hubungan Persepsi Dengan Peran Dokter Dalam Pelayanan Maternal Di Puskesmas Kota Yogyakarta.
Kemenkes RI. (2010). Pedoman Pelayanan Antenatal Terpadu. Kementrian Kesehatan, Direktur Jendral Bina Kesehatan Masyarakat, P.1 Of 40. Available At: Http://Www.Kesehatanibu.Depkes.Go.Id/Wp-Content/Uploads/Downloads/2013/12/Pedoman-ANC-Terpadu.Pdf.
______________. (2023). Profil Kesehatan Indonesia 2022, Jakarta.
______________. (2010) Pedoman Pelayanan Antenatal Terpadu. Kementrian Kesehatan, Direktur Jendral Bina Kesehat Masy [Internet]. 1 Of 40. Available From: Http://Www.Kesehatanibu.Depkes.Go.Id/Wp-Content/Uploads/Downloads/2013/12/Pedoman-ANC-Terpadu.Pdf
Koletzko, B., Bauer, C. P., Bung, P., Cremer, M., Flothkötter, M., Hellmers, C., Kersting, M., Krawinkel, M., Przyrembel, H., Rasenack, R., Schäfer, T., Vetter, K., Wahn, U., Weissenborn, A., & Wöckel, A. (2013). German national consensus recommendations on nutrition and lifestyle in pregnancy by the 'Healthy Start - Young Family Network'. Annals of nutrition & metabolism, 63(4), 311–322. https://doi.org/10.1159/000358398
Kothe E, Bailey C, Weiner C, Et Al. (2019). An Investigation Of Australian Midwifery Curricula For Obesity Management And Health Behaviour Change Training. Nurse Educ Pract; 36: 54–57.
Lubis, N.L. (2011). Memahami Dasar-Dasar Konseling Dalam Teori Dan Praktik. Jakarta: Prenada Media Grup.
Lee, A., Matthews, R., & Laws, R. A. (2023). Pregnancy Nutrition Knowledge Of Antenatal Care Providers: An Evaluation Of An Online Training Module. Midwifery, 116, 103543
Marangoni, F., Cetin, I., Verduci, E., Canzone, G., Giovannini, M., Scollo, P., Corsello, G., & Poli, A. (2016). Maternal Diet and Nutrient Requirements in Pregnancy and Breastfeeding. An Italian Consensus Document. Nutrients, 8(10), 629. https://doi.org/10.3390/nu8100629
Smith, A. & Dixon, A. (2010). The role of GPs in maternity care – what does the future hold ? An Inquiry into the Quality of General Practice in England The role of GPs in maternity care – what Judy Shakespeare.
Stengel, M. R., Kraschnewski, J. L., Hwang, S. W., Kjerulff, K. H., & Chuang, C. H. (2012). "What My Doctor Didn't Tell Me": Examining Health Care Provider Advice To Overweight And Obese Pregnant Women On Gestational Weight Gain And Physical Activity. Women's health issues : official publication of the Jacobs Institute of Women's Health, 22(6), e535–e540. https://doi.org/10.1016/j.whi.2012.09.004
Szwajcer, E. M., Hiddink, G. J., Koelen, M. A., & Van Woerkum, C. M. (2005). Nutrition-Related Information-Seeking Behaviours Before And Throughout The Course Of Pregnancy: Consequences For Nutrition Communication. European Journal Of Clinical Nutrition, 59 Suppl 1, S57–S65. Https://Doi.Org/10.1038/Sj.Ejcn.1602175
United Nations. Sustainable Development Goals 2020.
Webb Girard A, Olude O. (2012). Nutrition education and counselling provided during pregnancy: effects on maternal, neonatal and child health outcomes. https://www.ncbi.nlm.nih.gov/books/NBK109987/
World Health Organisation. (2009). “World Health Day. Safe Motherhood. Improve The Quality Of Maternal Health Services.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Nurrul Ainy, Ahmad Yani Noor (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under CC BY 4.0
.
Diterbitkan oleh PT Nuansa Fajar Cemerlang
