OPTIMALISASI ANTENATAL CARE: PEMBERDAYAAN IBU HAMIL DALAM DIGITALISASI SKRINING FAKTOR RISIKO DAN TRIPLE ELIMINATION
Abstract
Abstrak: Komplikasi kehamilan seperti anemia, KEK, hipertensi kehamilan, dan infeksi menular vertikal (HIV, Sifilis, Hepatitis B) masih menjadi penyebab utama tingginya morbiditas maternal dan neonatal, sehingga mitra Puskesmas memerlukan penguatan skrining risiko kehamilan. Tujuan kegiatan ini untuk meningkatkan pengetahuan ibu hamil, mengoptimalkan deteksi dini faktor risiko melalui pelayanan Antenatal Care (ANC) standar 10T dan skrining Triple Elimination, serta memfasilitasi rujukan berjenjang. Metode kegiatan dilaksanakan dua tahap melibatkan 40 ibu hamil binaan Puskesmas Sipahutar, meliputi edukasi interaktif disertai pre-test dan post-test, pemeriksaan ANC, tes laboratorium (Hb dan Triple Elimination), serta pertemuan lanjutan untuk tata laksana kasus berisiko; data pengetahuan dianalisis dengan uji Wilcoxon Signed-Rank. Hasil: terjadi peningkatan pengetahuan signifikan (p < 0,001) dari rata-rata 70,53 menjadi 85,53. Pemeriksaan antenatal mengidentifikasi 55,0% (22 orang) ibu hamil berisiko tinggi/ sangat tinggi, dengan temuan anemia dan ketidakpatuhan TTD (27,5%), hipertensi kehamilan (12,5%), KEK (2,5%), serta satu kasus Hepatitis B reaktif yang berhasil ditatalaksana melalui rujukan dan proteksi HBIG bagi bayi. Intervensi edukasi dan skrining 10T terbukti efektif meningkatkan pengetahuan ibu hamil dan mempercepat deteksi dini risiko kehamilan.
Abstract: Pregnancy complications such as anemia, Chronic Energy Deficiency (CED), gestational hypertension, and vertical infections (HIV, Syphilis, Hepatitis B) remain leading causes of maternal and neonatal morbidity, so the partner health center needs stronger pregnancy risk screening. Objective: to improve pregnant women's knowledge, optimize early risk detection through standard 10T Antenatal Care (ANC) and Triple Elimination screening, and facilitate tiered referral. Methods: the activity involved 40 pregnant women at Puskesmas Sipahutar in two stages, including interactive education with pre-test and post-test, 10T ANC examination, laboratory tests (Hb and Triple Elimination), and a follow-up session for managing high-risk cases; knowledge data were analyzed using the Wilcoxon Signed-Rank Test. Results: knowledge scores increased significantly (p < 0.001) from a mean of 70.53 to 85.53. The 10T examination identified 55.0% (22 women) as high/very-high risk, with anemia and iron supplement non-compliance (27.5%), gestational hypertension (12.5%), CED (2.5%), and one reactive Hepatitis B case successfully managed through referral and HBIG protection for the infant. The education and 10T screening intervention proved effective in improving pregnant women's knowledge and accelerating early detection of pregnancy risk.
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DOI: https://doi.org/10.31764/jmm.v10i5.42903
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