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Pemberdayaan Tenaga Kesehatan dan Kader dalam Pelayanan Kegawatdaruratan Maternal dan Neonatal yang Excellent di Desa Bangun Rejo Kabupaten Deli Serdang Provinsi Sumatera Utara Marta Armita Silaban; Vitalia Hanako Simanjuntak; Eva Dona Sinaga; Sari Simanjuntak; Sarah Sausan
ASPIRASI : Publikasi Hasil Pengabdian dan Kegiatan Masyarakat Vol. 2 No. 3 (2024): Mei : Publikasi Hasil Pengabdian dan Kegiatan Masyarakat
Publisher : Asosiasi Periset Bahasa Sastra Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/aspirasi.v2i3.990

Abstract

Neonatal maternal emergencies are a contributing cause of maternal mortality, including hypertension disorders, namely preeclampsia/eclampsia (33.07%), obstetric hemorrhage (27.03%), other obstetric complications 12.04%, infections in pregnancy (6.06%) (Indonesian Ministry of Health, 2019). Maternal mortality and morbidity can actually be reduced or prevented with various improvements in the field of obstetric health services. In Indonesia, obstetric emergency problems occur due to four delays, namely being late in recognizing danger signs and risks, being late in making a decision to seek help, being late in getting transportation to reach a more capable health service facility, and being late in getting help at a referral facility. Bangun Rejo Village is one of the villages in the Tanjung Morawa Community Health Center which has the highest risk of pregnant women compared to other villages. Involvement in decision making regarding referrals is still predominantly obtained from the family, so that family knowledge regarding emergency problems and pregnancy complications experienced by the mother greatly influences the accuracy of decision making to refer/contact a midwife/health worker so that treatment can be obtained more quickly. This activity aims to increase the knowledge of health workers, namely village midwives and cadres, in providing excellent maternal and neonatal emergency services in Bangun Rejo Village. This activity was attended by 9 midwives and 11 cadres from 11 hamlets in Bnagun Rejo Village. The results of this activity were that there was an increase in partners' knowledge before and after the intervention in the "good" category, which increased by 53% and in the "poor" category, which decreased by 53%. The initial pretest score was 45% which increased in the post test to 98%. It is necessary to increase the knowledge and abilities of village midwives and cadres in Bnagun Rejo Village regarding maternal and neonatal emergency services.
Faktor yang Memengaruhi Pemanfaatan Pelayanan Kesehatan dalam Kegawatdaruratan Maternal Neonatal di Desa Bangun Rejo Kabupaten Deli Serdang Provinsi Sumatera Utara Tahun 2024 Marta Armita Silaban; Eva Dona Sinaga; Sari Simanjuntak; Sarah Sausan
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 1 No. 2 (2024): April : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v1i3.688

Abstract

Utilization of Emergency Maternal and Newborn Health Services is one of the important factors in determining the level of health which is particularly relevant to health problems and community development. The purpose of this study was to determine the factors that influence the utilization of health services in maternal and newborn emergencies in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency, North Sumatra Province in 2024. This type of research is an analytical survey with a cross-sectional approach. Utilization of Health Services in maternal and newborn emergencies is the dependent variable in this study, while the independent variables include access to health services, attitudes of health workers and BPJS membership in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency in 2024. The sampling technique was carried out using simple random sampling. The head of the family was the sample in this study. The sampling technique was carried out randomly from 476 Heads of Families in Bangun Rejo Village to 99 respondents. Data analysis used univariate and bivariate analysis with a confidence level of 95% (α = 0.05). The results of the chi-square test showed that there was a relationship between access to health services and the use of maternal neonatal emergency health services (p=0.04), there was no relationship between the attitude of health workers and the use of emergency health services (p=0.227), there was a relationship between BPJS membership and the use of maternal neonatal emergency health services (p=0.002).