Identifikasi Penyebab Anemia pada Ibu Hamil di Puskesmas Sungai Piring

Anemia in pregnancy becomes a particular concern because it is associated with mortality and morbidity in mother and baby, risk of miscarriage, stillbirth, prematurity, and low birth weight. Baby in the womb can experience growth and development disorder, children become less intelligent and stunting. This research aims to analyze the causes of anemia in pregnancy at the Public Health Center of Sungai Piring in 2019. This research is qualitative research, through in-depth interviews, observation, and document search. The research informants were the Head of the public health center, the Head of Administration, the Person in Charge of Maternal and Child Health (KIA), pregnant women, husbands, and parents. The observation was by seeing directly the KIA service, at community health sub-center, Integrated Service Post, Mother class, and P4K home visits and searching for related documents. The result showed that the analysis of anemia causes in pregnancy was lack knowledge of mothers and husbands, lack of husband's support, some officers were still did not informing/providing counseling, lack of human resources (midwives), less attractive/innovative media, geographic, socio-cultural and most of the big mothers did not have health insurance. It is recommended to the public health center to optimizing the budget for activities through National Health Operational Assistance and Health Insurance funds through the proposal in charge of KIA, such as outreach and training activity.Anemia pada ibu hamil menjadi perhatian khusus karena terkait dengan mortalitas dan morbiditas pada ibu dan bayi, risiko keguguran, lahir mati, prematuritas dan Berat Bayi Lahir Rendah. Pada bayi dalam kandungan dapat mengalami gangguan pertumbuhan dan perkembangan, anak menjadi kurang cerdas, dan stunting. Tujuan penelitian ini untuk menganalisis penyebab anemia pada ibu hamil di Puskesmas Sungai Piring tahun 2019. Penelitian ini merupakan penelitian kualitatif, melalui wawancara mendalam, observasi dan penelusuran dokumen. Informan penelitian adalah Kepala Puskesmas, Kasubag Tata Usaha, Penanggung Jawab Kesehatan Ibu dan Anak (KIA), ibu hamil, suami dan orang tua. Observasi dilakukan dengan melihat langsung pelayanan di KIA, di puskesmas pembantu, posyandu, kelas ibu dan kunjungan rumah P4K serta penelusuran dokumen terkait. Hasil menunjukkan bahwa identifikasi penyebab anemia pada ibu hamil adalah kurangnya pengetahuan ibu dan suami, kurangnya dukungan suami, sebagian petugas masih kurang menginformasikan/memberi konseling, sumber daya manusia (bidan) kurang, media penyuluhan kurang menarik/inovatif, geografis, sosial budaya dan sebagian besar ibu tidak memiliki jaminan kesehatan. Direkomendasikan kepada Puskesmas dapat mengoptimalkan anggaran untuk kegiatan melalui dana Bantuan Operasional Kesehatan dan Jaminan Kesehatan nasional melalui usulan penanggung jawab KIA, seperti kegiatan penyuluhan dan pelatihan