The Process of Triple Elimination Program Implementation in Antenatal Care Batang Regency: Qualitative Study
Abstract
Introduction: The Maternal Mortality Rate (MMR) of Batang Regency in 2023 is still high. Many efforts have been made to reduce the mortality of pregnant women and babies born with integrated ANC services, but have not received optimal results.
Objective: The purpose of this study is to analyze aspects of the process including planning, organizing, implementing and assessing in the triple elimination program.
Methods: The study used qualitative methods with process variables consisting of planning, organizing, implementing and assessing in a triple elimination program. Data collection through in-depth interviews with 8 main informants and 10 triangulation informants. The main informants are Midwives, Coordinators, and Analysts of the triple elimination program in 4 selected Puskesmas. Triangulated informants are selected based on management level. District level to the Head of Kesga and P2P Dinkes Batang, Puskesmas level to 4 selected Puskesmas Heads and grass-root level to 4 mothers who receive integrated ANC service benefits at Puskesmas. The instrument uses an interview guide. Analysis using qualitative descriptive methods.
Results: Planning is carried out in stages from the implementation of activities, namely the integrated ANC team of the Puskesmas by calculating needs. Furthermore, it was discussed with the team and submitted to the Head of the Puskesmas which was then submitted to the District through the Batang Health Office. Organizing is done from the Coordinator Midwife who manages his team. Team management is discussed together and approved by the Head of Puskesmas. Implementation is carried out in accordance with applicable SOPs. The triple elimination assessment is good but there needs to be improvement. Especially in the refusal of triple elimination examination from pregnant women during the implementation of the program.
Conclusion: The triple elimination program process in Batang Regency has been good. There needs to be a strategy to invite all pregnant women so that there is no rejection of the triple elimination program.
References
Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 52 Tahun 2017 tentang Eliminasi Penularan Human Immunodeficiency Virus, Sifilis dan Hepatitis B dari Ibu ke Anak. Peraturan Menteri Kesehatan Nomor 52 Tahun 2017 2017.
Kementerian Kesehatan Republik Indonesia. Pedoman Program Hepatitis B dari Ibu ke Anak. Jakarta: Kementerian Kesehatan Republik Indonesia ; 2019.
Kementerian Kesehatan Republik Indonesia. Pedoman Eliminasi Penularan HIV, Sifilis dan Hepatitis B dari Ibu Ke Anak. Jakarta: Kementerian Kesehatan Republik Indonesia ; 2017.
Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia 2021. Jakarta; 2022.
Badan Pusat Statistik. Angka Kematian Ibu Periode Tahun 2022 [Internet]. Jakarta; 2022 [cited 2024 Feb 29]. Available from: https://bps.go.id/sdgs/3
Dinas Kesehatan Propinsi Jawa Tengah. Profil Kesehatan Jawa Tengah 2020. Semarang; 2021.
Fatahillah. Program Antenatal Care Terpadu dalam Upaya Penurunan Angka Kematian Ibu. Higeia J Public Heal Res Dev. 2020;4(4).
Elvira D, Defrin, Erwani. Studi Kualitatif Analisis Implementasi Standar Pelayanan Antenatal Care 10 Terpadu pada Ibu Hamil di Puskesmas Bungus Kota Padang Tahun 2019. Jurnal Kesehatan Masyarakat. 2019;5(2).
Nurlaila, Sari A. Hubungan Pengetahuan, Motivasi dan Dukungan Keluarga Ibu Hamil dengan Kepatuhan Pemeriksaan Triple Eliminasi di Puskesmas Mekarjaya Pandeglang. Journal of Mother and Child Health Concerns. 2021;1(2).
Veronika F, Ciselia D, Afrika E, Aisyah S. Hubungan Sumber Informasi, Pengetahuan dan Peran Tenaga Kesehatan dengan Pemeriksaan Triple Eliminasi. Al-Insyirah Midwifery [Internet]. 2023;12(2). Available from: https://jurnal.ikta.ac.id/kebidanan/index
Wa Ode Nurul Mutia. Faktor-Faktor Yang Berhubungan Dengan Kunjungan Antenatal Care Terpadu Pada Ibu Hamil. Jurnal Multidisiplin Madani. 2022 Aug 30;2(8):3368–73.
Mulyati T, Munawaroh M, Herdiana H. Pengaruh Pengetahuan Ibu, Sarana dan Prasarana Serta Peran Keluarga terhadap Antenatal Care Terpadu di Desa Pakuncen Kec. Bojonegoro Tahun 2022. SENTRI: Jurnal Riset Imiah. 2023;2(6).
Muhibbudin N, Yunita A, Ekasari D, Maula LN, Susanti E. Hubungan Pengetahuan dan Sikap Ibu Hamil tentang ANC dengan Frekuensi Kunjungan ANC. Jurnal ASSYIFA. 2023;1(1):76–82.
Ayunda N Dela, Arso SP, Nandini N. Pelaksanaan Program Triple Elimination pada Ibu Hamil di Puskesmas Karanganyar Kota Semarang Menggunakan Model CIPP. MEDIA KESEHATAN MASYARAKAT INDONESIA. 2023 Jun 1;22(3):209–16.
Bundarini B, Fitriahadi E. Gambaran Kelengkapan Antenatal Care Terpadu Di Puskesmas Tepus II Gunungkidul. Jurnal SMART Kebidanan. 2019 Dec 16;6(2):70.
Lestari D, Sari GM. INTEGRATED ANTENATAL CARE BY MIDWIVES IN SURABAYA. Indonesian Midwifery and Health Sciences Journal. 2022 Apr 28;6(2):172–80.
Lenna Maydianasari FK. STUDI KASUS KINERJA BIDAN DALAM PELAKSANAAN ANTENATAL CARE (ANC) TERPADU DI PUSKESMAS WILAYAH KERJA DINAS KESEHATAN KABUPATEN MAGELANG JAWA TENGAH. Medika Respati?: Jurnal Ilmiah Kesehatan. 2019 Mar 15;14(1):15.
Krhisanty L, Dewi P, Lutfiana I. Pencapaian Triple Eliminasi pada Ibu Hamil di Wilayah Puskesmas Banjar. Nersmedia Jurnal Keperawatan Kebidanan. 2022;5(6):136–42.
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