Quality of Antenatal Care Services by Midwives After Training of Integrated Antenatal Care to Pregnant Women in Province of Central Sulawesi

Abstract

Maternal Mortality Rate in Province of Central Sulawesi was high (122/100,000 live births).Therefore, there needed to conduct a training to improve ability, attitude, and skills of midwives inproviding Antenatal Care Services (ANC). This related to quality of ANC services. An integratedtraining of ANC had been conducted at a province level in 2012. The aim of this study was toanalyse dimensions of quality of ANC services by midwives after training of integrated ANC.This was a qualitative study. Data were collected by conducting observation and indepth interviewtowards 14 main informants consisted of midwives working at health centres who had followed thetraining of integrated ANC in remote and border areas and in an area that had health problems.Meanwhile, informants for triangulation purpose consisted of 14 pregnant women and 6 heads ofMaternal and Child Health (MCH) sections at District Health Office, City Health Office, andProvince Health Office of Central Sulawesi. Furthermore, data were analysed using content analysis.The results of this study showed that regarding input, ANC services were provided by Midwivesgraduated from D III Midwifery, ANC services were free of charge, and there was lack of laboratoryequipment particularly for tests of Haemoglobin, Protein, and Glucose. Planning was made whenthere was any visit, ANC was conducted in accordance with a service standard. The local areamonitoring of MCH coverage was implemented once a month. Midwives in providing ANC servicesappreciated, respected, paid attention, listened complaints, and keep secrets of pregnant women.As suggestions, Heads of MCH sections at Health Offices in Province of Central Sulawesi need toprovide laboratory equipment for pregnancy test particularly for tests of protein, glucose, andhaemoglobin