Quality of Antenatal Care at Urban and Rural Puskesmas (Public Health Center) in Jeneponto Regency
Keywords:Antenatal Care, Pregnancy Examination, Quality, Puskesmas
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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Tanzania National Bureau of Statistics. Tanzania Demographic and Health Survey 2004. Australia: Tanzania National Bureau of Statistics; 2005.
Fagbamigbe A, Idemudia E. Assessment of quality of antenatal care services in Nigeria: Evidence from a population-based survey. Reprod Health. 2015;12:88. https://doi.org/10.1186/s12978-015-0081-0 PMid:26382228
Lim S, Dandona L, Hoisington JA, James SL, Hogan MC, Gakidou E. India’s Janani Suraksha Yojana, a conditional cash transfer programme to increase births in health facilities: An impact evaluation. Lancet. 2010;375:2009-23. https://doi.org/10.1016/s0140-6736(10)60744-1 PMid:20569841
UN Population Fund India. Concurrent Assessment of Janani Suraksha Yojana (JSY) in Selected States. India: UN Population Fund India; 2009.
Lincetto O, et al. Antenatal Care: Opportunities For Africa’s Newborns. New York: World Health Organiation; 2010.
Titaley C, Dibley MJ, Roberts CL. Factors associated with underutilization of antenatal care services in Indonesia: Results of Indonesia demographic and health survey 2002/2003 and 2007. BMC Public Health. 2010;10:485. https://doi.org/10.1186/1471-2458-10-485 PMid:20712866
Zanconato G, Msolomba R, Guarenti L, Franchi M. Antenatal care in developing countries: The need for a tailored model: Semin fetal neonatal med 2006. Semin Fetal Neonatal Med. 2006;11(1):15-20. https://doi.org/10.1016/j.siny.2005.10.002 PMid:16364704
Birmeta K, Dibaba Y, Woldeyohannes D. Determinants of maternal health care utilization in holeta Town, Central Ethiopia. BMC Health Serv Res. 2013;13:256. https://doi.org/10.1186/1472-6963-13-256
Celik Y. The socio-economic determinants of alternative sources of antenatal care in Turkey. Int J Health Plan Manag. 2000;13:1-10.
Ejigu T, Woldie M, Kifle Y. Quality of antenatal care services at public health facilities of bahir-dar special zone, Northwest Ethiopia. BMC Health Serv Res. 2013;13:443. https://doi.org/10.1186/1472-6963-13-443
Kyei N, Chansa C, Gabrysch S. Quality of antenatal care in Zambia: A national assessment. BMC Pregnancy Childbirth. 2012;12(151):1-11. https://doi.org/10.1186/1471-2393-12-151
Fekadu M, Regassa N. Skilled delivery care service utilization in Ethiopia: Analysis of rural-urban differentials based on national demographic and health survey (DHS) data. Afr Health Sci. 2014;14(4):974-84. https://doi.org/10.4314/ahs.v14i4.29 PMid:25834510
Say L, Raine R. A systematic review of inequalities in the use of maternal health care in developing countries: Examining the scale of the problem and the importance of context. Bull World Health Organ. 2007;85(10):811-19. https://doi.org/10.2471/blt.06.035659 PMid:18038064
Simkhada B, van Teijlingen ER, Porter M, Simkhada P. Factors affecting the utilization of antenatal care in developing countries: Systematic review of the literature. J Adv Nurs. 2008;61(3):244-60. https://doi.org/10.1111/j.1365-2648.2007.04532.x PMid:18197860
Kemenkes RI. Riset Kesehatan Dasar. Jakarta: Ministry of Health; 2013.
Riskesdas. Riset Kesehatan Dasar. Jakarta: Ministry of Health; 2014.
Ajayi I, Osakinle DC, Osakinle EO. Quality assesment of the practice of focused antenatal care (FANC) in rural and urban primary health centres in Ekiti state. J Obstetrics Gynecol. 2013;3:319-26. https://doi.org/10.4236/ojog.2013.33059
Dowswell T, Carroli G, Duley L, Gates S, Gülmezoglu AM, Khan-Neelofur D, et al. Alternative versus standard packages of antenatal care for low-risk pregnancy. Eur PMC Funders Group. 2010;4:1-76.
Kemenkes RI. Pedoman Pelayanan Antenatal Terpadu. Jakarta: Ministry of Health; 2015.
Ververs M, Antierens A, Sackl A, Staderini N, Captier V. Which anthropometric indicators identify a pregnant woman as acutely malnourished and predict adverse birth outcomes in the humanitarian context. PLos One. 2013;2:1-15. https://doi.org/10.1371/currents.dis.54a8b618c1bc031ea140e3f2934599c8 PMid:23787989
Sarker M, Schmid G, Larsson E, Kirenga S, De Allegri M, Neuhann F, et al. Quality of antenatal care in Rural Southern Tanzania: A reality check. BMC Health. 2010;3:209. PMid:20663202
Jwa S, Fujiwara T, Yamanobe Y, Kozuka K, Sago H. Changes in maternal hemoglobin during pregnancy and birth outcomes. BMC Pregnancy Childbirth. 2015;15:80. https://doi.org/10.1186/s12884-015-0516-1 PMid:25884586
Bakacak M, Avci F, Ercan O, Köstü B, Serin S, Kiran G, et al. The effect of maternal hemoglobin concentration on fetal birth weight according to trimesters. J Matern Fetal Neonatal Med.2004;28(17):2106-10. https://doi.org/10.3109/14767058.2014.979149 PMid:25338012
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