INTEGRASI KESEHATAN MENTAL DALAM PELAYANAN PRAKONSEPSI: SCOPING REVIEW MENGENAI MODEL PELAYANAN, STRATEGI SKRINING, PERAN BIDAN, DAN HAMBATAN IMPLEMENTASI

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Diterbitkan Jul 29, 2026
https://doi.org/10.52047/jkp.v16i2.482
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Vol 16 No 2 (2026): Jurnal Kesehatan dan Pembangunan

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Rohani
Sekolah Tinggi Ilmu Kesehatan Mitra Adiguna
Vera Yuanita
Sekolah Tinggi Ilmu Kesehatan Mitra Adiguna

Abstrak

Kesehatan mental pada masa prakonsepsi merupakan komponen penting dalam kesehatan reproduksi yang berpengaruh terhadap kesiapan kehamilan dan luaran ibu serta anak. Namun, pelayanan prakonsepsi masih berfokus pada aspek fisik sehingga integrasi kesehatan mental belum diterapkan secara optimal. Tujuan review adalah memetakan bukti ilmiah mengenai model integrasi kesehatan mental dalam pelayanan prakonsepsi, strategi skrining, peran bidan, serta hambatan implementasinya. Penelitian ini menggunakan scoping review berdasarkan pedoman Joanna Briggs Institute (JBI) dan dilaporkan sesuai PRISMA-ScR. Pencarian literatur dilakukan pada PubMed, ScienceDirect, Wiley Online Library, Google Scholar, dan Research Rabbit. Dari 209 artikel yang diidentifikasi, sebanyak 7 artikel memenuhi kriteria inklusi dan dianalisis menggunakan sintesis tematik. Hasil review ini menghasilkan lima tema utama, yaitu model integrasi pelayanan, strategi skrining kesehatan mental, peran bidan, hambatan implementasi, dan faktor pendukung implementasi. Model integrasi menekankan pelayanan yang holistik melalui asesmen biopsikososial, skrining kesehatan mental, intervensi, rujukan, dan tindak lanjut. Bidan berperan dalam promosi kesehatan mental, deteksi dini, konseling dasar, koordinasi rujukan, dan pemantauan. Hambatan utama meliputi stigma, keterbatasan kompetensi tenaga kesehatan, belum tersedianya pedoman operasional, serta lemahnya sistem rujukan. Integrasi kesehatan mental dalam pelayanan prakonsepsi memerlukan pendekatan yang terstruktur, kolaboratif, dan berpusat pada perempuan dengan dukungan kebijakan, peningkatan kompetensi bidan, serta penguatan sistem pelayanan untuk meningkatkan kualitas pelayanan prakonsepsi.

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Referensi

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