Abstract

The decreasing number of MMR and IMR can be achieved if the number of high-risk pregnant women decreases. To anticipate this, an approach should be made through individuals who are closest to the community to provide information about high-risk pregnancies such as health cadres. However, cadres' knowledge and attitudes regarding their roles and duties as assistants for high-risk pregnant women and early detection of high risk are still very low. Therefore, it is necessary to increase the knowledge and attitude of health cadres by using appropriate and effective learning media sources in accordance with their knowledge and needs. The general purpose of this study is to explore and identify the perspectives and experiences of health cadres in providing assistance to high-risk pregnant women. The study uses the qualitative research method . It was conducted in the working area of Rasimah Ahmad Bukittinggi Health Center in July - October 2018. The subjects of this study consisted of health cadres, KIA program designers, and policy makers. The data were collected by using in Depth Interview and Focus Group Discussion. They were analyzed by using interactive analysis method.The result of the study shows that there is still a lack of knowledge of cadres regarding their roles and duties as assistants for high-risk pregnant women and early detection of high risk of pregnancy. This is due to the absence of handbook for cadres in providing information / and counseling to regnant women other than the KIA books they have been using and the experiences they have gained so far. The conclusion of this study is there is lack of learning media sources for cadres in providing services to pregnant women. Hence, the learning media resources are urgently needed as a reference in giving quality assistance.

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