ANALYSIS OF HEALTH SERVICE PROVIDERS INFLUENCE ON THE IMPLEMENTATION OF PREECLAMPSIA SCREENING PROGRAM AT PRIMARY HEALTH CARE IN GRESIK REGENCY OF INDONESIA
Background: District Health Office of Gresik Regency has made various efforts in reducing Maternal and Infant Mortality Rate, one of which is by establishing screening program of preeclampsia. Implementation of preeclampsia screening program is still not running optimally, it can be known from the case of preeclampsia is still the main cause of maternal mortality in Gresik Regency, in addition the number of preeclampsia events tend to increase during the last three years. This suggests that there are problems with the implementation of screening programs for preeclampsia. One factor which preeclampsia affect the implementation of the screening program is a health care provider. This study aims to analyze the effect of the quality of health care providers on the implementation of screening programs for preeclampsia.
Materials and methods: This research was an observational analytic study with cross sectional design . The sample of research was 53 midwives who served in 19 primary health care in Gresik regency. Quality of healthcare providers data obtained using the interviews with questionnaire and direct observation, preeclampsia screening implementation data obtained by observating midwives when implementing the preeclampsia screening. Statistical test using logistic regression (α= 0.05).
Result: The result of this study showed that the variables that affect the quality of health care providers in primary health care of Gresik Regency was the employment status (p=0.046), level of knowledge (p=0.05), training (p=0.041), recording of medical record (p=0.004). The variables that had no effect were age (p=0,190), period of work (p=0,355), and attitude (p=0,057).
Conclusion: Employment status, level of knowledge, training, and recording and reporting affect the implementation of preeclampsia screening program. Implementation of preeclampsia screening program have still not optimally. Midwives and related parties are expected to improve the quality of service providers and the quality of services in the implementation of screening programs for preeclampsia.Keywords: preeclampsia, preeclampsia screening program, health care providers