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Studi Kualitatif Deteksi Dini Kasus Gaki Oleh Bidan Esa Di Kabupaten Wonosobo
Pregnant women with iodine dejicienct have risk of miscarriages, stillbirth to congenital in newborn in the form of neuro-developmental dis 0 rders, mental and physic. One effort that can be done to detect cas es of Iodine Dejiciency Disorders (IDD) at early stage is to conduct newborn screening for hypothyroidism. In Indonesia, this screening program has not become anational mandatory program. Hypothyroidism screening as one of ways of the IDD control efforts in areas where iodine dejiciency happens is an important issue to be studied. This study aims to explore the problems and obstacles encountered in the implementation of early detections on infant hypothyroidism who done by village midwives in the societies after training for hypothyroidism screening conducted. Methods: Focus Group Discussion (FGD) was conducted in Wonosobo Regency health office and attended eight midwives from local government health center of Kepil, Kertek II, Kejajar, and Kalikajar who had received training in screening for hypothyroidism. The results of FGD were analyzed according to the principles of qualitative processing data in the for:n of descriptive-narrative. Most of FGD participant s still have problems in ensuring the symptoms or clinical signs of hypothyroidism because it has not been a thorough knowledge of IDD and hypothyroidism screening. The main problem is related to techniques on take of bloodspot sample and handling of blood samples . There are respon of some parents who refused when their infants will taken on blood sample because communities do not understand the importance of screening hypothyroidism. Participants recommended the implementation of the screening were held in a cumulative-periodic i. e the birth of infants within a certain period is collected in one place and time. Need more in-depth understanding of hypothyroidism by village midwives. IDD education needs to be done to raise awareness of the public health officials and communities about IDD through socio-cultural approach in local communities.
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