Managing Early Detectionof Mothers with High-Risk Pregnancy by Health Surveillance Workers for Maternal and Child Health in Declining Maternal Mortality in Semarang City

Health Surveillance Workers for Mother and Child or Tenaga Surveilans Kesehatan (Gasurkes) KIA are mandated to decrease the number of maternal mortalities and increase the coverage for early detection of high-risk pregnancy. It was found that Gasurkes KIA can decline Maternal Mortality Rate and uplift the coverage for early detection of high-risk pregnancy in Semarang City. A good management practice may result in well-organized Gasurkes KIA. This study aimed to analyze the management of early detection conducted by Gasurkes KI Aamong mothers with high-risk pregnancy seen from the coverage for early detection practices. This study was a quantitative study using a cross-sectional design. The population is all Gasurkes KIAs in Semarang City, which then were retrieved to be 93 respondents as samples using total sampling technique. The inclusion criteria for the Gasurkes KIAs are that they have worked since 2008 and have not face validity test for questionnaires. Data from questionnaires were analyzed using Chi-Square test. The findings explain that 66Gasurkes KIA(71%) in the community village level have achieved the coverage for early detection of high-risk pregnancy. There is a relationship between early detection planning conducted by Gasurkes KIA among mothers with high-risk pregnancy and the coverage for early detection of high-risk pregnancy(p=0.024).Also, there is a relationship between organizationand coverage for early detection of high-risk pregnancy (p=0.010). It was found that encouragingearly detection of mothers with high-risk pregnancy conducted by Gasurkes KIArelates to the coverage for early detection for high-risk pregnancy (p=0.008). Furthermore, supervision on early detection of mothers with high-risk pregnancy and the coverage for early detection of high-risk pregnancy (p=0.039). Hence, Gasurkes KIAshould improve the functions of management.