Program Kesehetan Mother and Child Health ( MCH ) - For the health of mother and child in terms of his usual relate to each other the following is a program for mothers and children please read it .
1 . Understanding MCH Program
Maternal and child health efforts are efforts in the field of
health concerns
servicing and maintenance of pregnancy , maternity , mother
suckle , infants and toddlers and preschoolers .
2 . MCH Program Objectives
Program Goals Maternal and Child Health (MCH ) is the ability to achieve a healthy life
through the improvement of health, optimal , for the mother and her family to
Small Family Norm toward Happy Prosperous ( NKKBS ) as well as the increasing degree of
child health to ensure optimal growth and development process that is
foundation for improving the quality of human beings.
The specific objectives of the MCH program are :
Ø Increased maternal ability ( knowledge , attitudes and behaviors ) , in addressing
health of themselves and their families by using appropriate technology in
family health coaching efforts , the community of 10 families , IHC and
forth .
Ø Increased health coaching efforts toddlers and preschoolers are
independently within the family , the community of 10 families , IHC , and Coral
Toddlers and school kindergarten or kindergarten .
Ø Increased coverage of health services infants , children under five , pregnant women , mothers
maternity , new mothers , and mothers suckle .
Ø Increased quality of maternal health services , maternity , childbirth , mothers suckle ,
infants and children under five .
Ø Increased capacity and community participation , and the whole family
members to address maternal health problems , toddlers , preschoolers ,
primarily through an increase in the role of mother and family .
3 . MCH Program Management Principles
MCH Program management principle is to establish and increase the reach and
quality of MCH services effectively and efficiently . MCH services are prioritized on activities
principal :
· Improved antenatal care services at all facilities with good quality
as well as the highest range .
· Improved delivery assistance that has been related to increased
relief by gradually professionals .
· Improved early detection of high risk pregnant women , either by health workers and community by volunteers and traditional birth attendants as well as handling and continuous observations .
·
Improved neonatal care ( infants aged less than 1bulan ) with good quality and range as high as high .
4 . MCH services and types of indicators
a. Antenatal care :
Health care is given to the mother during pregnancy
according to the standard antenatal care .
Minimum standard " 5 T " for antenatal care consists of :
1 . Weigh weight and height measurement
2 . Measure Blood Pressure
3 . Giving full TT Immunization
4 . High measuring fundus
5 . Provision of a minimum of 90 tablets of iron tablets during pregnancy .
Frequency of prenatal care is at least 4 times during pregnancy with the provisions of at least 1 time in the first quarter , at least 1 time in the second quarter , and at least 2 times in the third quarter .
b . delivery Assistance
Kind of power that provide delivery assistance to the community :
1 . Professionals : obstetricians , general practitioners , midwives , auxiliary
midwives and nurses .
2 . TBAs :
Trained : is the midwife who has received training health workers
passed.
Not trained : the midwife is not been trained by health workers or traditional birth attendants who are trained and have passed.
c . Early detection of pregnant women at risk :
Risk factors in pregnant women include :
1 . Primigravida less than 20 years old or more than 35 years .
2 . Children over 4
3 . Distance last births and pregnancies are now less than 2 years or more than 10 years
4 . Height less than 145 cm
5 . Weighing less than 38 kg or upper arm circumference less than 23.5 cm
6 . Mendeita family history of diabetes, hypertension and a history of disability kengenital .
7 . Deformities of the body , such as abnormalities of the spine or pelvis .
High risk pregnancy is a normal condition and deviations that directly cause morbidity and maternal and infant mortality .
High risk in pregnancy include :
1 . Hb less than 8 g %
2 . High blood pressure is over 140 mmHg systolic and 90 mmHg diastolic over
3 . Significant edema
4 . eclampsia
5 . vaginal bleeding
6 . Premature rupture of membranes
7 . Location of latitude in the pregnancy of 32 weeks .
8 . Breech in primigravida
9 . Severe infection or sepsis
10 . preterm labor
11 . multiple pregnancy
12 . Large fetus
13 . Chronic illness in the mother include heart , lungs , kidneys .
14.Riwayat bad obstetric , a history of cesarean section and complications of pregnancy .
High risk of neonatal include :
1 . Low birth weight or birth weight less than 2500 grams
2 . Infants with neonatal tetanus
3 . Newborns with asphyxia
4 . Babies with jaundice neonatal jaundice that is more than 10 days after birth
5 . Newborns with sepsis
6 . Babies born weighing more than 4000 grams
7 . Preterm and post- term infants
8 . Babies born with congenital defects are
9 . Babies born with birth with action .
d . Indicators of maternal and infant health care
There are 6 indicators of performance appraisal or minimum service standards for SPM
maternal and infant health services that must be implemented are:
1.Cakupan visit pregnant women K4
a. Definition :
K4 visit pregnant women are pregnant women who contact with health workers to
get ANC services in accordance with the standards 5T with frekuenasi visit
at least 4 times during pregnancy , the first trimester requirement of at least 1 time ,
at least 1 second trimester and third trimester of times at least 2 times . 5 T standard is
are :
1 ) Inspection or measurement of height and weight
2 ) Inspection or measurement of blood pressure
3 ) The examination or measurement of fundus
4 ) TT immunization
5 ) The provision of iron tablets
b . operational definitions
Comparison between the number of pregnant women who have acquired appropriate standards ANC K4
work on one area at a certain time with a target population of pregnant women
c . The derivation
Numerator : Number of pregnant women who have memperoelh ANC according to standard K 4
work on one area at a certain time .
Denominator : Population targets pregnant women
Constants : 100
the formula :
Visits = number of pregnant women who have obtained the appropriate standard ANC K4
Pregnant women K4 x 100 % Estimated target population of pregnant women
d Source of data :
1 ) The number of pregnant women who have obtained the appropriate standard ANC K4 obtained from
records and registers cohorts of women report KIA PWS .
2 ) Estimated target population of pregnant women obtained from the Central Bureau of Statistics or BPS
East Java district or province .
e . usefulness
1 ) Measuring the quality of antenatal care
2 ) Measure the success rate of maternal protection through standard services and
plenary . Number of pregnant women who have acquired ANC according to standard K4
Estimated population
3 ) Measuring the performance of health workers in the implementation of antenatal care
