Keywords
pregnant women
anemia
midwives
cadres
Indonesia
How to Cite
Abstract
Background: Anemia is an indirect cause of death for pregnant women and women in labor due to bleeding. One of the inabilities of the uterine muscles to contract is caused by anemia. The use of integrated service posts or Posyandu, especially in the fourth and fifth steps as a stage of individual health promotion, should prevent anemia in mothers.
Objective: The purpose of this study was to explore the experiences of midwives in the implementation of the fifth stage of function in integrated service posts in relation to preventing anemia in mothers.
Methods: This was a qualitative study with a phenomenological approach conducted from January to November 2020. The participants consisted of eight midwives, two nutritionists, one laboratory analyst, six cadres, and two pregnant women. The participants were selected using accidental sampling in the Poasia Public Health Center working area, Kendari, Southeast Sulawesi of Indonesia.
Results: The results showed two themes related to the implementation of the fifth stage of the integrated service post activities: pregnancy examination and treatment of anemia.
Conclusion: The implementation of the fifth stage in the integrated service postal service has been carried out maximally utilizing the resources owned by the public health center and the community. However, midwives receive additional burdens for its implementation because cadres are less able to provide health education for pregnant women, especially regarding anemia.
The study was supported by the Research and Community Engagement Directory (DRPM) of the Republic of Indonesia.
References
Achadi, E. L. (2019). Kematian maternal dan neonatal di indonesia. Rapat Kerja Kesehatan Nasional Kementerian Kesehatan RI. Tangerang. Jakarta: Kementerian Kesehatan Indonesia.
Acharya, A. S., Kaur, R., Prasuna, J. G., & Rasheed, N. (2015). Making pregnancy safer”birth preparedness and complication readiness study among antenatal women attendees of a primary health center, Delhi. Indian Journal of Community Medicine: Official Publication of Indian Association of Preventive & Social Medicine, 40(2), 127. https://doi.org/10.4103/ 0970-0218.153881
Afiyanti, Y., & Rachmawati, I. (2014). Qualitative research methodology in nursing research. Jakarta: PT. RajaGrafindo Persada.
Allender, J., Rector, C., Rector, C., & Warner, K. (2013). Community & public health nursing: Promoting the public's health. Philadelphia: Lippincott Williams & Wilkins.
Andaroon, N., Kordi, M., Kimiaee, S. A., & Esmaeili, H. (2020). The effect of individual counseling on attitudes and decisional conflict in the choice of delivery among nulliparous women. Journal of Education and Health Promotion, 9. https://doi.org/10.4103/jehp.jehp_472_ 18
Api, O., Breyman, C., í‡etiner, M., Demir, C., & Ecder, T. (2015). Diagnosis and treatment of iron deficiency anemia during pregnancy and the postpartum period: Iron deficiency anemia working group consensus report. Turkish Journal of Obstetrics and Gynecology, 12(3), 173. https://doi.org/10.4274/tjod.01700
Creswell, J. (2012). Research design: Qualitative, quantitative, and mixed approaches (A. Fawaid, Trans.) Yogyakarta: Pustaka Pelajar.
Creswell, J. W., & Poth, C. N. (2016). Qualitative inquiry and research design: Choosing among five approaches. California: Sage publications.
Dahlberg, U., Haugan, G., & Aune, I. (2016). Women's experiences of home visits by midwives in the early postnatal period. Midwifery, 39, 57-62. https://doi.org/ 10.1016/j.midw.2016.05.003
De Santis, M., De Luca, C., Mappa, I., Spagnuolo, T., Licameli, A., Straface, G., & Scambia, G. (2012). Syphilis infection during pregnancy: fetal risks and clinical management. Infectious Diseases in Obstetrics and Gynecology, 2012. https://doi.org/10. 1155/2012/430585
Dolang, M. W. (2020). Hubungan kepatuhan mengonsumsi tablet Fe dan keteraturan kunjungan ANC dengan kejadian anemia pada ibu hamil. Jurnal Keperawatan Muhammadiyah, 5(1).
Effendy, D. S., Prangthip, P., Soonthornworasiri, N., Winichagoon, P., & Kwanbunjan, K. (2020). Nutrition education in Southeast Sulawesi Province, Indonesia: A cluster randomized controlled study. Maternal & Child Nutrition, 16(4), e13030. https://doi.org/10.1111 /mcn.13030
Fani, R. C., Nirmala, S. A., & Judistiani, T. D. (2017). Evaluasi kegiatan utama pelayanan Posyandu di Kecamatan Jatinangor. Jurnal Sistem Kesehatan, 3(1).
Gunawan, J. (2015). Ensuring trustworthiness in qualitative research. Belitung Nursing Journal, 1(1), 10-11. https://doi.org/10.33546/bnj.4
Hidayat, T. S., & Jahari, A. B. (2012). Perilaku pemanfaatan posyandu hubungannya dengan status gizi dan morbiditas balita. Buletin Penelitian Kesehatan, 40(1), 1-10.
Indriastuti, D., & Namuwali, D, . (2015). Beneficial effects of doula support on pregnancy. Proceeding of the 3rd Java International Nursing Conference, 288.
Indriastuti, D., Margawati, A., Rachma, N., Tahiruddin, T., & Sahalul, J. O. (2021). Experience of midwives in carrying out their role of assisting pregnant women. Klasics, 1(1), 19-26.
Indriastuti, D., & Tahiruddin, T. (2019). Hot bath therapy for postpartum mothers: The ethnocaring practice in the Muna tribe, Southeast Sulawesi, Indonesia. Public Health of Indonesia, 5(4), 105-115. http://dx.doi.org/ 10.36685/phi.v5i4.312
Irshad, U. M., H., & Tonismae T,. (2020). HIV In Pregnancy.Treasure Island: StatPearls Publishing
Jombang District Government Public Relations. (2015). Equip the cadres to assist high-risk pregnant women. Jombang: District Government Public Relations
Mangalik, G., Koritelu, R. T., Amah, M. W., Junezar, R., Kbarek, O. P. I., & Widi, R. (2019). Program pemberian makanan tambahan: Studi kasus pada ibu hamil dengan kurang energi kronis di Puskesmas Cebongan Salatiga. Jurnal Ilmu Keperawatan dan Kebidanan, 10(1), 111-115.
Mardiana, N., Yusran, S., & Erawan, P. E. (2016). Peran posyandu dalam meningkatkan kesehatan ibu dan anak di wilayah kerja Puskesmas Konda Kecamatan Konda Kabupaten Konawe Selatan Tahun 2016. (Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat), 1(4).
Mikrajab, M. A., & Syahrianti, S. (2013). Utilisasi pelayanan kesehatan ibu hamil melalui integrasi program perencanaan persalinan dan pencegahan komplikasi dan antenatal care di Posyandu Kota Mojokerto, Provinsi Jawa Timur. Buletin Penelitian Sistem Kesehatan, 16(2), 20849.
Ministry of Health Republic of Indonesia. (2010). Guidelines for integrated antenatal care. Jakarta: Ministry of Health Republic of Indonesia
Ministry of Health Republic of Indonesia. (2011). Operational Working Group (Pokjanal Posyandu). Jakarta: General Guidelines for Posyandu Management.
Ministry of Health Republic of Indonesia. (2013). Peraturan Menteri Kesehatan Regulation of the Minister of Health of the Republic of Indonesia Number 1464/Menkes/Per/X/2010 Concerning the License and Implementation of Midwife Practices. Jakarta: Ministry of Health Republic of Indonesia
Ministry of Health Republic of Indonesia. (2010). Handbook for coordinating midwives. Jakarta: Ministry of Health Republic of Indonesia
Morrison, J., & Marc, R. (2011). Anemia associated with pregnancy. Global Libary of Women's Medicine. https://doi.org/10.3843/GLOWM.10164
Munoz, M., Peña"Rosas, J., Robinson, S., Milman, N., Holzgreve, W., Breymann, C., . . . Samama, C. M. (2018). Patient blood management in obstetrics: mManagement of anaemia and haematinic deficiencies in pregnancy and in the postpartum period: NATA consensus statement. Transfusion Medicine, 28(1), 22-39. 10.1111/tme.12443
Nggarang, B. N., & Senudin, P. K. (2016). Evaluasi pelaksanaan posyandu balita di wilayah kerja Puskesmas La'o Kabupaten Manggarai tahun 2014. Wawasan Kesehatan, 1(1), 99-106.
Nuraisya, W., & Yuliawati, D. (2020). Komunikasi & konseling (feminisme) dalam pelayanan kebidanan. Yogyakarta: Deepublish.
Nurina, R. (2016). Program pemberian makanan tambahan untuk peningkatan status gizi ibu hamil dan balita di Kecamatan Cilamaya Kulon dan Cilamaya Wetan, Karawang. Jurnal Resolusi Konflik, CSR dan Pemberdayaan (CARE), 1(1).
Oktavia, N., & Lolli, E. Z. (2018). Pelaksanaan konseling pra-tes meningkatkan tingkat pemahaman Ibu hamil tentang pemeriksaan HIV dan hepatitis B. Jurnal Kebidanan dan Keperawatan Aisyiyah, 14(1), 40-48. http://dx.doi.org/10.31101/jkk.548
Pangestuti, N. A., Syamsulhuda, B., & Kusumawati, A. (2016). Beberapa faktor yang berhubungan dengan praktik kader dalam penyuluhan di meja 4 pada posyandu di Kelurahan Ngaliyan, Kota Semarang. Jurnal Kesehatan Masyarakat (Undip), 4(5), 347-353.
Pathirathna, M. L., Wimalasiri, K., Sekijima, K., & Sadakata, M. (2020). Maternal compliance to recommended iron and folic acid supplementation in pregnancy, Sri Lanka: A hospital-based cross-sectional study. Nutrients, 12(11), 3266. https://doi.org/10.3390/nu12113266
Rahman, F., Adenan, A., Yulidasari, F., Laily, N., Rosadi, D., & Azmi, A. N. (2017). Pengetahuan dan sikap masyarakat tentang upaya pencegahan tuberkulosis. Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin, 13(2), 183-189.
Ramadani, M., Nursal, D. G. A., & Ramli, L. (2015). Peran tenaga kesehatan dan keluarga dalam kehamilan usia remaja. Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal), 10(2), 87-92.
Sidoarjo Regency Government Health Office. (2014). High risk pregnancy assistance. Retrieved February 20, 2016, from Official Portal of the Sidoarjo Regency Government Health Office.
Southeast Sulawesi Provincial Health Office. (2018). Southeast Sulawesi Province Health Profile 2017. Southeast Sulawesi: Southeast Sulawesi Provincial Health Office
Tasnim, T., Mwanri, L., & Dasvarma, G. (2018). Mother's child feeding knowledge and practices associated with underweight in children under-five years: A study from rural Konawe, Indonesia. Public Health of Indonesia, 4(1), 9-18. http://dx.doi.org/10.36685/ phi.v4i1.160
Widiastuti, T., Kartasurya, M. I., & Dharminto, D. (2014). Management of high risk pregnancy early detection on antenatal care at primary health care in Jepara District. Jurnal Manajemen Kesehatan Indonesia, 2(3), 261-267. https://doi.org/10.14710/jmki.2.3.2014. %25p
World Health Organization. (2003). Pregnancy, childbirth, postpartum, and newborn care: A guide for essential practice. Geneva: World Health Organization.
World Health Organization. (2005). The World health report: 2005: make every mother and child count. Geneva: World Health Organization.
Wubie, A., Seid, O., Eshetie, S., Dagne, S., Menber, Y., Wasihun, Y., & Petrucka, P. (2020). Determinants of chronic energy deficiency among non-pregnant and non-lactating women of reproductive age in rural Kebeles of Dera District, North West Ethiopia, 2019: Unmatched case control study. PloS One, 15(10), e0241341. https://doi.org/10.1371/journal.pone.02413 41
Authors who publish with Public Health of Indonesia agree to the following terms:
- Authors retain copyright licensed under a Creative Commons Attribution-NonCommercial CC BY-NC 4.0, which allows others to remix, tweak, and build upon the authors' work non-commercially, and although the others' new works must also acknowledge the authors and be non-commercial, they don't have to license their derivative works on the same terms.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). Authors can archive pre-print and post-print or publisher's version/PDF.