New Approach for Referral Preparation to the Health Care Center in Denpasar City and Bogor Regency

Knowledge, attitudes and skills of pregnant women to recognize danger signs during pregnancy to postpartum period and newborn baby is a strategic effort to prevent maternal and infant mortality. The aim of the study was to fnd out the results of guidance interventions for pregnant women and husbands using video media, pictorial fans with fve fnger signs, pocket books and maternal and child health books between before and after guidance at three Health Centers in Denpasar City and Bogor Regency. The study design was quasiexperimental with nonrandomized pretest-posttest with control group design. The research subjects were 204 pregnant women in the three intervention groups who had fulfll inclusion and exclusion criteria. The intervention group on the subject was divided into interventions 1 (video media, fans with fve fnger signs and and maternal and child health books). Group intervention 2 (pocket books, fans with fve fnger signs and maternal and child health books) and control groups (maternal and child health books). The instrument used was a questionnaire containing the socio demographic characteristics of the subject, knowledge, attitude and observation of skills. The results showed that there were differences in the scores of knowledge, attitudes and skills in the intervention among groups 1 and 2 (p <0.05). The multivariate test results showed that there were four variables that consistently affected the skills score of pregnant women signifcantly including guidance intervention, maternal occupation, income and residence (p <0.005). It is necessary to consider the awareness of midwives at the health center to innovate in order to increase alertness and early detection through family-based empowerment.