SCOPING REVIEW: PENGARUH KEBERADAAN PELAYANAN OBSTETRI NEONATAL EMERGENCY KOMPREHENSIF (PONEK) TERHADAP DERAJAT KESEHATAN IBU

Kadek Yuke Widyantari, Tiara Rica Dayani

Sari


Abstrak: Pengaruh Keberadaan Pelayanan Obstetri Neonatal Emergency Komprehensif (PONEK) Terhadap Derajat Kesehatan Ibu: Scoping Review. Penyediaan fasilitas PONEK diharapkan mampu menangani kasus rujukan yang tidak mampu dilakukan petugas kesehatan di tingkat layanan primer, sehingga dapat menekan morbiditas dan mortalitas maternal dan neonatal. Namun AKI di Indonesia masih cukup tinggi yaitu 305/100.000 KH. Fasilitas PONEK merupakan bagian dari sistem rujukan dalam kegawatdaruratan maternal yang sangat berperan dalam menurunkan AKI. Review ini bertujuan untuk melakukan pengkajian mengenai pengaruh keberadaan PONEK terhadap derajat kesehatan ibu di beberapa negara. Metode yang digunakan adalah scoping review ini, penulis mengidentifikasi studi yang menjelaskan pengaruh keberadaan PONEK terhadap derajat kesehatan ibu dari tiga database (PubMed, Wiley, dan Science Direct). Pencarian dibatasi pada studi yang diterbitkan dalam bahasa Inggris dan periode publikasi 2013-2023. Studi yang teridentifikasi ditinjau menggunakan PRISMA Flowchart. Dari total 9 (sembilan) artikel yang direview ditemukan dua subtema yaitu, ketersediaan PONEK yang memadai baik dari segi fasilitas dan kompetensi SDM PONEK dapat meningkatkan derajat kesehatan ibu (menurunnya mortalitas, meningkatnya persalinan di institusional, dan menurunnya angka rujukan) dan jika tersedianya PONEK tanpa fasilitas yang tidak optimal dan kompetensi SDM yang rendah dapat memperburuk derajat kesehatan maternal (meningkatnya mortalitas dan meningkatnya angka rujukan). Kesimpulan: dari ulasan ini, beberapa bukti menunjukkan bahwa keberadaan PONEK berkaitan secara signifikan terhadap derajat kesehatan ibu.

Kata Kunci : Pelayanan Obstetri Neonatal Emergency Komprehensif (PONEK), Kesehatan Maternal, Angka Kematian Ibu


Kata Kunci


Pelayanan Obstetri Neonatal Emergency Komprehensif (PONEK), Kesehatan Maternal, Angka Kematian Ibu

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Referensi


Baguiya, A., Meda, I. B., Millogo, T., Kourouma, M., Mouniri, H., & Kouanda, S. (2016). Availability and utilization of obstetric and newborn care in Guinea: A national needs assessment. International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics, 135 Suppl 1, S2–S6. https://doi.org/10.1016/J.IJGO.2016.09.004

Bettina Utz 1 , Shamsa Zafar 2 , Noreen Arshad 3 , Terry Kana 1, S.

G. 1 ; N. van den B. (2015). Status of emergency obstetric care in four districts of Punjab, Pakistan - results of a baseline assessment - PubMed. https://pubmed.ncbi.nlm.nih.gov/26028380/

Bosomprah, S., Tatem, A. J., Dotse-Gborgbortsi, W., Aboagye, P., &

Matthews, Z. (2016). Spatial distribution of emergency obstetric and newborn care services in Ghana: Using the evidence to plan interventions. International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics, 132(1), 130–134. https://doi.org/10.1016/J.IJGO.2015.11.004

Direktorat Jendral Bina Pelayanan Medik Departemen Kesehatan RI. (2008). Departemen Kesehatan RI, 2008, Pedoman Penyelenggaraan Pelayanan Obstetri Neonatal Emergensi Komprehensif (PONEK) 24 jam di Rumah Sakit, Indonesia..pdf.

Dumont, A., Fournier, P., Abrahamowicz, M., Traoré, M., Haddad, S., & Fraser, W. D. (2013). Quality of care, risk management, and technology in obstetrics to reduce hospital-based maternal mortality in Senegal and Mali (QUARITE): a cluster-randomised trial. Lancet (London, England), 382(9887), 146–157. https://doi.org/10.1016/S0140-6736(13)60593-0

Fakih, B., Nofly, A. A. S., Ali, A. O., Mkopi, A., Hassan, A., Ali, A. M., Ramsey, K., Kabuteni, T. J., Mbaruku, G., & Mrisho, M. (2016). The status of maternal and newborn health care services in Zanzibar. BMC Pregnancy and Childbirth, 16(1), 1–9. https://doi.org/10.1186/S12884-016-0928-6/TABLES/3

Fournier, P., Dumont, A., Tourigny, C., Dunkley, G., & Dramé, S. (2009). Improved access to comprehensive emergency obstetric care and its effect on institutional maternal mortality in rural Mali. Bulletin of the World Health Organization, 87(1), 30. https://doi.org/10.2471/BLT.07.047076

Germossa, G. N., Wondie, T., Gerbaba, M., Mohammed, E., Alemayehu, W. A., Tekeste, A., Mdluli, E. A., Kenyon, T., Collison, D.,

Tsegaye, S., Abera, Y., Tadesse, D., Daga, W. B., Shaweno, T., Abrar,

M., Ibrahim, A., Belete, M., Esmael, S., Tadesse, D., … Fayssa, M. D. (2022). Availability of comprehensive emergency obstetric and neonatal care in developing regions in Ethiopia: lessons learned from the USAID transform health activity. BMC Health Services Research, 22(1). https://doi.org/10.1186/S12913-022-08712-W

Lindtjørn, B., Mitiku, D., Zidda, Z., & Yaya, Y. (2017). Reducing Maternal Deaths in Ethiopia: Results of an Intervention Programme in Southwest Ethiopia. PLoS ONE, 12(1). https://doi.org/10.1371/JOURNAL.PONE.0169304

Maru, S., Bangura, A. H., Mehta, P., Bista, D., Borgatta, L., Pande, S., Citrin, D., Khanal, S., Banstola, A., & Maru, D. (2017). Impact of the roll out of comprehensive emergency obstetric care on institutional birth rate in rural Nepal. BMC Pregnancy and Childbirth, 17(1), 1–9. https://doi.org/10.1186/S12884-017-1267-Y/FIGURES/2

Mawarti, Y., Utarini, A., & Hakimi, M. (2017). Maternal care quality in near miss and maternal mortality in an academic public tertiary hospital in Yogyakarta, Indonesia: A retrospective cohort study. BMC Pregnancy and Childbirth, 17(1), 1–8. https://doi.org/10.1186/S12884-017-1326-4/TABLES/4

Ntambue, A. M., Malonga, F. K., Cowgill, K. D., Dramaix-Wilmet, M., & Donnen, P. (2017). Emergency obstetric and neonatal care availability, use, and quality: A cross-sectional study in the city of

Lubumbashi, Democratic Republic of the Congo, 2011. BMC Pregnancy and Childbirth, 17(1), 1–17. https://doi.org/10.1186/S12884-017-1224-9/FIGURES/6

Nuraini, Wahyuni, S., Windiarto, T., Oktavia, E., & Karyono, Y. (2016). Result of SUPAS 2015. https://www.bps.go.id/publication/2016/11/30/63daa471092bb2cb7c1fada6/profil-penduduk-indonesia-hasil-supas-2015.html

Nyamtema, A. S., LeBlanc, J. C., Mtey, G., Murphy, G. T., Kweyamba, E., Bulemela, J., Shayo, A., Abel, Z., Kilume, O., Scott, H., & Rigby, J. (2022). Scale up and strengthening of comprehensive emergency obstetric and newborn care in Tanzania. PloS One, 17(7). https://doi.org/10.1371/JOURNAL.PONE.0271282

Nyamtema, A. S., Mwakatundu, N., Dominico, S., Mohamed, H., Pemba, S., Rumanyika, R., Kairuki, C., Kassiga, I., Shayo, A., Issa, O., Nzabuhakwa, C., Lyimo, C., & van Roosmalen, J. (2016). Enhancing Maternal and Perinatal Health in Under-Served Remote Areas in Sub-Saharan Africa: A Tanzanian Model. PloS One, 11(3). https://doi.org/10.1371/JOURNAL.PONE.0151419

Owens, L., Semrau, K., Mbewe, R., Musokotwane, K., Grogan, C., Maine, D., & Hamer, D. H. (2015). The state of routine and emergency obstetric and neonatal care in Southern Province, Zambia. International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics, 128(1), 53–57. https://doi.org/10.1016/J.IJGO.2014.07.028

Pacagnella, R. C., Cecatti, J. G., Parpinelli, M. A., Sousa, M. H., Haddad, S. M., Costa, M. L., Souza, J. P., Pattinson, R. C., Surita, F. G., Pinto e Silva, J. L., Camargo, R. S., Zotareli, V., Gurgel, L. T., Say, L., Rudge, M. V., Calderon, I. M., Bahamondes, M. V., Santana, D. S.,

Gonçalves, S. P., … Campanharo, F. F. (2014). Delays in receiving obstetric care and poor maternal outcomes: results from a national multicentre cross-sectional study. BMC Pregnancy and Childbirth, 14(1). https://doi.org/10.1186/1471-2393-14-159

Pattinson, R. C., Bergh, A. M., Makin, J., Pillay, Y., Moodley, J., Madaj, B., Ameh, C., & van den Broek, N. (2018). Obstetrics knowledge and skills training as a catalyst for change. South African Medical Journal, 108(9), 748–755. https://doi.org/10.7196/SAMJ.2018.V108I9.13073

Pattinson, R. C., Makin, J. D., Pillay, Y., van den Broek, N., & Moodley, J. (2015). Basic and comprehensive emergency obstetric and neonatal care in 12 South African health districts. South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde, 105(4), 256–260. https://doi.org/10.7196/SAMJ.9181

Rajia, S., Sabiruzzaman, M., Islam, M. K., Hossain, M. G., & Lestrel, P. E. (2019). Trends and future of maternal and child health in Bangladesh. PLoS ONE, 14(3). https://doi.org/10.1371/JOURNAL.PONE.0211875

Rose Mlay. (2016). Comprehensive Emergency Obstetric and Newborn Care: The Proven Approach in Tanzania | by WhiteRibbonAlliance | Medium. https://wraglobal.medium.com/comprehensive-emergency-obstetric-and-newborn-care-the-proven-approach-in-tanzania-4d7bb4542e3b

Roy, L., Biswas, T. K., & Chowdhury, M. E. (2017). Emergency obstetric and newborn care signal functions in public and private facilities in Bangladesh. PLOS ONE, 12(11), e0187238. https://doi.org/10.1371/JOURNAL.PONE.0187238

Soedarmono, Y. S. M. (2017). The Indonesian approach to reduce maternal mortality. ISBT Science Series, 12(1), 272–280. https://doi.org/10.1111/VOXS.12317

Solnes Miltenburg, A., Kiritta, R. F., Bishanga, T. B., van Roosmalen, J., & Stekelenburg, J. (2017). Assessing emergency obstetric and newborn care: Can performance indicators capture health system weaknesses? BMC Pregnancy and Childbirth, 17(1), 1–9. https://doi.org/10.1186/S12884-017-1282-Z/TABLES/3

Soma-Pillay, P., & Pattinson, R. C. (2016). Barriers to obstetric care among maternal near misses. South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde, 106(11), 1110–1113. https://doi.org/10.7196/SAMJ.2016.V106I11.10726

Tembo, T., Chongwe, G., Vwalika, B., & Sitali, L. (2017). Signal functions for emergency obstetric care as an intervention for reducing maternal mortality: A survey of public and private health facilities in Lusaka District, Zambia. BMC Pregnancy and Childbirth, 17(1), 1–8. https://doi.org/10.1186/S12884-017-1451-0/TABLES/5

Wahyudi, Y. P., & Nurfaidah, S. (2014). Pengelolaan Rujukan Kedaruratan Maternal di Rumah Sakit dengan Pelayanan PONEK. Jurnal Kedokteran Brawijaya, 28(1), 84–88. https://doi.org/10.21776/UB.JKB.2014.028.01.29

WHO. (2009). Monitoring emergency obstetric care : a handbook. https://apps.who.int/iris/handle/10665/44121

WHO. (2015). Targets of Sustainable Development Goal 3. https://www.who.int/europe/about-us/our-work/sustainable-development-goals/targets-of-sustainable-development-goal-3

Wilunda, C., Oyerinde, K., Putoto, G., Lochoro, P., Dall’Oglio, G., Manenti, F., Segafredo, G., Atzori, A., Criel, B., Panza, A., & Quaglio, G. (2015). Availability, utilisation and quality of maternal and neonatal health care services in Karamoja region, Uganda: a health facility-based survey. Reproductive Health, 12(1). https://doi.org/10.1186/S12978-015-0018-7




DOI: https://doi.org/10.33024/jikk.v10i4.9733

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