Skrining Penyakit Menular dan Tidak Menular pada Ibu Hamil di Wilayah Kuta Selatan, Bali

Screening for Communicable and Non-Communicable Diseases among Pregnant Women in South Kuta, Bali

Authors

  • Luh Nik Armini Universitas Pendidikan Ganesha
  • Made Adiantini Universitas Udayana
  • Made Aristia Prayudi Universitas Pendidikan Ganesha
  • Putu Adi Suputra Universitas Pendidikan Ganesha

DOI:

https://doi.org/10.35473/ijm.v8i2.4458

Keywords:

Pregnant women, Integrated ANC, Communicable diseases, Anemia, Chronic energi deficiency, Preeclampsia, Diabetes gestasional

Abstract

The World Health Organization (WHO) recommends that every pregnant woman have a positive and fulfilling experience throughout pregnancy, childbirth, and the postpartum period. Comprehensive screening as part of integrated antenatal care (ANC) is an essential effort for early detection and prevention of complications during these stages. This study aimed to determine the proportion of integrated ANC screening results, including communicable diseases (HIV, syphilis, and hepatitis B) and non-communicable conditions (anemia, chronic energy deficiency [CED], preeclampsia, and gestational diabetes) among pregnant women in the catchment area of South Kuta Health Center, Bali. This study employed a cross-sectional design using secondary data collected between June and September 2024. A total sampling technique was applied to all records that met the inclusion criteria, resulting in 684 cases for analysis. Data were analyzed descriptively using frequency and percentage distributions. The highest proportion was anemia (36.4%), followed by CED (10.2%), underweight (8.8%), obesity (5.6%), gestational diabetes (0.4%), preeclampsia (0.9%), hepatitis B (1.3%), syphilis (0.7%), and HIV (0.4%). Most maternal health problems were related to nutritional factors, particularly anemia and CED. Although the proportions of preeclampsia, gestational diabetes, and communicable diseases were relatively low, early detection through regular and timely ANC screening remains crucial for preventing maternal and perinatal complications. Strengthening maternal nutrition programs through improved adherence to iron–folate supplementation, close monitoring of dietary intake, and continuous nutrition education is recommended to minimize the risk of anemia and CED among pregnant women.

 

Abstrak

WHO merekomendasikan setiap ibu hamil memiliki pengalaman yang menyenangkan selama proses kehamilan, persalinan, dan nifas. Pelaksanaan skrining secara komprehensif dalam ANC terpadu merupakan upaya deteksi dini yang penting dalam mencegah komplikasi selama masa kehamilan, persalinan, dan nifas. Tujuan dari penelitian ini untuk mengetahui proporsi hasil skrining ANC terpadu meliputi penyakit menular (HIV, sifilis, dan hepatitis B) dan tidak menular (anemia, KEK, preeklamsia, diabetes gestasional) pada ibu hamil di wilayah kerja Puskesmas Kuta Selatan, Bali. Desain penelitian menggunakan studi pontong lintang (cross-sectional) menggunakan data sekunder. Data sekunder yang diambil selama periode penelitian Juni-September 2024. Teknik sampling menggunakan total sampling yang memenuhi kriteria inklusi yaitu memiliki data yang lengkap (n=684). Data dianalisis secara deskriptif menggunakan distribusi frekuensi dan persentase. Proporsi hasil skrining tertinggi adalah anemia (36,4%), diikuti KEK (10,2%), underweight (8,8%), obesitas (5,6%), diabetes gestasional (0,4%), preeklamsia (0,9%,     hepatitis B (1,3%), sifilis (0,7%), dan HIV (0,4%). Sebagian besar masalah kesehatan ibu hamil yang ditemukan di Puskesmas Kuta Selatan karena masalah gizi (anemia dan KEK). Walaupun proporsi preeklampsia, diabetes gestasional, dan penyakit menular relatif lebih rendah, deteksi dini melalui skrining rutin dan tepat waktu saat melakukan ANC tetap diperlukan untuk mencegah komplikasi maternal dan perinatal. Penguatan program gizi perlu dilakukan melalui peningkatan kepatuhan konsumsi tablet tambah darah, pemantauan asupan nutrisi, serta edukasi gizi yang berkelanjutan agar risiko anemia dan KEK dapat diminimalkan.

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References

American Diabtetes Association (2023) “Gestational Diabetes ( GDM ) Screening Guidelines,” p. 2383.

Armini, L.N. et al. (2024) “Patient perspective on the elimination mother-to-child transmission of HIV, syphilis, and hepatitis B in Bali, Indonesia: a qualitative study,” BMC Public Health, 24(1), pp. 1–13. Available at: https://doi.org/10.1186/s12889-024-19692-3.

Armini, L.N., Setiawati, E.P. and Arisanti, N. (2023) “Evaluation of Process Indicators and Challenges of the Elimination of Mother-to-Child Transmission of HIV , Syphilis , and Hepatitis B in Bali Province , Indonesia ( 2019 – 2022 ): A Mixed Methods Study,” pp. 1–15.

Chang, K.-J., Seow, K.-M. and Chen, K.-H. (2023) “Preeclampsia: Recent Advances in Predicting, Preventing, and Managing the Maternal and Fetal Life-Threatening Condition.,” International journal of environmental research and public health, 20(4). Available at: https://doi.org/10.3390/ijerph20042994.

Dinas Kesehatan Provinsi Bali (2023) Profil Kesehatan Provinsi Bali, Dinas Kesehatan Provinsi Bali.

Etomi, O. and Banerjee, A. (2018) “The management of pre-existing (type 1 and type 2) diabetes mellitus in pregnancy,” Medicine (United Kingdom), 46(12), pp. 731–737. Available at: https://doi.org/10.1016/j.mpmed.2018.09.004.

Al Fattah, A.N. et al. (2025) “Comparison of first trimester preeclampsia combined screening performances with various approaches in the Indonesian population,” Journal of Perinatology [Preprint], (May). Available at: https://doi.org/10.1038/s41372-025-02316-y.

Force, U.S.P.S.T. (2021) “Screening for Gestational Diabetes: US Preventive Services Task Force Recommendation Statement,” JAMA, 326(6), pp. 531–538. Available at: https://doi.org/10.1001/jama.2021.11922.

Gampur, I.R. and Kurniawati, H.F. (2021) “Antenatal Care Experience In Pregnant Women With Gestational Diabetes,” Women, Midwives and Midwifery, 1(3), pp. 20–29. Available at: https://doi.org/10.36749/wmm.1.3.20-29.2021.

Kemenkes (2023) Survei Kesehatan Indonesia, Kota Kediri Dalam Angka.

Kementerian Kesehatan (2022) Pedoman Pelayanan Antenatal Terpadu: Edisi Ketiga, Kementerian Kesehatan. Available at: https://doi.org/10.7146/qhc.v1i2.130396.

Lestari, D. and Sari, G.M. (2022) “Integrated Antenatal Care By Midwives in Surabaya,” Indonesian Midwifery and Health Sciences Journal, 6(2), pp. 172–180. Available at: https://doi.org/10.20473/imhsj.v6i2.2022.172-180.

Pario, S. et al. (2022) “Antenatal Anemia: Predictor of Poor Maternal and Perinatal Outcome,” Pakistan Journal of Medical and Health Sciences, 16(4), pp. 1058–1062. Available at: https://doi.org/10.53350/pjmhs221641058.

Riset Kesehatan Dasar (Riskesdas) (2018) “Laporan Riskesdas 2018 Nasional.pdf,” Lembaga Penerbit Balitbangkes, p. hal 156. Available at: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan Riskesdas 2018 Nasional.pdf.

Sari, A.P., Romlah and Silaban, T.D.S. (2019) “Indonesian Journal of Global Health Research,” Indonesian Journal of Global Health Research, 2(4), pp. 4005–4012. Available at: https://doi.org/10.37287/ijghr.v2i4.250.

Siagian, M. et al. (2024) “Media Kesehatan Masyarakat Indonesia Penyebab Kurang Energi Kronik Pada Ibu Hamil,” 2024(23), pp. 86–92.

Sweeting, A. et al. (2022) “A Clinical Update on Gestational Diabetes Mellitus,” Endocrine Reviews, 43(5), pp. 763–793. Available at: https://doi.org/10.1210/endrev/bnac003.

UNICEF (2023) “Gizi Ibu di Indonesia: Analisis Lanskap and Rekomendasi,” UNICEF Indonesia [Preprint]. Available at: https://www.unicef.org/indonesia/media/21766/file/Gizi Ibu di Indonesia - Analisis Lanskap dan Rekomendasi.pdf.pdf.

WHO (2016) WHO Recommendations on Antenatal Care For a Positive Pregnancy Experience, WHO. Geneva. Available at: https://doi.org/10.1088/1751-8113/44/8/085201.

WHO (2023) Anaemia, WHO.

WHO (2024) Anaemia, WHO. Available at: https://www.who.int/health-topics/anaemia#tab=tab_1 (Accessed: April 8, 2025).

WHO (2025) Pre-eclampsia, WHO, Geneva. Available at: https://www.who.int/news-room/fact-sheets/detail/pre-eclampsia?utm_source=chatgpt.com (Accessed: September 19, 2025).

Widyaputri, F. et al. (2022) “Prevalence of diabetes in pregnancy and microvascular complications in native Indonesian women: The Jogjakarta diabetic retinopathy initiatives in pregnancy (Jog-DRIP),” PLoS ONE, 17(6 June), pp. 1–11. Available at: https://doi.org/10.1371/journal.pone.0267663.

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Published

2025-09-28

How to Cite

Armini, L. N., Made Adiantini, Prayudi, M. A., & Suputra, P. A. (2025). Skrining Penyakit Menular dan Tidak Menular pada Ibu Hamil di Wilayah Kuta Selatan, Bali: Screening for Communicable and Non-Communicable Diseases among Pregnant Women in South Kuta, Bali. Indonesian Journal of Midwifery (IJM), 8(2), 139–146. https://doi.org/10.35473/ijm.v8i2.4458

Issue

Vol. 8 No. 2 (2025): September 2025

Section

Articles

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