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Nesa
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ANALISIS IMPLEMENTASI KLINIK TELEMEDICINE (KTM) DALAM MENDUKUNG AKSES PELAYANAN KESEHATAN IBU DAN ANAK DI DESA CIGUNUNG HERANG Chici Riansih; Nesa; Yulinda Oktaviana Harahap
Journal of Midwifery and Health Administration Sciences Vol. 2 No. 1 (2026): Journal of Midwifery and Health Administration Sciences
Publisher : Universitas Prof Dr Hafiz MPH

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This study aimed to analyze barriers to maternal and child health service access and to examine the potential implementation of a locally appropriate Telemedicine Clinic (KTM) model in Cigunung Herang Village, Cianjur. A descriptive study with a participatory situational-analysis approach was conducted on 10 July 2026. Data were collected through field observation, participant registration, basic health screening including blood pressure, blood glucose, and uric acid examination, as well as health and educational counselling. The findings were analyzed descriptively to identify health-service barriers, community needs, and the feasibility of telemedicine implementation. A total of 146 participants were involved, consisting of 106 community members and 40 pregnant women. The study identified several major barriers, including difficult road access, an estimated 30 km distance to the public health center, and uneven telecommunications coverage. Elevated blood pressure and blood glucose were among the prominent health findings; however, the available individual-level data were insufficient to determine prevalence. The study also identified the need for a simple, low-bandwidth telemedicine system supported by health screening, documentation, referral mechanisms, and local assistance. These findings indicate that the Telemedicine Clinic model has the potential to support maternal and child health service accessibility when implemented gradually and integrated with existing primary health care services.
PEMANFAATAN TELEMEDICINE DALAM DETEKSI DINI GANGGUAN KESEHATAN REPRODUKSI PADA WANITA USIA SUBUR SEBAGAI UPAYA PENCEGAHAN KOMPLIKASI KEHAMILAN DI RSDH Nesa
Journal of Midwifery and Health Administration Sciences Vol. 2 No. 1 (2026): Journal of Midwifery and Health Administration Sciences
Publisher : Universitas Prof Dr Hafiz MPH

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Background: Early identification of reproductive health problems before conception is important to reduce preventable pregnancy complications, while access to preconception counseling remains uneven. Telemedicine may facilitate screening, education, and timely referral. Objective: To analyze the utilization of telemedicine for early detection of reproductive health problems among women of reproductive age as an effort to prevent pregnancy complications at RSDH. Methods: An analytic cross-sectional design involved 96 women aged 18–49 years selected through consecutive sampling. Telemedicine screening included structured history, a reproductive-risk questionnaire, education, and referral recommendations. Utilization was categorized as high or low based on completeness and frequency of teleconsultation. Data were analyzed descriptively and using the chi-square test. Results: Reproductive health risks were identified in 70.8% of participants. Early detection was higher among women with high telemedicine utilization (80.6%) than among those with low utilization (52.9%), and high utilization was associated with greater completion of recommended follow-up. Conclusion: Telemedicine has potential as an accessible preconception screening and counseling strategy to identify reproductive health risks and support timely referral before pregnancy
HUBUNGAN DUKUNGAN SUAMI DENGAN KESIAPAN IBU HAMIL DALAM MENGHADAPI PERSALINAN DI WILAYAH KERJA PUSKESMAS CIANJUR Nesa
Journal of Midwifery and Health Administration Sciences Vol. 1 No. 1 (2025): Journal of Midwifery and Health Administration Sciences
Publisher : Universitas Prof Dr Hafiz MPH

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Background: Birth preparedness is an important component of safe motherhood and requires emotional, informational, financial, and practical support during pregnancy. Adequate preparation enables pregnant women and their families to make timely decisions regarding place of birth, skilled birth attendance, transportation, financial resources, companionship, emergency support, and recognition of maternal and fetal danger signs. Husbands may play an important role in supporting maternal decision-making and facilitating access to appropriate maternity care. Objective: This study aimed to examine the association between husband support and pregnant women’s readiness for childbirth. Methods: This cross-sectional study involved 120 pregnant women in their third trimester. Husband support was assessed using a multidimensional questionnaire covering emotional, informational, instrumental, and decision-making support. Childbirth readiness was assessed based on several preparedness components, including planned place of birth, skilled birth attendant, transportation, availability of funds, birth companion, blood donor plan, and recognition of pregnancy and childbirth danger signs. Data were analyzed to determine the association between husband support and childbirth readiness using the chi-square test and odds ratio. Results: Among women who received high levels of husband support, 83.3% were categorized as ready for childbirth, compared with 50.0% among women who received low levels of support. Statistical analysis demonstrated a significant association between husband support and childbirth readiness (χ²=15.24; p<0.001). The odds ratio was 5.00, indicating that women with high husband support had higher odds of being categorized as ready for childbirth compared with those receiving low support. Conclusion: Strong husband support is associated with better childbirth readiness among third-trimester pregnant women. Couple-centered antenatal counselling that actively involves husbands may strengthen birth preparedness and encourage shared decision-making regarding maternal and newborn care.
Co-Authors riansih, chici Yulinda Oktaviana Harahap