| dc.description.abstract | Aceh Tengah District had Maternal mortaliry rafio 323 maternal deaths per
100,000 ltve birth where as the ratio in Indonesta is 228. Antenatal visit coverage
(Kl) is 67ok, K4 (66.5 %o), delivery by health personel (74.29/0) and coverage of
management obstetric complications by health personnel is 6 % where as National
target 20%. (Health Profile Aceh Tengah District, 2011). Midwife competence should
ltsve lstowledge and skill, edueation eounseling eare during pregfianey, labout btrth
and newborn post partum period including breast including breastfeeding andfamily
planning.
The aim of the stud1, v,ss to analyze the village mid'r+,ites' cornpetency and
access of health servtces that influencing prevention of complications delivery
mothers st Bebesan Su-bdistrict in Aceh Tengah District, 2013. Sample size is a total
of 34 vtllage midwtves tlwt worHng at Bebesan subdistrict. The kind of the study was
explanatory survey with univariat, bivariat (chi-square) and multtvoriat analysis
(multiple logistic re gre s sion).
Resuits. The majority (82.9%o) af the village midtvives had education Diploma
III with length of work more than 5 years (68.6%0) and 60 ok have been participatton
in Asuhan Persalinan Normal (APN) workshop. Only 28.6% village midwives which
had good lmowledge and attitude (26.3%0) can not be able to prevent the obstetric
complications of delivery (p:0.036); And 48.6% midwives reported tlat access and
the good fucilittes of health services can be able to prevent obstetric complications.
Access and facilities of health services was significants' factor that inJluenced
prevention of obstetric complicatiorc (p:0.025 <p0.05). Conclustons; The lower of
access, facilities of health service and tke village mid+'ive's competency, I{A{Rwould
be worse.
It's recommended ; Dinas kesehatan Aceh Tengah hove to ensure that health
access arul facilities are able lo provide emerg,ency obsletric cure, supporled by a
fimctioning referral system and promottng sktlls of the village midwives | en_US |
