Efforts to lower the figure Drop-Out K4 examination ANC (Antenatal Care)
by a factor of pregnant women, therapeutic communication and interactive communications in PHC Central Lombok
Health development aims to increase awareness, willingness and ability to
live a healthy life for every resident in order to realize a high degree of health. In other words that the community is expected to act as agents of development in the health sector, maintain and improve the health of their own and play an active role in creating public health. The increasing number of drop-out visits (K1-K4) examination of pregnant women on average more than 10% of the specified tolerance limit <10% in 2010, 2011 and 2012 at the Health Center of Central Lombok into the background of this research is done. While the purpose of this study was to develop recommendations through measures to reduce Figures Drop- Out K4 examination ANC (Antenatal Care). By a factor of pregnant women, therapeutic communication and interactive communications in PHC Central Lombok. This research is obesrvasional studies using cross-sectional design because it is done in a certain period of time. The unit of analysis in this study were mothers with infants less than 3 months. This research was carried out on 1 to 30 November 2013. The samples used were 30 mothers with infants less than 3 months. Sampling is a multistage sampling method. The analysis technique used in this study is the use of frequency distributions and cross tabulation table. The conclusion of this study is the existence of factors that influence customers to visit pregnant women include low maternal education, reference ANC and maternity by parents / in-laws, customs maternity communities in non- health facilities, low motivation and lack of perception of pregnant women, the level of confidence low, low levels of learning in the examination of the ANC and the low level of knowledge about the ANC in PHC Kopang Aikmual and Muncan in 2013. the influence of environmental factors include the lack of knowledge and acceptance of pregnant women against Jamkesmas, residence distance away from the health center, and the presence of competitors (hospitals, private midwives, maternity .klinik). K4 visit ANC examination also influenced therapeutic communication and interactive communication between midwives and pregnant women in the implementation of the ANC. Therapeutic communication include lack of attending skills, respect, response. and empathy midwives and lack of interactive communication includes informing, persuading, and reminding midwife in the execution of the ANC.
Keywords : Drop-Out K4 examination of the ANC (Antenatal Care), maternal
factors, therapeutic communication, interactive communication