Utilization of Pregnant Women Services through Integrating Childbirth Planning and Complications Prevention Program and Antenatal Care at Integrated Health Services Post in Mojokerto City, East Java Province

摘要

Background: Implementing the Childbirth Planning and Complications Prevention Program that has released by Ministry of Health in 2007 for Pregnant women Services at Posyandu still tackles concern maternal health services particularly pregnant women that will be affected in achieving Fourth and Five MDGs Goals targets.Objectives: This study aimed to describe characteristics of pregnant women and to assess utiliziation of pregnant women services through integrating Childbirth Planning and Complications Prevention Program and Antenatal Care at Integrated Health Sevices Post.Methods: A cross sectional design with explorative approach through interview using structured questionn arias of pregnant women. Sample Size in this study was 69 pregnants women. Data were analyzed descriptively with STATA 11SE licensed?. This study was conducted in two health centers in Mojokerto City, Provincial East Java. Results: According to the observation shows that Posyandu services was conducted routinely by midwives, physician, nurses and health cadres involves counseling on imunization (92.8%) and family planning (85.5%), basic imunization services for maternal and neonatal (84.1%), allocating supplementary foods (82.6%), and maternal and neonatal services (81.2%) whereas Posyandu services was not conducted involves development and training for cadres (56.5%), receive referrals from traditional birth attendants (TBAs) and cadres (44.9%), referral for pregnant women to health center/hospital (34.8%), examining fundus utery (33.3%), examining fetal heart rate (31.9%), examining fetus position (27.5%), examining breastfeeding and postpartum mothers (26.1%), Screening(early detection of pregnant women at high risk (23.2%), examining tension and family planning (20.3%). Conclusions: P4K and ANC Services focused on high risk groups for pregnancies and delivery problems were 18–25 years and 34–41years. Most of households head were work in private sector. Most of pregnant women were not referred to health facilities by family when they suffer complications. According to the medical views that pregnant women parity for Grande Para category has a serious health problems particularly maternal and neonatal death. Furthermore, availability of maternal and neonatal cohorts was still low as it cannot be obtained adequate information concerns progress/mother health problems. Integrating P4K and ANC services have founded that services routine coverage of pregnant women at Integrated Health Services Post that conducted by midwives was still low. Recommendations: Increasing role of pregnant women through pregnant women class and more broadly socialization concern important of referral system and health services facilities availability for pregnant women and health examination only to health professions. Building partnership with traditional birth attendants in referring as pregnant women examination coverage to traditional birth attendants can be decreased. Conducting pregnant women counseling is concerned with pregnant women risk and number children that fulfill health requirements. It also, policy of local government to implement recording system for maternal and neonatal cohorts, information system based local area monitoring and its application particularly midwives and other health professions.