UNIVERSITAS AIRLANGGA



Detail Article

Administrasi dan Kebijakan Kesehatan

ISSN 1412-8853

Vol. 3 / No. 3 / Published : 2005-09

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Original Article :

The influence of midwives’ need fulfillment on the quality of antenatal care service at tulungagung regency public health centers

Author :

  1. Desi Lusiana Wardhani*1
  2. Stefanus Supriyanto*2
  3. Ratna Dwi Wulandari*3
  1. Dinas Kesehatan Kabupaten Tulungagung, Jl. Pahlawan No.1, Tulungagung 66224, Indonesia
  2. Bagian Administrasi Kesehatan Masyarakat FKM Universitas Airlangga, Jl. Mulyorejo Kampus C UNAIR, Surabaya, 60115, Indonesia
  3. Bagian Administrasi Kesehatan Masyarakat FKM Universitas Airlangga, Jl. Mulyorejo Kampus C UNAIR, Surabaya, 60115, Indonesia

Abstract :

The reported coverage of antenatal care (ANC) service at public health centers (PHCs) in Tulungagung regency for the first visit (K1) was 92.7% and for the fourth visit (K4) was 83.37%. This coverage has not reached the national target for K4 (95.0%). It was also unclear, whether the K4 in Tulungagung matched the standard of ANC quality of service criterias i.e. K4 must fulfill the criteria of: antenatal first visit in the first trimester of pregnancy; at least one visit at second trimester and at least twice at third trimester of pregnancy or coded as K4 = 1,1,2. The determinant factors of ANC quality is the fulfillment of midwives’ needs of: a) facilitative supervision and management; b) information, training and development; and c) supplies, equipment and infrastructure, and client’s right . The objective of this study was to find out the relation between midwives’ need fulfillment and client’s right towards the quality of ANC services. The result indicated that the quality of ANC was low as indicated by K4 (only 22,49%) and the facilitative supervision was significantly related to the quality of ANC service, as well as the privacy assurance of client’s care. It was concluded that even though supervision and feedback had been done by PHCs head of and regency health supervisor, the supervision had not matched the need of midwives, resulting in low quality of ANC. It was recommended to develop supervision checklist of ANC, matching the need of midwives for ANC services quality improvement and to provide technical trainings for midwives capability improvement.

Keyword :

Determinant factors of ANC, midwives need, Client rights, quality improvement.,


References :

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Archive Article

Cover Media Content

Volume : 3 / No. : 3 / Pub. : 2005-09
  1. Analysis And Improvement Efforts On Surgical Services And The Utilization Of Surabaya Dr. Soetomo General Hospital Surgery Department Surgical Theatre Utilizing The Queue Model Theory
  2. The Influence Of Midwives’ Need Fulfillment On The Quality Of Antenatal Care Service At Tulungagung Regency Public Health Centers
  3. The Effort Of Suspected Lung Tuberculosis Case Finding Through Phc Health Staff Performance Analysis (at The Polyclinic Of Jombang Regency Public Health Centers)
  4. A Market Analysis Of Obstetric Services As A Base Of Marketing Program Formulation At Surabaya Hajj General Hospital
  5. Economic Loss Of Toraja Community Due To Disability And Premature Death In South Sulawesi Province, Indonesia

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