Kepatuhan ibu hamil minum tablet besi dan faktor-faktor yang berhubungan di Ciawi, Kabupaten Bogor, Jawa Barat 1994
| Main Authors: | Munthe, Marthaulina Ginting, author, Add author: Adik Wibowo, supervisor |
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| Format: | Masters Bachelors |
| Terbitan: |
Universitas Indonesia
, 1994
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| Subjects: | |
| Online Access: |
http://lontar.ui.ac.id/detail?id=81204 |
Daftar Isi:
- Latar belakang masalah: Prevalensi anemia defisiensi besi pada ibu hamil di Indonesia cukup tinggi, yaitu 63,5% (SKRT 1992). Tingginya prevalensi anemia disebabkan kekurangan zat besi yang dapat menyebabkan terjadinya pendarahan sewaktu melahirkan. Kekurangan zat besi dapat ditanggulangi dengan minum tablet besi secara teratur setiap hari selama tiga bulan. Tablet besi telah tersedia di posyandu. Diduga ketidakpatuhan ibu hamil minum tablet besi menjadi salah satu penyebab anemia. Tujuan dan manfaat penelitian: Penelitian ini bertujuan untuk melihat hubungan antara faktor intrinsik (umur ibu, pendidikan ibu, pengetahuan ibu, pengalaman minum pil KB, sikap ibu) dan faktor ekstrinsik (pengaruh kelompok "peer", penampilan kerja petugas, ketersediaan fasilitas) dengan kepatuhan ibu hamil minum tablet besi. Penelitian ini diharapkan dapat berguna bagi pengelola program kesehatan ibu dan anak dalam upaya meningkatkan penyuluhan manfaat tablet besi bagi ibu hamil. Metodologi penelitian: Rancangan penelitian adalah "Cross sectional" dengan pengambilan data di Kecamatan Pacet, Kabupaten Cianjur, Jawa Barat. Unit analisis adalah ibu hamil trimester II dan III sebanyak 131 orang. Responden dapat dilacak sesudah wawancara pertama berjumlah 40 orang. Analisis dilakukan dengan analisis kuantitatif dan kualitatif. Analisis kuantitatif univariat untuk melihat gambaran frekwensi responden menurut berbagai karakteristik. Analisis bivariat untuk melihat hubungan antara variabel independen dengan kepatuhan ibu hamil minum tablet besi. Untuk membuktikan hipotesa digunakan uji statistik nonparametrik dengan mempergunakan Chi-Square Test. Analisis kualitatif dilakukan dengan Cara pendekatan Focus Groups Discussion dengan 2 kelompok, kelompok patuh dan kelompok tidak patuh minum tablet besi. Hasil penelitian: Ditemukan secara konseptual dengan pendekatan FGD, ada hubungan antara variabel independen dengan variabel dependen, walaupun dari uji statistik tidak terbukti. Tablet besi tersedia bagi ibu hamil dengan harga murah dan terjangkau. Responden belum tahu persis manfaat tablet besi. Temuan dari Focus Groups Discussion, responden ibu hamil tidak patuh minum tablet besi karena lupa. Kesimpulan dan saran: Kemungkinan penyebab terjadinya hubungan tidak bermakna adalah jumlah sampel kecil. Walaupun analisis kuantitatif menunjukkan hubungan tidak bermakna, tetapi secara konseptual, sama dengan hamil analisis kualitatif dengan cara pendekatan FGD, ada hubungan antara variabel independen dengan variabel dependen. Untuk menanggulangi defisiensi anemia ibu hamil, perlu ditingkatkan penyuluhan secara terus menerus mengenai manfaat tablet besi kepada ibu hamil. Ibu hamil yang sering lupa minum tablet besi perlu dimotivasi. Petugas kesehatan terutama pengelola program Kesehatan Ibu dan Anak perlu pelatihan berjenjang bertahap. <hr><i>The prevalence of iron deficiency anemia in pregnant women in Indonesia as high as 63,5% (SKRT,1992). The high prevalence of anemia due to iron deficiency may cause bleeding during labor process. The iron deficiency could attacked by administered iron tablets regularly, daily for three months. The tablets was available in posyandu. Its estimated that the incompliance of mothers administered the tablets may cause anemia. This study tend to know the relations of intrinsic factors (i.e: age of the mother, education, knowledge, experience in administering oral contraceptive and the attitude of the mother) and extrinsic factors (i.e: the role of peer-groups, performances, the availability of facilities), with the compliance of the mother administering iron tablets. This study expected to give advantages for the maternal and child health execution within the improvement of education stressed on the benefits of iron tablets during pregnancy. This observational study, designed as Cross-Sectional approach. The data obtained from Ciawi Sub- District, Bogor Regency, West Java. The analyzation units was pregnant women during second and third trimester, for atotal of 132 respondents. The respondents who could be trace after interview make a total of 40 respondents. The procedure of analyzation using univariate to see the characteristics of respondent. Bivariate analysis done to know the relations between independent variable and the compliance of mother to administered iron tablets. To make proof of the hypothesis we used the non parametric statistics of Chi-Square test. Qualitative analysis with two groups; the compliance group and the opposite to administrated iron tablets. Conceptually focus group dynamics (FGD) approach show the relations of independent and dependent variable, although statistically there's no proof. The iron tablets is avail-able for pregnant women with acceptable price. The respondent's comment about the benefits of iron tablets is questionable. The FGD findings shows that most mother who forget to administered the tablet is cause by forget full. Suppose the conditions of non significant was caused by the very small sample. Although quantitative analysis shown non significant relations, but conceptually has the same results of qualitative analysis by the FGD approach, has the relations between the variables. To cope anemia deficiency during pregnancy continuously, stressed on the benefited the health education continuously, stressed on the benefits of iron consumption during pregnancy. Mother who sometime forgot to administer her pills should be motivated to do so. The health services especially those who has responsibility for the Maternal and Child Health programmed regularly needed to have a training programmed.</i>