Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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Priority of health services for deciding of Antenatal care models: mix methods study
Juliani Ibrahim, Nurdin Perdana, Munirah Muin, Lismayana Hansur

Last modified: 2018-08-20

Abstract


Background: As a type of evaluation for deciding antenatal care services based on physical accessibility related to action promptness, action accuracy, referral accuracy, and postnatal care as efforts to reduce maternal and child mortality risks based on health care needs in primary care.

 

Materials and Methods: Assessed with parallel explanatory designed in pregnant women and productive age mothers who have received health services for ≤ 3years in selected primary cares. Then, developed with focus group discussion method. Quantitative data were processed and analyzed in SPSS version 21st. While qualitative data were analyzed manually according to theme.

 

Results: Low educational background, risky maternal age and parity. More than (77.1%) had pregnancy check-up ≥ 4 times, (44.3%) had physical examination at the first visit compared to obstetric examination (98.8%). Tiered referral system is well implemented. However, action promptness based on the service plot causes long waiting time for examination. Postpartum visitation data showed (59.0%) mothers visited after 6 (six) days and (63.5%) after 2 (two) weeks of birth.

 

Conclusions: Generally, respondents checked their pregnancy ≥4 times, but examination type and time inconsistency, limited room facility and health care personnel, postnatal care initiation was low also affected deciding of antenatal care model.

 

Keywords: service priority, antenatal care, pregnant women, examination