Hubungan Kecemasan Ibu Hamil, Sistem Rujukan Berjenjang BPJS dan Kualitas Pelayanan Masa Pandemi dengan Perilaku Kunjungan Antenatal Care di RSUD Kota Bogor Tahun 2022

Abstract

Latar Belakang: ANC atau antenatal care merupakan perawatan ibu dan janin selama masa kehamilan. Pentingnya dilakukan kunjungan ANC, yaitu melalui ANC berbagai informasi serta edukasi terkait kehamilan dan persiapan persalinan bisa diberikan kepada ibu sedini mungkin. Tujuan: Untuk mengetahui hubungan kecemasan ibu hamil, sistem rujukan berjenjang BPJS dan kualitas pelayanan masa pandemi dengan perilaku kunjungan ANC di RSUD Kota Bogor Tahun 2022. Metode: Jenis penelitian ini, kuantitatif dan pendekatan deskriptif analitik dengan menggunakan metode cross-sectional. Populasi dan sampel penelitian adalah semua ibu hamil di RSUD Kota Bogor selama periode Februari 2022 sebanyak 135 responden. Teknik pengambilan sampel menggunakan purposive sampling. Alat ukur menggunakan kuesioner. Analisis data menggunakan chi-square dengan α 0,05. Hasil: Hubungan antara kecemasan ibu hamil (P-value 0.023; OR 3,0), sistem rujukan berjenjang BPJS (P-value 0.000; OR 12,5) dan kualitas pelayanan masa pandemi (P-value 0.000; OR 12,8) dengan perilaku kunjungan ANC di RSUD Kota Bogor Tahun 2022. Kesimpulan: Terdapat hubungan kecemasan ibu hamil, sistem rujukan berjenjang BPJS dan kualitas pelayanan masa pandemi dengan perilaku kunjungan ANC. Faktor sistem rujukan berjenjang BPJS merupakan salah satu faktor yang paling berhubungan kuat terhadap perilaku kunjungan ANC.

Employment, Income, Health Insurance, Accessibility to Healthcare Facility, Age, and Prenatal Anxiety in Indonesia

“…Mother with this age found more frequent to have maternal visits (ANC) compared with mother aged >35 years old and <20 years old (Ariani, 2022). ANC help mothers to improve physical and psychological health and get more knowledge related to the pregnancy and delivery (Sulistiyo et al, 2022). Although the visit numbers have not explored in this study, it is assumed that the age could affected the prenatal anxiety through the mother's development.…”

“…Moreover, in the COVID-19 pandemic, mother faced the poor-quality services at the first referral healthcare facility. The new referral system that applied by JKN during the COVID-19 pandemic affected to the prolonged in line at the first referral healthcare facility to visit the healthcare provider (Sulistiyo et al, 2022). In addition, Caesarian Surgery will also be covered by the JKN health insurance.…”

“…Mother with the JKN insurance could access the first referral healthcare facilities near by their living site. By having the routine ANC, mother could improve their knowledge related pregnancy and prepare worse things in delivery (Sulistiyo et al, 2022). Mother with the private health insurance could access any facilities without determining the distance between their residence to the healthcare facilities (Erlangga et al, 2019).…”

“…Health insurance ownership was associated with the anxiety level during pregnancy. In Indonesia, National Health Insurance (JKN) provided various services which helpful to increase mother psychological health (Sulistiyo et al, 2022). Mother who has health insurance found to have mild level anxiety (Solihah, 2019).…”