scholarly journals Zero Maternal Death with KECUBUNG Featured in SATE Krembung Application (Integrated Queue System) in Krembung Community Health Center in 2017 until 2018

2020 ◽  
Vol 4 (1) ◽  
pp. 59
Author(s):  
Arif Rahman Nurdianto
Keyword(s):  
High Risk ◽  
Early Detection ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Health Center ◽  
Maternal Death ◽  
Community Health Center ◽  
Work Area ◽  
Special Programs ◽  
And Child Health

ABSTRACTThere are some special programs in Maternal and Child Health that have not yet been reached and have a bad trend like the number of Low Birth Weight (LBW), cases of stillbirth, and babies died. There was a congenital defect in babies, increased obstetric complications, and there is one case of maternal death. There were neo-complications in infants and babies. The problem that often results in the death of pregnant women is the lack of early detection at first-level facilities in the Krembung Health center. Early detection and treatment or planning in cases of high-risk pregnant women is lacking, and then we created a SATE Krembung application in 2017. Making SATE Krembung application, socializing to the community, socializing the features of KECUBUNG to report mothers at high risk, and bringing services closer to the community and to evaluate reports from residents. Activities are collected, analyzed, and processed into mature data. The number of people activities collected during the collection of data during this research from 500 users of application from 2017 until 2018. There was a decrease in maternal mortality rates to zero patients in 2017 and 2018. The use of SATE Krembung is quite effective in reducing maternal mortality to zero patients in the Krembung health center work area, but this must be improved with the development of applications. The application of SATE Krembung with KECUBUNG feature can reduce maternal mortality by empowering health cadres and the community to be aware of the environmental conditions surrounding them.Keywords                   : SATE Krembung, KECUBUNG, Maternal Death

scholarly journals ACCOMPANY OF PREGNANT WOMEN HIGH RISK THROUGH PREGNANT CLASS IN KARANGMANGU VILLAGE PURWOJATI DISTRCT BANYUMAS REGENCY

2019 ◽  
Vol 5 (2) ◽  
pp. 28-38
Author(s):  
Surtinigsih ◽  
Linda yanti
Keyword(s):  
Back Pain ◽  
High Risk ◽  
Early Detection ◽  
Pregnant Women ◽  
Community Health Center ◽  
Energy Deficiency ◽  
Pregnancy And Childbirth ◽  
Chronic Energy Deficiency ◽  
And Child Health ◽  
The Coordinator

Pregnancy and childbirth are physiological but require good preparation and assistance from family and health professionals to minimize the risk of pregnancy and childbirth complications.  From the results of interviews with the Coordinator of Maternal and Child Health at the Purwojati Community Health Center, there were quite a number of problems, including underage or over 35 years of pregnancy, pregnancy outside marriage, pregnancy with Chronic Energy Deficiency (KEK) and anemia in pregnancy. Discomfort of many trimester III pregnancies are also found such as back pain, constipation, frequent urination and swelling in the legs. The purpose of this activity is the formation and activation of classes of pregnant women who are equipped with complementary care and synergize between standard care with innovations that are expected to maximize services at both the Posyandu or Puskesmas levels. Assistance of high risk mothers is carried out with early detection, physical examination, laboratory examination, health education, and also some activities such as pelvic rocking exercise. From the results of early detection conducted in Karangmangu Village, there were cases of pregnant women experiencing chronic energy deficiency of 16.2%, Anemia of 21.1%, pregnancy with diabetes risk of diabetes 8.1%, positive urine protein 5.4% and others pregnancy is accompanied by an infectious disease of 5.4%.  In addition to the findings of the problem there are also complaints that are felt by many pregnant women, including constipation, cramps, frequent urination and back pain. The conclusion of this activity is the formation of a class of pregnant women in Karangmangu Posyandu 2 which is implemented in Karangmangu Village Polyclinic so that the pregnant class is not focused in Purwojati Puskesmas, the detection of pregnancy problems so that assistance can be made especially to high risk pregnant women, the increase in knowledge of mothers pregnancy and back pain, cramps, constipation can be minimized with pelvic rocking exercises

scholarly journals Pelaksanaan Kelas Ibu Hamil Sebagai Upaya Peningkatan Pengetahuan Ibu, Keluarga Dan Kader Dalam Deteksi Dini Resiko Tinggi Ibu Hamil Di Wilayah Kerja Puskesmas Sambeng Kabupaten Lamongan

2019 ◽  
Vol 7 (1) ◽  
pp. 37
Author(s):  
Abdul Muhith ◽  
Arief Fardiansyah ◽  
Asih Media Y ◽  
Yenny Larasati
Keyword(s):  
Public Health ◽  
High Risk ◽  
Early Detection ◽  
Pregnant Women ◽  
Health Center ◽  
Community Health Center ◽  
Sampling Technique ◽  
Test Results ◽  
Pregnant Mother ◽  
Z Value

The introduction of high risk pregnant women is done through early detection of risk factors pro actively in all pregnant women by mother, family, and cadres. The program organized by the Ministry of Health to support the step is the Pregnant Women's Class. The purpose of this study is to improve knowledge of mother, family and cadres in early detection of high risk pregnant women in the working area of Sambeng Community Health Center of Lamongan. The design of this research is Quasi Experiment with Pre-Post Design approach. Its population is pregnant mother, family and cadres who attend class of pregnant mother in working area of UPT Sambeng Public Health Center. Sampling technique used was Purposive sampling, got 40 respondents of pregnant women, 40 families and 20 cadres. Data were analyzed with Wilcoxon Signed Ranks Test. Wilcoxon Signed Ranks Test results show that there is influence of maternal class implementation with knowledge of mother (Z value = -4,815), family (Z value = -4,315) and cadre (Z value = -3,162) in early detection of high risk pregnant women. The success of pregnant women's classes can be continued by using innovative and attractive media such as simulation and movie viewing to be more engaging for the community, and families to participate, thus encouraging people to do early detection.

scholarly journals Efektifitas Kelengkapan Pendokumentasian Buku KIA untuk Deteksi Resiko Tinggi Kehamilan

2020 ◽  
Vol 7 (2) ◽  
pp. 109-116
Author(s):  
Pedvin Ratna Meikawati ◽  
Ana Setyowati ◽  
Ni’matul Ulya
Keyword(s):  
High Risk ◽  
Child Health ◽  
Early Detection ◽  
Pregnant Women ◽  
Health Center ◽  
Research Methods ◽  
Maternal And Child Health ◽  
P Value ◽  
Cross Sectional ◽  
And Child Health

The Maternal and Child Health Book (KIA) is a form of family and community active participation in the field of maternal and child health. The successful application of the MCH Handbook as a tool to increase the coverage of MCH services is inseparable from the role of the parties related to the health of pregnant women, mothers in labor, newborns, infants and toddlers. The MCH Handbook has several uses, among others, as a guide for mothers and children to contain information and records on maternal and child health, and the MCH handbook serves as the only means of recording maternal and child health. This study aims to analyze the completeness of documenting pregnant women data from the MCH Handbook at the Pekalongan City Health Center. This research was conducted using a combination of quantitative and qualitative research methods (mixed methodology). Quantitative research uses survey research methods and a cross sectional approach, where the variables are measured at the same time. The population in this study was the KIA book, while the samples in this study were midwives who were serving at the Puskesmas with a minimum work period of 1 year and pregnant women who were having their pregnancies examined, the sample size was determined by the incidental sampling method and purposive sampling based on the health center used. The test results with logistic regression obtained p value <0.05 and the value of Exp (B) ≥ 2 is the variable of tenure. The working period variable has a p value of 0.095, the value of Exp (B) is 10.0 (OR ≥ 2), while the history variable does not have a p value <0.05, namely with a p value of 0.341, the value of Exp (B) is 3.0. So it can be concluded that there is no effect of working period and history together on the completeness of the MCH book documentation for early detection of high risk in pregnancy. Midwives at the Pekalongan City Health Center are advised to further improve the completeness of the MCH Handbook in the early detection of high-risk pregnant women. Increase motivation to midwives by rewarding midwives who have performed their duties well.

scholarly journals Hubungan Kejadian Bayi Berat Lahir Rendah dengan Riwayat Ibu Hamil Kekurangan Energi Kronis di Wilayah Puskesmas Pantoloan

2020 ◽  
Vol 1 (1) ◽  
pp. 21-26
Author(s):  
Widya Pani
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Health Center ◽  
Community Health Center ◽  
Sampling Technique ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency ◽  
Work Area ◽  
History Of ◽  
Relationship Of

One that affects fetal growth is the nutrition of pregnant women because during pregnancy the mother must meet the rapid growth needs of the fetus, and so that the output of the pregnancy is successful and perfect. But until now there are still many pregnant women who experience nutritional problems, especially malnutrition, such as Chronic Energy Deficiency (SEZ). The number of pregnant women experiencing SEZs in the Pantoloan Community Health Center Working Area in 2016 was a total of 67 pregnant women who delivered 8 LBWs. The purpose of this study was to determine the relationship of the incidence of low birth weight babies with a history of chronic energy-deficient pregnant women in the work area of Pantoloan Health Center. This research is an Analytical type with Cros Sectional research design with a population of 252 babies born in 2010 in the Work Area of Pantoloan Health Center. Sampling uses the Total Sampling technique. The criteria for the sample are taken if you have birth weight and maternal LILA data during pregnancy, if the data is incomplete, it is not sampled. Samples that meet the requirements are 52 babies. The results showed that pregnant women who experienced SEZ 32 people (61.5%), and LBW as many as 8 babies (15.4%). There was a significant relationship between the incidence of LBW and a history of SEZ pregnant women (p = 0.0017). The conclusion, that the better the nutritional status of pregnant women during pregnancy, the better the weight of the baby will be born. It is recommended for Pantoloan Health Center to improve health education programs about nutrition, and take LILA measurements regularly for pregnant women.

scholarly journals Identifikasi Dan Analisis Hasil Pemeriksaan Kehamilan Pada Ibu Primigravida dengan Rutinitas Muroja’ah AlQur’an Selama Kehamilan

2021 ◽  
Vol 1 (2) ◽  
pp. 54
Author(s):  
Desmawita Desmawita
Keyword(s):  
Pregnant Women ◽  
Health Center ◽  
Community Health Center ◽  
Labor Pain ◽  
Human Being ◽  
Pain Coping ◽  
Inclusion Criteria ◽  
Work Area ◽  
Process Creation ◽  
Observational Design

   Kehamilan adalah proses penciptaan manusia oleh Allah yang dimulai dari pertemuan sperma dan sel telur dalam rahim seorang wanita. Proses bagaimana Allah menciptakan manusia ini sudah tertera dalam Alqur’an dan dapat dibuktikan oleh ilmu pengetahuan bagi orang-orang yang bisa memahaminya. Tujuan penelitian ini untuk mengidentifikasi dan menganalisis hasil pemeriksaan kehamilan pada ibu hamil primigravida yang rutin melakukan muroja’ah AlQur’an setiap hari selama kehamilan. Penelitian ini dilakukan di Puskesmas Pamulang dan tempat-tempat bersalin di wilayah kerja Puskesmas Pamulang dari tahun 2016-2018.  Sebanyak 41 ibu hamil yang memenuhi kriteria inklusi dijadikan partisipan dalam penelitian ini. Kriteria inklusi yang dimaksud antara lain  kehamilan pertama, janin tunggal, tdak ada komplikasi ibu dan janin, ibu muroja’ah bahkan mentadabburi ayat-ayat AlQur’an terkait bagaimana Allah menciptakan manusia minimal sekali sehari, dan ibu bisa dihubungi via handphone. Jenis penelitian ini menggunakan deskriptif kualitatif  dan didukung dengan data hasil observasi pemeriksaan kehamilan dengan pendekatan observasional. Kesimpulan hasil penelitian setelah janin berusia 16-18 minggu semua ibu merasakan aktifitas gerakan janin didalam rahim yang bersamaan dengan ikrar janin kepada Allah bahwa Allahlah Tuhan satu-satunya yang patut disembah. Dengan pemberian intervensi muroja’ah setiap sangat bermanfaat terhadap tumbuh kembang janin secara normal, mengurangi nyeri dan meningkatkan perilaku baik saat ibu menghadapi gangguan yang ada selama kehamilan dan persalinan. Kata Kunci; Muroja’ah Alqur’an, ibu primigravida, pemeriksaan kehamilan  AbstractPregnancy is a process creation of human being by Allah from adhesiveness between spermatozoon and ovum in uterus. This process has been described in the Alqur’an and can be proved by sains for who can understand the Alqur’an. The purpose of this study is to identify and anlyze the results of       pregnancy examination in primigravida women who continiue to read Alquran every day during pregnancy. This study was conducted in the Community Health Center (CHC) Pamulang and clinic childbirth in work area of CHC Pamulang from 2016 to 2018. Of the 41 primigravida who met inclusion criteria taken as participants ini this study. Descriptive qualitative and  observational design were used in this study.This study found that the human being is created from sperm and ovarium (conception process), and when 16-18 weeks of pregnancy, all mother felt activity of fetal in their womb together with fetal testify to Allah (when at least 4 months in the wombs). Nursing-midwifery holistic integrating with Islamic taught (muroja’ah) is provided to pregnant women starting from the fetal testifies to Allah until labor can impact to the growt and develops of the fetal normally, reduce labor pain and increase pain-coping behavios during pregnancy until labor.  Keywords;  Reading Qur’an (muroja’ah), primigravida women, pregnancy examination   

scholarly journals Pengaruh Demonstrasi Terhadap Keterampilan Perawatan Payudara Pada Ibu Hamil Trimester Ketiga Di Wilayah Kerja Puskesmas Jeulingke Kecamatan Syiah Kuala Banda Aceh

2019 ◽  
pp. 40-45
Author(s):  
Ulfa Farrah Lisa ◽  
Mutia Putri
Keyword(s):  
Pregnant Women ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
P Value ◽  
Significance Level ◽  
Work Area ◽  
Post Test ◽  
Breast Care ◽  
Banda Aceh

Abstrak Demontrasi perawatan payudara akan  membuat keterampilan ibu hamil semakin meningkat dan demonstrasi akan berpengaruhterhadap keterampilan perawatan payudara pada ibu hamil. Perawatan payudara bertujuan untuk melancarkan sirkulasi darah dan mencegah tersumbatnya aliran susu sehingga mempelancar pengeluaran ASI. Target pemberian ASI ekslusif adalah sebesar 80% sedangkan pencapaian di Kota Banda Aceh masih rendah yaitu  55,17%. Dari survei data awal yang dilakukan di Puskesmas Jeulingke Kecamatan Syiah Kuala Banda Aceh didapatkan bahwa jumlah ibu hamil sebanyak 31 orang dari lima desa dan mayoritas tidak bisa melakukan perawatan payudara. Artikel ini bertujuan untuk mengetahui pengaruh demonstrasi terhadap keterampilan perawatan payudara pada ibu hamil trimester ketiga diwilayah kerja Puskesmas Jeulingke Kecamatan Syiah Kuala Banda Aceh. Penelitian ini bersifat eksperimen semu (quasi experiment) dengan pre-test post-test desain. Dilakukan di wilayah kerja Puskesmas Jeulingke Kecamatan Syiah Kuala Banda Aceh, pada tanggal 25 Juni sampai dengan 2 Juli 2018. Jumlah sampel dalam penelitian inisebanyak 31 orang dengan teknik total sampling. Pengumpulan data menggunakan lembaran observasi dan uji statistic menggunakan uji wilcoxon dengan taraf signifikasi α=0,05 (C1=95%). Hasil analisis menunjukkan dari 31 responden sebelum diberikan demonstrasi(pre-test) keterampilan responden mayoritas perlu perbaikan sebanyak 28 orang (90,3%) dan responden yang mampu sebanyak 3 orang (9,7%), sedangkan setelah diberikan demonstrasi (post-test) keterampilan responden mayoritas mampu sebanyak 16 orang (51,6%), mahir sebanyak 9 orang (29,1%) dan perlu perbaikan sebanyak 6 orang (19,3 %). Setelah dilakukan uji statistik, didapat nilai p-value 0,000. Kata Kunci      : Demonstrasi, Perawatan Payudara, Keterampilan Abstract Demonstration of breast care will make the skills of pregnant women is increasing and the demonstration will affect the skill of breast care in pregnant women. Breast care aims to improve blood circulation and prevent blockage of milk flow so that it smoothes out breast milk. The target of  the exclusive breastfeeding is 80% while the achievement in Banda Aceh is still low (55.17%).From the initial survey data conducted at the Community Health Center of Jeulingke, Syiah Kuala Banda Aceh, and the number of pregnant women is 31 people from five villages and the majority cannot breast care. This article aims to  know the effect of demonstration on breast care skill in third trimester pregnant woman in work area at Community Health Center (Puskesmas) of Jeulingke, Syiah Kuala Banda Aceh. This research has aQuasi Experiment with pre-test post-test design. This research was Conducted in the work area at Puskesmas Jeulingke, District Syiah Kuala Banda Aceh, from 25 June to 2 July 2018. The samples in this research there were 31 people with total sampling technique. And the Data collection is used observation sheet and statistic by wilcoxon testwith a significance level α=0,05 (C1=95%). The results of the analysis show from 31 respondents before being given a demonstration (pre-test) the majority of respondents' skills were categorized as needing improvement as many as 28 people (90.3%) and respondents who were in the category of capable were 3 people (9.7%), while after being given a demonstration ( post-test) the skills of the majority of respondents are in the category of capable as many as 16 people (51.6%), proficient categories as many as 9 people (29.1%) and categories need improvement as much as 6 people (19.3%). After a statistical test, the p-value is 0,000.  Keywords: Demonstration, Breast Care, Skills.

scholarly journals Factors Affecting Anemia in Pregnant Women with Second and Third Trimester of Pregnancy at Tiron Community Health Center, Kediri District, East Java

2020 ◽  
Author(s):  
Dewi Kartika Sari ◽  
◽  
Putri Wahyu Wigati ◽  
Keyword(s):  
Pregnant Women ◽  
Community Health ◽  
Health Center ◽  
Cell Mass ◽  
Community Health Center ◽  
Older Age ◽  
Third Trimester ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Work Area

ABSTRACT Background: Anemia is a pathologic condition produced by a decrease in red blood cell mass or a decrease in the amount of hemoglobin. The initial survey carried out in the Tiron Puskesmas work area in the June-July 2019 period was still a high incidence of anemia in the Tiron Puskesmas Kediri Regency work area (60%). This study aimed to analyze factors affecting anemia in pregnant women with second and third trimester of pregnancy at tiron community health center, Kediri district, East Java. Subjects and Method: A cross sectional study was carried out at Tiron community health center, Kediri, East java, from June to July 2020. A sample of 49 2nd and 3rd trimesters of pregnant women was selected by purposive sampling. The dependent variable was anemia. The independent variables were age, iron tablet intake, ANC visit. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Anemia in pregnant women decreased with older age (OR= 0.08; 95% CI = 0.01 to 1.20; p = 0.068). Anemia in pregnant women increased with irregular iron tablet intake (OR= 18.45; 95% CI = 2.77 to 123.10; p = 0.003) and irregular ANC visit (OR = 1.85; 95% CI = 1.05 to 38.18; p = 1.87). Conclusion: Anemia in pregnant women decreases with older age. Anemia in pregnant women increases with irregular iron tablet intake and irregular ANC visit. Keywords: anemia, hemoglobin levels, pregnant women Correspondence: Dewi Kartika Sari. Faculty of Health Sciences Universitas Kadiri. Jl. Selomangleng No 1, Kediri. Email: [email protected] DOI: https://doi.org/10.26911/the7thicph.03.50

scholarly journals Pelaksanaan Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) di Wilayah Kerja Puskesmas Bualemo Kabupaten Banggai

2018 ◽  
Vol 9 (2) ◽  
pp. 27-36
Author(s):  
Bani Sauli ◽  
Fitrianty Sutadi Lanyumba ◽  
Marselina Sattu ◽  
Dwi Wahyu Balebu ◽  
Muhammad Syahrir ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Community Health ◽  
Health Center ◽  
Prevention Program ◽  
Community Health Center ◽  
Descriptive Study ◽  
Community Leaders ◽  
Purposive Sampling ◽  
Work Area ◽  
Birth Planning

Tujuan penelitian ini yaitu mengetahui gambaran pelaksanaan P4K di wilayah kerja Puskesmas Bualemo Kabupaten Banggai Tahun 2014. Jenis penelitian ini adalah penelitian deskriptif, pada 13 bidan, 47 ibu hamil, dan 25 responden tokoh masyarakat yang dipilih secara Purposive Sampling. Waktu penelitian pada bulan Juni Tahun 2014. Pengambilan data dilakukan dengan wawancara secara langsung terhadap responden berdasarkan daftar pertanyaan yang telah disediakan. Hasil penelitian menunjukkan bahwa pelaksanaan P4K pada bidan dengan kriteria baik 4 responden (30,8%), dan kriteria kurang baik 9 responden (69,2%). Pelaksanaan P4K pada ibu hamil dengan kriteria baik sebanyak 6 responden (12,8%), dan kriteria kurang baik 41 responden (87,2%). Pelaksanaan P4K pada tokoh masyarakat dengan kriteria baik 5 responden (20%), dan kriteria kurang baik 20 responden (80%). Secara keseluruan dari 3 variabel yang di teliti pelaksanaan program perencanaan persalinan dan pencegahan komplikasi di wilayah kerja Puskesmas Bualemo tidak terlaksana dengan baik. Saran dari penelitian ini diharapkan kerja sama semua sektor terkait dalam mendukung terlaksananya program perencanaan persalinan dan pencegahan komplikasi (P4K) di Kabupaten Banggai secara umum dan di wilayah kerja Puskesmas Bualemo Khususnya. The purpose of this study was to find out the description of the implementation of P4K in the Bualemo Community Health Center in Banggai District in 2014. This type of research is a descriptive study, on 13 midwives, 47 pregnant women, and 25 respondents community leaders who were selected by Purposive Sampling. The time of the study was in June 2014. Data was collected by direct interview with respondents based on a list of questions provided. The results showed that the implementation of P4K on midwives with good criteria 4 respondents (30.8%), and 9 respondents (69.2%) unfavorable criteria. The implementation of P4K in pregnant women with good criteria was 6 respondents (12.8%), and unfavorable criteria were 41 respondents (87.2%). The implementation of P4K on community leaders with good criteria is 5 respondents (20%), and criteria are less good for 20 respondents (80%). Overall, the 3 variables examined in the implementation of the birth planning and complications prevention program in the work area of ​​the Bualemo Community Health Center were not implemented properly. Suggestions from this research are expected to cooperate with all related sectors in supporting the implementation of the birth planning and complications prevention (P4K) program in Banggai Regency in general and in the work area of ​​the Bualemo Community Health Center in particular.

scholarly journals Exploration of High Risk Pregnancy Early Detection Model for Cadre in the Working Area of Rasimah Ahmad Public Health Center Bukittinggi, West Sumatera Province, Indonesia

2020 ◽  
Vol 12 (7) ◽  
pp. 155
Author(s):  
Hasrah Murni
Keyword(s):  
High Risk ◽  
Early Detection ◽  
Pregnant Women ◽  
Health Center ◽  
Group Discussion ◽  
General Purpose ◽  
Detection Model ◽  
Interactive Analysis ◽  
Risk Pregnancy ◽  
Knowledge And Attitude

The decreasing number of MMR and IMR can be achieved if the number of high-risk pregnant women decreases. To anticipate this, an approach should be made through individuals who are closest to the community to provide information about high-risk pregnancies such as health cadres. However, cadres&#39; knowledge and attitudes regarding their roles and duties as assistants for high-risk pregnant women and early detection of high risk are still very low. Therefore, it is necessary to increase the knowledge and attitude of health cadres by using appropriate and effective learning media sources in accordance with their knowledge and needs. The general purpose of this study is to explore and identify the perspectives and experiences of health cadres in providing assistance to high-risk pregnant women. The study uses the qualitative research method . It was conducted in the working area of Rasimah Ahmad Bukittinggi Health Center in July - October 2018. The subjects of this study consisted of health cadres, KIA program designers, and policy makers. The data were collected by using in Depth Interview and Focus Group Discussion. They were analyzed by using interactive analysis method.The result of the study shows that there is still a lack of knowledge of cadres regarding their roles and duties as assistants for high-risk pregnant women and early detection of high risk of pregnancy. This is due to the absence of handbook for cadres in providing information / and counseling to regnant women other than the KIA books they have been using and the experiences they have gained so far. The conclusion of this study is there is lack of learning media sources for cadres in providing services to pregnant women. Hence, the learning media resources are urgently needed as a reference in giving quality assistance.

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