The Role And Strategy Of Midwife Independent Practice (Tpmb) In Anticipation Of Virus Transmission

Rahmadyanti Rahmadyanti -  Abdi Nusantara College of Health Sciences, Jakarta, Indonesia
Bintang Petralina* -  Binawan University ,Jakarta, Indonesia
DOI : 10.33024/jkm.v9i1.8983

Latar Belakang: Penyebaran Covid-19 varian omicron sangat cepat dan kasus bertambah banyak dan membuat masyarakat mengalami kondisi hard stupidity, masyarakat lelah dan jenuh sehingga memicu lonjakan kembali kasus Covid-19. Tempat Praktik Mandiri Bidan (TPMB) merupakan salah satu fasilitas kesehatan tempat masyarakat mendapatkan layanan kesehatan ibu dan anak. Berdasarkan data Riskesdas 2018, Pelayanan ANC oleh bidan sebesar 82.4% dan 41% diantaranya di TPMB 80% ke tempat praktik mandiri bidan. Pertolongan Persalinan oleh bidan sebesar 62,7% dan 29% diantaranya ditolong di TPMB serta pelayanan keluarga berencana 76,5% dilakukan oleh bidan dan 54,6% diantaranya dilakukan di TPMB. Hal ini menjadikan Bidan menjadi  salah satu garda terdepan dalam upaya memutusan rantai penularan covid-19. Bidan delima merupakan ikon tempat praktik mandiri bidan yang mengedepankan mutu layanan kebidanan

Tujuan: Mengetahui perbedaan pengetahuan, peran dan strategi Tempat Praktik Mandiri Bidan (TPMB) dalam antisipasi penularan virus omicron di wilayah kerja Jakarta Timur tahun 2022.

Metode: Pendekatan kuantitatif menggunakan desain penelitian cross sectional dengan teknik purposive sampling pada 100 sampel TPMB di wilayah kerja Jakarta Timur Tahun 2022 yang dilakukan pada Februari  – April 2022 dengan kuesioner menggunakan analisis analitik.

Hasil: Mayoritas TPMB anggota Bidan Delima (51%), berpengetahuan baik (57%), berperan baik (58%) dan memiliki strategi yang baik (54%). Pengetahuan, peran da strategi dalam mengantisipasi penularan virus omicron tidak memiliki hubungan yang bermakna (P-value >0.05) dengan status keanggotaan TPMB sebagai bidan delima di wilayah kerja Jakarta Timur tahun 2022.

Kesimpulan: Pengetahuan, peran dan strategi bidan dalam mengantisipasi penularan virus omicron tidak berhubungan dengan status keanggotaan sebagai bidan delima.

Saran: Dalam menjalankan peran sebagai bidan delima di fasilitas pelayanan Tempat Praktik Bidan Mandiri harus menerapkan 3M, 3T, dan vaksinasi dengan baik, transparan dan terbuka kepada masyarakat dengan komunikasi yang baik, tetap menggunakan masker, dan mencuci tangan.

 

Kata Kunci: Bidan Delima, Omicron, Peran, Strategi, Tempat Praktik Mandiri Bidan ABSTRACT

 

Background: The spread of the Covid-19 variant of the omicron was very fast and the number of cases increased and caused the community to experience a hard condition, the community was tired and bored so that it triggered a spike in Covid-19 cases again.  The Midwife Independent Practice Center (TPMB) is one of the health facilities where the community gets maternal and child health services. Based on the 2018 Riskesdas data, ANC services by midwives amounted to 82.4% and 41% of them at TPMB 80% to the midwife’s independent practice. Childbirth assistance by midwives amounted to 62.7% and 29% of them were assisted at TPMB and 76,5% of family planning services were provided by midwives and 54.6% of them were provided at TPMB. This makes midwives one of the front guards in efforts to break the chain of transmission of covid-19. Delima midwives are icons of midwifery independent practices that prioritizes the quality of midwifery services.

Purpose : Knowing the differences in knowledge, roles and strategies for  the Midwife Independent Practice Center (TPMB) in anticipating the transmission of  the omicron virus in the East Jakarta work area in 2022.

Method: The quantitative approach uses a cross-sectional research design with a purposive sampling  technique on 100 TPMB samples in the East Jakarta working area in 2022 which was conducted in February – April 2022 with a questionnaire using analytical analysis.

 

Results: The majority of TPMB members of Delima Midwives (51%), have good knowledge (57%), have a good role (58%) and have a good strategy (54%).  Knowledge, role and strategy in anticipating transmission of the omicron virus  do not have a meaningful relationship (P-value >0.05) with TPMB  membership status as a delima midwife in the East Jakarta working area in 2022.

Conclusion: Midwives’ knowledge, roles and strategies in anticipating transmission of the omicron virus are not related to membership status as a delima midwife.

Suggestion: In carrying out the role as a delima midwife in a service facility where the Independent Midwife Practice must apply 3M, 3T, and vaccination properly, be transparent and open to the public with good communication, continue to use masks, and wash hands.

 

Keywords: Delima Midwife, Omicron, Role, Strategy, Midwife Independent Practice Place
  1. Ariyani, F., Lestari, W., Fitria, N. E., & Primasari, E. P. (2021). Peran Bidan dalam Pelayanan Antenatal pada Masa Pandemi COVID-19. Jurnal Kesehatan Mercusuar, 4(1), 32–37.
  2. Beek, K., McFadden, A., & Dawson, A. (2019). The role and scope of practice of midwives in humanitarian settings: A systematic review and content analysis. Human Resources for Health, 17(1), 1–16. https://doi.org/10.1186/s12960-018-0341-5
  3. CNN Indonesia. (2021). Epidemiolog: Indonesia Sudah Herd Stupidity Atasi Pandemi. CNN Indonesia.
  4. Donny Adhiyasa, I. B. (2022). Menkes Sebut Penyebaran Varian Omicron RI Pertama Kali di Jakarta. VIVA.Co.Id.
  5. DeJong J, Akik C, El Kak F, Osman H, El-Jardali F. The safety and quality of childbirth in the context of health systems: mapping maternal health provision in Lebanon. Midwifery. 2010;26(5):549–57
  6. Gugus Tugas Percepatan Penanganan COVID-19. (2020). Practical Guidance Protocol for Maternal and Health Services Newborns During the COVID-19 Pandemic.
  7. Hidayat, K. (2022). Omicron Kian Menjadi, Kasus Aktif Covid-19 di Indonesia Sudah Lebih 300.000 Kasus. Kontan.Co.Id.
  8. Homer CS, Friberg IK, Dias MAB, ten Hoope-Bender P, Sandall J, Speciale AM, Bartlett LA. The projected effect of scaling up midwifery. Lancet. 2014; 384(9948):1146–57
  9. Ikhwah Mu’minah, R. I. dan D. S. (2021). Peran Aktif Bidan dalam Pelayanan KIA dan KB pada Masa Pandemi COVID-19 di Puskesmas Kemrajen II. Midwife and Reproduction, 5(1), 10–13.
  10. ICM. Position Statement: Role of the midwife in disaster/emergency preparedness PS2014_003. The Hague: International Confederation of Midwives; 2015. 22.
  11. ICM. ICM International Definition of the Midwife. The Hague: International Confederation of Midwives; 2017. 23.
  12. Junita, N. (2022). Sebaran 1.313 Kasus Omicron di Jakarta. Bisnis.Com.
  13. Johansson MA, Saderi D. Open peer-review platform for COVID-19 preprints. Nature 2020;579:29. doi:10.1038/d41586-020-00613-4
  14. Jin S, Wang B, Xu H, et al. AI-assisted CT imaging analysis for COVID-19 screening: building and deploying a medical AI system in four weeks. medRxiv [Preprint] 2020. doi:10.1101/2020.03.19.20039354
  15. Kemenkes RI. (2020). Pedoman kesiapan menghadapi COVID-19. Pedoman Kesiapan Menghadapi COVID-19, 0–115.
  16. Khotimah, S. (2021). Description of Knowledge and Attitudes of Midwives regarding Health Protocols in Antenatal Care in the Period Covid-19 pandemic. Ilmu Kesehatan Dharmas Indonesia, 01(1), 32–37.
  17. Mashabi, S. (2022). UPDATE 9 Januari: Ada 407 Kasus Covid-19 Varian Omicron di DKI Jakarta. Kompas.Com.
  18. Nurjasmi, E. (2020). Situation of Midwifery Services During the COVID-19 Pandemic and Entering the New Era Normal.
  19. PMO KPCPEN. (2020). 3M-3T-Vaksinasi: Penularan Terhambat-Pandemi Melambat-Ekonomi Meningkat.
  20. Saputro, F. A. (2022). Kasus Omicron di Jakarta Naik, Legislator: PTM 100 Persen Sebaiknya Ditunda. Republika.
  21. Shaban, I., Barclay, L., Lock, L., & Homer, C. (2012). Barriers to developing midwifery as a primary health-care strategy: A Jordanian study. Midwifery, 28(1), 106–111. https://doi.org/10.1016/j.midw.2010.11.012
  22. Susanti, E. dan Z. Z. (2020). Kecemasan, Pelayanan Kebidanan dan Pemberian Informasi tentang Virus Corona (COVID-19) oleh Bidan di Wilayah Madura. Media Kesehatan Masyarakat Indonesia, 16(3), 367–374.
  23. Steyerberg EW. Clinical prediction models: a practical approach to development, validation, and updating. Springer US, 2009. doi:10.1007/978-0-387-77244-8
  24. Renfrew MJ, McFadden A, Bastos MH, Campbell J, Channon AA, Cheung NF, Silva DRAD, Downe S, Kennedy HP, Malata A, et al. Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care. Lancet. 2014;384(9948):1129–45
  25. Tazkiah, M. F. W. D. F. (2020). The Relationship between Knowledge and Attitudes with Midwives’ Actions for Prevention of COVID-19 Transmission in Kia Services in South Kalimantan. IAKMI (Ikatan Ahli Kesehatan Masyarakat Indonesia), 1–6.
  26. Undang-Undang Kebidanan No.4 Tahun 2019 tentang Pelayanan Kebidanan, Pub. L. No. 4 (2019).
  27. UNFPA. The State of the World’s Midwifery 2014: A Universal Pathway. A Woman’s Right to Health. New York: UNFPA; 2014
  28. Von Roenne A, Von Roenne F, Kollie S, Swaray Y, Sondorp E, Borchert M. Reproductive health services for refugees by refugees: an example from Guinea. Disasters. 2010;34(1):16–29
  29. WHO. (2021). Classification of Omicron (B.1.1.529): SARS-CoV-2 Variant of Concern. World Health Organization.
  30. WHO, UNPFA, Escuela Andaluza de Salud Pública. Sexual and reproductive health during protracted crises and recovery Granada report. Geneva: WHO, UNPFA, Escuela Andaluza de Salud Pública; 2011
  31. Wynants L, Riley RD, Timmerman D, Van Calster B. Random-effects meta-analysis of the clinical utility of tests and prediction models. Stat Med 2018;37:2034-52. doi:10.1002/sim.7653
  32. Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet 2020;395:1054-62. doi:10.1016/S0140- 6736(20)30566-3
  33. Zheng C, Deng X, Fu Q, et al. Deep learning-based detection for covid-19 from chest CT using weak label. medRxiv [Preprint] 2020. doi:10.1101/2020.03.12.20027185

Open Access Copyright (c) 2023 Jurnal Kebidanan Malahayati

Policies

Submissions

Other

Focus and Scope
Section Policies
Peer Review Process
Publication Frequency
Open Access Policy		Online Submissions
Author Guidelines
Copyright Notice
Privacy Statement
Author Fees		Journal Sponsorship
Journal History
Site Map
About this Publishing System
JKM (Jurnal Kebidanan Malahayati)