Cahya Tri Purnami
Bagian Biostatistik dan Kependudukan FKM UNDIP

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Analisis Faktor Risiko Status Kematian Neonatal Studi Kasus Kontrol di Kecamatan Losari Kabupaten Brebes Tahun 2006 Priyadi Nugraha Prabamurti; Cahya Tri Purnami; Laksmono Widagdo; Sigit Setyono
Jurnal Promosi Kesehatan Indonesia Volume 3, No. 1, Januari 2008
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (40.745 KB) | DOI: 10.14710/jpki.3.1.1-9

Abstract

Background: The efforts to reach the national target to decreasing infant mortality, what in this time still become governmental priority programs. Nationally, mortality rate in this last decade had decreased excessively, from 50 per a thousand alive births in 2001 becoming 39 per a thousand alive births in 2005. The number revealed if seen at mortality neonatal still high enough.Method: This is an analytical survey research with case-control approach. Research subjects consists of 29 women having infant which die at neonatal age as a case group, and 29 women having alive infant passed a neonatal period, as a control group. Source of data obtained from secondary data to verbal autopsy record, history of pregnant woman and confinement note from public health center (Puskesmas). Data analyzing by univariate and bivariate analysis. Statistical test by Chi Square test that significance rate determined if p -value less than 0.05 and calculation of Odds Ratio (OR>1).Result: Result of analysis indicates that mother age (p = 0.0023 and OR = 7.69), parity (p =0.0006 and OR = 8.25), helper of confinement (p = 0.044 and OR = 6.07), born baby weight (p = 0.016 and OR=6,12) and condition of baby breathing effort (p= 0.001 and OR = 7.85), significantly risked to neonatal status. It is conclude that mother age, parity, helper ofconfinement, born baby weight and condition of baby breathing effort is risked to neonatal status. It is suggested to maturing marriage age and management of birth at healthy reproduction age, increasing of neonatal call so that can decreasing mortality rate.Keywords: neonatal mortality status, risk factors, pregnant woman
Hubungan Persepsi Ibu Tentang Sarana Pelayanan KIA Dengan Kun- jungan Pemeriksaan Kehamilan (K4) (Studi di Wilayah Kerja Puskesmas Tegal Barat II Kota Tegal Tahun 2006) Cahya Tri Purnami; Rizki Anna L
Jurnal Promosi Kesehatan Indonesia Volume 2, No. 2, Agustus 2007
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (59.446 KB) | DOI: 10.14710/jpki.2.2.130-139

Abstract

Background: Maternal and Child Care is one of factors to reduce Maternal Mortality Rate. This service needs sufficient supports, i.e. antenatal care guideline, health personnel, and its facilities. A pregnant mother is required to have a minimum of 4 times of Antenatal Care within her pregnancy, i.e. 3rd month, 6th month, 7th and 9th month. Compared to other health centers, Tegal Barat II Health Center recorded lower rate on Antenatal Visitors Rate or about 60%. Meanwhile, the national standard requires 90% of Antenatal Visitors Rate. This research aimed to explain the association between maternal perception on maternal and child carefacilities and antenatal care (K4).Method: This research was an explanatory research, utilizing cross sectional approach. Forty five respondents were taken from mothers who have babies less than 3 months old and visited the health centers. Questionnaires were utilized to gather the data, and the analysis wasconducted based on descriptive as well as analytic.Result: Result showed that out of 45 respondents: 53.3% had perception that antenatal guideline book was not interesting, 17.8% said that health personnel had to examine fundus height metrically, and 93.3% said that all pregnant women had to obtain Fe tablets from health center. Variables that significantly associated with antenatal care (K4) were maternal perception on antenatal care guideline (at p-value: 0.012) and maternal perception on antenatal care facilities (at p-value: 0.0001). Meanwhile, maternal perception on health personnel (at p-value: 0.161) was not associated with antenatal care. It was concluded and recommendedthat the performance of Antenatal Care Guideline and Antenatal Care Facilities must be improved.Keywords: Antenatal care, service quality.
Hubungan Karakteristik Ibu Keluarga Miskin dengan Pemilihan Tempat Pemeriksa Kehamilan di Kecamatan Sulang Kabupaten Rembang Tahun 2006 Cahya Tri Purnami; Mas’udah Mas’udah
Jurnal Promosi Kesehatan Indonesia Volume 2, No. 1, Januari 2007
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (58.777 KB) | DOI: 10.14710/jpki.2.1.47-52

Abstract

Background : The goal of maternal and antenatal care is to strengthen to improve access and to omprove maternal and child health status effectively and efficiency. One of indicators to evaluate the program at health center level is the coverage of pregnant mothers who seek theservice (K4). The antenatal care service is provided free of charge for underprevilege families at community health centers, village midwives and village health posts under social security community health service. However, the coverage of pregnant mothers who seek the service(K4) for underprevilege families at Sulang is still under target as recorded on 2005. The coverage of this community health center was still reach 39,6 %. This condition could be assumed that the utility of antenatal care servese is not at optimum level. The preference of antenatal careservice is a form of behavior in health. This research aims to know the association between demographic factors, maternal knowledge and antenatal care service preference amongst underprevilege families at Sulang Community Health Center, Rembang Regency.Method : This study utilized explanatory survey. The respondents are 35 mothers from underprevilege famil ies who prefer to use the designated antenatal care service base on recommendation by local government and 40 mothers from underprevilege families who prefer to use the others on 2005. Proportionate random sampling was utilized based on randomnumber table. Data was analyzed using Chi-square test.Result : Results showed there was a significant association between age and antenatal care service preference ( p-value= 0,001), a significant association between educational attainment and antenatal care service preference ( p-value= 0,007), a significant association between parity and antenatal care service preference ( p-value= 0,003). However range of birth is not association with antenatal care service preference ( p-value= 0,348). It is recommended to give communication, information and education amongst pregnant mothers at the age of <20 years old and >35 years old. Those include the risk of pregnancy and giving birth withinthe high risk age, antenatal care service procedure, place and requirement to obtain free facility for antenatal care service amongst underprevilege family. The programme can be delivered through integrated health service posts (posyandu) and on household meetings.Keywords : Antenatal care, Underprevileged family, Health assurance