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首页> 外文期刊>Buletin Penelitian Sistem Kesehatan >Effort to Enhance Early Detection for Vulnerable Pregnancy by Midwives Through Complete Fulfillment of Maternal and Child Health (MCH) Book in Bangkalan East Java Year 2013
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Effort to Enhance Early Detection for Vulnerable Pregnancy by Midwives Through Complete Fulfillment of Maternal and Child Health (MCH) Book in Bangkalan East Java Year 2013

机译：通过全面完成2013年邦加兰东爪哇省的母婴健康（MCH）书，努力提高助产士对弱势妊娠的早期发现

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Background:MCH book is a tool for early detection for vulnerable gravida. Meanwhile, the utilization of MCH book was still low. The target achieved for early detection was 12% out of 20% from 2011 to 2012. Based on SDKI 2012, the average maternal mortality rate reached 359 per 100.000 live births,increased significantly from the data of SDKI 2007 which reached 228 per 100.000 live births. Methods: This study was observational with cross sectional design. Both quantitative and qualitative data were collected. Secondary data were collected by the availability of MCH book, midwives training, supervisions, and complete fulfillment of MCH book. Populations in Puskesmas Kedundung and Puskesmas Geger Bangkalan District. The samples were midwives with more than one year working and graduated from DIII (diploma). The complete fulfillment of MCH book was identified from family identity, delivery preparation, gravida medical record, antenatal medical record, postnatal medical record, KMS (Booklet to Infant Nutritional Status Detection), Neonatus medical record, infant medical record, vitamin A supplementary. Result: The complete fulfillments were in Puskesmas Geger 0.66 (category: good 0.51–1.00) and Puskesmas Kedundung 0.35 (category: low 0.00–0.50). Midwives’ Motivations were low (50.0%) and midwives workload were high (66.7%) at Puskesmas Geger. Midwives were highly motivated (66.7%) and their workloads are fair. Recomendation: make group of work and allocate the job description properly to assist midwives workload. In addition, health office of Bangkalan should give reward to those who do the work excellently.
机译：背景：MCH书籍是一种用于早期发现易受伤害的妊娠纹的工具。同时，妇幼保健书籍的利用率仍然很低。从2011年到2012年，早期检测的目标是20％的12％。基于SDKI 2012，平均孕产妇死亡率达到每100.000活产359人，而SDKI 2007的数据则为每100.000活产228显着增加。方法：本研究采用横断面设计进行观察。收集了定量和定性数据。通过妇幼保健手册的可用性，助产士培训，监督以及妇幼保健手册的完全实施来收集二级数据。 Puskesmas Kedundung和Puskesmas Geger Bangkalan区的人口。样本是工作超过一年的助产士，毕业于DIII（文凭）。从家庭身份，分娩准备，妊娠病历，产前病历，产后病历，KMS（婴儿营养状况检测手册），Neonatus病历，婴儿病历，维生素A补充剂中确定了MCH书的完整实现。结果：完全满足是Puskesmas Geger 0.66（类别：良好0.51–1.00）和Puskesmas Kedundung 0.35（类别：低0.00–0.50）。 Puskesmas Geger的助产士动机低（50.0％），助产士工作量高（66.7％）。助产士的积极性很高（66.7％），工作量还算公道。建议：分组工作并适当分配职位描述，以帮助助产士工作。此外，孟加拉卫生局应奖励那些出色工作的人。

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