Quality of Antenatal Care at Urban and Rural Puskesmas (Public Health Center) in Jeneponto Regency

Nurul Fauziah; Ansariadi Ansariadi; Darmawansyah Darmawansyah; Wahidin M. Wahidin; Reski Amaliah; Zhanaz Tasya; Itma Annah; Iva Hardi Yanti

doi:10.3889/oamjms.2020.5223

Authors

Nurul Fauziah Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
Ansariadi Ansariadi Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
Darmawansyah Darmawansyah Department of Health Administration and Policy, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
Wahidin M. Wahidin Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia; Majene Health Office, Majene Regency, West Sulawesi, Indonesia
Reski Amaliah Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia; Jeneponto Health Office, Jeneponto Regency, South Sulawesi, Indonesia
Zhanaz Tasya Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia; Jeneponto Health Office, Jeneponto Regency, South Sulawesi, Indonesia
Itma Annah Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia; Health Polytechnic of Palangkaraya, Central Kalimantan, Indonesia
Iva Hardi Yanti Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2020.5223

Keywords:

Antenatal Care, Pregnancy Examination, Quality, Puskesmas

Abstract

BACKGROUND: Increased coverage antenatal care (ANC) occurring in developing countries do not guarantee the success of the ANC, it is because a high rate of maternal and neonatal mortality associated with inadequate and poor quality of maternal care, including ANC.

AIM: This study aimed to find out the differences in the quality of ANC in rural and urban primary health centers in Jeneponto Regency.

METHODS: This research aims to determine the different quality of ANC at urban and rural puskesmas (public health center), Jeneponto regency. The type of the research was observational analysis with cross-sectional design. There were 139 fixed samples of rural and urban pregnant women visiting the puskesmas, from October 2015 to May 2016. The samples were selected using stratified random sampling method from two puskesmas of each area.

RESULTS: The results indicate that 52.6% of ANC quality is categorized bad. There is different ANC quality based on body weight, the height of fundus uteri, and administration of Fe tablet (0.038, 0.029, and 0.006). There is no difference of antenatal quality based on body height, LILA, fetus’ heartbeat, fetus presentation, blood type and Hb, and immunization of TT (0.068, 0.501, 1.000, 1.000, 0.133, 0263, and 0530). Blood pressure is not analyzed.

CONCLUSION: There are three components that show differences in rural and urban health centers, namely, weight measurement, fundal height measurement, and FE tablet administration. As for the components of height measurement, assessment of nutritional status (MUAC), fetal presentation, examination of fetal heart rate, administration of TT immunization, and examination of blood type and hemoglobin. The component of blood pressure measurement was not included in the statistical test because all respondents received the examination.

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