Optimalisasi Kemitraan Dukun dengan Bidan di Wilayah Kerja Puskesmas Mamba Kabupaten Manggarai Timur Provinsi Nusa Tenggara Timur

2021 ◽  
Vol 4 (6) ◽  
pp. 1459-1464
Author(s):  
Maria Sriana Banul ◽  
Silfia A.N. Halu ◽  
Yuliana Suryati ◽  
Maria Fridolin Kawu
Keyword(s):  
Health Center ◽  
Health Workers ◽  
Traditional Healers ◽  
Traditional Birth Attendants ◽  
Birth Attendants ◽  
Work Area ◽  
Delivery Assistance ◽  
Working Together ◽  
Discussion Question ◽  
Partnership Program

ABSTRAK Kepercayaan masyarakat Manggarai Timur terhadap dukun sebagai penolong persalinan masih cukup tinggi. Program kemitraan dukun dengan bidan merupakan salah satu cara untuk mencegah terjadinya pertolongan persalinan oleh dukun. Program ini sebagai salah satu strategi untuk meningkatkan cakupan pertolongan persalinan oleh tenaga kesehatan. Kegiatan ini dilakukan untuk meningkatkan program kemitraan dukun dengan bidan di Wilayah Kerja Puskesmas Mamba Kabupaten Manggarai Timur, sehingga cakupan pertolongan persalinan oleh dukun tidak terjadi lagi. Kegiatan ini diikuti oleh kepala puskesmas, dukun, dan bidan setempat. Motode yang digunakan adalah melalui edukasi dengan penyajian materi menggunakan metode ceramah, diskusi, tanya jawab serta pembagian leaflet dan lembar balik kepada peserta. Semua peserta yang ikut dalam kegiatan ini sangat antusias dan aktif dan mampu memahami materi yang disampaikan. Peserta bersama bidan dan pemerintah setempat berkomitmen untuk bekerja sama dalam meningkatkan program kemitraan dukun dan bidan ini. Diharapkan, dengan kegiatan ini cakupan pertolongan persalinan oleh dukun tidak terjadi lagi. Kata Kunci: Kemitraan, Dukun, Bidan, Persalinan  ABSTRACT The trust of the East Manggarai community towards traditional healers as birth attendants is still quite high. The shaman's partnership program with the midwife is one way to prevent birth assistance by shamans. This program is one of the strategies to increase the coverage of delivery assistance by health workers. This activity was carried out to improve the traditional healer's partnership program with midwives in the Mamba Health Center Work Area, East Manggarai Regency so that the coverage of delivery assistance by traditional birth attendants would no longer occur. This activity was attended by the head of the health center, traditional healers, local midwives, and pregnant women. The method used is through education by presenting the material using lecture, discussion, question and answer methods, and distributing leaflets and flipcharts to participants. All participants who took part in this activity were very enthusiastic and active and were able to understand the material presented. Participants together with midwives and the local government are committed to working together in improving this partnership program between traditional healers and midwives. It is hoped that with this activity the coverage of delivery assistance by traditional birth attendants will not occur again.  Keywords: Partnership, traditional healers, midwives, childbirth

scholarly journals Analisis Program Kemitraan Bidan dan Dukun Bayi di Kota Jambi

2020 ◽  
Vol 20 (2) ◽  
pp. 424
Author(s):  
Ruwayda Ruwayda ◽  
M Dody Izhar
Keyword(s):  
Pregnant Women ◽  
Health Center ◽  
Health Workers ◽  
Group Discussion ◽  
Monitoring And Evaluation ◽  
Traditional Birth Attendants ◽  
Birth Attendants ◽  
Work Area ◽  
Access To Health ◽  
Death Cases

Based on the results of the 2018 Riskesdas, the proportion of birth attendants in women aged 10 - 54 years still has 6.7% of pregnant women giving birth not with health workers. Aur Duri Health Center is one of the Puskesmas from 20 Puskesmas in Jambi City, which in 2018 occurred 1 death of pregnant women who were helped by TBAs in Penyengat Rendah Village, Telanai Pura Sub-District. This incident should not have happened considering the location of the Aur Duri Puskemas area was still in the Jambi City Center and access to health workers, health centers and hospitals was very smooth and easy to reach. There are still 12 traditional birth attendants in the work area of Aur Duri Health Center in 2018. This study aims to analyze the implementation of partnership programs for midwives and traditional birth attendants in the work area of Aur Duri Health Center, Jambi City: input, process and output variables. Data collection techniques used the method of in-depth interviews, Focus Group Discussion (FGD), and document review.Based on the results of the study it was known that the partnership between midwives and traditional birth attendants had not gone well, while the partnership between midwives and traditional birth attendants in the Aur Duri Community but there was no continuation of implementation of these activities. It is recommended that the Health Office and Aur Duri Puskesmas provide support and guidance and can allocate funds for partnership activities between midwives and traditional birth attendants so that it can be a solution to achieving KIA coverage targets, especially labor assistance by health workers and suppressing death cases. In addition, it is necessary to conduct monitoring and evaluation in the implementation of this partnership so that it can run well

scholarly journals Faktor-Faktor Yang Berhubungan dengan Perilak Pemberian ASI Eksklusif Pada Bayi Usia 6-24 Bulan di Wilayah Kerja Puskesmas Sanggaran Agung Kabupaten Kerinci Provinsi Jambi

2022 ◽  
Vol 1 (1) ◽  
pp. 227-237
Author(s):  
Moza Suzana
Keyword(s):  
Health Center ◽  
Family Support ◽  
Exclusive Breastfeeding ◽  
Maternal Education ◽  
Health Workers ◽  
Health Facilities ◽  
Cross Sectional ◽  
Place Of Delivery ◽  
Birth Attendants ◽  
Work Area

ABSTRACT: FACTORS RELATED TO EXCLUSIVE BREASTING BEHAVIOR IN INFANTS AGED 6-24 MONTHS IN THE WORK AREA OF SANGGARAN AGUNG PUSKESMAS, KEINCI REGENCY, JAMBI PROVINCE Introduction: The problem of exclusive breastfeeding in infants is caused by a lack of mother's knowledge, mother's attitude towards exclusive breastfeeding, busy working mothers, and low maternal education. In Indonesia, the exclusive breastfeeding coverage target is 80%, according to the 2013 Riskesdas report, the milk adequacy rate of 30.2% is still below the target.Objective: To determine the factors associated with exclusive breastfeeding behavior in infants aged 6-24 months in the Sanggaran Agung Community Health Center Work Area in 2020.Methods: This type of research is quantitative with a cross-sectional design. This research was conducted on August 2-10, 2020, with the population being all mothers with children under five in the Sanggaran Agung Health Center Work Area as many as 65 people, and samples were taken using the Total Population technique. Data was collected through a questionnaire sheet. Data were analyzed by univariate and bivariate with Chy Square test.Results: The results showed the frequency distribution of exclusive breastfeeding behavior (not giving exclusive breastfeeding 46.2%, exclusive breastfeeding 53.8%), knowledge factor (not good 41.5%, good 58.5%), place of delivery (non-health facilities) 30.8%, health facilities 69.2%), birth attendants (non-health workers 27.7%, health workers 72.3%), support from health workers (less supportive 44.6%, supported 55, 4%) and family support (less supportive 35.4%, supportive 64.6%).Conclusion: Based on the results of the study, it can be concluded that there is a relationship between knowledge of mothers, birthing places, birth attendants, support for health workers and family support with exclusive breastfeeding behavior for infants aged 6-24 months in the Sanggaran Agung Public Health Center, Kerinci Regency, Jambi Province in 2020. Support from health centers and related stakeholders to increase mother's knowledge about exclusive breastfeeding and provide support to mothers to be able to give exclusive breastfeeding to their babies. Keywords: Knowledge, place of delivery, birth attendant, support for health workers, family support, exclusive breastfeeding behavior  INTISARI: FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAK PEMBERIAN ASI EKSKLUSIF PADA BAYI USIA 6-24 BULAN DI WILAYAH KERJA PUSKESMAS SANGGARAN AGUNG KABUPATEN  KERINCI PROVINSI JAMBI Pendahuluan: Permasalah ASI eklusif pada bayi adalah karena pengetahuan ibu yang kurang, sikap ibu terhadap pemberian ASI eklusif, ibu sibuk kerja, pendidikan ibu yang rendah. Di Indonesia target cakupan ASI ekslusif adalah 80%, menurut laporan Riskesdas 2013, angka kecukupan ASI sebanyak 30,2% masih dibawah target.Tujuan: Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan perilaku pemberian ASI Eksklusif pada bayi Usia 6-24 Bulan Di  Wilayah Kerja Puskesmas Sanggaran Agung Tahun 2020.Metode: Jenis penelitian ini adalah kuantitatif dengan desain Cross Sectional, Penelitian ini telah dilaksanakan pada tanggal 2-10 Agustus 2020, dengan populasi adalah semua ibu yang memiliki baduta di Wilayah Kerja Puskesmas Sanggaran Agung sebanyak 65 orang dan sampel diambil dengan teknik Total Populasi. Pengumpulan data dilakukan melalui lembar kuesioner. Data dianalisa secara univariat dan bivariat dengan Uji Chy Square.Hasil: Hasil penelitian didapatkan distribusi frekuensi Perilaku pemberian ASI Ekslusif (Tidak ASI Ekslusif 46,2%, ASI Ekslusif 53,8%), faktor pengetahuan (kurang baik 41,5%, Baik 58,5%), tempat persalinan (Non fasilitas kesehatan 30,8%, Fasilitas kesehatan 69,2%), penolong persalinan (non tenaga kesehatan 27,7%, tenaga kesehatan 72,3%), dukungan petugas kesehatan (kurang mendukung 44,6%, mendukung 55,4%) dan dukungan keluarga (kurang mendukung 35,4%, mendukung 64,6%).Kesimpulan: Berdasarkan hasil penelitian maka dapat disimpulkan bahwa Ada hubungan pengetahuan ibu, tempat persalinan, penolong persalinan, dukungan tenaga kesehatan dan dukungan keluarga dengan perilaku pemberian ASI eksklusif pada bayi usia 6-24 bulan di Wilayah Kerja Puskesmas Sanggaran Agung Tahun  Kabupaten Kerinci Provinsi Jambi 2020. Dukungan dari pihak puskesmas dan stakeholder terkait untuk dapat meningkatkan pengetahuan ibu tentang ASI Ekslusif serta memberikan dukungan bagi ibu untuk dapat memberikan ASI Ekslusif untuk bayinya. Kata Kunci :   Pengetahuan, tempat persalinan, penolong persalinan, dukungan tenaga kesehatan, dukungan keluarga, Perilaku Pemberian ASI Ekslusif

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KONSUMSI TABLET TAMBAH DARAH PADA IBU NIFAS DI WILAYAH KERJA PUSKESMAS MUTIARA BARAT TAHUN 2019

2020 ◽  
Vol 4 (2) ◽  
pp. 321
Author(s):  
Fatmini Fatmini ◽  
Heru Santoso ◽  
Kesaktian Manurung ◽  
Rosdiana Rosdiana
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
Health Center ◽  
Health Workers ◽  
Post Partum ◽  
Dominant Factor ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Area

Anemia is still a problem in the world, especially in developing countries. This condition can have a detrimental impact on every age group including pregnant women. In pregnant women, anemia can cause complications for the mother and the baby she is carrying, such as life-threatening bleeding, miscarriage, low birth weight and premature birth. The purpose of this study was to determine the relationship between parity, anemia, ANC visits, nutritional status and the role of health workers with the consumption of blood-added tablets in post-partum mothers in the work area of the Mutiara Barat Health Center in 2019. This type of research is a correlation analytic study with cross-sectional method. The population in this study were all pregnant women in the third trimester who were recorded at the Mutiara Barat Health Center in January 2019 as many as 139 people and the sample was the total population of 139 respondents. Data were analyzed using the chi square statistical test which includes univariate, bivariate and multivariate analysis. The results obtained: there is a relationship between parity (p = 0.000), anemia (p = 0.016), ANC visits (p = 0.015), nutritional status (p = 0.021) and the role of officers (p = 0.000) with the consumption of tablets with blood added at postpartum mother. The dominant factor related to the consumption of blood-added tablets is the role of the officer. From the research results obtained, it is hoped that the Puskesmas can increase the knowledge of mothers about blood supplemented tablets through counseling so that it can influence the attitude of pregnant women to consume blood supplemented tablets. Keywords: ANC visit; anemia; consumption of blood added tablets; nutritional status; parity; role of officers ABSTRAKAnemia masih menjadi permasalahan di dunia terutama di negara-negara berkembang. Kondisi ini dapat memberikan dampak merugikan di setiap kelompok umur termasuk ibu hamil. Pada ibu hamil, kejadian anemia dapat menyebabkan penyulit pada ibu maupun bayi yang dikandungnya seperti perdarahan yang mengancam jiwa, keguguran, berat badan bayi lahir rendah dan kelahiran prematur. Tujuan dari penelitian ini adalah untuk mengetahui hubungan faktor paritas, anemia, kunjugan ANC, status gizi dan peran petugas kesehatan dengankonsumsi tablet tambah darah pada ibu nifas di wilayah kerja Puskesmas Mutiara Barat tahun 2019. Jenis penelitian ini adalah penelitian analitik korelasi dengan metode cross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester III yang terdata di Puskesmas Mutiara Barat pada bulan Januari 2019 sebanyak 139 orang dan sampel merupakan total populasi yaitu 139 responden. Data dianalisis menggunakan uji statistik chi square yang meliputi analisis univariat, bivariat dan multivariat. Hasil penelitian diperoleh: ada hubungan antara paritas (p=0,000), anemia (p=0,016), kunjungan ANC (p=0,015), status gizi (p=0,021) dan peran petugas(p=0,000) dengan konsumsi tablet tambah darah pada ibu nifas. Faktor yang dominan berhubungan dengan konsumsi tablet tambah darah adalah peran petugas. Dari hasil penelitian yang diperoleh diharapkan Puskesmas dapat meningkatkan pengetahuan ibu tentang tablet tambah darah melalui penyuluhan sehingga dapat mempengaruhi sikap para ibu hamil untuk berperilaku mengkonsumsi tablet tambah darah. 

scholarly journals THE CHILDBIRTH UTILIZATION IN HEALTH FACILITIES IN THE WORKING AREA OF SUNGAI LOKAN PHC TANJUNG JABUNG TIMUR REGENCY: A CROSS SECTIONAL STUDY

NSC Nursing ◽  
2021 ◽  
pp. 20-33
Author(s):  
Lia Artika Sari ◽  
Yuli Suryanti ◽  
Enny Susilawati
Keyword(s):  
Health Center ◽  
Family Support ◽  
Health Workers ◽  
Community Health Center ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Service Access ◽  
Cross Sectional ◽  
Family Culture ◽  
Work Area

Introduction: The low number of deliveries assisted by midwives or health workers is an indicator of the low utilization of health facilities by mothers in labor. This study analyzes the factors related to the utilization of childbirth in health facilities in the Sungai Lokan Community Health Center Work Area, Tanjung Jabung Timur Regency. Materials and Methods: This research is an analytic observational using a cross-sectional approach involving 74 participants. The research was conducted from January to July 2019 in the Sungai Lokan Health Center Work Area, Tanjung Jabung Timur Regency. Results: The results showed that the factor of the utilization of childbirth in health facilities was related to family culture (p = 0.0001) and family support (p = 0.003), while the service access factor was not related (p = 0.364). Conclusion: The role of health workers in socializing the importance of utilizing health facilities as a place of delivery is significant in reducing maternal mortality Keywords: Health Facilities; Family Culture; Family Support; Access To Services

scholarly journals KARAKTERISTIK KADER DAN EVALUASI PELAKSANAAN KEGIATAN POSYANDU DIWILAYAH KERJA PUSKESMAS PEMBANTU KURAO KECAMATAN NANGGALO KOTA PADANG TAHUN 2019

2020 ◽  
Vol 5 (3) ◽  
pp. 854
Author(s):  
Ety Aprianti ◽  
Sri Suciana ◽  
Fery Musharyadi ◽  
Yona Firdali Ranti ◽  
Desi Noviayanti
Keyword(s):  
Information System ◽  
Health Center ◽  
Health Workers ◽  
Secondary Data ◽  
Health Issues ◽  
Specific Training ◽  
District Health ◽  
Work Area ◽  
Social Gathering ◽  
Age Category

<p>Posyandu is a health service organized by, from, for and with the community. Padang DKK 2016 Puskesmas pembantu Kurao has a low Posyandu level. The purpose of this study was to find out the description of the implementation of the Kurao posyandu activity in the Working Area of Nanggalo Health Center in 2019.</p><p>The purpose of this study was to find out how the Posyandu Cadre Characteristics and Evaluation of Posyandu Activity Implementation in the Work Area of the Kurao Sub-District Health Center in Nanggalo. This research is a quantitative and qualitative study using primary and secondary data obtained from Health Officers, cadres and the community who come to posyandu</p><p>The results obtained were more than half of respondents (56.6%) with the age category 26-45 years. Most respondents (80%) were married or married. More than half of respondents (63.4%) with &lt;5 years old category. Most respondents (83.4%) with a secondary education level category. More than half of respondents (76.6%) in the category of not working or housewives</p><p>A total of 11 posyandu are under the working area of the Kurao Preparation of information on Posyandu implementation is carried out 1 day before the implementation of Posyandu and preparation of facilities, the infrastructure has been completed. In the implementation of posyandu activities, there was an ineffectiveness in the implementation of the fourth table because not all cadres understood and were able to provide counseling materials related to health issues, because not all cadres received specific training. Cadres only get information through regular monthly meetings at cadre social gathering events. The Posyandu Information System has been arranged in detail. Policies, preparation, implementation and Posyandu Information System in the work area of the Kurao sub-pustu have not been prepared and implemented in full, there are still shortcomings. With this research, it is recommended that health workers in the Puskesmas be able to provide training and refreshment to cadres and be able to complete all the deficiencies that exist in the implementation of the posyandu activities</p><pre> </pre>

scholarly journals Increased Cadre Motivation Conducting Childbirth Referrals through Training with the DABA Method

2021 ◽  
Vol 5 (4) ◽  
pp. 119-122
Author(s):  
Dhiana Setyorini ◽  
Intim Cahyono ◽  
Jenie Palupi ◽  
Nur Hasanah
Keyword(s):  
Maternal Mortality ◽  
Health Workers ◽  
Intervention Group ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Traditional Healers ◽  
Control Group ◽  
P Value ◽  
Delivery Assistance ◽  
Quasi Experimental

One of the causes of high maternal mortality is delivery assistance provided by other than health workers or traditional healers. The way to reduce the bondage relationship is to increase the motivation of cadres to refer mothers to health workers. The DABA method is a modification or development of the SALT method (support, appreciate, learn, and transfer), is a method or technique for forming something, showing that a community has the ability to respond to every challenge including childbirth assistance. The maternal mortality rate is still high, the Inter-Census Population Survey data released by the Central Statistics Agency shows that there were 359 maternal deaths per 100,000 births in 2013. The purpose of this study was to analyze the motivation of cadres by empowering the DABA method for referral for delivery assistance by health workers in Jember Regency. Motivation is the reason that underlies an action done by an individual. The method used was quasi-experimental using 2 groups. This study used the non equivalent control group, pre test post test design. The population in this study were 2220 posyandu cadres in the working area of the health centers in the Jember District. The subjects of this study were 100 posyandu cadres in Jember district in 2019 who met the criteria. The sampling technique was carried out by simple random sampling by selecting from a list of names of cadres in each health center. There was differences (p-value = 0.021) of cadre motivation between treatment and control group. The cadre motivation of intervention group was higher than the control group for referral labor. Having high motivation means having very strong reasons to achieve what he wants by doing his current job. The cadre motivation of treatment group increased significantly, this happened because cadres trained through the DABA method were invited to achieve the dreams they had built, namely to reduce maternal and infant mortality. Training using the DABA method is able to increase the motivation of cadres to make a referral to mothers to give birth at a health service place, so training with the DABA method is highly recommended to increase motivation for certain groups to achieve certain goals. Keywords: cadre motivation; DABA method; childbirth referrals

scholarly journals "Once the child is delivered, he is no more your baby," Exclusive Breastfeeding experiences of first-time mothers in Kassena-Nankana Municipality, Ghana - a qualitative study

2020 ◽  
Author(s):  
Louisa Adda ◽  
Kwabena Opoku-Mensah ◽  
Phyllis Dako-Gyeke
Keyword(s):  
Exclusive Breastfeeding ◽  
English Language ◽  
Cultural Practices ◽  
Health Workers ◽  
Economic Value ◽  
Computer Software ◽  
Traditional Birth Attendants ◽  
Birth Attendants ◽  
First Time Mothers ◽  
First Time

Abstract Background Exclusive Breastfeeding (EBF) is globally accepted as the preferred method for infant feeding. In Ghana, an estimated 84% of children < 2 months old are exclusively breastfed. But by age 4 to 5 months, only 49% continue to receive EBF. This situation continues to deteriorate. Thus, the need to explore perceptions, practices as well as factors that influence EBF in Ghana. Method Using a qualitative design, four focus group discussions were conducted among first-time mothers and eight in-depth interviews with health workers and traditional birth attendants. The study was conducted in four communities in the Kassena-Nankana municipality of Ghana. Discussions and interviews were recorded and later transcribed verbatim to English language. The transcribed data was then coded with the aid of analysis computer software (Nvivo version 10.0) and later analyzed for the generation of themes. Result Exclusive breastfeeding is practiced among first-time mothers due to its perceived benefits; which include nutritional advantage, ability to enhance growth whilst boosting immunity and its economic value. However misconceptions as well as, certain cultural practices (e.g. giving herbal concoctions, breastmilk purification rites), and relational influences, may threaten a mother’s intention to exclusively breastfeed. Relational influences are mainly from mother in-laws, traditional birth attendants, grandmothers, herbalists and other older adults in the community. Conclusion Although first time mothers attempt EBF, external influences make it practically challenging. The availabilty and utilization of information on EBF was found to positively influence perceptions towards EBF, leading to change in attitude towards the act. Recommendations The provision of education on EBF should be targeted to mothers during antenatal and postnatal clinics in order to help address misconceptions of EBF. Again, the practice of community based health services should be strengthened to provide support to first-time mothers as well as continuous education to the family and community leaders who influence decision making on breastfeeding of infants.

scholarly journals Mix Method Analysis of Factors Affecting Implementation of Antenatal Care (ANC) in Pregnant Women in the Work Area of the Medan Deli Health Center, Medan Deli District, Medan

2021 ◽  
Vol 2 (4) ◽  
pp. 32-44
Author(s):  
Elya Rosa ◽  
Razia Begum Suroyo ◽  
Aida Fitria
Keyword(s):  
Health Services ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Center ◽  
Health Workers ◽  
Physical And Mental Health ◽  
Chi Square ◽  
Qualitative Approaches ◽  
Work Area ◽  
Husband Support

workers which includes physical and mental health to get mothers and babies who are healthy during pregnancy, childbirth and postpartum. Data from the Medan Deli Health Center shows that in 2019 the K1 coverage is only (87%) and K4 only (66%), while the target of K1 and K4 coverage is 100% respectively. Many factors are thought to be the cause of not achieving coverage of antenatal care (ANC) implementation. The purpose of this study was to analyze the factors that influence the implementation of ANC in pregnant women. This type of research is a mix method with quantitative and qualitative approaches. The study population was 195 people, with the Slovin formula taken a sample of 66 people. Quantitative analysis was univariate, bivariate using chi-square and multivariate using multiple logistic regression at the 95% confidence level ( = 0.05). The qualitative analysis was analyzed by means of reduction, data display and verification. The results showed the variables that influenced the implementation of antenatal care (ANC) in pregnant women in the work area of ​​the Medan Deli Public Health Center in 2020, namely knowledge p = 0.032, attitude p = 0.018, parity p = 0.008, health services p = 0.016, husband support p = 0.026 and support for health workers p = 0.041. The unrelated variable was job status p = 0.269. The most dominant variable was the health service variable which had a value of Exp (B) = 12.048, meaning that respondents who received health services had 12 times the chance of implementing antenatal care compared to respondents who did not get health services. The conclusion of this research is that the implementation of antenatal care in pregnant women is influenced by knowledge, attitudes, parity, health services, husband support and support from health workers. It is hoped that health workers, especially midwives, will provide good IEC about the implementation of antenatal care to every pregnant woman and carry out more frequent home visit activities and provide advice to the puskesmas to re-attach the standby husband and cooperate with local regional leaders

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