The role of health workers in implementing of childbirth planning and complication prevention program

Afr J Reprod Health. 2022 Sep;26(9):142-152. doi: 10.29063/ajrh2022/v26i9.14.

Abstract

The Maternal Mortality Rate (MMR) in Indonesia especially in achieving the target of the Sustainable Development Goals (SDGs) in 2030 is still a concern. The Indonesian Demographic and Health Survey (IDHS) in 2012 showed a significant increase in Maternal Mortality Rate (MMR), which was 359 maternal deaths per 100,000 live births. South Sulawesi Province is one of the regions experiencing high maternal mortality problems, especially in the Gowa Regency. The Program for Childbirth Planning and Complication Prevention (P4K) is a program launched to accelerate the decline in MMR. The purpose of this study is to explore the role of health workers in implementing the P4K program so that it can become an input for health workers. The research was descriptive qualitative using purposive sampling technique, 33 informants of 6 pregnant women, 4 husbands, 5 health cadres, 3 midwives, 1 midwife coordinator, 8 environmental heads, and 6 urban village heads. The role of health workers in implementing the P4K program has been carried out but not maximally, P4K sticker installation, data collection on pregnant women, home visits, not prospective blood donors, no village ambulance, saving for maternity only for socialization, no socialization of maternity funds and the health of both mother and child forum has not yet been formed. This study is the improvement of the implementation of the P4K program, and its implications for science by implementing management functions well.

Keywords: Delivery planning; health workers; prevention of complications; program.

MeSH terms

  • Delivery, Obstetric
  • Female
  • Humans
  • Maternal Health Services*
  • Maternal Mortality
  • Midwifery*
  • Parturition
  • Pregnancy
  • Pregnant Women