MENGAPA KOMPETENSI PEMERIKSAAN PRENATAL KONSELING TANDA BAHAYA OLEH BIDAN DI PUSKESMAS LEBIH BAIK DIBANDINGKAN PRAKTIK SWASTA DI INDONESIA? DATA INDONESIA FAMILY LIFE SURVEY (IFLS) 2007

WHY THE COMPETENCY OF PRENATAL EXAMINATION OF DANGER COUNSELING BY MIDWIVES AT PUSKESMAS IS BETTER THAN PRIVATE PRACTICE IN INDONESIA? DATA INDONESIA FAMILY LIFE SURVEY (IFLS) 2007

Abstract

Background: Indonesia's maternal mortality rate increased in
2013 while antenatal care coverage K4 also increased. The
element is important to know the health status of the pregnancy
is highly dependent on the implementation of the prenatal
examination by a midwife. Midwives have a good quality in the
implementation of prenatal examinations can reduce morbidity
and mortality of pregnant women.
Objectives: To investigate implementation prenatal
examination in Indonesia by midwives in the health center
facilities (public) and private practice, working time, training
participation, geographical location (urban-rural), and the
regions lagging.
Methods: This research is a quantitative research. We
analyzed 1,433 midwives from 13 provinces in Indonesia which
respondents IFLS 2007. The implementation details of prenatal
care by midwives obtained from nine item prenatal procedures
on questionnaires vignettes.
Results: Statistical tests showed that the percentage of
implementation of prenatal care is still low. Variable types of
facilities most influence on the implementation of prenatal
examinations and tests hemoglobin fe tablet. Public facilities
tend to be carrying out the procedure with (OR 1,30; CI 1,04-
1,61) and hemoglobin tests (OR 1,62; CI 1,30-2,02) compared
to private practice. Variable training participation proved to be
the most influential on the implementation of urine testing,
counseling danger signs of pregnancy, and ask a history of high
blood, midwife training are more likely to implementing
procedures prenatal urine (OR 1,95; CI 1,21-3,14), counseling
danger signs of pregnancy (OR 1,45; CI 0,98-2,15], and asking
a history of high blood pressure (OR 1,61; CI 1,12-2,33)
compared the midwife did not follow the training.
still low. Strategies to increase implementation of antenatal care
by improving the function of regulation, training and continuing
education, and supervision.