Klinik Kesihatan Bakar Arang is one of the health clinic centre in the district of Kuala Muda.. Today we are posted to this health clinic to learn mainly on the topic of family planning services that is currently practiced in the health centre.. Before the sister come and guide us, we gather at the waiting hall and and some discussion on what are the main questions we need to ask the sister..
Sister Marhaini is the one who guided us for the day and she told us that Klinik kesihatan Bakar Arang (KKBA) is a busy clinic, especially today(Sunday) as they can see around 500 patients per day and at the peak it can comes to about 1000 during festives!! Klinik Kesihatan Bakar Arang covers around 450,000 of the population..
She told us that as for the family planning services, the target population is mainly for the high risk mother, such as the advanced age group and the mother with underlying medical illness (DM, HT).. The most commonly used family planning method that the clinic provides is the combined oral contraceptive pills and the only barrier method, which is the condom.. This is due to the financial budget of the clinic.. All of the permanent contraception, such as vasectomy and emergency cases (rape) are not done in the KKBA.. They are usually referred to the hospital..
Types of contraceptive method provided in KKBA:
Sister Marhaini told us that counseling on the family planning is done when the mother is still pregnant and they are told to report to the clinic once they had undergone the delivery so that the nurses can do the home visit.. The counseling is usually done earlier so that the father and mother aware of the importance of family planning and they can have ample time for discussions and choose for the best method of contraception..
After the mother is registered to health clinic, the health status of them had to be checked (height and weight, blood pressure, past history on any medical illnesses) and they had to be categorized into class 1-4 according to the Purple Book protocol or the pink coloured modified WHO medical Eligibility Criteria Wheel for Contraceptive Use.. As for Class 1 and 2, the mother can use the contraceptive method as prescribed and for the class 3 and 4 mothers, it is not advisable and not allowed.. For all the mothers, they are requested to visit the clinics once in 6 month to do the regular check-ups (blood pressure, weight, paps smear and also breast lump).
After the discussions, Sister brought us to visit the clinic and make some brief explanation on the services provided in it, such as antenatal and child health services.. Later on we went to the meeting hall and Sister wanted to show us the file that records the statistic on the mothers that had come for the family planning service..
The fade yellow document is the old Kad Perancang Keluarga and the bright pink ones is the new one.. In it the nurses have to fill up the biodata of the mother and classify the mother health status as in the protocol.. Each time of the follow-up, mother’s health status are recorded in it.. The purple colored card is the newly introduced Kad Perancang Keluarga Sementara and the big book recorded all the stocks of drugs and condoms in the clinic.. The drug provided in the clinic are bought by the kementerian kesihatan daerah through pharmacy in bulk to ensure lower price and it is done monthly..
The table shows the number of cases of family programme for the district of Kuala Muda in August and a thing to be glad is KKBA had reach the target of 85% in the population :)
In the discussion, Sister Marhaini had also told us a lot of her own experience as a nurse.. She told us about the difficulties to handle the big group of patients in the health clinic and all sorts of difficulties in promoting a health programme.. For example, for the campaign in promoting the paps smear.. She told us that even though the nurses sacrifices a lot each time but sometimes the result of making awareness in the population are not as fruitful as the plan.. She said that every month there will be a meeting in district levels, where they have to present all the activities that they had done to promote each campaign.. Every 3 months once, they need to do presentations on the achievements in the state level..
Sister shared her experiences to us in a very interesting way where we all are very happy and really gain a lot from it.. Around lunch time, we all finished with discussions and are packed back to go home with more knowledge on family programme in us..:))
Prepared by Chong Chiew Wei and Geetha.:)