Call For Paper Volume:5 Issue:12 Dec'2018 |

ANTENATAL CARE VISITS IN PREECLAMPTIC PATIENTS BEFORE AND DURING NATIONAL HEALTH INSURANCE (NHI) PROGRAM

Publication Date : 21/11/2018


DOI : 10.21884/IJMTER.2018.5211.OTLDK

Author(s) :

Melsa Oktavia , Ernawaty , Ernawati.


Volume/Issue :
Volume 5
,
Issue 11
(11 - 2018)



Abstract :

Health care financing was one of the health problems associated with access to health services. In addition, it also affected to the increase in maternal mortality ratio (MMR) caused by conditions of pregnancy and childbirth with common complications that could be pressed with quick access to quality obstetric services. The cause of maternal death was known as "4 T" (too old, too young, too often and too much) and “3 T” (too late in making decisions, too late in carrying, and too late in getting service). One of the efforts made by the Indonesian government to help accelerate MMR reduction was to implement the National Health Insurance (NHI) Program with easier access to health services with an affordable financing system that effected to health services by doing antenatal care routinely and quality. But in fact, during the implementation of the NHI program there was still contributed to high numbers of MMR and preeclampsia/eclampsia remained the main cause of maternal death. This study aims to determine the characteristics of antenatal care visits in mothers with preeclampsia that occurred in the era before and during the implementation of NHI program (2012-2016) in Dr. Soetomo Hospital Surabaya, Indonesia. This was a descriptive cross sectional study in tertiary hospital. The sample was patient who diagnosed preeclampsia in Dr. Soetomo Hospital in the period 2012 to 2016 and was taken by proportionally simple random sampling with total samples were 252 patients. The data extracted from medical record. The results showed that in the era before and during NHI, most of the patients included in the age group of 20-35 years and the majority did antenatal care visits quite well (≥4 times). In the era during NHI, even women with risky age of 35 years who visited antenatal care <4 times experienced an increase in proportion compared to the era before NHI (39.4%). In both eras, there were similarities that mothers who did antenatal care visits quite well (≥4 times) had an education level dominated by higher education (64.9% before NHI vs 78.6% during NHI). Most of the patients with the frequency of antenatal care visits were quite well dominated by housewives even increased during NHI (65.8%). In the era before NHI dominated by primiparous with antenatal care visits were quite well (≥4 times) but different during NHI which was dominated by multiparous mothers. In the case of severe preeclampsia and preeclampsia in both eras tended to have antenatal care visits were quite well. It is necessary to improve the quality of antenatal care services from health services to prevent the development of complications due to late detection of preeclampsia.


No. of Downloads :

4


Indexing

Web Design MymensinghPremium WordPress ThemesWeb Development

ANTENATAL CARE VISITS IN PREECLAMPTIC PATIENTS BEFORE AND DURING NATIONAL HEALTH INSURANCE (NHI) PROGRAM

November 6, 2018