Development of a Mandatory Comprehensive Guideline on Hepatitis B Management for Pregnant Women at a Primary Health Care Center in Medan City

Authors

  • Taruli Rohana Sinaga Universitas Sari Mutiara Indonesia, 20123 Sumatera Utara, Indonesia
  • Santhana Lecthmi Panduragan Lincoln University College, Wisma Lincoln, No. 12-18, Jalan SS 6/12, 47301 Petaling Jaya, Selangor Darul Ehsan, Malaysia
  • Agnes Purba Universitas Sari Mutiara Indonesia, 20123 Sumatera Utara, Indonesia
  • Rinawati Sembiring Universitas Sari Mutiara Indonesia, 20123 Sumatera Utara, Indonesia
  • Elsarika Damanik Universitas Sari Mutiara Indonesia, 20123 Sumatera Utara, Indonesia

DOI:

https://doi.org/10.31674/mjn.2023.v15i01.005

Abstract

Background: Indonesia is thought to have the greatest endemicity of Hepatitis B and is the third-highest endemic country in the Asia-Pacific region after India and China. Vertical transmission from mother to child occupies the largest portion of chronic Hepatitis B transmission. Methods: This research endeavour employed a qualitative methodology characterized by an exploratory orientation. Participants selected in this study are Public Health Workers, Midwife Health workers, and Laboratory Health Workers. The total number of participants was eight. Sampling techniques use purposive sampling. The data collection method in this study is supported by in-depth interviews and focus group discussions. Results: In this study, findings related to the main activity regarding the management of Hepatitis B Control in pregnant women show that the Medan City Government, as a policymaker, is attempting to obtain support for the management of Hepatitis B control among pregnant women through digital-based information. Other findings regarding the management of Hepatitis B Control in pregnant women are the need to strengthen Laboratory Facilities and Infrastructure with the availability of SGPT and SGOT Examination Reagents (diagnosis enforcement) and the capacity of health worker must be strengthened. Conclusion: Measures and strategies must be developed to prevent Hepatitis B transmission chain, especially from mother to child. This is crucial to be carried out in a sustainable manner.

Keywords:

Guidelines, Hepatitis B, Pregnant Women

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References

Blach, S., Zeuzem, S., Manns, M., Altraif, I., Duberg, A. S., Muljono, D. H., ... & Opare-Sem, O. (2017). Global prevalence and genotype distribution of hepatitis C virus infection in 2015: a modelling study. The Lancet Gastroenterology & Hepatology, 2(3), 161-176. https://doi.org/10.1016/S2468-1253(16)30181-9

Coalition to Eradicate Viral Hepatitis in Asia Pacific (2017). CEVHAP Strategy 2017-2021: Eradicating Viral Hepatitis: From Policy to Action. https://www.globalhep.org/sites/default/files/content/programs/files/2019-08/CEVHAP%20Strategy%202017-2021.pdf. Accessed on 13th June, 2023

Dirjen P2PL Kemenkes RI. (2022). Disease Prevention and Control Program Action Plan for 2020-2024. Decree of the Director General of Disease Prevention and Control Number: Hk.02.02/C/2934/2022 Concerning. https://e-renggar.kemkes.go.id/file_performance/1-465827-01-3tahunan-447.pdf. Accessed on 25th March, 2023

Ditjen P2P (August 2020). Rencana Aksi Program (RAP) Tahun 2020-2024. https://e-renggar.kemkes.go.id/file_performance/1-029017-2tahunan-218.pdf. Accessed on 11th March, 2023.

Gozali, A. P. (2020). Diagnosis, Tatalaksana dan Pencegahan Hepatitis B dalam Kehamilan. Cermin Dunia Kedokteran, 47(7), 354. https://doi.org/10.55175/cdk.v47i7.598

JDIH BPK Database Peraturan. (2015). Regulation of the Minister of Health Number 53 of 2015. https://peraturan.bpk.go.id/Home/Details/116261/permenkes-no-53-tahun-2015. Accessed on 21th April, 2023

Kemenkes RI. (2019). Program Guidelines for Prevention of Transmission of HIV, Syphilis & Hepatitis B from Mother to Child. https://siha.kemkes.go.id/portal/files_upload/Cover__Isi_Buku_PPIA.pdf. Accessed on 15th March, 2023

Kemenkes, R. I. (2015). Technical Guidelines for Early Detection of Hepatitis B and C in High-Risk Community Groups. Ditjen PP dan PL Kementerian Kesehatan RI. Jakarta. https://idoc.pub/documents/juknis-ddhbc-6nq8jrgp89nw Accessed on 17th March, 2023

Kosasi, S., Budiastuti, D., Prabowo, H., & Bandur, A. (2020). Improving information service performance of informatics management and computing in Private schools. Psychology and Education, 57(9),234-240. https://www.researchgate.net/publication/350495202_Improving_information_service_performance_of_informatics_management_and_computing_in_Private_schools. Accessed on 16th February, 2023

Muljono, D. H. (2017). Epidemiology of hepatitis B and C in Republic of Indonesia. Euroasian Journal of Hepato-Gastroenterology, 7(1), 55-59. https://doi.org/10.5005%2Fjp-journals-l0018-1212

National Institute of Health Research and Development. (2009). Report on Result of National Basic Health Research (RISKESDAS) 2007. Republic Indonesia, Jakarta: Ministry of Health. pp. 106–108. https://repository.badankebijakan.kemkes.go.id/id/eprint/4386/. Accessed on 25th November, 2022

Pan, C. Q., Duan, Z., Dai, E., Zhang, S., Han, G., Wang, Y., ... & Jiang, H. (2016). Tenofovir to prevent hepatitis B transmission in mothers with high viral load. New England Journal of Medicine, 374(24), 2324-2334. https://doi.org/10.1056/NEJMoa1508660

Penanggulangan Hepatitis Virus. Kementerian Kesehatan. Indonesia. https://peraturan.bpk.go.id/Home/Details/116261/permenkes-no-53-tahun-2015 Accessed on 10th, 2023

Purba, I. E., Wandra, T., Nugrahini, N., Nawawi, S., & Kandun, N. (2016). Typhoid fever control program in Indonesia: challenges and opportunities. Media Penelitian dan Pengembangan Kesehatan, 26(2),99-108. https://www.researchgate.net/publication/306059300_Typhoid_Fever_Control_Program_in_Indonesia_Challenges_and_Opportunities. Accessed on 10th, 2023

Rachman, I., Handayani, M., & Ridwan, M. (2015). Knowledge, attitudes of mothers and the role of health workers as factors in increasing hepatitis B immunization coverage in Jambi City. Media Kesehatan Masyarakat Indonesia, 11(1), 32-38. https://doi.org/10.30597/mkmi.v11i1.513

Scrutton, J., Wallace, J., & Wait, S. (2018). Situation analysis of viral hepatitis in Indonesia: A policy report. Coalition to Eradicate Viral Hepatitis in Asia Pacific. https://www.healthpolicypartnership.com/app/uploads/Situation-analysis-of-viral-hepatitis-in-Indonesia.pdf Accessed on 25th June, 2023

Tarsito, S. (2014). Quantitative Research Methods, Qualitative and R&D. Alfabeta. Bandung. https://opac.perpusnas.go.id/DetailOpac.aspx?id=911046, Accessed on 12th June, 2023

World Health Organization (WHO) (2021). Global progress report on HIV, viral hepatitis and sexually transmitted infections, 2021: accountability for the global health sector strategies 2016–2021: actions for impact. https://apps.who.int/iris/bitstream/handle/10665/341412/9789240027077-eng.pdf. Accessed on 14th April, 2023

World Health Organization (WHO). (2012, July 19). Prevention and Control of Viral Hepatitis Infection: Framework for Global Action (No. WHO/HSE/PED/HIP/GHP 2012.1). https://apps.who.int/iris/handle/10665/130012. Accessed on 28th June, 2023

World Health Organization. https://www.who.int/publications-detail-redirect/prevention-and-control-of-viral-hepatitis-infection-framework-for-global-action. Accessed on 10th May, 2023

Published

15-07-2023

How to Cite

Sinaga, T. R., Panduragan, S. L. ., Purba, A. ., Sembiring, R., & Damanik, E. . (2023). Development of a Mandatory Comprehensive Guideline on Hepatitis B Management for Pregnant Women at a Primary Health Care Center in Medan City. The Malaysian Journal of Nursing (MJN), 15(1), 38-47. https://doi.org/10.31674/mjn.2023.v15i01.005

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