Melsa Sagita Imaniar, H. Susiarno, Adhi Pribadi, Herry Herman, D. A. Gurnida, H. Sukandar
{"title":"Effect of Integrated Antenatal Care Training on Midwife Service Quality Improvement","authors":"Melsa Sagita Imaniar, H. Susiarno, Adhi Pribadi, Herry Herman, D. A. Gurnida, H. Sukandar","doi":"10.29313/GMHC.V8I2.3457","DOIUrl":null,"url":null,"abstract":"Antenatal care (ANC) is the most effective strategy for preventing complications in pregnancy. However, the current quality of midwife antenatal care services is still considered low. One of the indicators used for assessing midwifery service quality is the technical competency indicator that includes history taking, physical examination, case management and follow up, examination recording, and effective information, communication, and education (IEC). This study aimed to measure the effect on integrated antenatal care training on the quality of midwife services. The design was a pre-test and post-test quasi-experimental study conducted in Manonjaya Public Health Center, Tasikmalaya district, from November to December 2017. Simple random sampling was applied to get 20 respondents for each intervention and control groups. The bivariate analyses used in this study were the paired t test and the Mann-Whitney test. Results showed an overall increase in service quality scores in the intervention and control groups by 5.5% and 0.86%, respectively, with a significant difference in the increase between the two groups (p<0.05). Therefore, there is a significant increase in the quality of midwife after implementing the integrated ANC module and training to midwives. PENGARUH PELATIHAN ANTENATAL CARE TERPADU TERHADAP PENINGKATAN KUALITAS PELAYANAN BIDAN Antenatal care (ANC) merupakan strategi pencegahan komplikasi dalam kehamilan paling efektif. Namun, kualitas pelayanan antenatal care bidan saat ini dinilai masih rendah. Salah satu indikator yang digunakan untuk menilai kualitas pelayanan kebidanan adalah indikator kompetensi teknis yang meliputi anamnesis, pemeriksaan fisik, penatalaksanaan dan tindak lanjut kasus, pencatatan pemeriksaan, serta komunikasi, informasi, dan edukasi (KIE) yang efektif. Penelitian ini bertujuan mengukur pengaruh pelatihan antenatal care terpadu terhadap kualitas pelayanan bidan. Desain penelitian ini menggunakan pre-test and post-test quasi-experimental yang dilaksanakan di Puskesmas Manonjaya Kabupaten Tasikmalaya dari November hingga Desember 2017. Pengambilan sampel dilakukan secara simple random sampling untuk mendapatkan 20 responden untuk tiap-tiap kelompok intervensi dan kontrol. Analisis bivariat yang digunakan dalam penelitian ini adalah uji t berpasangan dan Uji Mann-Whitney. Hasil penelitian menunjukkan peningkatan skor kualitas pelayanan secara keseluruhan pada kelompok intervensi dan kontrol sebesar 5,5% dan 0,86% masing-masing dengan perbedaan peningkatan yang signifikan antara kedua kelompok (p<0,05). Simpulan, terdapat peningkatan kualitas bidan yang signifikan setelah penerapan modul ANC terintegrasi dan pelatihan kepada bidan.","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"8 1","pages":"83-90"},"PeriodicalIF":0.0000,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Global Medical Health Communication","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.29313/GMHC.V8I2.3457","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Antenatal care (ANC) is the most effective strategy for preventing complications in pregnancy. However, the current quality of midwife antenatal care services is still considered low. One of the indicators used for assessing midwifery service quality is the technical competency indicator that includes history taking, physical examination, case management and follow up, examination recording, and effective information, communication, and education (IEC). This study aimed to measure the effect on integrated antenatal care training on the quality of midwife services. The design was a pre-test and post-test quasi-experimental study conducted in Manonjaya Public Health Center, Tasikmalaya district, from November to December 2017. Simple random sampling was applied to get 20 respondents for each intervention and control groups. The bivariate analyses used in this study were the paired t test and the Mann-Whitney test. Results showed an overall increase in service quality scores in the intervention and control groups by 5.5% and 0.86%, respectively, with a significant difference in the increase between the two groups (p<0.05). Therefore, there is a significant increase in the quality of midwife after implementing the integrated ANC module and training to midwives. PENGARUH PELATIHAN ANTENATAL CARE TERPADU TERHADAP PENINGKATAN KUALITAS PELAYANAN BIDAN Antenatal care (ANC) merupakan strategi pencegahan komplikasi dalam kehamilan paling efektif. Namun, kualitas pelayanan antenatal care bidan saat ini dinilai masih rendah. Salah satu indikator yang digunakan untuk menilai kualitas pelayanan kebidanan adalah indikator kompetensi teknis yang meliputi anamnesis, pemeriksaan fisik, penatalaksanaan dan tindak lanjut kasus, pencatatan pemeriksaan, serta komunikasi, informasi, dan edukasi (KIE) yang efektif. Penelitian ini bertujuan mengukur pengaruh pelatihan antenatal care terpadu terhadap kualitas pelayanan bidan. Desain penelitian ini menggunakan pre-test and post-test quasi-experimental yang dilaksanakan di Puskesmas Manonjaya Kabupaten Tasikmalaya dari November hingga Desember 2017. Pengambilan sampel dilakukan secara simple random sampling untuk mendapatkan 20 responden untuk tiap-tiap kelompok intervensi dan kontrol. Analisis bivariat yang digunakan dalam penelitian ini adalah uji t berpasangan dan Uji Mann-Whitney. Hasil penelitian menunjukkan peningkatan skor kualitas pelayanan secara keseluruhan pada kelompok intervensi dan kontrol sebesar 5,5% dan 0,86% masing-masing dengan perbedaan peningkatan yang signifikan antara kedua kelompok (p<0,05). Simpulan, terdapat peningkatan kualitas bidan yang signifikan setelah penerapan modul ANC terintegrasi dan pelatihan kepada bidan.
产前护理(ANC)是预防妊娠并发症最有效的策略。然而,目前助产士产前护理服务的质量仍然被认为很低。用于评估助产服务质量的指标之一是技术能力指标,包括病史记录、体检、病例管理和随访、检查记录以及有效的信息、沟通和教育(IEC)。本研究旨在衡量综合产前护理培训对助产士服务质量的影响。该设计是2017年11月至12月在Tasikmalaya区Manonjaya公共卫生中心进行的测试前和测试后准实验研究。每个干预组和对照组采用简单随机抽样的方法获得20名受访者。本研究中使用的双变量分析是配对t检验和Mann-Whitney检验。结果显示,干预组和对照组的服务质量得分总体上分别提高了5.5%和0.86%,两组之间的提高有显著差异(p<0.05)。因此,在实施综合ANC模块和助产士培训后,助产士的质量显著提高。质量培训质量ANC遵循的产前培训警告是预防妊娠并发症最有效的策略。然而,目前评估的产前护理领域的质量仍然很低。用于评估医疗服务质量的一个指标是技术能力指标,包括记忆、体检、病例归档和随访、检查记录以及有效的沟通、信息和教育(KIE)。本研究的目的是衡量产前培训对现场服务质量的影响。本研究设计采用了2017年11月至12月在马农贾亚Puskesmas Kabupaten Tasikmalaya进行的测试前和测试后准实验。抽样是简单地随机抽样,每个干预组和对照组得到20个反应。本研究中使用的双变量分析是配对t检验和Mann-Whitney检验。结果显示,干预组和对照组的服务质量总体改善了5.5%和0.86%,两组之间的改善有显著差异(p<0.05)。总之,在实地应用综合ANC模块和培训后,实地质量有了显著改善。