Claim Missing Document
Check
Articles

Found 4 Documents
Search
Journal : Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan

Alat Perlindungan Diri Bidan Di Puskesmas Selama Pandemi Covid-19 Handayani, Lisda; Suhartati, Susanti
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 13, No 1 (2022): Dinamika Kesehatan: jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v13i1.832

Abstract

Latar Belakang: : Fasilitas pelayanan kesehatan merupakan garda terdepan dalam upaya penanggulangan kasus di masa pandemi COVID-19. Puskesmas sebagai fasilitas pelayanan kesehatan primer selama ini merupakan ujung tombak pelayanan kesehatan di Indonesia. upaya pencegahan penyebaran dan penularan COVID-19 harus bisa diatasi  dengan segera, salah satunya dengan penyediaan APD yang efektif dan efisien bagi tenaga kesehatan. Tujuan peneliotian ini adalah mengetahui APD yang diguanakan bidan selama  memberiksan asuhan kebidanan di Puskesmas  .Metode: Penelitian ini merupakan penelitian kuantitatif ,  mendeskripsikan hasil penelitian dengan populasi Bidan di 26 puskesmas dengan menggunakan kuesioner.Hasil:  pada awal pandemic kebanyakan (53,8%) bidan dipuskesmas melakukan pelayanan kebidanan dengan menggunakan hazmat/cover all dimana penggunaannya diperuntukkan pada APD level 3, sedangkan pada saat PPKM berlangsung sudah ada panduan untuk menggunakan APD yang sesuai yaitu APD level 2, kebanyakan puskesmas menggunakan APD level 2 (46,2%), namun masih ada puskesmas yang bertahan pada APD Level 3 bahkan ada yang hanya menggunakan APD Level 1 (7,7%). sedangkan pada situasi pasca PPKM kebanyakan puskesmas masih bertahan pada APD level 2 (69,2%) walaupun sisanya  sudah diturunkan menjadi level 1Kesimpulan: APD yang digunakan bidan dipuskesmas diawal pandemi antara level 3 dan level 2, sedangkan pada saat PPKM hingga sekarang sudah ada puskesmas yang menurunkan menjadi APD level 1 walaupun angka kejadian COVID-19 masih ada.Personal Protection Equipment for Midwives at the Health Center during the Covid-19 PandemicBackground: Health service facilities are the front line in efforts to resolve the COVID-19 pandemic. Public Health Center as primary health care facilities have been the spearhead of health services in Indonesia. Efforts to prevent the spread and transmission of COVID-19 must be addressed immediately, one of which is the provision of effective and efficient PPE for health workers. The purpose of this study was to determine the PPE used by midwives while providing midwifery care at the Public Health Center.Methods: This study is a quantitative study by describing the results  of the study with a population of midwives in 26 Public Health Center used a questionnaire.Results: at the beginning of the pandemic, most (53.8%) midwives at health centers performed midwifery services using hazmat/cover all where the use was intended for level 3 PPE, while at the time of PPKM there were already guidelines for using the appropriate PPE, namely level 2 PPE, mostly Public Health Center use PPE level 2 (46.2%), but there are still puskesmas that survive on PPE Level 3 and some even only use PPE Level 1 (7.7%). whereas in the post-PPKM situation, most of the puskesmas still maintain PPE level 2 (69.2%) even though the rest has been reduced to level 1Conclusion: The PPE used by midwives in Public Health Center at the beginning of the pandemic was between level 3 and level 2, while during PPKM until now there were already puskesmas that had reduced it to level 1 PPE even though the number of COVID-19 cases was still there. 
Alat Perlindungan Diri Bidan Selama Praktik Mandiri Ditengah Pandemi COVID-19 Handayani, Lisda; Suhartati, Susanti
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 12, No 2 (2021): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v12i2.753

Abstract

Latar Belakang: : COVID-19 telah menjadi tantangan bagi layanan kesehatan sistem kesehatan  dan petugas kesehatan adalah yang paling berisiko tinggi terpapar.  Setiap hari, para ibu bisa datang berkonsultasi soal kandungan atau alat KB ke rumah bidan pagi, siang, malam. Kepatuhan bidan dalam menggunakan APD selama melakukan praktik kebidanan menjadi perisai utama agar bidan dapat terhindar dari penularan COVID-19.Tujuan: penelitian ini adalah mengetahui APD yang digunakan bidan selama  memberikan asuhan kebidanan.Metode: Penelitian ini merupakan penelitian kuantitatif dengan mendeskripsikan hasil penelitian dengan populasi Bidan yang melaksanakan praktik mandiri selama pandemi COVID-19 dengan sampel sebanyak 48 orang dengan menggunakan kuesioner.Hasil:  Berdasarkan hasil penelitian diketahui bahwa hanya ada 10 bidan (20,1%)  yang menggunakan APD secara lengkap saat melakukan asuhan saat rawat jalan seperti pemeriksaan kehamilan, nifas maupun pelayanan kontrasepsi. Sedangkan pada Asuhan persalinan hanya 2 bidan (4,2%) yang menggunakan APD secara lengkap. Penggunaan APD yang tidak lengkap baik pada asuhan rawat jalan maupun asuhan persalinan adalah pada penggunaan penutup kepala, faceshield dan goggles.Simpulan: APD yang digunakan bidan selama pemberian asuhan masih banyak yang belum sesuai dengan panduan yang dikeluarkan oleh kementerian kesehatan selama Pandemi COVID-19 ini sehingga perlu disosialisasikan kembali penggunaan APD yang tepat baik saat pemberian asuhan kehamilan, nifas, keluarga berencana maupun asuhan persalinan. Kata Kunci : APD, Bidan, COVID-19 Midwives Self Protection Equipment During Independent Practice Amid the COVID-19 Pandemic Background: COVID-19 has become a challenge for health care systems and health workers are most at high risk of exposure. Every day, mothers can come to the midwife's house to consult about pregnancy or family planning equipment in the morning, afternoon and evening. Midwives' compliance in using PPE during midwifery practice is the main shield so that midwives can avoid transmission of COVID-19.Purpose: this study was to find out the PPE used by midwives while providing midwifery care.Methods: This research is a quantitative study by describing the results of research with a population of midwives who carried out independent practices during the COVID-19 pandemic with a sample of 48 people using a questionnaire.Results: Based on the results of the study it was found that only 10 midwives (20.1%) used complete PPE when providing outpatient care such as pregnancy, postpartum and contraceptive services. Whereas in delivery care only 2 midwives (4.2%) used complete PPE. Incomplete use of PPE both in outpatient care and delivery care is in the use of head coverings, faceshields and goggles.Conclusion: Many PPE used by midwives while providing care are still not in accordance with the guidelines issued by the ministry of health during the COVID-19 Pandemic, so it is necessary to re-socialize the use of proper PPE both when providing care for pregnancy, childbirth, family planning and delivery care. Keywords: PPE, Midwives, COVID-19Keyword: PPE, midwife, COVID-19
Implementation of the Maternal and Neonatal Tetanus Elimination (MNTE) Program at the Banjarmasin Health Center Suhartati, Susanti; Handayani, Lisda
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 12, No 2 (2021): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v12i2.749

Abstract

Background In an effort to reduce the incidence of neonatal tetanus, Indonesia has carried out various strategies, namely by implementing safe and clean assistance, high and even coverage of TT techniques, and administering neonatal tetanus surveillance. One of the scopes of routine TT training is the implementation of the Maternal and Neonatal Tetanus Elimination (MNTE) program. The Maternal and Neonatal Tetanus Elimination Program (MNTE) is implemented by all Puskesmas as the first service for the use of Tetanus Toxoid. Objective Describe the causes of low TT coverage at the Banjarmasin City Health Center and describe the obstacles faced in the process of implementing the Maternal and Neonatal Tetanus Elimination (MNTE) program in Banjarmasin. Method This research is a quantitative descriptive study using Cross Sectional. With Acidental Sampling with a total of 150 respondents consisting of pregnant women and 25 midwives at the Banjarmasin Health Center. Results From 150 pregnant women respondents, there are still 28 people or 18.7% of pregnant women who have never been able to use TT, there are only 6 pregnant women or 4% of pregnant women with TT 4 status and there are 54 pregnant women or 36% of women. pregnant with TT 1 status. A total of 78 people or 52% have less knowledge of TT techniques. As many as 88 people or 58.6% have a negative attitude towards TT, as much as 59.4% of pregnant women stated that the role of officers is still lacking in explaining the TT technique. Service documentation is only centered on service providers, documentation is not clearly accessible or readable by service recipients. low parity need more effort in utilizing TT. Lack of information and knowledge causes there are still pregnant women with negative attitudes towards exercise. Conclusion MNTE services at the Banjarmasin Health Center require increased promotion efforts, and media documentation that can be owned by women of childbearing age to find out TT and can fulfill TT status up to TT 5. Keywords Immunization TT, Tetanus, MNTE
Implementasi Program Antisipasi Defisiensi Gizi Dalam Kehamilan (ANDIKA) Pada ANC Terintergrasi Di Puskesmas Kota Banjarmasin Suhartati, Susanti; Handayani, Lisda
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 13, No 2 (2022): Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v13i2.880

Abstract

Latar Belakang:Masalah gizi pada ibu hamil masih merupakan masalah Kesehatan yang perlu mendapat perhatian khusus. Berbagai dampak dapat terjadi akibat dari masalah gizi pada ibu hamil seperti anemia dalam kehamilan, masalah dan proses pertumbuhan janin yang akan dilahirkan. Komplikasi yang dapat terjadi adalah keguguran, bayi lahir mati, kematian neonatal, cacat bawaan, anemia ibu dan pada bayi, dan bayi lahir dengan berat badan lahir rendah (BBLR).Tujuan : Mengetahu bagaimana pelaksanaan program Antisipasi Defisiensi Gizi dalam Kehamilan (ANDIKA) di Puskesmas Kota Banjarmasin.Metode: Penelitian deskriptif dengan desain potong lintang yang dilakukan di Puskesmas Banjarmasin dari bulan Agustus-November 2022. Sebanyak 150 ibu hamil dipilih secara accidental sampling. Data dikumpulkan dengan kuesioner dan dianalisis secara deskriptif.Hasil: dari 130 responden sebesar 11,5% ibu hamil mengalami KEK dan 22,3% ibu hamil mengalami anemia. 100% ibu hamil dengan KEK telah mendapatkan PMT dan telah mendapatkan penjelasan tentang cara mengkomsi. Sebesar 95,4% ibu hamil di puskemas telah mendapatkan tablet Fe namun kurang dalam penjelaskan tentang cara meminum tablet Fe sebesar 23%, tidak menjelaskan efek samping tablet Fe sebesar 19%.Kesimpulan: Perlu peningkatan KIE dan Pemantauan pemberian PMT dan Fe pada ibu hamil dalam mengoptimalkan pencegahan defisiensi Gizi pada ibu hamil di Puskesmas Banjarmasin.Implementation of the Anticipation of Nutritional Deficiencies in Pregnancy (ANDIKA) Program at Integrated ANC at the Banjarmasin City Health CenterBackground:Nutritional problems in pregnant women are still a health problem that needs special attention. Various impacts can occur as a result of nutritional problems in pregnant women such as anemia in pregnancy, problems and the growth process of the fetus to be born. Complications that can occur are miscarriage, stillbirth, neonatal death, birth defects, maternal and infant anemia, and babies born with low birth weight (LBW).Objective: To find out how the Anticipation of Nutrition Deficiency in Pregnancy (ANDIKA) program is implemented at the Banjarmasin City Health Center.Method: A descriptive study with a cross-sectional design conducted at the Banjarmasin Health Center from August to November 2022. A total of 150 pregnant women were selected by accidental sampling. Data were collected by questionnaire and analyzed descriptively.Results: out of 130 respondents, 11.5% of pregnant women had CED and 22.3% of pregnant women had anemia. 100% of pregnant women with CED have received PMT and have received an explanation on how to consume. 95.4% of pregnant women at the health center received Fe tablets but lacked explanation on how to take Fe tablets by 23%, did not explain the side effects of Fe tablets by 19%.Conclusion: It is necessary to increase KIE and monitoring the provision of PMT and Fe to pregnant women in optimizing the prevention of nutritional deficiencies in pregnant women at the Banjarmasin Health Center.