KNOWLEDGE AND SKILLS OF CADRES IN EARLY DETECTION OF HIGH RISK PREGNANCIES WITH THE INNOVATION OF MADU UMI (SOCIETY FOR THE CARE OF HIGH RISK PREGNANT WOMEN : A MIXED METHOD

Abstract

Early detection of pregnancy with risk factors is an activity carried out to find pregnant women who have risk factors and obstetric complications. Detection of risk factors in mothers by both health workers and the community is an important effort in preventing death and morbidity. The aim is to determine the knowledge and skills of cadres in conducting early detection of high-risk pregnancies with the Madu Umi innovation.The study applied mixed methods explanatory sequential design. This is a quantitative research using a pre-experimental one group pretest-posttest design. The population was 48 cadres using a total sampling technique, and the data analysis used Wilcoxon. The qualitative stage used descriptive sampling using purposive sampling with 5 cadres, 5 pregnant women, 1 regional midwife and 1 PKK leader as informants. The analysis of Miles and Humberman model using Nvivo 12 plus.  Results: there was a significant difference in the skills and attitudes of cadres, but in the knowledge of cadres, there was no significant difference before and after being given the implementation of Madu Umi. The Conclusion of study is in practice, implementing Madu Umi can provide understanding, development of psychomotor skills, benefits for cadres, coordination mechanisms and the role of cadres. Barriers to implementation do not occur in pregnant women but occur in health cadres, namely barriers to communication and understanding.