Peningkatan Kesehatan Ibu Nifas melalui Model Pelayanan Nifas Komprehensif di Puskesmas Kota Surabaya Improving Maternal Health through a Comprehensive Postpartum Care Model at Surabaya City Health Centers
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Abstract
The postpartum period is a crucial period for the mother's recovery and is also the phase with the highest risk of morbidity and mortality. Data from the Surabaya City Health Office in 2023 showed that maternal deaths were predominantly during the postpartum period. The comprehensive postpartum care model provides postpartum care in accordance with the 2019 Ministry of Health postpartum care guidelines, offering biopsychosocial services, Interprofessional Collaboration (IPC), and team learning in physiological postpartum care at Community Health Centers (Puskesmas). This community service activity aims to increase the capacity of health workers in providing comprehensive postpartum care at Surabaya City Community Health Centers. The method used was capacity building through workshops and simulations. Participants were those responsible for MCH services and coordinating midwives from 23 inpatient Community Health Centers in Surabaya City. The results showed an increase in participant knowledge, with an average pretest score of 70.52 increasing to 80.25 in the posttest (p=0.001). Participants were also able to apply mental health screening, use service algorithms, and engage in interprofessional collaboration in postpartum care. This capability was assessed based on the results of a capacity-building simulation. The conclusion was that a comprehensive postpartum care model for health workers at Puskesmas was needed to improve their knowledge and skills in providing postpartum care that focuses not only on physical health but also on mental health.
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References
American College of Obstetricians and Gynecologists. (2018). ACOG Committee Opinion No. 736: Optimizing postpartum care. Obstetrics & Gynecology, 131(5), e140–e150. https://doi.org/10.1097/AOG.0000000000002633
Anis, W., et al. (2023). Implementation and recommendation of postpartum visit methods during COVID-19 pandemic: A qualitative study from Indonesia. Journal of Public Health in Africa, 14(2). https://doi.org/10.4081/jphia.2023.2560
Clement, M., & Taiwo, H. (2025). Reducing wait times in healthcare facilities: Strategies such as appointment scheduling optimization and workflow efficiency.
Department of Education and Early Childhood Development. (2013). Perinatal mental health and psychosocial assessment: Practice resource manual for Victorian maternal and child health nurses. State of Victoria.
Fitriana, F., Ningtyas, W. S., & Dewi, E. R. (2022). Providing mental healthcare for postpartum women in Indonesia: A qualitative phenomenological study. British Journal of Midwifery, 30(12), 692–699. https://doi.org/10.12968/bjom.2022.30.12.692
Herien, Y., Muthmainnah, & Qhalida, M. H. (2025). Knowledge, attitude, and husband’s support as predictors of postpartum visit adherence: A cross-sectional study. Pediomaternal Nursing Journal, 11(2), 120–125. https://doi.org/10.20473/pmnj.v11i2.66643
Kementerian Kesehatan Republik Indonesia. (2024). Profil Kesehatan Indonesia 2023. Kementerian Kesehatan RI.
Istiqomah, A. L., Viandika, N., & Khoirun Nisa, S. M. (2021). Description of the level of anxiety in postpartum mothers. Indonesian Midwifery and Health Sciences Journal, 5(4), 333–339. https://doi.org/10.20473/imhsj.v5i4.2021.333-339
Jonas, K., et al. (2017). Healthcare workers’ behaviors and personal determinants associated with providing adequate sexual and reproductive healthcare services in sub-Saharan Africa: A systematic review. BMC Pregnancy and Childbirth, 17(1), 1–19. https://doi.org/10.1186/s12884-017-1268-x
Kementerian Kesehatan Republik Indonesia. (2019). Panduan pelayanan pasca persalinan bagi ibu dan bayi baru lahir. Kementerian Kesehatan RI.
Nindrea, R. D., Ming, L. C., & Sari, N. P. (2025). Maternal postnatal depression, bonding, and health care practices in providing essential services for preterm and low birth weight infants in Indonesia. Clinical Epidemiology and Global Health, 33, 102028. https://doi.org/10.1016/j.cegh.2025.102028
Olajubu, A. O., et al. (2022). Influence of structured training programme on healthcare workers’ knowledge of recommended postnatal care services in Nigeria. SAGE Open Nursing, 8, 1–10. https://doi.org/10.1177/23779608221117387
World Health Organization. (2001). International classification of functioning, disability and health (ICF). WHO.
Paramesthi, S. P., & Prayoga, D. (2023). Analisis hubungan waktu tunggu terhadap kepuasan pasien di puskesmas: A literature review. Media Gizi Kesmas, 12(1), 537–540. https://doi.org/10.20473/mgk.v12i1.2023.537-540
Putri, A. S., et al. (2023). Postpartum depression in young mothers in urban and rural Indonesia. Journal of Preventive Medicine and Public Health, 56(3), 272–281. https://doi.org/10.3961/jpmph.22.534
Sari, N., Muhani, N., & Dewi, F. N. M. (2023). Maternal factors influencing postpartum depression in Indonesia. Kesmas: Jurnal Kesehatan Masyarakat Nasional, 18(3), 203–209. https://doi.org/10.21109/kesmas.v18i3.7209
Sebayang, S. K., et al. (2022). Utilization of postnatal care service in Indonesia and its association with women’s empowerment: An analysis of 2017 Indonesian Demographic and Health Survey data. Maternal and Child Health Journal, 26(3), 545–555. https://doi.org/10.1007/s10995-021-03324-y
Slamet, A., Palutturi, S., & Thaha, R. M. (2020). The effect of human resource development on midwives’ performance in public health centers in Majene District. Eurasian Journal of Biosciences, 14, 6213–6218.
Wojcieszek, A. M., et al. (2023). WHO recommendations on maternal and newborn care for a positive postnatal experience. BMJ Global Health, 8(2), e010992. https://doi.org/10.1136/bmjgh-2022-010992
World Health Organization. (2018). WHO recommendations on antenatal care for a positive pregnancy experience. WHO.
Yang, M., et al. (2022). Postpartum care indications and methodological quality: A systematic review of guidelines. Journal of Public Health, 30(9), 2261–2275. https://doi.org/10.1007/s10389-021-01629-4