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Analysis of maternal health service problems in the maternal and child health (KIA) program of the Konawe District Health Office Wa Anasari; Suhartati Suhartati; Arbiyah Arbiyah; Eka i Syafitri Wahyuni; Sitti Hastati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 9, No 2 (2021)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2021.9(2).139-146

Abstract

Background: One form of service in the MCH program is services for pregnant women which consist of health services for pregnant women, maternal health, postpartum health, handling of obstetric complications, and contraceptive services, all of which aim to ensure protection for pregnant women and / or fetuses. This is closely related to efforts to reduce maternal mortality (MMR). Objectives: The research objective was to determine the priority of health problems, find the root of health problems and provide alternative solutions to problems in health care for pregnant women Methods: The research method used is descriptive research using secondary data sources to determine the priority of the problem by means of a Focus Group Discussion (FGD) involving decision makers at the Konawe District Health Office. The formulation of alternative solutions is carried out after the root causes are identified using Ishikawa or Fishbone diagrams. The priority of the root cause of the problem is carried out using the Capability Accessibility Readiness Leverage (CARL) method. Results: The results show that the low K1 and K4 coverage of pregnant women health services is the main priority problem. The root cause of the problem that must be prioritized to be resolved is that socialization to teenagers / prospective brides (catin) about marriage at a young age is still a major problem that must be followed up. The alternative that is given as a solution is to provide counseling using innovative and attractive media to make it easier to understand.Conclusions: The priority of health problems in the MCH Program of the Konawe District Health Office is the problem of health services for pregnant women with K1 and K4 coverage. The root of the problem of socialization among adolescents / catin about marriage at a young age is still lacking is the level of education, knowledge, employment, counseling media are less innovative and interesting, the frequency of counseling and the size of the area are not proportional to the available resources. An alternative solution is socialization to teenagers/catin about marriage at a young age is still lacking by using innovative and interesting counseling media so that it is easy to receive and understand the information conveyed.
Penerapan Konsep Asuhan Sayang Ibu Terhadap Lamanya Kala II Persalinan Pada Ibu Primipara Di Rumah Sakit PMI Sultra Isra Wati; Suhartati Suhartati; Devin Devin
Science and Education Journal (SICEDU) Vol 5 No 2 (2026): Science and Education Journal 2026
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/sicedu.v5i2.1062

Abstract

Kala II persalinan merupakan fase penting yang dimulai sejak pembukaan serviks lengkap hingga lahirnya bayi. Lamanya kala II persalinan dapat dipengaruhi oleh berbagai faktor, termasuk kondisi fisik dan psikologis ibu. Salah satu upaya yang dapat dilakukan untuk meningkatkan kenyamanan dan memperlancar proses persalinan adalah penerapan konsep Asuhan Sayang Ibu. Asuhan Sayang Ibu merupakan pelayanan yang menghargai martabat ibu, memberikan dukungan emosional, komunikasi efektif, serta melibatkan keluarga dalam proses persalinan. Penelitian ini bertujuan untuk mengetahui pengaruh penerapan konsep Asuhan Sayang Ibu terhadap lamanya kala II persalinan pada ibu primipara di Rumah Sakit PMI Sultra. Penelitian menggunakan pendekatan kuantitatif dengan desain analitik observasional menggunakan metode cross-sectional. Sampel penelitian berjumlah 40 ibu primipara yang menjalani persalinan normal di Rumah Sakit PMI Sultra. Data dikumpulkan menggunakan lembar observasi penerapan Asuhan Sayang Ibu dan partograf persalinan. Analisis data dilakukan menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa 72,5% ibu mendapatkan penerapan Asuhan Sayang Ibu yang baik dan 75% mengalami kala II persalinan dalam kategori normal. Hasil uji Chi-Square menunjukkan nilai p = 0,002 (p < 0,05), yang berarti terdapat hubungan signifikan antara penerapan Asuhan Sayang Ibu dan lamanya kala II persalinan
Evaluasi Efektivitas Konseling Kehamilan dalam Meningkatkan Pengetahuan dan Perilaku Ibu Hamil di Puskesmas Poasia, Kendari, Sulawesi Tenggara Suhartati Suhartati; Erniwati Daranga; Fath Irtaniyah Rahman; Arbiyah Arbiyah
Sahabat Sosial: Jurnal Pengabdian Masyarakat Vol. 4 No. 2 (2026): Sahabat Sosial: Jurnal Pengabdian Masyarakat (Maret)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/sosisabdimas.v4i2.1078

Abstract

This Community Service (PKM) project aims to evaluate the effectiveness of the pregnancy counseling program in improving the knowledge and behavior of pregnant women at the Poasia Community Health Center in Kendari City, Southeast Sulawesi. The method used was an educational approach through individual and group counseling, accompanied by pre- and post-tests to measure knowledge gains and observe changes in health behaviors during pregnancy. Results showed significant improvements in understanding pregnancy danger signs, adherence to antenatal visits, consumption of iron supplements, and healthy lifestyle practices. This program demonstrates that structured and ongoing counseling is effective in supporting improvements in the quality of pregnant women's health at the primary care level.