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Skrining Kesehatan Jiwa pada Ibu Hamil sudahkah diimplementasikan? damayani, ayi diah; Harindra; Auronita Puspa Pertiwi; Akhiat; Intaglia Harsanti
Citra Delima Scientific journal of Citra Internasional Institute Vol. 8 No. 1 (2024): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v8i1.411

Abstract

Midwifery care for pregnant women is carried out based on standards set by the government in Minister of Health Regulation no. 21 of 2021, as one of the strategies for reducing maternal mortality. Standards for antenatal care include 10 Ts, namely measurement of weight and height, measurement of blood pressure, measurement of upper arm circumference, measurement of the uterine fundus, fetal presentation and determination of fetal heart rate, examination and administration of tetanus vaccination, administration of blood supplement tablets, laboratory tests, management and interviews as well as mental health assessments. Objective: Analyze the implementation of the ANC 10 T standard in Bangka Belitung province.Method: Qualitative research, data collection was carried out by conducting interviews with 10 respondents and filling out questionnaires  with 124 pregnant women and 41 midwifes. The research was conducted in July – October 2023.Results: Of the 124 respondents, 57.3% of people stated that ANC services were according to standards, 10.5% were quite suitable and 32.3% were very suitable. Of the 41 midwifes, 48.8% said ANC services were very suitable, 34.1% said they were good and 14.6% said they were moderate, and 2.4% felt they were not appropriate in carrying out ANC. Conclusion: The 10 T ANC service standard has been implemented in all primary health services (Puskesmas) however technical instructions/screening regarding ANC services related to mental health have not been optimally implemented. Cross-sector coordination is needed to improve the quality of 10 T services.
HEALTH WORKERS’ PERSPECTIVES ON DEVELOPING AN EFFECTIVE MODEL FOR SEXUAL AND REPRODUCTIVE HEALTH EDUCATION FOR ADOLESCENTS WITH INTELLECTUAL DISABILITIES: A QUALITATIVE STUDY IN PANGKALPINANG CITY Rhadiyah, Putri; Akhiat; Arisanti, Nita; Susiarno, Hadi; Dhamayanti, Meita; Dhamayanti, Dewi; Anwar, Ruswana
The Indonesian Journal of Public Health Vol. 20 No. 3 (2025): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v20i3.2025.582-595

Abstract

Introduction: Around 180 to 220 million young people are living with a disability and almost 80% are in developing countries. Adolescents with intellectual disabilities (ID) face heightened risks of inappropriate sexual behavior, sexual violence, and reproductive health issues due to limited access to tailored education. Health professionals have a responsibility to educate, inform, and support adolescents with intellectual disabilities regarding their sexual and reproductive health. Aims: The purpose of this study was to explore sexual and reproductive health education for adolescents with intellectual disabilities based on the perspective of health workers. Methods: A qualitative case study was conducted with 12 health workers from four primary health centers in Pangkalpinang City. Data were collected through in-depth interviews and analyzed using content analysis. Result: Analysis yielded 47 transcripts, 150 codes, 9 categories, and 4 overarching themes: Modelling, Guided Practice, Reinforcement, and Feedback. Under Modelling, key categories included the use of tangible learning media, focused educational content and adaptive communication techniques. Guided Practice involved live demonstrations, small-group settings, structured time management, and parental involvement. Reinforcement primarily took the form of positive feedback. Informants emphasized that effective sexual and reproductive health education must be repetitive, interactive, and involve parents as co-educators. Conclusion: Sexual and reproductive health education for adolescents with intellectual disabilities based on the perspective of health workers is formed by modelling, guided practice, reinforcement and feedback. These findings provide a practical, evidence-based framework for developing standardized sexual and reproductive health programs and training curricula for health workers in similar settings.