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Upaya Peningkatkan Deteksi Dini Risiko Tinggi Kehamilan Melalui Kelengkapan Pengisian Buku KIA Oleh Bidan di Kabupaten Bangkalan Jawa Timur Tahun 2013 (Effort to Enhance Early Detection for Vulnerable Pregnancy by Midwives Through Complete Fulfillment of Maternal and Child Health (MCH) Bookin Bangkalan East Java Year 2013)

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ABSTRACT

Background: MCH book is a tool for early detection for vulnerable gravida. Meanwhile, the utilization of MCH book was still low The target achieved for early detection was 12% out of 20% from 2011 to 2012. Based on SDKI 2012 duke, the average maternal mortality rate reached 359 per 100.000 live births, increased significantly from the data of SDKI 2007 which reached 228 per 100.000 live births.

Methods: This study was observational with cross sectional design. Both quantitative and qualitative data were collected. Secondary data were collected by the availability of MCH book, midwives training, supervisions, and complete fulfillment of MCH book. Populations in Puskesmas Kedundung and Puskesmas Gager Bangkalan District. The samples were midwives with more than one year working and graduated from DIII (diploma). The complete fulfillment of MCH book was identified from family identity delivery preparation, gravida medical record, antenatal medical record, postnatal medical record, KMS (Booklet to Infant Nutritional Status Detection), Neonatus medical record, Infant Medical record, vitamin A supplementary.

Result: The complete fulfillments were in Puskesmas Geger 0.66 (catagory: good 051-100) and Puskesmas Kedundung 0.35 (catagory: low 0.00-0.50). Midwives’Motivations were low (50%) and midwives workload were high (66.7%) at Puskesmas Geger. Midwives were highly motivated (66.7%) and their workloads are fair.

Recomendation: make group of work and allocate the job description properly to assist midwives workload. In addition, health office of Bangkalan should give reward to those whodo the work exellently.

Keywords: Complete fulfillment of MCH book, early detection of highrisk pregnancy, pregnant women.

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Buletin Penelitian Sistem Kesehatan, 17 (3) 2014

Publisher

: Buletin Penelitian Sistem Kesehatan., 2014

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11p

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1410-2935

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