Community-Based Midwifery Care Approach (PASKIBRAKA) for Midwife in Denpasar City and Bogor City

Maternal mortality can actually be prevented and avoided if detected and handled appropriately. The aim of the study was to find out the increase in knowledge and skills scores of midwives between pretest and posttest regarding community midwifery care efforts for mothers and families using the PasKiBraKa Package and an increase in the knowledge score of pregnant women regarding early detection of obstetric pathology and emergencies. This type of research was a quasi experiment with a nonrandomized pretest-posttest with control group design approach. The research locations were Health Care Center or Puskesmas I Denpasar Timur, Puskesmas II Denpasar Selatan, Puskesmas Pulo Armin and Puskesmas Merdeka Bogor City. The sample size enrolled was 48 people per puskesmas so that the total sample was 192 pregnant women who fulfills the inclusion and exclusion criteria. Midwives enrolled as respondents were 46 midwives, 32 midwives from the Denpasar City Health Center and 14 midwives from Bogor City. The results obtained from the analysis of different posttest score tests with pretest between the variables of self-efficacy, response effectiveness, severity, level of vulnerability and level of fear there are significant differences (p