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All Journal Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan
Riauni Syaputri
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Health Professions Medicine & Pharmacology Nursing Public Health

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Evaluating the Triple Elimination Screening Program for Pregnant Women in Rokan Hilir District, Indonesia Riauni Syaputri; Budi Hartono; Azzah Rawani
Viva Medika Vol 17 No 1 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i1.1358

Abstract

The Triple Elimination program aims to prevent mother-to-child transmission of HIV, hepatitis B, and syphilis during pregnancy. This qualitative phenomenological study evaluated the implementation of the Triple Elimination program among pregnant women at the Rokan Hilir District Health Office in Indonesia. Five informants were purposively selected for in-depth interviews and document reviews. Data were analyzed using fishbone and SWOT analyses. Major barriers included limited knowledge and motivation among pregnant women due in part to inadequate midwife competencies in conducting screenings, insufficient health promotion infrastructure and activities, budget constraints, limited involvement of community stakeholders, and lack of supportive policies. Recommendations encompass enhancing midwife competencies, garnering policymaker support, optimizing community health cadres' roles, employing mobile health education strategies, and fostering partnerships through a Pentahelix approach. This streamlined abstract concisely summarizes the key aspects of the study including aims, methods, findings, and conclusions in clear language appropriate for an international audience
Performance Analysis of The Triple Elimination Checking Programme for Pregnant Mothers in Antenatal Care at The Dinas Health District of Rokan Hilir Year 2024 Riauni Syaputri; Budi Hartono; Emy Leonita; Novita Rany; Doni Jepisah
Viva Medika Vol 17 No 3 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i3.1617

Abstract

The Triple Elimination Program aims to prevent the transmission of HIV, syphilis, and hepatitis B from mother to child. In Rokan Hilir Regency, screening coverage remains low: hepatitis B (42.2%), HIV (38%), and syphilis (48.3%). Bantaian Health Center has the lowest coverage, while Bagan Batu Health Center has the highest. A thorough evaluation is needed to improve program performance using the Malcolm Baldrige approach. This study aims to evaluate the performance of the triple elimination program for pregnant women at the Rokan Hilir District Health Office in 2024, employing a mixed-method explanatory sequential design. The sample consisted of 40 respondents and 9 stakeholders as informants. Triangulation was applied to sources, methods, and data. The results show that most respondents rated program leadership as high (57.5%), while strategic planning (52.5%), patient focus (62.5%), measurement and knowledge management (60%), team focus (55%), process focus (57.5%), and performance results (60%) were rated low. Qualitatively, program leadership demonstrated strong commitment. Program planning is based on technical guidelines and BOK funds, with limitations in APBD budget allocations. Education and collaboration with community leaders have been implemented. However, the program has not focused on patients and is not widely recognized by the community. Staff at Bantaian and Bagan Batu Health Centers enthusiastically implement the program despite limited human resources, introducing innovations and conducting regular evaluations. The program is developed through coordination meetings, data analysis, and cadre training. Key factors for achieving targets include case monitoring, health education, cross-sector collaboration, and periodic evaluations. Health centers need to expand education and socialization on the importance of triple elimination screening, supported by integrated coordination between the Health Office and related agencies (OPD).
Co-Authors Azzah Rawani budi hartono Emy Leonita Jepisah, Doni Rany, Novita