| dc.description.abstract | Background: The Maternal Mortality Rate (MMR) is an indicator of the success
of maternal health efforts. Maternal and Child Health Efforts (MCH) is one of the
priority programs at the Community Health Center which is expected to be able to
reduce the maternal mortality rate (MMR), neonatal mortality rate (NMR), infant
mortality rate (IMR) and under-five mortality rate (UMR). After adaptation to the
profession and related programs, it is agreed that in Indonesia it is 6 visits where
two visits are in the first trimester, one visit in the second trimester and three visits
in the third trimester and two visits to the doctor. Incomplete MCH handbook
filling will have an impact on not monitoring the health of pregnant women and
their fetuses. The purpose of this study was to assess the quality of ANC
according to the MCH handbook at the Community Health Centers in Medan
City.
Research Method: This research is an observational analytic study with a cross-
sectional design conducted by 21 Community Health Centers in 135 pregnant
women undergoing ANC and 37 midwives conducting ANC at the health center
from October to November 2022. Pregnant women were given a questionnaire
and viewed the completeness of the MCH and midwife books only given a
questionnaire. The data were analyzed descriptively to see the midwives'
characteristics, a normality test was carried out with the Kolmogorov Smirnov to
assess the relationship between the characteristics of pregnant women and the
quality of ANC and bivariate analysis was also carried out.
Results: The most influential characteristic of pregnant women was education
with 66 pregnant women were graduated from high school (48.9%) with
incomplete MCH books, statistically significant (p = 0.003) and frequency of
ANC visits <6 times as many as 134 people (99.2 %) with incomplete MCH
handbooks, statistically significant (p = 0.007). The average ANC visit to the
public health center was 2.32 ± 1.514 visits.
Conclusion: From this study it was found that the quality of ANC at the
Community Health Centers in Medan City is still far from good because the mean
number of visits is still below 6 times and the majority of MCH books are
incompletely filled out. | en_US |
