The Development of a Community-Based Model as an Assisting Approach in the Prevention of Pregnancy and Labor Complications in Pandeglang Regency, Banten, Indonesia
Keywords:Community-based Model, Pregnancy Complications, Community’s participation, Labor Complication, Maternal Mortality.
Most of the direct causes of maternal death is obstetrical complications. Some programs have been done
to reduce the incidence of complications on pregnancy and childbirth complications unfortunately the
implementation of the program has not been maximized. Community empowerment is required to ensure
the sustainability of the program. This research was conducted to develop community-based Model in
preventing pregnancy and labor complications based on asset and community participatory. This research
was conducted with a mixed method approach. On the stage of model development is conducted qualitatively
through Focus Group Discussion and in-depth interview with 4 key informants and 13 support informants.
Furthermore, model is developed quantitatively by using cross sectional study design on 80 respondents.
The analysis that used in this research is SEM PLS. Once the model is formed, the evaluation was conducted
on 83 respondents by using pre and post-test design. Application of community-based Model in the society
is done by mentoring models using Module of asset and participatory-based prevention of pregnancy and
labor complication through community-based Model. The results show that community-based model
can be achieved through community participation, community assets development, knowledge, attitudes
and behavior. The results also reveal that the community-based model is statistically proven to increase
knowledge (p 0.000), attitude (p 0.000) and the behavior of expectant mother (p. 0.000). Community-based
Model consists of five variables and it was proved to be effective in improving the knowledge, attitude and
behavior of expecting mothers on the prevention of pregnancy complication and childbirth.
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