Analysis Of Antenatal Care Performance By Health Workers On Early Detection Of Preeclampsia At Public Health Centers In Pekalongan Regency

Abstract

Preeclampsia is a condition of pregnant women with blood pressure of ≥ 140/90 mmHg, followed by one or more criteria such as proteinuria, other organs dysfunction, and uteroplacental dysfunction in newly emerging conditions or after 20 weeks of gestation. The Maternal Mortality Rate (MMR) in Pekalongan Regency is still quite high, one of the most frequent causes of death is preeclampsia. This study aims to assess the performance of antenatal care carried out by health workers in the early detection of preeclampsia at the Public Health Center in Pekalongan Regency. This study uses explanatory sequential mixed methods. The quantitative analysis uses descriptive analytics and the qualitative analysis uses content analysis. Quantitative data analysis resulted mean filling out of mother/family statement about maternal health services that have been received sheets of 198 (49%) with standard deviation 113.1 and median 206 (52%). Mean of filling out the preeclampsia screening sheet was 94.1 (24%) with standard deviation 48.4 and median 103 (26%). Based on these results, the researcher analyzed the factors that affect the performance of antenatal care according to the Van Horn Meter policy implementation. The qualitative research results revealed the lack of health workers resources, distribution of MCH books has not reached all antenatal care facilities, reward punishment system was not optimal yet, coordination meetings are not yet held regulary, not all health workers have received training, supervision from leaders that was not yet optimal, less supportive social, economic, and political conditions, and lack of attitude of implementers in accepting policies.